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改善姜黄素口服全身生物利用度的药物策略及其临床应用。

Pharmaceutical strategies of improving oral systemic bioavailability of curcumin for clinical application.

机构信息

Department of Pharmaceutics, School of Pharmacy, Shenyang Pharmaceutical University, Shenyang 110016, Liaoning, PR China.

Department of Pharmaceutics, School of Pharmacy, Shenyang Pharmaceutical University, Shenyang 110016, Liaoning, PR China.

出版信息

J Control Release. 2019 Dec 28;316:359-380. doi: 10.1016/j.jconrel.2019.10.053. Epub 2019 Nov 2.


DOI:10.1016/j.jconrel.2019.10.053
PMID:31682912
Abstract

Curcumin (Cur), a natural compound from Curcuma longa Linn, has various of pharmacological activities such as anti-cancer, anti-inflammatory, anti-oxidant, anti-Alzheimer, anti-microbial and more. Curcumin also has nephroprotective, hepatoprotective, neuroprotective, antirheumatic and cardioprotective effects. However, its low aqueous solubility inhibits the oral bioavailability of curcumin. As well, curcumin can be metabolized rapidly by intestinal tract which can also result in low oral bioavailability. In fact, the bioavailability of curcumin is low even through intraveneous administration routes. Various of pharmaceutical strategies for oral administration including solid dispersions, nano/microparticles, polymeric micelles, nanosuspensions, lipid-based nanocarriers, cyclodextrins, conjugates, polymorphs have been developed in order to improve the oral bioavailability of curcumin. These pharmaceutical strategies can increase the solubility of curcumin, improve the intestinal stability of curcumin, change the absorption route of curcumin and allow for coadministration with other adjuvants. Here we discuss efficacy studies in vitro and in vivo of curcumin nanoformulations, as well as human clinical trials.

摘要

姜黄素(Cur)是姜黄属植物中的一种天然化合物,具有多种药理活性,如抗癌、抗炎、抗氧化、抗老年痴呆、抗菌等。姜黄素还具有肾保护、肝保护、神经保护、抗风湿和心脏保护作用。然而,其低水溶性抑制了姜黄素的口服生物利用度。此外,姜黄素在肠道中可以被快速代谢,这也导致了口服生物利用度低。事实上,即使通过静脉给药途径,姜黄素的生物利用度也很低。为了提高姜黄素的口服生物利用度,已经开发了各种口服给药的药物策略,包括固体分散体、纳米/微粒、聚合物胶束、纳米混悬液、基于脂质的纳米载体、环糊精、缀合物、多晶型物。这些药物策略可以提高姜黄素的溶解度,改善姜黄素的肠道稳定性,改变姜黄素的吸收途径,并允许与其他佐剂共同给药。在这里,我们讨论了姜黄素纳米制剂的体外和体内疗效研究,以及人体临床试验。

相似文献

[1]
Pharmaceutical strategies of improving oral systemic bioavailability of curcumin for clinical application.

J Control Release. 2019-11-2

[2]
Oral bioavailability of curcumin: problems and advancements.

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[3]
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[4]
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[5]
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[6]
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[7]
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[8]
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[9]
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[10]
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