Gómez-Ballesteros Miguel, Andrés-Guerrero Vanessa, Parra Francisco Jesús, Marinich Jorge, de-Las-Heras Beatriz, Molina-Martínez Irene Teresa, Vázquez-Lasa Blanca, San Román Julio, Herrero-Vanrell Rocío
Department of Pharmaceutics and Food Technology, Faculty of Pharmacy, Complutense University of Madrid (UCM), IdISSC, 28040 Madrid, Spain.
Ocular Pathology National Net (OFTARED) of the Institute of Health Carlos III, 28029 Madrid, Spain.
Polymers (Basel). 2019 Jul 19;11(7):1213. doi: 10.3390/polym11071213.
Topical application of drops containing ocular drugs is the preferred non-invasive route to treat diseases that affect the anterior segment of the eye. However, the formulation of eye drops is a major challenge for pharmacists since the access of drugs to ocular tissues is restricted by several barriers. Acetazolamide (ACZ) is a carbonic anhydrase inhibitor used orally for the treatment of ocular hypertension in glaucoma. However, large ACZ doses are needed which results in systemic side effects. Recently, we synthesized copolymers based on 2-hydroxyethyl methacrylate (HEMA) and a functionalized three-arm poloxamer star (Bayfit-MA). The new material (HEMA/Bayfit-MA) was engineered to be transformed into nanoparticles without the use of surfactants, which represents a significant step forward in developing new ophthalmic drug delivery platforms. Acetazolamide-loaded nanocarriers (ACZ-NPs) were prepared via dialysis (224 ± 19 nm, -17.2 ± 0.4 mV). The in vitro release rate of ACZ was constant over 24 h (cumulative delivery of ACZ: 83.3 ± 8.4%). Following standard specifications, ACZ-NPs were not cytotoxic in vitro in cornea, conjunctiva, and macrophages. In normotensive rabbits, ACZ-NPs generated a significant intraocular pressure reduction compared to a conventional solution of ACZ (16.4% versus 9.6%) with the same dose of the hypotensive drug (20 µg). In comparison to previously reported studies, this formulation reduced intraocular pressure with a lower dose of ACZ. In summary, HEMA:Bayfit-MA nanoparticles may be a promising system for ocular topical treatments, showing an enhanced ocular bioavailability of ACZ after a single instillation on the ocular surface.
局部应用含眼用药物的滴眼液是治疗影响眼前节疾病的首选非侵入性途径。然而,滴眼液的配方对药剂师来说是一项重大挑战,因为药物进入眼组织受到多种屏障的限制。乙酰唑胺(ACZ)是一种碳酸酐酶抑制剂,口服用于治疗青光眼的高眼压症。然而,需要大剂量的ACZ,这会导致全身副作用。最近,我们合成了基于甲基丙烯酸2-羟乙酯(HEMA)和功能化三臂泊洛沙姆星(Bayfit-MA)的共聚物。这种新材料(HEMA/Bayfit-MA)被设计成无需使用表面活性剂就能转化为纳米颗粒,这在开发新的眼科药物递送平台方面迈出了重要一步。通过透析制备了载乙酰唑胺纳米载体(ACZ-NPs)(224±19nm,-17.2±0.4mV)。ACZ的体外释放率在24小时内保持恒定(ACZ的累积释放率:83.3±8.4%)。按照标准规格,ACZ-NPs在体外对角膜、结膜和巨噬细胞无细胞毒性。在血压正常的兔子中,与相同剂量降压药(20μg)的传统ACZ溶液相比,ACZ-NPs能显著降低眼压(分别为16.4%和9.6%)。与先前报道的研究相比,该配方用较低剂量的ACZ降低了眼压。总之,HEMA:Bayfit-MA纳米颗粒可能是一种有前途的眼部局部治疗系统,在眼表单次滴注后显示出ACZ增强的眼部生物利用度。