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用于左氧氟沙星和脱氧核糖核酸酶双重控释的混合可吸入微粒:理化特性及肺部体内靶向递送

Hybrid inhalable microparticles for dual controlled release of levofloxacin and DNase: physicochemical characterization and in vivo targeted delivery to the lungs.

作者信息

Islan G A, Ruiz M E, Morales J F, Sbaraglini M L, Enrique A V, Burton G, Talevi A, Bruno-Blanch L E, Castro G R

机构信息

Laboratorio de Nanobiomateriales, CINDEFI - Departamento de Química, Facultad de Ciencias Exactas, Universidad Nacional de La Plata - CONICET (CCT La Plata), Calles 47 y 115 (B1900AJI) La Plata, Buenos Aires, Argentina.

出版信息

J Mater Chem B. 2017 May 7;5(17):3132-3144. doi: 10.1039/c6tb03366k. Epub 2017 Apr 12.

Abstract

Current medical treatments against recurrent pulmonary infections caused by Pseudomonas aeruginosa, such as cystic fibrosis (CF) disorder, involve the administration of inhalable antibiotics. The main challenge is, however, the eradication of microbial biofilms immersed in dense mucus that requires high and recurrent antibiotic doses. Accordingly, the development of novel drug delivery systems capable of providing local and controlled drug release in the lungs is a key factor to improve the therapeutic outcome of such therapeutic molecules. Inhalable hybrid carriers were prepared by co-precipitation of CaCO in the presence of alginate and the resulting microparticles were treated with alginate lyase (AL) in order to modify their porosity and enhance the drug loading. The hybrid microparticles were loaded with DNase (mucolytic agent) and levofloxacin (LV, wide-spectrum antibiotic) in the range of 20-40% for LV and 28-67% for DNase, depending on the AL treatment. In vitro studies demonstrated that microparticles were able to control the DNase release for 24 h, while 30-50% of LV was released in 3 days. The morphological characterization was performed by optical, fluorescence and scanning electron microscopies, showing a narrow size distribution (5 μm). FTIR, XRD, DSC and nitrogen adsorption isotherm studies revealed the presence of the drugs in a non-crystalline state. A microcidal effect of microparticles was found on P. aeruginosa in agar plates and corroborated by Live/Dead kit and TEM observations. Finally, to study whether the microparticles improved the localization of LV in the lungs, in vivo studies were performed by pulmonary administration of microparticles to healthy mice via nebulization and dry powder inhalation, followed by the quantification of LV in lung tissue. The results showed that microparticles loaded with LV delivered the antibiotic at least 3 times more efficiently than free LV. The developed system opens the gateway to new drug delivery systems that may provide enhanced therapeutic solutions against bacterial infections and in particular as a potential tool in CF pathology.

摘要

目前针对由铜绿假单胞菌引起的复发性肺部感染(如囊性纤维化(CF)疾病)的医学治疗方法包括使用可吸入抗生素。然而,主要挑战在于根除沉浸在浓稠黏液中的微生物生物膜,这需要高剂量且反复使用抗生素。因此,开发能够在肺部实现局部和可控药物释放的新型药物递送系统是改善此类治疗分子治疗效果的关键因素。通过在藻酸盐存在下共沉淀碳酸钙制备可吸入混合载体,并使用藻酸裂解酶(AL)处理所得微粒,以改变其孔隙率并提高药物负载量。根据AL处理情况,混合微粒负载了脱氧核糖核酸酶(黏液溶解剂)和左氧氟沙星(LV,广谱抗生素),LV的负载范围为20 - 40%,脱氧核糖核酸酶的负载范围为28 - 67%。体外研究表明,微粒能够在24小时内控制脱氧核糖核酸酶的释放,而30 - 50%的LV在3天内释放。通过光学显微镜、荧光显微镜和扫描电子显微镜进行形态表征,显示粒径分布狭窄(5μm)。傅里叶变换红外光谱(FTIR)、X射线衍射(XRD)、差示扫描量热法(DSC)和氮吸附等温线研究表明药物以非晶态存在。在琼脂平板上发现微粒对铜绿假单胞菌有杀菌作用,并通过活/死试剂盒和透射电子显微镜(TEM)观察得到证实。最后,为了研究微粒是否改善了LV在肺部的定位,通过雾化和干粉吸入将微粒经肺部给药至健康小鼠体内,然后对肺组织中的LV进行定量,进行了体内研究。结果表明,负载LV的微粒递送抗生素的效率至少比游离LV高3倍。所开发的系统为新型药物递送系统打开了大门,这些系统可能提供针对细菌感染的增强治疗方案,特别是作为CF病理学中的潜在工具。

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