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旨在高效到达并作用于囊性纤维化黏液屏障的可生物降解微球。

Biodegradable microparticles designed to efficiently reach and act on cystic fibrosis mucus barrier.

机构信息

National Research Council CNR, Institute for Chemical and Physical Processes, IPCF ss Pisa, c/o Largo Lucio Lazzarino 2, 56124 Pisa, Italy.

University of Pisa, Department of Civil and Industrial Engineering, Largo Lucio Lazzarino 2, 56124 Pisa, Italy.

出版信息

Mater Sci Eng C Mater Biol Appl. 2019 Feb 1;95:19-28. doi: 10.1016/j.msec.2018.10.064. Epub 2018 Oct 18.

DOI:10.1016/j.msec.2018.10.064
PMID:30573241
Abstract

Cystic fibrosis (CF) is a progressive genetic disease caused by mutations in the gene that produces the CF transmembrane conductance regulator (CFTR) protein. The malfunction of the CFTR protein causes a thick buildup of mucus in the lungs that clogs the airways and traps bacteria, thus leading to infections, extensive lung damage and respiratory failure. Micro-delivery systems are currently being investigated as an efficient way to cross the viscous and complex architecture of the CF mucus. In this study, we produced synthetic and natural microparticles (MPs) based on poly(dl‑lactide‑co‑glycolide) (PLGA) or gellan gum through tailored water/oil emulsion procedures. Morphological and physico-chemical characterizations were carried out on both classes of MPs showing particles having diameters within suitable ranges to reach the CF airways. In vitro biocompatibility tests were also performed on both MPs using a human lung cancer cell line (A549) demonstrating that treatment with MPs induces no cytotoxic effects. Both classes of MPs were loaded with a mucolytic agent (N‑acetyl cysteine, NAC) and their release kinetics evaluated using high performance liquid chromatography (HPLC). The analysis pointed out that the amount of NAC released from MPs resulted in a dose-dependent increment, with a rapid release kinetic to satisfy the requirement for inducing an early mucus degradation. Finally, mucolytic action of NAC-loaded MPs was evaluated in an artificial sputum model through its rheological analysis obtaining the lowest viscosity profile after the addition of drug-loaded MPs. Taken together, gained results allowed us to select suitable MPs as potential drug targeting platforms having a mucolytic action for CF treatment.

摘要

囊性纤维化 (CF) 是一种由 CF 跨膜电导调节蛋白 (CFTR) 基因发生突变引起的进行性遗传性疾病。CFTR 蛋白功能障碍会导致肺部黏液大量积聚,堵塞气道并捕获细菌,从而导致感染、广泛的肺部损伤和呼吸衰竭。微输送系统目前正在被研究作为一种有效的方法来穿越 CF 黏液的粘性和复杂结构。在这项研究中,我们通过定制的水/油乳液程序,基于聚 (dl-乳酸-co-乙醇酸) (PLGA) 或结冷胶,制备了合成和天然的微粒 (MPs)。对两类 MPs 进行了形态和物理化学特性分析,结果表明颗粒的直径在适合到达 CF 气道的范围内。还使用人肺癌细胞系 (A549) 对两种 MPs 进行了体外细胞相容性测试,结果表明 MPs 处理不会引起细胞毒性作用。两种 MPs 都负载了粘液溶解剂 (N-乙酰半胱氨酸,NAC),并使用高效液相色谱法 (HPLC) 评估了它们的释放动力学。分析表明,从 MPs 中释放的 NAC 量呈剂量依赖性增加,具有快速释放动力学,以满足诱导早期粘液降解的要求。最后,通过流变分析评估了载有 NAC 的 MPs 在人工痰模型中的粘液溶解作用,在加入载药 MPs 后获得了最低的粘度曲线。总之,获得的结果使我们能够选择合适的 MPs 作为具有粘液溶解作用的潜在药物靶向平台,用于 CF 治疗。

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