Wang Tao, Shen Liao, Zhang Zhen, Li Haiyan, Huang Ri, Zhang Yadan, Quan Dongqin
a Beijing Institute of Pharmacology and Toxicology , Beijing , PR China.
Drug Deliv. 2017 Nov;24(1):1565-1573. doi: 10.1080/10717544.2017.1386730.
The oral administration of water-soluble chemotherapeutical agents is limited by their serious gastrointestinal side effects, instability at intestinal pH, and poor absorption. Aiming to solve these problems, we chose topotecan (TPT) as a model drug and developed a novel lipid formulation containing core-shell lipid nanoparticle (CLN) that makes the water-soluble drug to 'dissolve' in oil. TPT molecules can be encapsulated into nanoparticles surrounded by oil barrier while avoiding the direct contact with intestinal environment, thus easing the intestinal hydrolytic degradation and gastrointestinal (GI) irritation. Microstructure and mean particle size of TPT-CLN were characterized by Transmission Electron Microscope (TEM) and Dynamic Light Scattering (DLS), respectively. The average size of nanoparticles was approximately 60 nm with a homogeneous distribution in shapes of spheres or ellipsoid. According to in vitro stability studies, more initial form of TPT was observed in presence of lipid nanoparticle compared with free topotecan solution in artificial intestinal juice (pH 6.5). After oral administration of TPT-CLN in rats, AUC and C of TPT were all increased compared with free TPT, indicating significant enhancement of oral absorption. Intestinal lymphatic transport was confirmed as the major way for CLN to enhance oral absorption of TPT by the treatment of blocking chylomicron flow. Lower GI irritation of TPT-CLN was observed in the gastrointestinal damage studies. The in vivo antitumor activity of TPT-CLN showed an improved antitumor efficacy by oral treatment of TPT-CLN compared to free TPT. From the obtained data, the systems appear an attractive progress in oral administration of topotecan.
水溶性化疗药物的口服给药受到其严重的胃肠道副作用、在肠道pH值下的不稳定性以及吸收不良的限制。为了解决这些问题,我们选择拓扑替康(TPT)作为模型药物,并开发了一种新型脂质制剂,其包含核壳脂质纳米颗粒(CLN),可使水溶性药物“溶解”于油中。TPT分子可被包裹在由油屏障包围的纳米颗粒中,同时避免与肠道环境直接接触,从而减轻肠道水解降解和胃肠道(GI)刺激。分别通过透射电子显微镜(TEM)和动态光散射(DLS)对TPT-CLN的微观结构和平均粒径进行了表征。纳米颗粒的平均尺寸约为60nm,呈球形或椭圆形均匀分布。根据体外稳定性研究,与人工肠液(pH 6.5)中的游离拓扑替康溶液相比,在脂质纳米颗粒存在的情况下观察到更多的TPT初始形式。在大鼠口服TPT-CLN后,与游离TPT相比,TPT的AUC和C均增加,表明口服吸收显著增强。通过阻断乳糜微粒流动的处理,证实肠道淋巴转运是CLN增强TPT口服吸收的主要途径。在胃肠道损伤研究中观察到TPT-CLN的胃肠道刺激性较低。与游离TPT相比,TPT-CLN的体内抗肿瘤活性通过口服TPT-CLN显示出更好的抗肿瘤疗效。从获得的数据来看,该系统在拓扑替康的口服给药方面似乎取得了有吸引力的进展。