Zhu Zhuangzhi, Luo Huafei, Lu Wangding, Luan Hansen, Wu Yubo, Luo Jing, Wang Youjie, Pi Jiaxin, Lim Chee Yen, Wang Hao
National Pharmaceutical Engineering Research Center, China State Institute of Pharmaceutical Industry, 1111 Ha Lei Road, Shanghai, 201203, China,
Pharm Res. 2014 Dec;31(12):3348-60. doi: 10.1007/s11095-014-1424-1. Epub 2014 May 28.
To assess the feasibility of transdermal delivery of exenatide (EXT) using low-molecular-weight sodium hyaluronate (HA) dissolving microneedles (MNs) patches for type 2 diabetes mellitus therapy.
Micromold casting method was used to fabricate EXT-loaded dissolving MNs. The characteristics of prepared MNs including mechanical strength, in vitro/in vivo insertion capacity, dissolution profile and storage stability were then investigated. Finally, the in vivo pharmacokinetics and hypoglycemic effects were compared with traditional subcutaneous (SC) injection.
EXT-loaded dissolving MNs made of HA possessed sufficient mechanical strength and the strength could be weakened as the water content increases. The EXT preserved its pharmacological activity during fabrication and one-month storage. With the aid of spring-operated applicator, dissolving MNs could be readily penetrated into the skin in vitro/in vivo, and then rapidly dissolved to release encapsulated drug within 2 min. Additionally, transepidermal water loss (TEWL) determinations showed that skin's barrier properties disrupted by MNs recovered within 10-12 h. Transdermal pharmacokinetics and antidiabetic effects studies demonstrated that fabricated EXT MNs induced comparable efficacy to SC injection.
Our rapidly dissolving MNs patch appears to an excellent, painless alternative to conventional SC injection of EXT, and this minimally invasive device might also be suitable for other biotherapeutics.
评估使用低分子量透明质酸钠(HA)溶解微针(MNs)贴片经皮递送艾塞那肽(EXT)用于2型糖尿病治疗的可行性。
采用微模铸法制备负载EXT的溶解微针。然后研究制备的微针的特性,包括机械强度、体外/体内插入能力、溶解曲线和储存稳定性。最后,将体内药代动力学和降血糖作用与传统皮下(SC)注射进行比较。
由HA制成的负载EXT的溶解微针具有足够的机械强度,并且强度会随着含水量的增加而减弱。EXT在制备和储存一个月期间保持其药理活性。借助弹簧式施药器,溶解微针在体外/体内可轻易穿透皮肤,然后在2分钟内迅速溶解以释放包封的药物。此外,经表皮水分流失(TEWL)测定表明,微针对皮肤屏障特性的破坏在10 - 12小时内恢复。经皮药代动力学和抗糖尿病作用研究表明,制备的EXT微针诱导的疗效与SC注射相当。
我们的快速溶解微针贴片似乎是传统EXT皮下注射的一种出色的、无痛的替代方法,这种微创装置也可能适用于其他生物治疗药物。