Tang Haiying, Xiang Dan, Wang Feng, Mao Jingwei, Tan Xiaoyan, Wang Yingde
Department of Gastroenterology, The First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning 116011, P.R. China.
Department of Liver Disease, The Sixth People's Hospital of Shenyang, Shenyang, Liaoning 110000, P.R. China.
Mol Med Rep. 2017 Mar;15(3):1117-1122. doi: 10.3892/mmr.2017.6153. Epub 2017 Jan 26.
The targeting of 5-aminosalicylic acid (5-ASA), a first-line therapeutic agent for mild to moderate active ulcerative colitis (UC), to the site of inflammation has remained a challenge and an unmet requirement in the treatment of UC. However, nanoscale carriers for targeted drug delivery are promising for pharmacotherapy, and nanoparticles improve the pharmacokinetics of the loaded therapeutics based on their physical properties. To design and prepare 5‑ASA‑loaded silicon dioxide nanoparticles (5‑ASA‑SiO2 NPs), a micro‑emulsion method was conducted, and their respective therapeutic effects were validated in a mouse model of UC. Cytotoxicity of 5‑ASA‑SiO2 NPs was detected in vitro using the Cell Counting Kit‑8 method. The therapeutic effect of 5‑ASA‑SiO2 NPs was assessed based on their disease activity index (DAI), colon histopathology, myeloperoxidase (MPO) and levels of tumor necrosis factor‑α (TNF‑α) and interleukin‑6 (IL‑6). SiO2 NPs were successfully prepared, and cytotoxicity of 5‑ASA‑SiO2 NPs was identified as being similar to 5‑ASA and SiO2 NPs. DAI and colonic histopathology scores in the normal dosage, high dosage and the 5‑ASA‑SiO2 NP groups demonstrated a significant improvement when compared with the model group. DAI in the high dosage and 5‑ASA‑SiO2 NP groups also demonstrated a significant improvement when compared with the normal dosage group. However, MPO, serum IL‑6 and TNF‑α levels in normal dosage, high dosage and 5‑ASA‑SiO2 NPs groups were significantly lower than in the model group, and these indexes in the high dosage group and 5‑ASA‑SiO2 NP group were significantly lower than that in the normal dosage group. Expression of IL‑6 and TNF‑α mRNA in colonic mucosa in the normal dosage, high dosage and 5‑ASA‑SiO2 NP group was significantly lower than that in the model group. Colonic mucosal IL‑6 and TNF‑α mRNA expression in the high dosage and 5‑ASA‑SiO2 NP groups was significantly lower than that in the normal dosage group (P<0.05). In conclusion, 5‑ASA‑SiO2 NPs are a selective drug release system that target the inflamed colon, characteristics of UC, and can greatly increase therapeutic efficacy in UC.
5-氨基水杨酸(5-ASA)作为治疗轻至中度活动性溃疡性结肠炎(UC)的一线治疗药物,其在炎症部位的靶向递送一直是UC治疗中的一项挑战和未满足的需求。然而,用于靶向药物递送的纳米级载体在药物治疗方面具有前景,并且纳米颗粒基于其物理性质改善了所载治疗药物的药代动力学。为了设计和制备负载5-ASA的二氧化硅纳米颗粒(5-ASA-SiO₂ NPs),采用了微乳液法,并在UC小鼠模型中验证了它们各自的治疗效果。使用细胞计数试剂盒-8法在体外检测5-ASA-SiO₂ NPs的细胞毒性。基于疾病活动指数(DAI)、结肠组织病理学、髓过氧化物酶(MPO)以及肿瘤坏死因子-α(TNF-α)和白细胞介素-6(IL-6)水平评估5-ASA-SiO₂ NPs的治疗效果。成功制备了SiO₂ NPs,并且确定5-ASA-SiO₂ NPs的细胞毒性与5-ASA和SiO₂ NPs相似。与模型组相比,正常剂量组、高剂量组和5-ASA-SiO₂ NP组的DAI和结肠组织病理学评分均有显著改善。与正常剂量组相比,高剂量组和5-ASA-SiO₂ NP组的DAI也有显著改善。然而,正常剂量组、高剂量组和5-ASA-SiO₂ NPs组的MPO、血清IL-6和TNF-α水平均显著低于模型组,并且高剂量组和5-ASA-SiO₂ NP组的这些指标显著低于正常剂量组。正常剂量组、高剂量组和5-ASA-SiO₂ NP组结肠黏膜中IL-6和TNF-α mRNA的表达显著低于模型组。高剂量组和5-ASA-SiO₂ NP组结肠黏膜IL-6和TNF-α mRNA的表达显著低于正常剂量组(P<0.05)。总之,5-ASA-SiO₂ NPs是一种靶向炎症结肠的选择性药物释放系统,具有UC的特征,并且可以大大提高UC的治疗效果。