School of Pharmacy & Health Professions, Creighton University, 2500 California Plaza, Omaha, NE 68178, USA.
J Antimicrob Chemother. 2010 Oct;65(10):2183-7. doi: 10.1093/jac/dkq318. Epub 2010 Aug 21.
Free ritonavir, lopinavir and efavirenz injected intraperitoneally were compared with antiretroviral (AR) nanoparticles (NPs).
This is a prospective study in BALB/c mice comparing the pharmacokinetics of free drugs with AR NPs. All animals received free drugs or AR NPs (20 mg/kg) in PBS. In vitro replication assays were used for determination of the anti-HIV efficacy of NP formulations. At specific times (free drugs 0.08, 0.125, 0.25, 0.33, 1, 2 and 3 days; AR NPs 0.125, 0.33, 1, 2, 4, 7, 14, 21, 28, 35 and 42 days) mice were euthanized and serum and organs were harvested for determination of AR concentrations by HPLC. Single treatment of monocyte-derived macrophages (MDMs) infected with HIV-1(ada) compared AR NPs (0.005-0.05 mg/mL) with free efavirenz or lopinavir/ritonavir (0.01-0.1 mg/mL), blank NPs and controls. Results are presented as means ± SEM.
Serum free AR drug concentrations peaked 4 h post-injection (ritonavir 3.9 ± 3.05, lopinavir 3.4 ± 2.5 and efavirenz 1.8 ± 0.63 µg/mL) and were eliminated by 72 h. Poly(dl-lactide-co-glycolide) NP animals had detectable ritonavir, lopinavir and efavirenz concentrations in all tissues for 28 days. Treatment of MDMs with AR NPs resulted in sustained inhibition of HIV-1(ada) replication.
AR drug concentrations from NPs are sustained for 28 days in vivo and anti-HIV inhibition was comparable to that of free drugs in vitro and could be a sustained treatment for delivery of AR drugs.
比较游离利托那韦、洛匹那韦和依非韦伦腹腔注射与抗逆转录病毒(AR)纳米颗粒(NPs)。
这是一项 BALB/c 小鼠的前瞻性研究,比较游离药物与 AR NPs 的药代动力学。所有动物均以磷酸盐缓冲液(PBS)接受游离药物或 AR NPs(20 mg/kg)。体外复制实验用于测定 NP 制剂的抗 HIV 功效。在特定时间(游离药物 0.08、0.125、0.25、0.33、1、2 和 3 天;AR NPs 0.125、0.33、1、2、4、7、14、21、28、35 和 42 天),处死小鼠并采集血清和器官,通过 HPLC 测定 AR 浓度。单治疗感染 HIV-1(ada)的单核细胞衍生巨噬细胞(MDMs),将 AR NPs(0.005-0.05 mg/mL)与游离依非韦伦或洛匹那韦/利托那韦(0.01-0.1 mg/mL)、空白 NPs 和对照进行比较。结果以平均值±SEM 表示。
血清中游离 AR 药物浓度在注射后 4 小时达到峰值(利托那韦 3.9±3.05、洛匹那韦 3.4±2.5 和依非韦伦 1.8±0.63 µg/mL),72 小时内被消除。聚(dl-丙交酯-co-乙交酯)NP 动物在 28 天内所有组织中均检测到利托那韦、洛匹那韦和依非韦伦浓度。AR NPs 处理 MDMs 导致 HIV-1(ada)复制持续抑制。
NP 中的 AR 药物浓度在体内持续 28 天,抗 HIV 抑制作用与游离药物相当,可能是 AR 药物持续递送的一种治疗方法。