Department of Materials Science, Graduate School of Pure and Applied Sciences, University of Tsukuba, Tsukuba, Japan.
Gastroenterology. 2012 Oct;143(4):1027-36.e3. doi: 10.1053/j.gastro.2012.06.043. Epub 2012 Jul 3.
BACKGROUND & AIMS: Drugs used to treat patients with ulcerative colitis are not always effective because of nonspecific distribution, metabolism in the gastrointestinal tract, and side effects. We designed a nitroxide radical-containing nanoparticle (RNP(O)) that accumulates specifically in the colon to suppress inflammation and reduce the undesirable side effects of nitroxide radicals.
RNP(O) was synthesized by assembly of an amphiphilic block copolymer that contains stable nitroxide radicals in an ether-linked hydrophobic side chain. Biodistribution of RNP(O) in mice was determined from radioisotope and electron spin resonance measurements. The effects of RNP(O) were determined in mice with dextran sodium sulfate (DSS)-induced colitis and compared with those of low-molecular-weight drugs (4-hydroxyl-2,2,6,6-tetramethylpiperidine-1-oxyl [TEMPOL] or mesalamine).
RNP(O), with a diameter of 40 nm and a shell of poly(ethylene glycol), had a significantly greater level of accumulation in the colonic mucosa than low-molecular-weight TEMPOL or polystyrene latex particles. RNP(O) was not absorbed into the bloodstream through the intestinal wall, despite its long-term retention in the colon, which prevented its distribution to other parts of the body. Mice with DSS-induced colitis had significantly lower disease activity index and less inflammation following 7 days of oral administration of RNP(O) compared with mice with DSS-induced colitis or mice given low-molecular-weight TEMPOL or mesalamine.
We designed an orally administered RNP(O) that accumulates specifically in the colons of mice with colitis and is more effective in reducing inflammation than low-molecular-weight TEMPOL or mesalamine. RNP(O) might be developed for treatment of patients with ulcerative colitis.
由于非特异性分布、胃肠道代谢和副作用,用于治疗溃疡性结肠炎患者的药物并不总是有效。我们设计了一种含有氮氧自由基的纳米颗粒(RNP(O)),它可以特异性地在结肠中积累,从而抑制炎症并减少氮氧自由基的不良副作用。
RNP(O)是通过组装含有稳定氮氧自由基的两亲性嵌段共聚物合成的,该共聚物在醚连接的疏水性侧链中。通过放射性同位素和电子自旋共振测量来确定 RNP(O)在小鼠中的分布。在葡聚糖硫酸钠(DSS)诱导的结肠炎小鼠中测定了 RNP(O)的作用,并将其与低分子量药物(4-羟基-2,2,6,6-四甲基哌啶-1-氧自由基[TEMPOL]或美沙拉嗪)进行了比较。
RNP(O)的直径为 40nm,外壳为聚乙二醇,在结肠黏膜中的积累水平明显高于低分子量 TEMPOL 或聚苯乙烯乳胶颗粒。尽管 RNP(O)在结肠中长时间保留,但它并没有通过肠壁被吸收到血液中,从而阻止了其分布到身体的其他部位。与 DSS 诱导的结肠炎小鼠或给予低分子量 TEMPOL 或美沙拉嗪的小鼠相比,用 RNP(O)口服给药 7 天后,患有 DSS 诱导的结肠炎的小鼠的疾病活动指数显著降低,炎症也明显减轻。
我们设计了一种口服给予的 RNP(O),它可以特异性地在结肠炎小鼠的结肠中积累,并且比低分子量 TEMPOL 或美沙拉嗪更有效地减轻炎症。RNP(O)可能被开发用于治疗溃疡性结肠炎患者。