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奥氮平固体脂质纳米粒系统用于急性期精神分裂症治疗的设计与体内评价:抗精神病潜力及不良反应研究

Design and in vivo evaluation of solid lipid nanoparticulate systems of Olanzapine for acute phase schizophrenia treatment: Investigations on antipsychotic potential and adverse effects.

作者信息

Joseph Emil, Reddi Satish, Rinwa Vibhu, Balwani Garima, Saha Ranendra

出版信息

Eur J Pharm Sci. 2017 Jun 15;104:315-325. doi: 10.1016/j.ejps.2017.03.050. Epub 2017 Apr 11.

DOI:10.1016/j.ejps.2017.03.050
PMID:28408348
Abstract

The present paper discusses the design, characterization and in vivo evaluation of glyceryl monostearate nanoparticles of Olanzapine, an atypical antipsychotic drug for acute schizophrenia treatment, during which hospitalization is mandatory and adverse effects are at its peak. The solid lipid nanoparticulate system was obtained by emulsification-ultra sonication technique wherein three factors such as solid lipid content, concentration of surfactant and drug: solid lipid ratio were selected at three different levels in order to study their influence on significant characteristic responses such as particle size, encapsulation efficiency and drug content. A Box Behnken design with 17 runs involving whole factors at three levels was employed for the study. The optimized formulation was further coated with Polysorbate 80 in order to enhance its brain targeting potential through endocytosis transport process via blood brain barrier. The designed formulations were pre-clinically tested successfully in Wistar rat model for in vivo antipsychotic efficacy (apomorphine induced psychosis) and adverse effects (weight gain study for 28days). The results obtained indicated that solid lipid nanoparticles had very narrow size distribution (151.29±3.36nm) with very high encapsulation efficiency (74.51±1.75%). Morphological studies by SEM have shown that solid lipid nanoparticles were spherical in shape with smooth surface. Olanzapine-loaded nanoparticles prepared from solid lipid, extended the release of drug for 48h, as found by the in vitro release studies. The formulations also exhibited high redispersibility after freeze-drying and stability study results demonstrated good stability, with no significant change for a period of 6months. In vivo evaluation and adverse effects studies of Olanzapine-loaded nanoparticulate systems in animal model have demonstrated an improved therapeutic efficacy than pure Olanzapine. The antipsychotic effect of drug loaded nanoparticulate systems was maintained for 48h as compared to 8h antipsychotic action of pure Olanzapine solution. The weight gain studies for 28days demonstrated a significant inhibition in weight gain for Olanzapine-loaded nanoparticulate systems as compared to the pure Olanzapine. The present research findings indicate that OLN-loaded nanoparticulate systems may be highly promising for effective delivery of Olanzapine with better efficacy and minimum adverse effects.

摘要

本文讨论了用于急性精神分裂症治疗的非典型抗精神病药物奥氮平的单硬脂酸甘油酯纳米颗粒的设计、表征及体内评价,在此期间住院治疗是必需的,且副作用处于高峰期。通过乳化-超声技术获得了固体脂质纳米颗粒系统,其中选择了固体脂质含量、表面活性剂浓度和药物:固体脂质比这三个因素的三个不同水平,以研究它们对诸如粒径、包封率和药物含量等重要特征响应的影响。本研究采用了一个包含三个水平的全因子的17次运行的Box Behnken设计。为了通过血脑屏障的内吞转运过程增强其脑靶向潜力,对优化后的制剂进一步用聚山梨酯80包衣。所设计的制剂在Wistar大鼠模型中进行了临床前成功测试,以评估其体内抗精神病疗效(阿扑吗啡诱导的精神病)和副作用(28天体重增加研究)。所得结果表明,固体脂质纳米颗粒具有非常窄的粒径分布(151.29±3.36nm)和非常高的包封率(74.51±1.75%)。扫描电子显微镜的形态学研究表明,固体脂质纳米颗粒呈球形,表面光滑。体外释放研究发现,由固体脂质制备的载奥氮平纳米颗粒使药物释放延长了48小时。制剂在冷冻干燥后还表现出高再分散性,稳定性研究结果表明其具有良好的稳定性,在6个月内无显著变化。载奥氮平纳米颗粒系统在动物模型中的体内评价和副作用研究表明,其治疗效果比纯奥氮平有所提高。与纯奥氮平溶液8小时的抗精神病作用相比,载药纳米颗粒系统的抗精神病作用维持了48小时。28天的体重增加研究表明,与纯奥氮平相比,载奥氮平纳米颗粒系统的体重增加受到显著抑制。本研究结果表明,载奥氮平纳米颗粒系统在有效递送奥氮平方面可能非常有前景,具有更好的疗效和最小的副作用。

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