Shri G.H. Patel Pharmacy Building, Centre for Postgraduate Studies in Pharmacy, TIFAC Core in NDDS, Donor's Plaza, Fatehgunj, Vadodara, 390002, India.
Institute of Nuclear Medicine and Allied Sciences, Brig. S.K. Mazumdar Marg, Delhi, India.
Drug Deliv Transl Res. 2018 Feb;8(1):43-53. doi: 10.1007/s13346-017-0432-1.
Leuprolide acetate (LPA), a GnRH analogue, is drug of choice for treatment of uterine fibroids and endometriosis. The current marketed formulations of LPA show severe systemic side effects. This project aims to formulate LPA loaded liposomes to be administered by vaginal route for uterine targeting. Liposomes were prepared by thin film hydration method using 1:1 M ratio of DSPC: Cholesterol and characterized for vesicle size, zeta potential, entrapment efficiency, and loading. Radiolabeling of LPA was performed by direct labeling with reduced technetium-99m. Binding affinity of 99mTc-labeled complexes was assessed by diethylenetriaminepentaacetic acid (DTPA) challenge test. Biodistribution study was done in New Zealand white female rabbits by administering the formulation via vaginal route. Spherical and discrete vesicles of size 189 nm were seen in TEM results with entrapment efficiency and loading of 74.36% and 9.29%w/w, respectively. Liposomes were able to sustain the drug release for 5 days. 99mTc-labeled complexes showed high labeling efficiency and stability both in saline and serum. DTPA challenge test confirmed low transchelation of 99mTc-labeled complexes. Biodistribution study by gamma scintigraphy revealed the preferential uptake of the formulation by uterus when administered vaginally. Compared to plain drug, liposomes concentrated and were retained within the uterus for a longer period of time. Uterine targeting of liposomal LPA indicates its potential to overcome the limitations of presently available formulations. Hence, this seems to be a promising approach for targeting the drugs, whose site of action is uterus.
醋酸亮丙瑞林(LPA)是一种 GnRH 类似物,是治疗子宫肌瘤和子宫内膜异位症的首选药物。目前市售的 LPA 制剂表现出严重的全身副作用。本项目旨在将 LPA 制成经阴道给药的脂质体,以实现子宫靶向。脂质体采用薄膜水化法制备,DSPC:胆固醇比例为 1:1 M,并对囊泡大小、Zeta 电位、包封率和载药量进行了表征。LPA 的放射性标记是通过还原态 99mTc 直接标记完成的。通过 DTPA 挑战试验评估 99mTc 标记配合物的结合亲和力。通过经阴道途径给予制剂,在新西兰白兔中进行了生物分布研究。TEM 结果显示,脂质体呈球形且离散,粒径为 189nm,包封率和载药量分别为 74.36%和 9.29%w/w。脂质体能够持续释放药物 5 天。99mTc 标记的配合物在盐水中和血清中均具有较高的标记效率和稳定性。DTPA 挑战试验证实,99mTc 标记的配合物的转锝率较低。γ闪烁照相法的生物分布研究表明,经阴道给予该制剂时,制剂优先被子宫吸收。与普通药物相比,脂质体在子宫内的聚集和保留时间更长。脂质体 LPA 的子宫靶向表明其有潜力克服目前可用制剂的局限性。因此,这似乎是一种有前途的靶向作用于子宫的药物的方法。