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喷雾干燥岩藻多糖微球用于肺部递送抗结核药物。

Spray-dried fucoidan microparticles for pulmonary delivery of antitubercular drugs.

机构信息

a Centre for Biomedical Research , University of Algarve , Faro , Portugal.

b Centre for Marine Sciences, Faculty of Sciences and Technology , University of Algarve , Faro , Portugal.

出版信息

J Microencapsul. 2018 Jun;35(4):392-405. doi: 10.1080/02652048.2018.1513089.

Abstract

Pulmonary tuberculosis accounts for 80% of cases and the delivery of antitubercular drugs into the lungs allows targeting the infected organ and, possibly, reducing systemic drug toxicity. This work aimed at using fucoidan as matrix of inhalable microparticles that associate two first-line antitubercular drugs, for an application in pulmonary tuberculosis therapy. Fucoidan is composed of fucose and sulphated sugar residues, moieties described as being recognised by surface receptors of alveolar macrophages, which host mycobacteria. Inhalable fucoidan microparticles loaded with antitubercular drugs were successfully produced with high association efficiencies of either isoniazid (95%) or rifabutin (81%). The microparticles evidenced no cytotoxicity on lung epithelial cells (A549). However, rifabutin-loaded microparticles showed a certain degree of toxicity on macrophage-like cells (THP-1) at the highest tested concentration (1 mg/mL). Furthermore, microparticles showed favourable aerodynamic properties for deep lung delivery (MMAD 2.0-3.8 µm) and, thus, show potential for an application as inhalable tuberculosis therapy.

摘要

肺结核占 80%的病例,将抗结核药物输送到肺部可以靶向感染器官,并可能降低全身药物毒性。本工作旨在使用褐藻聚糖作为可吸入微球的基质,将两种一线抗结核药物结合起来,用于肺结核治疗。褐藻聚糖由岩藻糖和硫酸化糖残基组成,这些部分被描述为被肺泡巨噬细胞表面受体识别,而这些受体是宿主分枝杆菌的所在之处。用高结合效率成功制备了负载抗结核药物的可吸入褐藻聚糖微球,异烟肼(95%)或利福布汀(81%)。微球对肺上皮细胞(A549)没有细胞毒性。然而,在最高测试浓度(1mg/mL)下,载有利福布汀的微球对巨噬细胞样细胞(THP-1)显示出一定程度的毒性。此外,微球显示出有利于深肺递药的空气动力学特性(MMAD 2.0-3.8μm),因此具有作为可吸入肺结核治疗应用的潜力。

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