Amrita School of Pharmacy, Amrita Institute of Medical Sciences and Research Centre, Amrita Vishwa Vidyapeetham, Kochi 682041, India.
Centre for Nanosciences and Molecular Medicine, Amrita Institute of Medical Sciences and Research Centre, Amrita Vishwa Vidyapeetham, Kochi 682041, India.
Int J Biol Macromol. 2018 Apr 15;110:259-268. doi: 10.1016/j.ijbiomac.2018.01.036. Epub 2018 Feb 2.
The anti-psoriatic efficacy of orally administered methotrexate loaded chitin nanogel (MCNG) was evaluated (two doses- 2.715 mg/kg and 5.143 mg/kg) and compared against orally administered methotrexate tablet MTX (5.143 mg/kg). MCNG at both dose levels of 2.715 mg/kg and 5.143 mg/kg exhibited significant anti-psoriatic activity which is very much comparable with MTX, caused normalization of histological features and inflammatory score associated with induced psoriasis. Biodistribution studies revealed the presence of drug in serum and in vital organs at all the three cases with highest amount in MCNG at 5.143 mg/kg dose, followed by MTX tablet and are lowest in MCNG at 2.715 mg/kg dose. MCNG at the highest dose of 5.143 mg/kg caused liver, lung and kidney toxicities on sub acute toxicity studies and MTX tablet was found to be toxic on liver and lung on sub chronic toxicity studies. MCNG 2.715 mg/kg was found to be safe on both sub acute and sub chronic administrations, suggesting that it can provide sufficient serum and tissue level of methotrexate necessary to clear psoriatic lesions, without inducing systemic toxicity and expected to be a better alternative for orally administered conventional methotrexate tablet for patients who need systemic medications for psoriasis.
我们评估了口服甲氨蝶呤壳聚糖纳米凝胶(MCNG)的抗银屑病疗效(两个剂量-2.715mg/kg 和 5.143mg/kg),并与口服甲氨蝶呤片 MTX(5.143mg/kg)进行了比较。两种剂量的 MCNG(2.715mg/kg 和 5.143mg/kg)均表现出显著的抗银屑病活性,与 MTX 非常相似,使诱导性银屑病的组织学特征和炎症评分正常化。生物分布研究表明,在所有三种情况下,药物均存在于血清和重要器官中,在 5.143mg/kg 剂量的 MCNG 中含量最高,其次是 MTX 片剂,在 2.715mg/kg 剂量的 MCNG 中含量最低。在亚急性毒性研究中,MCNG 最高剂量 5.143mg/kg 导致肝、肺和肾脏毒性,而 MTX 片剂在亚慢性毒性研究中发现对肝和肺有毒性。在亚急性和亚慢性给药中,MCNG 2.715mg/kg 被发现是安全的,这表明它可以提供足够的血清和组织中甲氨蝶呤水平,以清除银屑病病变,而不会引起全身毒性,有望成为需要全身药物治疗银屑病的患者口服常规甲氨蝶呤片剂的更好替代品。