Wang Hui-min, Wei Guo-guang, Gao Ming-yue, Gu Xiang-qin, Mao Shi-rui
Yao Xue Xue Bao. 2016 Oct;51(10):1616-21.
To investigate factors influencing the intranasal absorption of rivastigmine hydrogen tartrate (RHT), we studied the pharmacokinetics of RHT after intranasal administration and evaluated its brain targeting behavior. In situ rat nasal perfusion model was used in the study and pH impact was examined on the intranasal absorption of RHT. High performance liquid chromatography (HPLC) method was established to measure RHT concentration in the plasma and brain tissue after intranasal and intravenous administration. The pharmacokinetic parameters, drug targeting index(DTI), and nose-to-brain direct transport percentage (DTP) were calculated. It was demonstrated that the intranasal absorption mechanism of RHT was passive diffusion. The absorption rate was highest at pH 6.0. The absolute bioavailability of intranasally administrated RHT was 73.58%. Compared with that of intravenous administration, RHT absorption into the brain was faster and more efficient after intranasal delivery, and the DTI value was 195.27% of intravenous injection. Moreover, 48.79% of the drug can be absorbed directly from the nose into the brain without systematic circulation. Meanwhile, drug elimination half-time in the brain was prolonged by 1.4 fold compared to that of intravenous injection. In conclusion, intranasal administration of RHT not only improves drug absorption into the system, but also enhances drug absorption rate and content in the brain remarkably, which is an advantage in the treatment of central nervous system-related diseases.
为研究影响酒石酸氢利斯的明(RHT)鼻内吸收的因素,我们研究了RHT鼻内给药后的药代动力学,并评估了其脑靶向行为。本研究采用大鼠原位鼻灌注模型,考察了pH对RHT鼻内吸收的影响。建立了高效液相色谱(HPLC)法,用于测定鼻内和静脉给药后血浆和脑组织中RHT的浓度。计算了药代动力学参数、药物靶向指数(DTI)和鼻脑直接转运百分比(DTP)。结果表明,RHT的鼻内吸收机制为被动扩散。在pH 6.0时吸收速率最高。鼻内给药RHT的绝对生物利用度为73.58%。与静脉给药相比,RHT鼻内给药后脑内吸收更快、更有效,DTI值为静脉注射的195.27%。此外,48.79%的药物可不经体循环直接从鼻腔吸收进入脑内。同时,与静脉注射相比,脑内药物消除半衰期延长了1.4倍。综上所述,鼻内给药RHT不仅提高了药物进入全身的吸收,还显著提高了药物在脑内的吸收速率和含量,这在治疗中枢神经系统相关疾病方面具有优势。