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皮下给药后,核心交联聚合物胶束具有较高的全身生物利用度。

High systemic availability of core-crosslinked polymeric micelles after subcutaneous administration.

机构信息

Department of Biomaterials Science and Technology, Section: Targeted Therapeutics, MIRA Institute for Biomedical Technology and Technical Medicine, University of Twente, Enschede, 7500AE, The Netherlands; Cristal Therapeutics, Oxfordlaan 55, Maastricht, 6229EV, The Netherlands.

Department of Biomaterials Science and Technology, Section: Targeted Therapeutics, MIRA Institute for Biomedical Technology and Technical Medicine, University of Twente, Enschede, 7500AE, The Netherlands.

出版信息

Int J Pharm. 2016 Nov 30;514(1):112-120. doi: 10.1016/j.ijpharm.2016.09.030.

Abstract

Covalent entrapment of drug molecules within core-crosslinked polymeric micelles (CCPM) represents an attractive approach to improve their therapeutic index. As an alternative to the most commonly employed intravenous (i.v.) route, subcutaneous (s.c.) administration offers the possibility of self-administration and thereby may reduce healthcare costs. The aim of this work was to assess the pharmacokinetic profile and systemic availability of drug-containing CCPM following s.c. injection. We here derivatised dexamethasone (DMS) with three different linkers, which enabled covalent attachment of this drug to the core of CCPM. The obtained DMS-containing CCPM exhibited varying drug release kinetics in vitro. Remarkably, a single dose of DMS-containing CCPM resulted in high systemic availability of about 30% following s.c. injection into the flank of healthy mice, as evidenced by an AUC between 26-37% relative to the AUC attained following i.v. injection. Although different linkers resulted in moderate variations in pharmacokinetic parameters, the overall pharmacokinetic profiles of these i.v. or s.c. administered nanomedicines were not substantially different. Next to DMS, we covalently attached paclitaxel (PTX) to the core of CCPM. Similarly, a single s.c. dose of PTX-containing CCPM resulted in high systemic availability of about 40% compared to i.v. injection and PTX (entrapped plus released) was detected in the blood for at least 3days. Importantly, the systemic availability of s.c. administered drug-containing CCPM is substantially higher than that of other nanoformulations as reported in the literature (e.g. 3% in rodents). These results demonstrate that s.c. administration is a promising route to attain high systemic availability of CCPM, enabling a potentially more patient-friendly and cost-effective treatment approach than the i.v. route.

摘要

药物分子通过共价键捕获在核交联聚合物胶束(CCPM)中,是提高治疗指数的一种有吸引力的方法。与最常用的静脉(i.v.)途径相比,皮下(s.c.)给药提供了自我给药的可能性,从而可能降低医疗成本。本工作旨在评估皮下注射后载药 CCPM 的药代动力学特征和全身暴露量。我们用三种不同的连接子对地塞米松(DMS)进行了衍生化,使该药物可以共价连接到 CCPM 的核心上。所得的载 DMS 的 CCPM 在体外表现出不同的药物释放动力学。值得注意的是,健康小鼠侧腹皮下注射载 DMS 的 CCPM 单剂量后,系统暴露量约为 30%,这与 i.v. 注射后获得的 AUC 相比为 26-37%。虽然不同的连接子导致药代动力学参数的适度变化,但这些 i.v. 或 s.c. 给药的纳米药物的整体药代动力学特征没有显著差异。除了 DMS,我们还将紫杉醇(PTX)共价连接到 CCPM 的核心上。同样,与 i.v. 注射和 PTX(包封加释放)相比,载 PTX 的 CCPM 单剂量 s.c. 给药后,系统暴露量约为 40%,并且在血液中至少检测到 3 天的 PTX。重要的是,与文献中报道的其他纳米制剂(例如在啮齿动物中为 3%)相比,s.c. 给药的载药 CCPM 的系统暴露量明显更高。这些结果表明,s.c. 给药是一种很有前途的途径,可以实现 CCPM 的高全身暴露量,与 i.v. 途径相比,为患者提供更友好、更具成本效益的治疗方法。

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