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新型眼科噻吗洛尔马来酸酯脂质体水凝胶及其在体内改善局部青光眼治疗效果的研究。

Novel ophthalmic timolol meleate liposomal-hydrogel and its improved local glaucomatous therapeutic effect in vivo.

机构信息

School of Chinese Medicine, Hong Kong Baptist University, 7 Baptist University Road, Hong Kong, China.

出版信息

Drug Deliv. 2011 Sep-Oct;18(7):502-10. doi: 10.3109/10717544.2011.595839. Epub 2011 Jul 26.

DOI:10.3109/10717544.2011.595839
PMID:21790329
Abstract

To overcome the limitations of common eye drops, the study developed a novel timolol mealate (TM) liposomal-hydrogel to enhance drug permeability and prolong residence time in the precorneal region, which achieved more effective local glaucomatous therapeutic effect. Firstly, TM liposome was prepared by an ammonium sulfate gradient-pH regulation method, which its entrapment efficiency reached up to 94% and its averaged particle size is 187 nm with narrow distribution. The corneal permeability through isolated rabbit cornea was measured by modified Franz-type diffusion cells. The results of trans-corneal penetration exhibited that the apparent permeability coefficients (P(app)) and the flow rates of steady state (J(ss)) of TM liposome was 1.50-fold higher than that of the commercialized eye drop, while TM liposome with 0.02% transcutol P was 2.19 times. In order to increase the retention time and improve the stability of liposome, we further developed a TM liposomal-hydrogel formulation by adding 1.0% HPMC K4M in TM liposome. The results showed an stability during a 120 days storage period than TM liposome. Precorneal retention study in vivo indicated that the optimal liposomal-hydrogel formulation had improved bioavailability and its retention time on rabbit corneal surface were significantly longer than that of pure liposomes or eye-drops. No obvious irritations to rabbit eyes were observed by histopathology microscopy after 7 days exposure.. Comparing to the eye drops, the TM liposomal-gel displayed prolonged therapeutic effect in cornea and greatly lowered the intraocular pressure IOP on the eyes of normal and glaucomatous pigmented rabbits.

摘要

为了克服普通眼药水的局限性,本研究开发了一种新型的噻吗洛尔马来酸盐(TM)脂质体-水凝胶,以提高药物透过性并延长在角膜前区的滞留时间,从而实现更有效的局部青光眼治疗效果。首先,采用硫酸铵梯度-pH 调节法制备 TM 脂质体,其包封率高达 94%,平均粒径为 187nm,分布较窄。通过改良的 Franz 型扩散池测量分离兔角膜的角膜透过性。透角膜渗透的结果表明,TM 脂质体的表观透过系数(P(app))和稳态流量(J(ss))比市售眼药水高 1.5 倍,而含 0.02% 吐温 P 的 TM 脂质体则高 2.19 倍。为了增加滞留时间并提高脂质体的稳定性,我们进一步通过在 TM 脂质体中添加 1.0% HPMC K4M 来开发 TM 脂质体-水凝胶制剂。结果表明,在 120 天的储存期内,该制剂具有更好的稳定性。体内角膜前滞留研究表明,最佳的脂质体-水凝胶制剂具有更好的生物利用度,其在兔角膜表面的滞留时间明显长于纯脂质体或眼药水。组织病理学显微镜检查显示,在 7 天的暴露后,兔眼没有明显的刺激反应。与眼药水相比,TM 脂质体凝胶在角膜中表现出更长的治疗效果,并大大降低了正常和青光眼色素兔眼内压。

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