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盐酸司来吉兰脑靶向黏附性热敏鼻腔凝胶治疗帕金森病。

Brain targeted delivery of mucoadhesive thermosensitive nasal gel of selegiline hydrochloride for treatment of Parkinson's disease.

机构信息

a Shobhaben Pratapbhai Patel School of Pharmacy and Technology Management , SVKMs NMIMS , Mumbai , India.

b SVKMs Dr. Bhanuben Nanavati College of Pharmacy , Mumbai , India.

出版信息

J Drug Target. 2018 Feb;26(2):150-161. doi: 10.1080/1061186X.2017.1350858. Epub 2017 Jul 18.

Abstract

Selegiline hydrochloride (SL), is an anti-Parkinson's agent, has low-oral bioavailability due to its high first pass metabolism and scarce oral absorption. In the present study, SL mucoadhesive nasal thermosensitive gel (SNT-gel) was prepared to enhance the bioavailability and subsequently, its concentration in the brain. The SNT-gel was prepared using Poloxamer 407-Chitosan combination and optimised formulation was further evaluated for physicochemical parameters. The comparative pharmacodynamic studies including behavioural studies, biochemical testing and histopathology of the brain was carried out in rats for SNT-gel, SL-nasal solution and SL Marketed Tablets. The optimised SNT-gel formulation (SNT-V) revealed sol-gel transition at 33-34°C. In-vitro diffusion study of SNT-V showed 102.37 ± 2.1% diffusion at 12 h which reduced to 89.64 ± 1.2% in Ex-vivo diffusion. Comparative results of behavioural studies indicated an improved score of photoactometer and reduced motor deficit (catalepsy score) in SNT-gel treatment group as compared with other groups. Similarly, a significant increase in brain dopamine, reduction in monoamine oxidase B level, increase in catalase activity and level of reduced glutathione upon treatment with SNT-gel indicated its effectiveness which was also supported by histopathology results. Therefore, nasal thermosensitive gel holds better potential for brain targeting in Parkinson's disease over the conventional nasal or oral formulations.

摘要

盐酸司来吉兰(SL)是一种抗帕金森药物,由于其高首过代谢和口服吸收不足,口服生物利用度低。本研究制备了 SL 粘膜粘附性鼻用温敏凝胶(SNT-凝胶),以提高生物利用度,进而提高其在大脑中的浓度。SNT-凝胶采用泊洛沙姆 407-壳聚糖组合制备,并对优化的配方进行了理化参数评价。对 SNT-凝胶、SL 鼻用溶液和 SL 市售片剂进行了比较药效学研究,包括行为研究、生化测试和脑组织病理学。优化的 SNT-凝胶配方(SNT-V)在 33-34°C 时呈现溶胶-凝胶转变。SNT-V 的体外扩散研究显示,在 12 小时内有 102.37±2.1%的药物扩散,而在离体扩散中减少到 89.64±1.2%。行为研究的比较结果表明,与其他组相比,SNT-凝胶治疗组的光测仪评分提高,运动障碍(僵住评分)减少。同样,SNT-凝胶治疗后大脑多巴胺增加,单胺氧化酶 B 水平降低,过氧化氢酶活性和还原型谷胱甘肽水平增加,表明其有效性,这也得到了组织病理学结果的支持。因此,与传统的鼻用或口服制剂相比,鼻用温敏凝胶在帕金森病的脑靶向治疗中具有更好的潜力。

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