Nagai Noriaki, Yoshioka Chiaki, Ito Yoshimasa
Faculty of Pharmacy, Kinki University.
J Oleo Sci. 2015;64(3):337-46. doi: 10.5650/jos.ess14170. Epub 2015 Feb 9.
Indomethacin (IMC), a nonsteroidal anti-inflammatory drug, has been used in the treatment of rheumatoid arthritis (RA), although its clinical use has been limited by its systemic side effects that include gastrointestinal lesions. Therefore, the development of IMC formulations that do not cause gastrointestinal lesions is highly anticipated. In this study, we designed new topical formulations containing IMC solid nanoparticles (IMCnano gel ointment), and investigated their pharmacokinetics. In addition, we demonstrate the preventive effects of this topical application of IMC nanoparticles on inflammation in adjuvant-induced arthritis rat (AA rat). The IMCnano gel ointment was prepared using Bead Smash 12 (a bead mill) and additives including 2-hydroxypropyl-β-cyclodextrin, methylcellulose and Carbopol 934; the mean particle size of the IMC nanoparticles was 173 ± 91 nm (means ± S.D.). The application of the IMCnano gel ointment attenuated the increase in paw edema of the hind feet of AA rats in comparison with AA rats treated with gel ointment containing IMC microparticles (IMCmicro gel ointment, particle diameter 17.1 ± 11.6 mm, means ± S.D). In addition, the accumulation of IMC from the IMCnano gel ointment in skin tissue was significantly large than for the IMCmicro gel ointment; however, the plasma IMC concentrations were similar for the IMCmicro and IMCnano gel ointments. Our findings suggest that the dermal application of nanoparticles may enable a medication to be applied without high-systemic drug levels, which could provide efficient and effective therapy that spares patients from unwanted side effects. A formulation of a topical drug delivery system using IMC nanoparticles may provide a delivery option for the clinical treatment of RA.
吲哚美辛(IMC)是一种非甾体抗炎药,已用于治疗类风湿性关节炎(RA),但其临床应用因包括胃肠道损伤在内的全身副作用而受到限制。因此,人们高度期待开发不会引起胃肠道损伤的IMC制剂。在本研究中,我们设计了含有IMC固体纳米颗粒的新型局部用制剂(IMC纳米凝胶软膏),并研究了它们的药代动力学。此外,我们证明了这种局部应用IMC纳米颗粒对佐剂诱导性关节炎大鼠(AA大鼠)炎症的预防作用。使用Bead Smash 12(一种珠磨机)和包括2-羟丙基-β-环糊精、甲基纤维素和卡波姆934在内的添加剂制备了IMC纳米凝胶软膏;IMC纳米颗粒的平均粒径为173±91nm(平均值±标准差)。与用含有IMC微粒的凝胶软膏(IMC微凝胶软膏,粒径17.1±11.6mm,平均值±标准差)治疗的AA大鼠相比,应用IMC纳米凝胶软膏减轻了AA大鼠后足爪水肿的增加。此外,IMC纳米凝胶软膏中IMC在皮肤组织中的蓄积明显大于IMC微凝胶软膏;然而,IMC微凝胶软膏和IMC纳米凝胶软膏的血浆IMC浓度相似。我们的研究结果表明,纳米颗粒的皮肤应用可能使药物在不产生高全身药物水平的情况下应用,这可以提供高效且有效的治疗,使患者免受不必要的副作用。使用IMC纳米颗粒的局部药物递送系统制剂可能为RA的临床治疗提供一种递送选择。
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