Singh Aakriti, Yadagiri Ganesh, Parvez Shabi, Singh Om Prakash, Verma Anurag, Sundar Shyam, Mudavath Shyam Lal
Infectious Disease Biology Laboratory, Chemical Biology Unit, Institute of Nano Science & Technology, Habitat Centre, Phase 10, Sector 64, Mohali, Punjab 160062, India.
Department of Biochemistry, Institute of Science, Banaras Hindu University, Varanasi, Uttar Pradesh 221005, India.
Mater Sci Eng C Mater Biol Appl. 2020 Dec;117:111279. doi: 10.1016/j.msec.2020.111279. Epub 2020 Jul 9.
Despite the advancement of new anti-leishmanials, amphotericin B (AmB) prevails as one of the most potent agent in the treatment of visceral leishmaniasis (VL), a neglected tropical disease affecting mostly poverty ridden and underdeveloped regions of the globe. Nonetheless, many patients display intolerance to parenteral AmB, notably at higher dosages. Also, conventional AmB presents an apparently poor absorption. Therefore, to improve AmB bioavailability and overcome multiple barriers for oral delivery of AmB, we fabricated a promising vitamin B-stearic acid (VBS) conjugate coated solid lipid nanoparticles (SLNs) encapsulated with AmB (VBS-AmB-SLNs) by a combination of double emulsion solvent evaporation and thermal sensitive hydrogel techniques. VBS-AmB-SLNs showed a particle size of 306.66 ± 3.35 nm with polydispersity index of 0.335 ± 0.08 while the encapsulation efficiency and drug loading was observed to be 97.99 ± 1.6% and 38.5 ± 5.6% respectively. In vitro drug release showed a biphasic release pattern and chemical stability of AmB was ensured against simulated gastrointestinal fluids. Cellular uptake studies confirmed complete internalization of the formulation. Anti-leishmanial evaluation against intramacrophage amastigotes showed an enhanced efficacy of 94% which was significantly (P < 0.01) higher than conventional AmB without showing any toxic effects on J774A.1 cells. VBS-AmB-SLNs could serve as a potential therapeutic strategy against VL.
尽管新型抗利什曼原虫药物不断涌现,但两性霉素B(AmB)仍是治疗内脏利什曼病(VL)最有效的药物之一,VL是一种主要影响全球贫困和欠发达地区的被忽视热带病。然而,许多患者对肠胃外使用的AmB不耐受,尤其是高剂量时。此外,传统的AmB吸收明显较差。因此,为了提高AmB的生物利用度并克服AmB口服给药的多重障碍,我们通过双乳液溶剂蒸发和热敏水凝胶技术相结合的方法,制备了一种有前景的、包裹有AmB的维生素B-硬脂酸(VBS)共轭包衣固体脂质纳米粒(VBS-AmB-SLNs)。VBS-AmB-SLNs的粒径为306.66±3.35nm,多分散指数为0.335±0.08,而包封率和载药量分别为97.99±1.6%和38.5±5.6%。体外药物释放呈现双相释放模式,并确保了AmB在模拟胃肠液中的化学稳定性。细胞摄取研究证实了该制剂能完全内化。针对巨噬细胞内无鞭毛体的抗利什曼原虫评估显示,其疗效提高了94%,显著(P<0.01)高于传统AmB,且对J774A.1细胞无任何毒性作用。VBS-AmB-SLNs可作为一种针对VL的潜在治疗策略。