Xie Xiangyang, Lin Wen, Xing Chuanfeng, Yang Yanfang, Chi Qiang, Zhang Hui, Li Ying, Li Zhiping, Yang Yang, Yang Zhenbo, Li Mingyuang
Department of Pharmacy, Wuhan General Hospital of Guangzhou Military Command, Wuhan, PR China.
Department of Clinical Laboratory, Huangshi Love & Health Hospital of Hubei province, Huangshi, PR China.
PLoS One. 2015 May 4;10(5):e0125953. doi: 10.1371/journal.pone.0125953. eCollection 2015.
Poor patient compliance, untoward reactions and unstable blood drug levels after the bolus administration are impeding the pharmacotherapy for insobriety. A long-acting preparation may address these limitations. The aim of this paper was to further investigate the in vitro characteristics and in vivo performances of nalmefene microspheres. Nalmefene was blended with poly (lactide-co-glycolide) (PLGA) to prepare the target microspheres by an O/O emulsification solvent evaporation method. The prepared microspheres exhibited a controlled release profile of nalmefene in vitro over 4 weeks, which was well fitted with a first-order model. In vitro degradation study showed that the drug release in vitro was dominated by both drug diffusion and polymer degradation mechanisms. Pharmacokinetics study indicated that the prepared microspheres could provide a relatively constant of nalmefene plasma concentration for at least one month in rats. The in vivo pharmacokinetics profile was well correlated with the in vitro drug release. Pharmacodynamics studies revealed that the drug loaded microspheres could produce a long-acting antagonism efficacy on rats. These results demonstrated the promising application of injectable PLGA microspheres containing nalmefene for the long-term treatment of alcohol dependence.
患者依从性差、推注给药后出现不良反应以及血药水平不稳定,这些因素阻碍了对戒酒的药物治疗。长效制剂可能会解决这些局限性。本文的目的是进一步研究纳美芬微球的体外特性和体内性能。将纳美芬与聚(丙交酯-乙交酯)(PLGA)混合,通过O/O乳化溶剂蒸发法制备目标微球。所制备的微球在体外4周内呈现出纳美芬的控释曲线,与一级模型拟合良好。体外降解研究表明,体外药物释放受药物扩散和聚合物降解机制共同主导。药代动力学研究表明,所制备的微球在大鼠体内至少一个月能提供相对恒定的纳美芬血浆浓度。体内药代动力学曲线与体外药物释放密切相关。药效学研究表明,载药微球对大鼠可产生长效拮抗作用。这些结果证明了含纳美芬的可注射PLGA微球在酒精依赖长期治疗中的应用前景。