Department of Mechanical and Materials Engineering, University of Cincinnati, Cincinnati, OH, United States.
Department of Chemistry, University of Cincinnati, Cincinnati, OH, United States.
Int J Pharm. 2018 Aug 25;547(1-2):122-132. doi: 10.1016/j.ijpharm.2018.05.066. Epub 2018 May 29.
Repetitive intravitreal injections of Methotrexate (MTX), a hydrophilic chemotherapeutic drug, are currently used to treat selected vitreoretinal (VR) diseases, such as intraocular lymphoma. To avoid complications associated with the rapid release of MTX from the injections, a Polylactic acid (PLA) and Chitosan (CS)-based MTX micro-implant prototype was fabricated in an earlier study, which showed a sustained therapeutic release rate of 0.2-2.0 µg/day of MTX for a period ∼1 month in vitro and in vivo. In the current study, different combinations of Poly(lactic-co-glycolic) acid (PLGA)/PLA coatings were used for lipophilic surface modification of the CS-MTX micro-implant, such as PLGA 5050, PLGA 6535 and PLGA 7525 (PLA: PGA - 50:50, 65:35, 75:25, respectively; M.W: 54,400 - 103,000) and different PLA, such as PLA 100 and PLA 250 (MW: 102,000 and 257,000, respectively). This improved the duration of total MTX release from the coated CS-MTX micro-implants to ∼3-5 months. With an increase in PLA content in PLGA and molecular weight of PLA, a) the initial burst of MTX and the mean release rate of MTX can be reduced; and b) the swelling and biodegradation of the micro-implants can be delayed. The controlled drug release mechanism is caused by a combination of diffusion process and hydrolysis of the polymer coating, which can be modulated by a) PLA content in PLGA and b) molecular weight of PLA, as inferred from Korsmeyer Peppas model, Zero order, First order and Higuchi model fits. This improved micro-implant formulation has the potential to serve as a platform for controlled release of hydrophilic drugs to treat selected VR diseases.
重复玻璃体内注射甲氨蝶呤(MTX),一种亲水性化疗药物,目前用于治疗选定的眼内(VR)疾病,如眼内淋巴瘤。为了避免与 MTX 从注射中快速释放相关的并发症,在早期研究中制备了聚乳酸(PLA)和壳聚糖(CS)基 MTX 微植入物原型,该原型在体外和体内显示出 0.2-2.0μg/天的持续治疗释放率,持续时间约为 1 个月。在本研究中,使用不同组合的聚(乳酸-共-乙醇酸)(PLGA)/PLA 涂层对 CS-MTX 微植入物进行亲脂性表面改性,例如 PLGA 5050、PLGA 6535 和 PLGA 7525(PLA:PGA-50:50、65:35、75:25,分别;MW:54400-103000)和不同的 PLA,如 PLA 100 和 PLA 250(MW:102000 和 257000)。这将 CS-MTX 微植入物的总 MTX 释放持续时间延长至约 3-5 个月。随着 PLGA 中 PLA 含量和 PLA 分子量的增加,a)MTX 的初始突释和 MTX 的平均释放速率可以降低;b)微植入物的溶胀和生物降解可以延迟。控制药物释放的机制是扩散过程和聚合物涂层水解的结合,这可以通过 a)PLGA 中的 PLA 含量和 b)PLA 的分子量来调节,从柯尔默斯-佩帕斯模型、零级、一级和 Higuchi 模型拟合推断。这种改良的微植入物配方具有作为治疗选定 VR 疾病的亲水药物控释平台的潜力。