School of Pharmacy, College of Pharmacy, Taipei Medical University Hospital, Taipei, Taiwan.
Int J Nanomedicine. 2012;7:4409-18. doi: 10.2147/IJN.S33682. Epub 2012 Aug 15.
To resolve problems of long treatment durations and frequent administration of the antifungal agent terbinafine (TB), solid lipid nanoparticles (SLNs) with the ability to load lipophilic drugs and nanosize were developed. The SLNs were manufactured by a microemulsion technique in which glyceryl monostearate (GMS), glyceryl behenate (Compritol(®) 888; Gattefossé), and glyceryl palmitostearate (Precirol(®) ATO 5; Gattefossé) were used as the solid lipid phases, Tween(®) and Cremophor(®) series as the surfactants, and propylene glycol as the cosurfactant to construct ternary phase diagrams. The skin of nude mice was used as a barrier membrane, and penetration levels of TB of the designed formulations and a commercial product, Lamisil(®) Once™ (Novartis Pharmaceuticals), in the stratum corneum (SC), viable epidermis, and dermis were measured; particle sizes were determined as an indicator of stability. The optimal SLN system contained a <5% lipid phase and >50% water phase. The addition of ethanol or etchants had no significant effect on enhancing the amount of TB that penetrated the skin layers, but it was enhanced by increasing the percentage of the lipid phase. Furthermore, the combination of GMS and Compritol(®) 888 was able to increase the stable amount of TB that penetrated all skin layers. For the ACP1-GM1 (4% lipid phase; Compritol(®) 888: GMS of 1:1) formulation, the amount of TB that penetrated the SC was similar to that of Lamisil(®) Once™, whereas the amount of TB of the dermis was higher than that of Lamisil(®) Once™ at 12 hours, and it was almost the same as that of Lamisil(®) Once™ at 24 hours. It was concluded that the application of ACP1-GM1 for 12 hours might have an efficacy comparable to that of Lamisil(®) Once™ for 24 hours, which would resolve the practical problem of the longer administration period that is necessary for Lamisil(®) Once™.
为了解决抗真菌药物特比萘芬(TB)治疗时间长和频繁给药的问题,开发了具有负载亲脂性药物和纳米尺寸能力的固体脂质纳米粒(SLN)。SLN 是通过微乳液技术制造的,其中甘油单硬脂酸酯(GMS)、甘油二十二酸酯(Compritol ® 888;Gattefossé)和甘油棕榈硬脂酸酯(Precirol ® ATO 5;Gattefossé)用作固体脂质相,吐温 ® 和 Cremophor ® 系列用作表面活性剂,丙二醇用作助表面活性剂,以构建三元相图。裸鼠皮肤用作屏障膜,测量设计制剂和商业产品 Lamisil ® Once ™(诺华制药)在角质层(SC)、活性表皮和真皮中的 TB 渗透水平;粒径作为稳定性的指标进行测定。最佳 SLN 系统含有 <5%的脂质相和>50%的水相。添加乙醇或蚀刻剂对增强 TB 渗透皮肤层的量没有显著影响,但通过增加脂质相的百分比可以增强。此外,GMS 和 Compritol ® 888 的组合能够增加所有皮肤层渗透的 TB 的稳定量。对于 ACP1-GM1(4%脂质相;Compritol ® 888:GMS 为 1:1)制剂,TB 渗透到 SC 的量与 Lamisil ® Once ™相似,而 TB 渗透到真皮的量在 12 小时时高于 Lamisil ® Once ™,在 24 小时时几乎与 Lamisil ® Once ™相同。结论是,应用 ACP1-GM1 12 小时可能与 Lamisil ® Once ™ 24 小时的疗效相当,这将解决 Lamisil ® Once ™ 所需的较长给药期的实际问题。