Department of Pharmaceutics, B. V. Patel PERD Centre, Ahmedabad, 380054, India.
Department of Pharmaceutics, NIPER-Ahmedabad, Gandhinagar, 382355, India.
Pharm Res. 2018 Jan 2;35(1):8. doi: 10.1007/s11095-017-2279-z.
Presence of tight junctions in blood brain barrier (BBB) pose a major hurdle for delivery of drug and severely affects adequate therapeutic concentration to reach the brain. In present work, we have selected Rivastigmine hydrogen tartrate (RHT), a reversible cholinesterase inhibitor, which exhibits extensive first-pass metabolism, resulting in limited absolute bioavailability (36%). RHT shows extremely low aqueous solubility and poor penetration, resulting in inadequate concentration reaching the brain, thus necessitating frequent oral dosing. To overcome these problems of RHT, microemulsion (ME) and mucoadhesive microemulsion (MME) of RHT were formulated for brain targeting via intranasal delivery route and compared on the basis of in vivo pharmacokinetics.
ME and MME formulations containing RHT were developed by water titration method. Characterization of ME and MME was done for various physicochemical parameters, nasal spray pattern, and in vivo pharmacokinetics quantitatively and qualitatively (gamma scintigraphy studies).
The developed ME and MME were transparent having globule size approximately in the range of 53-55 nm. Pharmacokinetic studies showed higher values for C and DTP for intranasal RHT: CH-ME over RHT-ME, thus indicating the effect of chitosan in modulating tight junctions, thereby enhanced paracellular transport of RHT.
Gamma scintigraphy and in vivo pharmacokinetic study suggested enhanced RHT concentration, upon intranasal administration of RHT:CH-ME, compare with other groups administered formulations intranasally. These findings suggested the potential of non-invasive intranasal route for brain delivery, especially for therapeutics, facing challenges in oral administration.
血脑屏障 (BBB) 中紧密连接的存在是药物输送的主要障碍,严重影响了到达大脑的足够治疗浓度。在本工作中,我们选择了 Rivastigmine 氢酒石酸盐 (RHT),一种可逆的胆碱酯酶抑制剂,它表现出广泛的首过代谢,导致有限的绝对生物利用度(36%)。RHT 表现出极低的水溶解度和较差的渗透性,导致到达大脑的浓度不足,因此需要频繁口服给药。为了克服 RHT 的这些问题,我们通过鼻腔给药途径设计了 RHT 的微乳液 (ME) 和粘膜粘附微乳液 (MME) 用于脑靶向,并基于体内药代动力学进行了比较。
通过水滴定法开发了含有 RHT 的 ME 和 MME 制剂。对 ME 和 MME 进行了各种理化参数、鼻腔喷雾模式以及体内药代动力学的定性和定量(γ闪烁照相研究)的特征描述。
所开发的 ME 和 MME 是透明的,粒径约为 53-55nm。药代动力学研究表明,鼻腔 RHT 的 C 和 DTP 值更高:CH-ME 高于 RHT-ME,这表明壳聚糖在调节紧密连接方面的作用,从而增强了 RHT 的细胞旁转运。
γ闪烁照相和体内药代动力学研究表明,与鼻腔给予其他制剂相比,鼻腔给予 RHT:CH-ME 可增强 RHT 浓度。这些发现表明,非侵入性鼻腔给药途径具有用于脑输送的潜力,特别是对于面临口服给药挑战的治疗药物。