Student Research Committee, Kermanshah University of Medical Sciences, Kermanshah, Iran; Nano Drug Delivery research center, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Nano Drug Delivery research center, Kermanshah University of Medical Sciences, Kermanshah, Iran; School of Chemical Engineering, College of Engineering, University of Tehran, Tehran, Iran.
Mater Sci Eng C Mater Biol Appl. 2020 May;110:110635. doi: 10.1016/j.msec.2020.110635. Epub 2020 Jan 7.
Candidiasis is the origin of several chronic diseases and causes a wide range of symptoms from mucosal to systemic and deadly infections. Vaginal patches are one of the best drug delivery systems for the treatment of fungal infections in the vaginal environment, so a mucoadhesive film containing drugs such as clotrimazole and metronidazole is commercially available for patients. In the present study, a physicochemical comparison is made between clotrimazole loaded film and nanofiber fabricated with the new hybrid mucoadhesive formulation of dextran and alginate. Toxicity testing was performed using the MTT assay. Bioadhesion and antifungal effects were investigated for fibers and films. The release behavior of clotrimazole from two systems was evaluated by Franz cell in each case. The most important difference between nanofibrous and film mats were obtained in antifungal, mucoadhesive, Young's modulus and morphology. The nanofiber has a higher antifungal effect and two-fold adhesive to the mouse tissue, than film. The inherent flexibility of nanofiber obviated the need for a plasticizer, which may have cytotoxic side effects. The Clotrimazole loaded nanofibrous of Alginate/Dextran mats were successfully electrospun. They exhibited more bioadhesive with higher and faster antifungal properties versus similar formulation film. Further in vivo investigation is required for their application in vaginal candidiasis.
假丝酵母菌病是多种慢性疾病的根源,可引起从黏膜到全身的各种症状,甚至导致致命的感染。阴道贴剂是治疗阴道真菌感染的最佳药物输送系统之一,因此,一种含有克霉唑和甲硝唑等药物的黏膜黏附性薄膜已可在市场上供患者使用。在本研究中,对载克霉唑的薄膜和用新型葡聚糖和藻酸盐混合黏附制剂制备的纳米纤维进行了理化性质比较。采用 MTT 测定法进行了毒性试验。研究了纤维和薄膜的生物黏附性和抗真菌效果。分别通过 Franz 细胞在两种系统中评估了克霉唑的释放行为。纳米纤维和薄膜垫之间最重要的区别在于抗真菌、黏膜黏附性、杨氏模量和形态。与薄膜相比,纳米纤维具有更高的抗真菌效果和两倍的对小鼠组织的黏附力。纳米纤维固有的柔韧性避免了使用可能具有细胞毒性副作用的增塑剂。成功地将载克霉唑的藻酸盐/葡聚糖纳米纤维电纺。与类似配方的薄膜相比,它们表现出更高和更快的抗真菌特性,以及更高的生物黏附性。需要进一步进行体内研究,以将其应用于阴道念珠菌病。