Sharma Sumit, Lohan Shikha, Murthy R S R
Nano-medicine Centre and.
Drug Dev Ind Pharm. 2014 Jul;40(7):869-78. doi: 10.3109/03639045.2013.789051. Epub 2013 Apr 19.
Levodopa is the drug of choice in the treatment of Parkinson's disease but it exhibits low oral bioavailability (30%) and very low brain uptake due to its extensive metabolism by aromatic amino acid decarboxylase in the peripheral circulation. Hence, levodopa is co-administered with carbidopa, a peripheral amino acid decarboxylase inhibitor. In an attempt to improve brain uptake and to avoid degradation of levodopa in peripheral circulation and the use of carbidopa in combination, nose to brain drug delivery of levodopa alone via the olfactory route and the trigeminal nerves has been investigated. Chitosan nanoparticles loaded with levodopa (CNL) were prepared and were incorporated in a thermo-reversible gel prepared using Pluronic PF127 (CNLPgel). The preparation of CNL and CNLPgel was optimized for formulation parameters such as chitosan:TPP ratio, drug load Pluronic concentration to obtain desired particle size of CNL, gelling temperature, gelling time and mucoadhesive strength of CNLPgel. Rheological studies indicated a change in the rheological behavior of plain pluronic gel from Newtonian system at 30 °C to pseudoplastic behavior at 35 °C on incorporation of CNL. In vitro release studies from CNL obeyed Higuchi kinetic model, whereas the drug release from CNLPgel followed the Hixson-Crowell model. In vivo studies indicated a maximum recovery of the drug in brain following intranasal administration of CNL suspension in saline closely followed by the drug dispersed in plain pluronic gel.
左旋多巴是治疗帕金森病的首选药物,但由于其在外周循环中被芳香族氨基酸脱羧酶广泛代谢,口服生物利用度较低(30%),脑摄取率也非常低。因此,左旋多巴通常与外周氨基酸脱羧酶抑制剂卡比多巴联合使用。为了提高脑摄取率,避免左旋多巴在外周循环中降解以及避免联合使用卡比多巴,人们研究了通过嗅觉途径和三叉神经单独将左旋多巴经鼻脑给药。制备了负载左旋多巴的壳聚糖纳米粒(CNL),并将其掺入使用泊洛沙姆PF127制备的热可逆凝胶中(CNLPgel)。对CNL和CNLPgel的制备进行了优化,以确定壳聚糖与三聚磷酸钠的比例、载药量、泊洛沙姆浓度等制剂参数,从而获得所需粒径的CNL、胶凝温度、胶凝时间和CNLPgel的黏膜黏附强度。流变学研究表明,在加入CNL后,普通泊洛沙姆凝胶的流变行为从30℃时的牛顿体系转变为35℃时的假塑性行为。CNL的体外释放研究符合Higuchi动力学模型,而CNLPgel的药物释放遵循Hixson-Crowell模型。体内研究表明,经鼻腔给予生理盐水混悬的CNL后,脑中药物的回收率最高,其次是分散在普通泊洛沙姆凝胶中的药物。