Anwar Walid, Dawaba Hamdy M, Afouna Mohsen I, Samy Ahmed M, Rashed Mohammed H, Abdelaziz Abdelaziz E
Department of Pharmaceutics, Faculty of Pharmacy, Al-Azhar University, Nasr City 11751, Cairo, Egypt.
Department of Pharmaceutics, Faculty of Pharmacy, Sinai University, Al Qantarah Sharq 41636, Ismailia Governorate, Egypt.
Pharmaceutics. 2020 Oct 31;12(11):1047. doi: 10.3390/pharmaceutics12111047.
Candesartan Cilexetil (CC) is a prodrug widely used in the treatment of hypertension and heart failure, but it has some limitations, such as very poor aqueous solubility, high affinity to P-glycoprotein efflux mechanism, and hepatic first-pass metabolism. Therefore, it has very low oral bioavailability. In this study, glyceryl monostearate (GMS) and Capryol™ 90 were selected as solid and liquid lipids, respectively, to develop CC-NLC (nanostructured lipid carrier). CC was successfully encapsulated into NLP (CC-NLC) to enhance its oral bioavailability. CC-NLC was formulated using a hot homogenization-ultrasonication technique, and the physicochemical properties were characterized. The developed CC-NLC formulation was showed in nanometric size (121.6 ± 6.2 nm) with high encapsulation efficiency (96.23 ± 3.14%). Furthermore, it appeared almost spherical in morphology under a transmission electron microscope. The surgical experiment of the designed CC-NLC for absorption from the gastrointestinal tract revealed that CC-NLC absorption in the stomach was only 15.26% of that in the intestine. Otherwise, cellular uptake study exhibit that CC-NLCs should be internalized through the enterocytes after that transported through the systemic circulation. The pharmacokinetic results indicated that the oral bioavailability of CC was remarkably improved above 2-fold after encapsulation into nanostructured lipid carriers. These results ensured that nanostructured lipid carriers have a highly beneficial effect on improving the oral bioavailability of poorly water-soluble drugs, such as CC.
坎地沙坦酯(CC)是一种前体药物,广泛用于治疗高血压和心力衰竭,但它存在一些局限性,如水溶性极差、对P-糖蛋白外排机制的亲和力高以及肝首过代谢。因此,它的口服生物利用度非常低。在本研究中,分别选择单硬脂酸甘油酯(GMS)和辛酸癸酸甘油三酯(Capryol™ 90)作为固体和液体脂质,以制备CC-纳米结构脂质载体(CC-NLC)。CC被成功包封到纳米脂质载体(CC-NLC)中以提高其口服生物利用度。采用热均质-超声技术制备CC-NLC,并对其理化性质进行表征。所制备的CC-NLC制剂呈纳米尺寸(121.6±6.2 nm),包封率高(96.23±3.14%)。此外,在透射电子显微镜下其形态几乎呈球形。设计的CC-NLC从胃肠道吸收的手术实验表明,CC-NLC在胃中的吸收仅为在肠道中吸收的15.26%。此外,细胞摄取研究表明,CC-NLC应先通过肠上皮细胞内化,然后再经体循环转运。药代动力学结果表明,将CC包封到纳米结构脂质载体中后,其口服生物利用度显著提高了2倍以上。这些结果表明,纳米结构脂质载体对提高难溶性药物(如CC)的口服生物利用度具有非常有益的作用。