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放射性核素促排剂前药的理化特性及其口服给药制剂。

Physicochemical characterization of a prodrug of a radionuclide decorporation agent for oral delivery.

机构信息

Division of Molecular Pharmaceutics, Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, North Carolina 27599, USA.

出版信息

J Pharm Sci. 2012 Aug;101(8):2844-53. doi: 10.1002/jps.23218. Epub 2012 May 29.

Abstract

Intravenously administered calcium and zinc complexes of diethylenetriaminepentaacetic acid (DTPA) are the agents of choice to treat individuals who have been contaminated with radioactive actinides. However, their use in a mass casualty scenario is hampered by the need for trained personnel to receive treatment. Because DTPA is a highly ionized molecule with permeability-limited bioavailability, the penta-ethyl ester prodrug of DTPA is under evaluation as an orally bioavailable radionuclide decorporation agent. In this work, the physicochemical properties of DTPA penta-ethyl ester were characterized to assess its potential for oral delivery. DTPA penta-ethyl ester was determined to be a low-viscosity liquid with Newtonian flow characteristics. Consistent with the measured pK(a) values, which range from 2.93 to 10.87, this prodrug exhibits pH-dependent solubility and lipophilicity properties that are representative of a weak base and favorable for oral absorption. It is miscible in solvents that are nonpolar to moderately polar and is sufficiently stable to avoid premature hydrolysis during gastrointestinal transit. Therapeutic effects were demonstrated in an initial efficacy study wherein oral treatments of the prodrug were given to rats contaminated with ²⁴¹Am, providing preliminary indications of successful oral delivery. The properties of the prodrug indicate that it is conducive to oral delivery and may offer therapeutic benefits over the standard DTPA therapy following radionuclide contamination.

摘要

静脉内给予乙二胺四乙酸(DTPA)的钙和锌复合物是治疗放射性锕系元素污染个体的首选药物。然而,由于需要经过培训的人员来接受治疗,它们在大规模伤亡情况下的使用受到了限制。由于 DTPA 是一种高度离子化的分子,具有渗透性有限的生物利用度,因此 DTPA 的五乙酯前药正在作为一种口服生物可利用的放射性核素脱除剂进行评估。在这项工作中,对 DTPA 五乙酯的物理化学性质进行了表征,以评估其口服递送的潜力。DTPA 五乙酯被确定为具有牛顿流特性的低粘度液体。与测量的 pK(a)值一致,范围为 2.93 至 10.87,该前药表现出 pH 依赖性溶解度和亲脂性,这代表一种弱碱,有利于口服吸收。它可与非极性到中等极性的溶剂混溶,并且在胃肠道转运过程中足够稳定以避免过早水解。在一项初步疗效研究中,用 ²⁴¹Am 污染的大鼠进行了口服治疗,证明了治疗效果,初步表明了口服递送的成功。该前药的性质表明它有利于口服递送,并可能在放射性核素污染后提供优于标准 DTPA 治疗的治疗益处。

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