Cao Yaru, Gao Huifang, Xia Hongguang, Zhu Xiangyu, Li Biao, Zhou Xuya, Jin Yong
School of Pharmacy, Anhui Medical University.
Key Laboratory of Anti-inflammatory and Immune Medicines, Ministry of Education.
Chem Pharm Bull (Tokyo). 2019;67(8):786-794. doi: 10.1248/cpb.c18-00930.
Teriflunomide (TEF, A771726) is the active metabolite of leflunomide (LEF), a disease-modifying anti-rheumatic drug. The main purpose of this study was to develop and evaluate water-in-oil (W/O) microemulsion formulation of TEF. The W/O microemulsion was optimized formula is the physical and chemical stability of lecithin, ethanol, isopropyl myristate (IPM) and water (20.65/20.78/41.52/17.05 w/w) by using the pseudo-ternary phase diagram and the average droplet size is about 40 nm. The permeability of TEF microemulsion is about 6 times higher than control group in vitro penetration test. The results of anti-inflammatory effect showed that compared with the control group, the external TEF microemulsion group could significantly inhibit swelling of paw in rats, and no significant difference compared with oral LEF group. The results of hepatotoxicity test show that there were normal content of alanine aminotransferase (ALT)/aspartate aminotransferase (AST) and no obvious inflammatory infiltration of TEF microemulsion group compared with LEF group. The plasma concentration curve showed that compared with LEF group, the peak concentration of TEF microemulsion group was decreased, the half-life (t) was prolonged, and the relative bioavailability of TEF microemulsion was 75.35%. These results suggest that TEF W/O microemulsion can be used as a promising preparation to play an anti-inflammatory role while significantly reducing hepatotoxicity.
特立氟胺(TEF,A771726)是来氟米特(LEF)的活性代谢产物,来氟米特是一种改善病情的抗风湿药物。本研究的主要目的是研发和评估特立氟胺的油包水(W/O)微乳制剂。通过伪三元相图优化得到的W/O微乳配方为卵磷脂、乙醇、肉豆蔻酸异丙酯(IPM)和水(20.65/20.78/41.52/17.05 w/w),平均粒径约为40 nm。在体外渗透试验中,特立氟胺微乳的渗透率比对照组高约6倍。抗炎效果结果显示,与对照组相比,外用特立氟胺微乳组能显著抑制大鼠 paw肿胀,与口服来氟米特组相比无显著差异。肝毒性试验结果表明,与来氟米特组相比,特立氟胺微乳组丙氨酸转氨酶(ALT)/天冬氨酸转氨酶(AST)含量正常,无明显炎症浸润。血浆浓度曲线显示,与来氟米特组相比,特立氟胺微乳组的峰浓度降低,半衰期(t)延长,特立氟胺微乳的相对生物利用度为75.35%。这些结果表明,特立氟胺W/O微乳可作为一种有前景的制剂,在发挥抗炎作用的同时显著降低肝毒性。