Department of Pharmacy, Birla Institute of Technology and Science (BITS) Pilani, Hyderabad Campus, Hyderabad, Telangana, 500078, India.
Tej Kohli Cornea Institute, KAR Campus, L. V. Prasad Eye Institute, Hyderabad, Telangana, 500034, India.
Drug Deliv Transl Res. 2018 Jun;8(3):473-483. doi: 10.1007/s13346-017-0470-8.
Penetration of antibiotics into and through the cornea is a major limiting factor in the treatment of ocular infections. Several strategies are in vogue to overcome this limitation such as use of fortified drops, gels, and subconjunctival injections. Here, we present the fabrication of rapidly dissolving polymeric microneedle array to effectively deliver besifloxacin through the cornea. Microneedles were prepared using polyvinyl alcohol and polyvinyl pyrrolidone by the micromolding technique. The model fluoroquinolone antibiotic, besifloxacin, was loaded in 36 microneedles arranged in a 6 × 6 array format within a 1 cm area. The average height and base width of microneedles was 961 ± 27 and 366 ± 16 μm, respectively. Each microneedle array contained 103.4 ± 8.5 μg of besifloxacin. Cryosectioning and confocal microscopy of excised human cornea revealed that microneedles penetrated to a depth of up to 200 μm. Microneedles were found to completely dissolve in the cornea within 5 min. Application of microneedles for 5 min significantly (p < 0.05) improved the besifloxacin deposition and permeation through the cornea compared with free besifloxacin solution. Similarly, besifloxacin-loaded microneedles showed greater antibacterial activity in Staphylococcus aureus-infected cornea in comparison to free besifloxacin solution. Taken together, rapidly dissolving microneedles can be developed to effectively deliver besifloxacin to treat bacterial infections in the cornea and eye.
抗生素穿透并通过角膜是治疗眼部感染的主要限制因素。有几种策略可克服这种限制,例如使用强化滴剂、凝胶和结膜下注射。在这里,我们提出了一种快速溶解聚合物微针阵列的制造方法,以有效地将贝西氟沙星递送到角膜中。微针是通过微模塑技术用聚乙烯醇和聚乙烯吡咯烷酮制备的。模型氟喹诺酮类抗生素贝西氟沙星装载在 36 个微针中,以 6×6 阵列格式排列在 1 cm2 的区域内。微针的平均高度和基底宽度分别为 961±27μm 和 366±16μm。每个微针阵列含有 103.4±8.5μg 的贝西氟沙星。对切除的人角膜进行冷冻切片和共聚焦显微镜检查显示,微针可穿透至 200μm 的深度。微针在角膜中在 5 分钟内完全溶解。与游离贝西氟沙星溶液相比,微针应用 5 分钟可显著提高(p<0.05)贝西氟沙星在角膜中的沉积和渗透。同样,与游离贝西氟沙星溶液相比,负载贝西氟沙星的微针在金黄色葡萄球菌感染的角膜中显示出更强的抗菌活性。总之,快速溶解的微针可以开发出来,有效地将贝西氟沙星递送到角膜和眼睛中治疗细菌感染。