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使用仅经鼻暴露系统向小鼠递送药物的干粉和雾化气溶胶吸入法。

Dry Powder and Nebulized Aerosol Inhalation of Pharmaceuticals Delivered to Mice Using a Nose-only Exposure System.

作者信息

Phillips Jonathan E, Zhang Xuxia, Johnston James A

机构信息

Inflammation Research, Amgen;

Inflammation Research, Amgen.

出版信息

J Vis Exp. 2017 Apr 6(122):55454. doi: 10.3791/55454.

Abstract

Obstructive respiratory diseases like asthma and chronic obstructive pulmonary disease (COPD) are currently treated by inhaled anti-inflammatory and bronchodilator drugs. Despite the availability of multiple treatments, both diseases are growing public health concerns. The majority of asthma patients are well controlled on current inhaled therapies but a substantial number of patients with severe asthma are not. Asthma affects an estimated 300 million people worldwide and approximately 20 percent have a severe form of the disease. In contrast to asthma, there are few effective therapies for COPD. An estimated 10% of the population has COPD and the trend in death rates is increasing for COPD while decreasing for other major diseases. Although developing drugs for inhaled delivery is challenging, the nose-only inhalation unit enables direct delivery of novel drugs to the lung of rodents for pre-clinical efficacy and safety/toxicology studies. Inhaled drug delivery has multiple advantages for respiratory diseases, where high concentration in the lung improves efficacy and minimizes systemic side effects. Inhaled corticosteroids and bronchodilators benefit from these advantages and inhaled delivery may also hold potential for future biologic therapies. The inhalation unit described herein can generate, sample for characterization, and uniformly deposit a drug aerosol in the lungs of rodents. This enables the pre-clinical determination of the efficacy and safety of drug doses deposited in the lungs of rodents, key data required before initiating clinical development.

摘要

诸如哮喘和慢性阻塞性肺疾病(COPD)等阻塞性呼吸道疾病目前通过吸入抗炎和支气管扩张药物进行治疗。尽管有多种治疗方法,但这两种疾病都日益引起公共卫生方面的关注。大多数哮喘患者在目前的吸入疗法下病情得到良好控制,但仍有相当数量的重度哮喘患者病情未得到控制。据估计,全球有3亿人患有哮喘,其中约20%患有重度哮喘。与哮喘不同,COPD几乎没有有效的治疗方法。据估计,10%的人口患有COPD,COPD的死亡率呈上升趋势,而其他主要疾病的死亡率则在下降。尽管开发吸入给药的药物具有挑战性,但仅鼻吸入装置能够将新型药物直接递送至啮齿动物肺部,用于临床前的疗效和安全性/毒理学研究。吸入给药对呼吸道疾病具有多种优势,在肺部的高浓度可提高疗效并使全身副作用最小化。吸入性皮质类固醇和支气管扩张剂受益于这些优势,吸入给药对未来的生物疗法也可能具有潜力。本文所述的吸入装置能够在啮齿动物肺部产生、采集用于表征的样本并均匀沉积药物气溶胶。这使得能够在临床前确定沉积在啮齿动物肺部的药物剂量的疗效和安全性,这是启动临床开发之前所需的关键数据。

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