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硫酸奎宁微粒作为利什曼病的治疗方法。

Quinine Sulphate Microparticles as Treatment for Leishmaniasis.

作者信息

Allotey-Babington Grace Lovia, Amponsah Seth Kwabena, Nettey Thomas, Sasu Clement, Nettey Henry

机构信息

Department of Pharmaceutics and Microbiology, School of Pharmacy, University of Ghana, P.O. Box LG 43 Legon, Accra, Ghana.

Department of Pharmacology and Toxicology, School of Pharmacy, University of Ghana, P.O. Box LG 43 Legon, Accra, Ghana.

出版信息

J Trop Med. 2020 Apr 30;2020:5278518. doi: 10.1155/2020/5278518. eCollection 2020.

Abstract

BACKGROUND

Leishmaniasis is a neglected tropical disease caused by the parasite and transmitted by the female phlebotomine sandfly. The disease can affect the skin (least fatal) or internal organs (most fatal). Current treatment options for leishmaniasis have a number of adverse effects, and there appears to be resistance by the protozoan parasite ( spp.). Reports suggest that quinine sulphate, not indicated for leishmaniasis, is effective in killing the parasite. Indeed, the efficacy of any drug is dependent on the concentration at the target site, which is also almost dependent on drug formulation. The current study assessed the pharmacokinetic profile of the microparticulate formulation of quinine sulphate and its and efficacy against .

METHODS

Quinine sulphate was encapsulated in bovine serum albumin by the spray-drying method. Quinine sulphate microparticles were evaluated for size, zeta potential, drug content, encapsulation efficiency, and release properties. Afterwards, the pharmacokinetic characteristics of quinine sulphate microparticles were estimated and efficacy studies were also conducted.

RESULTS

The size range of the quinine sulphate microparticles was between 2.0 and 5.0 m. Microparticles had an average zeta potential of -35.2 mV and an encapsulation efficiency of 94.5%. Also, , , and AUC were all significantly desirable for quinine sulphate microparticles compared to the drug powder. Quinine sulphate microparticles significantly reduced parasite load in rat organs than amphotericin B.

CONCLUSION

Overall, quinine sulphate microparticles had better pharmacokinetic profile and showed higher efficacy against parasites . Thus, quinine sulphate microparticles have the potential, especially, in treating visceral leishmaniasis.

摘要

背景

利什曼病是一种由寄生虫引起的被忽视的热带疾病,通过雌性白蛉传播。该疾病可影响皮肤(致死率最低)或内脏器官(致死率最高)。利什曼病目前的治疗选择有许多不良反应,并且原生动物寄生虫(利什曼原虫属)似乎存在耐药性。报告表明,未被指定用于治疗利什曼病的硫酸奎宁对杀死利什曼原虫属寄生虫有效。实际上,任何药物的疗效都取决于靶部位的浓度,而这几乎也取决于药物剂型。本研究评估了硫酸奎宁微粒制剂的药代动力学特征及其对利什曼原虫属的体内外疗效。

方法

通过喷雾干燥法将硫酸奎宁包裹于牛血清白蛋白中。对硫酸奎宁微粒进行粒径、ζ电位、药物含量、包封率及体外释放特性评估。之后,评估硫酸奎宁微粒的药代动力学特征并开展体内疗效研究。

结果

硫酸奎宁微粒的粒径范围在2.0至5.0μm之间。微粒的平均ζ电位为 -35.2mV,包封率为94.5%。此外,与药物粉末相比,硫酸奎宁微粒的半衰期、血药浓度峰值及药时曲线下面积均明显更理想。与两性霉素B相比,硫酸奎宁微粒显著降低了大鼠器官中的寄生虫载量。

结论

总体而言,硫酸奎宁微粒具有更好的药代动力学特征,并且对利什曼原虫属寄生虫显示出更高的疗效。因此,硫酸奎宁微粒尤其在治疗内脏利什曼病方面具有潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a2c1/7210545/4ead22cba297/JTM2020-5278518.001.jpg

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