School of Pharmacy, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, N.T., Hong Kong SAR, China.
School of Chinese Medicine, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, N.T., Hong Kong SAR, China.
AAPS J. 2019 Apr 24;21(4):59. doi: 10.1208/s12248-019-0326-x.
Challenges of ophthalmic drug delivery arise from not only the limited solubility of hydrophobic therapeutics, but also the restricted permeability and fast clearance of drugs due to the complex anatomy and physiology of the eyes. Biodegradable thermosensitive polymer, poly(dl-lactide-co-glycolide-b-ethylene glycol-b-dl-lactide-co-glycolide) (PLGA-PEG-PLGA) is a desirable ophthalmic drug delivery system because it can be formulated into injectable solution which forms gel in situ to provide prolonged drug release. In this study, excellent biocompatibility of blank PLGA-PEG-PLGA (1800-1500-1800) thermogel was demonstrated with insignificant difference from saline noted in rat eye enucleation test, in vivo inflammation test upon topical instillation, and subconjunctival injection. After subconjunctival injection, thermogel formulations loaded with hydrophilic (rhodamine B) or hydrophobic (coumarin 6) fluorescent dyes were retained up to 4 weeks in eye tissues and significantly higher level was detected than rhodamine B solution or coumarin 6 suspension in weeks 3 and 4. Moreover, in vivo whole body imaging showed that dye-loaded (sulfo-cyanine 7 NHS ester, Cy7; or cyanine 7.5 alkyne, Cy7.5) thermogels had longer retention at the injection site and retarded release to other body parts than dye solutions. Generally, the release rate of hydrophobic dyes (coumarin 6 and Cy7.5) was much slower than that of the hydrophilic dyes (rhodamine B and Cy7) from the thermogel. In summary, the thermogel was safe for ophthalmic drug delivery and could deliver both hydrophobic and hydrophilic compounds for sustained drug release into eye tissues with single subconjunctival injection for better patient compliance and reduced risks on repeated injection.
眼科药物输送面临的挑战不仅源于疏水性治疗药物的溶解度有限,还源于由于眼睛的复杂解剖结构和生理特性导致药物的渗透性和清除速度受限。可生物降解的温敏聚合物聚(DL-丙交酯-co-乙交酯-b-乙二醇-b-DL-丙交酯-co-乙交酯)(PLGA-PEG-PLGA)是一种理想的眼科药物输送系统,因为它可以制成可注射溶液,在原位形成凝胶,从而提供长效药物释放。在这项研究中,空白 PLGA-PEG-PLGA(1800-1500-1800)温敏凝胶表现出良好的生物相容性,与生理盐水在大鼠眼球摘除法中的差异不显著,局部滴注时的体内炎症试验,以及结膜下注射。结膜下注射后,亲水(罗丹明 B)或疏水(香豆素 6)荧光染料负载的温敏凝胶制剂在眼组织中可保留长达 4 周,在第 3 和第 4 周检测到的水平明显高于罗丹明 B 溶液或香豆素 6 混悬液。此外,体内全身成像显示,负载染料(磺基花青 7 NHS 酯,Cy7;或花青 7.5 炔烃,Cy7.5)的温敏凝胶在注射部位的保留时间更长,向其他身体部位的释放速度比染料溶液更慢。通常,疏水性染料(香豆素 6 和 Cy7.5)从温敏凝胶中的释放速度比亲水性染料(罗丹明 B 和 Cy7)慢得多。综上所述,温敏凝胶可安全用于眼科药物输送,并可通过单次结膜下注射将亲水性和疏水性化合物递送至眼组织中,实现持续药物释放,从而提高患者依从性,降低重复注射的风险。