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[利培酮微球/醋酸蔗糖异丁酸酯原位形成具有双重扩散屏障的复合长效注射剂的制备与评价]

[Preparation and evaluation of risperidone-loaded microsphere/sucrose acetate isobutyrate in situ forming complex depot with double diffusion barriers].

作者信息

Lin Xia, Tang Xing, Xu Yu-hong, Zhang Yu, Zhang Yan, He Hai-bing

出版信息

Yao Xue Xue Bao. 2015 Jun;50(6):775-82.

Abstract

In the present study, a risperidone loaded microsphere/sucrose acetate isobutyrate (SAIB) in situ forming complex depot was designed to reduce the burst release of SAIB in situ forming depot and to continuously release risperidone for a long-term period without lagime. The model drug risperidone (Ris) was first encapsulated into microspheres and then the Ris-microspheres were embedded into SAIB depot to reduce the amount of dissolved drug in the depot. The effects of different types of microsphere matrix, including chitosan and poly(lactide-coglycolide) (PLGA), matrix/Ris ratios in microspheres and morphology of microspheres on the drug release behavior of complex depot were investigated. In comparison with the Ris-loaded SAIB depot (Ris-SAIB), the complex depot containing chitosan microspheres (in which chitosan/Ris = 1 : 1, w/w) (Ris-Cm-SAIB) decreased the burst release from 12.16% to 5.80%. However, increased drug release rate after 4 days was observed in Ris-Cm-SAIB, which was caused by the high penetration of the medium to Ris-Cm-SAIB due to the hydrophilie of chitosan. By encapsulation of risperidone in PLGA microspheres, most drugs can be prevented from dissolving in the depot and meanwhile the hydrophobic PLGA can reduce the media penetration effect on the depot. The complex depot containing PLGA microspheres (in which PLGA/ drug=4 : 2, w/w) (Ris-Pm-SAIB) showed a significant effectiveness on reducing the burst release both in vitro and in vivo whereby only 0.64% drug was released on the first day in vitro and a low AUC0-4d value [(105.2± 24.4) ng.mL-1.d] was detected over the first 4 days in vivo. In addition, drug release from Ris-Pm-SAIB can be modified by varying the morphology of microspheres. The porous PLGA microspheres could be prepared by adding medium chain triglyceride (MCT) in the organic phase which served as pore agents during the preparation of PLGA microspheres. The complex depot containing porous PLGA microspheres (which were prepared by co-encapsulation of 20% MCT) (Ris-PPm-SAIB) exhibited a slightly increased AUC0-4d of (194.6±15.8) ng.mL-1d and high plasma concentration levels from 4 to 78 days [Cs(4-78d)=(7.8±1.2) ng.mL-1]. The plasma concentration on 78 day C78d was (9.0 2.5) ng.mL-1 which was higher than that of Ris-Pm-SAIB [C78d= (1.6 ± 0.6) ng.mL-1]. In comparison with Ris-Pm-SAIB, the AUC4-78d of Ris-PPm-SAIB increased from (379.0±114.3) ng.mL-1.d to (465.0 ±149.2) ng.mL-1.d, indicating sufficient drug release from the Ris-PPm-SAIB. These results demonstrate that the risperidone loaded porous PLGA microsphere/SAIB in situ forming complex depot could not only efficiently reduce the burst release of SAIB depot both in vitro and in vivo, but also release the drug sufficiently in vivo, and be capable to continuously release the drug for 78 days.

摘要

在本研究中,设计了一种载有利培酮的微球/醋酸蔗糖异丁酸酯(SAIB)原位形成复合长效注射剂,以减少SAIB原位形成长效注射剂的突释,并使利培酮长期持续释放而无延迟期。首先将模型药物利培酮(Ris)包封入微球中,然后将利培酮微球包埋于SAIB长效注射剂中,以减少长效注射剂中溶解药物的量。研究了不同类型的微球基质(包括壳聚糖和聚(丙交酯-乙交酯)(PLGA))、微球中基质/利培酮比例以及微球形态对复合长效注射剂药物释放行为的影响。与载有利培酮的SAIB长效注射剂(Ris-SAIB)相比,含有壳聚糖微球(壳聚糖/利培酮=1:1,w/w)的复合长效注射剂(Ris-Cm-SAIB)将突释从12.16%降低至5.80%。然而,在Ris-Cm-SAIB中观察到4天后药物释放速率增加,这是由于壳聚糖的亲水性导致介质对Ris-Cm-SAIB的高渗透性所致。通过将利培酮包封在PLGA微球中,可以防止大多数药物溶解在长效注射剂中,同时疏水性的PLGA可以降低介质对长效注射剂的渗透作用。含有PLGA微球(PLGA/药物=4:2,w/w)的复合长效注射剂(Ris-Pm-SAIB)在体外和体内均显示出显著的减少突释的效果,体外第一天仅释放0.64%的药物,体内前4天检测到的AUC0-4d值较低[(105.2±24.4)ng·mL-1·d]。此外,利培酮从Ris-Pm-SAIB中的释放可以通过改变微球的形态来调节。通过在有机相中加入中链甘油三酯(MCT)作为制备PLGA微球时的致孔剂,可以制备多孔PLGA微球。含有多孔PLGA微球(通过共包封20%MCT制备)的复合长效注射剂(Ris-PPm-SAIB)的AUC值略有增加,为(194.6±15.8)ng·mL-1·d,4至78天的血浆浓度水平较高[Cs(4-78d)=(7.8±1.)ng·mL-1]。78天时的血浆浓度C78d为(9.0±2.5)ng·mL-1,高于Ris-Pm-SAIB的[C78d=(1.6±0.6)ng·mL-1]。与Ris-Pm-SAIB相比,Ris-PPm-SAIB的AUC4-78d从(379.0±114.3)ng·mL-1·d增加到(465.0±149.2)ng·mL-1·d,表明Ris-PPm-SAIB有足够的药物释放。这些结果表明,载有利培酮的多孔PLGA微球/SAIB原位形成复合长效注射剂不仅能在体外和体内有效降低SAIB长效注射剂的突释,还能在体内充分释放药物,并能够持续释放药物78天。

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