Zhu Xiaoxiang, Braatz Richard D
Department of Chemical Engineering, Massachusetts Institute of Technology, Cambridge, Massachusetts, 02139.
J Biomed Mater Res A. 2015 Jul;103(7):2269-79. doi: 10.1002/jbm.a.35357. Epub 2014 Nov 12.
Biodegradable poly(d,l-lactic-co-glycolic acid) (PLGA) coating for applications in drug-eluting stents has been receiving increasing interest as a result of its unique properties compared with biodurable polymers in delivering drug for reducing stents-related side effects. In this work, a mathematical model for describing the PLGA degradation and erosion and coupled drug release from PLGA stent coating is developed and validated. An analytical expression is derived for PLGA mass loss that predicts multiple experimental studies in the literature. An analytical model for the change of the number-average degree of polymerization [or molecular weight (MW)] is also derived. The drug transport model incorporates simultaneous drug diffusion through both the polymer solid and the liquid-filled pores in the coating, where an effective drug diffusivity model is derived taking into account factors including polymer MW change, stent coating porosity change, and drug partitioning between solid and aqueous phases. The model is used to describe in vitro sirolimus release from PLGA stent coating, and demonstrates the significance of simultaneous sirolimus release via diffusion through both polymer solid and pore space. The proposed model is compared to existing drug transport models, and the impact of model parameters, limitations and possible extensions of the model are also discussed.
与生物耐久性聚合物相比,可生物降解的聚(d,l-乳酸-共-乙醇酸)(PLGA)涂层因其在药物洗脱支架应用中具有独特性质,在递送药物以减少支架相关副作用方面受到越来越多的关注。在这项工作中,开发并验证了一个用于描述PLGA降解和侵蚀以及PLGA支架涂层中药物耦合释放的数学模型。推导了一个用于预测文献中多项实验研究的PLGA质量损失的解析表达式。还推导了数均聚合度[或分子量(MW)]变化的解析模型。药物传输模型考虑了药物同时通过聚合物固体和涂层中充满液体的孔隙进行扩散,其中推导了一个有效药物扩散系数模型,该模型考虑了包括聚合物MW变化、支架涂层孔隙率变化以及药物在固液相间分配等因素。该模型用于描述西罗莫司从PLGA支架涂层的体外释放,并证明了西罗莫司通过聚合物固体和孔隙空间同时扩散释放的重要性。将所提出的模型与现有的药物传输模型进行了比较,并讨论了模型参数的影响、模型的局限性以及可能的扩展。