Wang P Y
Institute of Biomedical Engineering, Faculty of Medicine, University of Toronto, Canada.
J Biomed Mater Res. 1989 Jan;23(1):91-104. doi: 10.1002/jbm.820230108.
An implant may release a drug either by diffusion concurrent with dissolution of the polymeric implant material without depolymerization (Type A) or by bioerosion involving depolymerization (Type B). The Type A material may induce immune response, while the erosion of Type B polymer releases fragments which could cause toxicity problems. It is proposed that a combination of the two types of polymers may attenuate the intensity of immune response and toxicity, because the presence of one in an implant of the same weight reduces the amount of the other. However, it is important to determine first, if sustained delivery may be achieved by such an implant. In this study, partially hydrolyzed poly(vinyl acetate) (PVA) and polycaprolactone (PCL) were chosen as the model Type A, and B polymers, respectively, to evaluate this objective in vitro. Pellet discs were prepared to assess the effects of compression, proportion of PVA to PCL, acetyl content of PVA, PCL hydrolysis catalyst and drug loading, using methylene blue (MB) as a model drug. Results showed that sustained delivery could be effected, but PCL erosion did not occur as planned. Therefore, PCL served only as a passive component of the implant, while PVA was eroded with the release of MB. Consequently, it was inferred that a polymer may not be required as a passive component, which suggested the use of other compounds of known biocompatibility. Tests with insulin in a compressed solid admixture with cholesterol showed that reduction of hyperglycemia in diabetic Wistar rat could be effected reproducibly for at least 2 weeks. Thus, the present study, originally planned to test a proposed concept, indicates that many nonpolymeric materials of known biocompatibility may be suitable for drug delivery implants as well.
植入物可以通过聚合物植入材料在不解聚的情况下溶解同时扩散(A型)或通过涉及解聚的生物侵蚀(B型)来释放药物。A型材料可能会引发免疫反应,而B型聚合物的侵蚀会释放出可能导致毒性问题的碎片。有人提出,将这两种类型的聚合物结合起来可能会减弱免疫反应和毒性的强度,因为在相同重量的植入物中一种聚合物的存在会减少另一种聚合物的用量。然而,首先确定这样的植入物是否可以实现持续给药很重要。在本研究中,分别选择部分水解的聚醋酸乙烯酯(PVA)和聚己内酯(PCL)作为A型和B型聚合物模型,以在体外评估这一目标。制备了丸剂圆盘,以评估压缩、PVA与PCL的比例、PVA的乙酰含量、PCL水解催化剂和药物负载量的影响,使用亚甲蓝(MB)作为模型药物。结果表明可以实现持续给药,但PCL的侵蚀并未按计划发生。因此,PCL仅作为植入物的被动成分,而PVA在MB释放的同时被侵蚀。因此,可以推断可能不需要聚合物作为被动成分,这表明可以使用其他已知生物相容性的化合物。用胰岛素与胆固醇的压缩固体混合物进行的试验表明,糖尿病Wistar大鼠的高血糖降低可以至少持续2周地重复实现。因此,本研究原本计划测试一个提出的概念,表明许多已知生物相容性的非聚合物材料也可能适用于药物递送植入物。