a Department of Pharmaceutics , STES's Sinhgad Institute of Pharmacy (Affiliated to Savitribai Phule Pune University) , Narhe, Pune , India.
Drug Dev Ind Pharm. 2019 May;45(5):839-851. doi: 10.1080/03639045.2019.1576724. Epub 2019 Feb 12.
Multiple sclerosis (MS) is one of the most severe autoimmune disorder of the central nervous system (CNS).
The present research work was aimed to formulate and investigate teriflunomide (TFM)-loaded intranasal (i.n.) nanostructured lipid carriers (NLC) for the treatment of multiple sclerosis (MS).
The TFM-loaded NLC (TFM-NLC) nanoparticles were prepared by melt emulsification ultrasonication method using biodegradable and biocompatible polymers. The Box-Behnken statistical design was applied to optimize the formulation. The optimized NLC formulation was subjected to evaluate for particle size, entrapment efficiency (%), in vitro and ex vivo permeation. The safety and efficacy of optimized formulations were demonstrated using pharmacodynamic, subacute toxicity and hepatotoxicity data.
Experimental data demonstrated that optimized NLC formulation (F17) showed significant size (99.82 ± 1.36 nm), zeta potential (-22.29 ± 1.8 mV) and % entrapment efficiency (83.39 ± 1.24%). Alternatively, ex vivo permeation of TFM mucoadhesive NLC (TFM-MNLC) and TFM-NLC was observed 830 ± 7.6 and 651 ± 9.8 µg/cm, respectively. Whereas, TFM-MNLC shows around 2.0-folds more J than the TFM-NLC. Finally, TFM-MNLC (i.n.) formulation produced the rapid remyelination in cuprizone-treated animals and decreases the number of entries in open compartment of EPM when compared with negative control and TFM-NLC (oral) animals. Simultaneously, the nanoformulation did not reflect any gross changes in hepatic biomarkers and subacute toxicity when compared with control.
Hence it can be inferred that the nose-to-brain delivery of TFM-MNLC can be considered as effective and safe delivery for brain disorders.
多发性硬化症(MS)是中枢神经系统(CNS)最严重的自身免疫性疾病之一。
本研究旨在制备并研究特立氟胺(TFM)负载的鼻内(i.n.)纳米结构脂质载体(NLC),用于治疗多发性硬化症(MS)。
采用可生物降解和生物相容的聚合物,通过熔融乳化超声法制备 TFM-负载的 NLC(TFM-NLC)纳米粒。采用 Box-Behnken 统计设计优化处方。对优化的 NLC 制剂进行粒径、包封效率(%)、体外和体外渗透评价。通过药效学、亚急性毒性和肝毒性数据证明优化制剂的安全性和疗效。
实验数据表明,优化的 NLC 制剂(F17)表现出显著的粒径(99.82±1.36nm)、Zeta 电位(-22.29±1.8mV)和%包封效率(83.39±1.24%)。相反,TFM 黏膜粘附 NLC(TFM-MNLC)和 TFM-NLC 的体外渗透分别为 830±7.6 和 651±9.8μg/cm。然而,TFM-MNLC 的 J 值约为 TFM-NLC 的 2.0 倍。最后,与阴性对照和 TFM-NLC(口服)动物相比,TFM-MNLC(鼻内)制剂在杯状醇处理动物中产生更快的髓鞘再生,并减少 EPM 开放式隔间的进入次数。同时,与对照相比,纳米制剂在肝生物标志物和亚急性毒性方面没有反映出任何明显变化。
因此,可以推断 TFM-MNLC 的鼻内给药可以被认为是治疗脑部疾病的有效和安全的给药方式。