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载胸腺五肽的磷脂基相分离凝胶具有长效免疫调节作用:体外和体内研究。

Thymopentin-loaded phospholipid-based phase separation gel with long-lasting immunomodulatory effects: in vitro and in vivo studies.

机构信息

Key Laboratory of Drug Targeting and Drug Delivery Systems, Ministry of Education, West China School of Pharmacy, Sichuan University, Chengdu, 610041, China.

Department of Pharmacy, West China Hospital, Sichuan University, Chengdu, 610041, China.

出版信息

Acta Pharmacol Sin. 2019 Apr;40(4):514-521. doi: 10.1038/s41401-018-0085-8. Epub 2018 Jul 12.

Abstract

Thymopentin (TP5) is an effective immunomodulatory agent for autoimmune disease that has been used clinically for decades. However, its application is greatly limited by its extremely short half-life in vivo, poor membrane permeability and extensive metabolism in gastrointestinal tract, resulting in repeated injection and poor patient compliance. In the present study, we developed a TP5-loaded, phospholipid-based phase separation gel (PPSG) to achieve sustained drug release profile and long-lasting therapeutic effects. We firstly demonstrated the physiochemical characteristics of PPSG before and after phase transition by examining the viscosity and morphology change caused by the phase transition. Moreover, the PPSG exerted a low cytotoxicity in L929 cells and HUVECs, suggesting the biocompatibility of PPSG. A month-long drug release profile of TP5 PPSG was observed both in vitro and in vivo, revealing its sustained and controlled drug release property. Most importantly, in cyclophosphamide-induced immunosuppressive rats, a single dose of TP5 PPSG (15 mg/kg, sc) injected could normalize their T-SOD levels and CD4+/CD8+ ratio; such an immunoregulatory effect was comparable to that produced by repeated injection of TP5 solution (0.6 mg/kg per day, sc) for 14 consecutive days. Thus, TP5 PPSG has a great potential for sustained delivery of TP5 in clinical use because of its simple manufacture process, good biocompatibility and long-lasting immunomodulatory efficacy, which could greatly improve patient compliance.

摘要

胸腺五肽(TP5)是一种有效的免疫调节剂,已在临床上应用了几十年,用于治疗自身免疫性疾病。然而,由于其在体内的半衰期极短、跨膜渗透性差以及在胃肠道中广泛代谢,其应用受到了极大的限制,导致需要反复注射,患者顺应性差。在本研究中,我们开发了一种负载胸腺五肽的磷脂基相分离凝胶(PPSG),以实现药物的持续释放和长效治疗效果。我们首先通过考察相变引起的粘度和形态变化,证明了相变前后 PPSG 的理化特性。此外,PPSG 在 L929 细胞和 HUVECs 中表现出低细胞毒性,表明 PPSG 的生物相容性。我们观察到 TP5 PPSG 在体外和体内都有长达一个月的药物释放曲线,表明其具有持续和可控的药物释放特性。最重要的是,在环磷酰胺诱导的免疫抑制大鼠中,单次注射 15mg/kg 的 TP5 PPSG(sc)即可使 T-SOD 水平和 CD4+/CD8+比值正常化;这种免疫调节作用与连续 14 天每天注射 0.6mg/kg 的 TP5 溶液相当。因此,由于其简单的制造工艺、良好的生物相容性和长效的免疫调节功效,TP5 PPSG 具有很大的潜力在临床上用于持续输送 TP5,这可以大大提高患者的顺应性。

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