El-Zaafarany Ghada M, Soliman Mahmoud E, Mansour Samar, Cespi Marco, Palmieri Giovanni Filippo, Illum Lisbeth, Casettari Luca, Awad Gehanne A S
Department of Pharmaceutics and Industrial Pharmacy, Faculty of Pharmacy, Ain Shams University, Monazzamet Elwehda Elafrikeya Street, Abbaseyya, Cairo 11566, Egypt.
Department of Pharmaceutical Technology, Faculty of Pharmacy and Biotechnology, German University in Cairo, Al-Tagmoaa Alkhames, Cairo 11835, Egypt.
Pharmaceutics. 2018 Nov 5;10(4):217. doi: 10.3390/pharmaceutics10040217.
The use of nanocarrier delivery systems for direct nose to brain drug delivery shows promise for achieving increased brain drug levels as compared to simple solution systems. An example of such nanocarriers is emulsomes formed from lipid cores surrounded and stabilised by a corona of phospholipids (PC) and a coating of Tween 80, which combines the properties of both liposomes and emulsions. Oxcarbazepine (OX), an antiepileptic drug, was entrapped in emulsomes and then localized in a poly(lactic acid--glycolic acid)-poly(ethylene glycol)-poly(lactic acid--glycolic acid) (PLGA-PEG-PLGA) triblock copolymer thermogel. The incorporation of OX emulsomes in thermogels retarded drug release and increased its residence time (MRT) in rats. The OX-emulsome and the OX-emulsome-thermogel formulations showed in vitro sustained drug release of 81.1 and 53.5%, respectively, over a period of 24 h. The pharmacokinetic studies in rats showed transport of OX to the systemic circulation after nasal administration with a higher uptake in the brain tissue in case of OX-emulsomes and highest MRT for OX-emulsomal-thermogels as compared to the IN OX-emulsomes, OX-solution and Trileptal suspension. Histopathological examination of nasal tissues showed a mild vascular congestion and moderate inflammatory changes around congested vessels compared to saline control, but lower toxic effect than that reported in case of the drug solution.
与简单的溶液系统相比,使用纳米载体递送系统进行直接鼻脑给药有望提高脑内药物水平。此类纳米载体的一个例子是乳糜微粒,它由脂质核心构成,周围被磷脂(PC)冠层包围并稳定,还有吐温80涂层,兼具脂质体和乳液的特性。抗癫痫药物奥卡西平(OX)被包裹在乳糜微粒中,然后定位在聚(乳酸-乙醇酸)-聚(乙二醇)-聚(乳酸-乙醇酸)(PLGA-PEG-PLGA)三嵌段共聚物热凝胶中。将OX乳糜微粒掺入热凝胶中可延缓药物释放并增加其在大鼠体内的驻留时间(MRT)。OX-乳糜微粒和OX-乳糜微粒-热凝胶制剂在24小时内分别显示出81.1%和53.5%的体外持续药物释放。大鼠体内的药代动力学研究表明,鼻内给药后OX会转运至体循环,与OX-溶液和曲莱悬浮液相比,OX-乳糜微粒在脑组织中的摄取更高,而OX-乳糜微粒-热凝胶的MRT最高。与生理盐水对照相比,鼻组织的组织病理学检查显示有轻度血管充血以及充血血管周围有中度炎症变化,但毒性作用低于药物溶液报道的情况。