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基于聚合物纳米粒子的脑内递药:改善银杏内酯 B 治疗帕金森病的疗效。

Polymeric Nanoparticles-Based Brain Delivery with Improved Therapeutic Efficacy of Ginkgolide B in Parkinson's Disease.

机构信息

Science and Technology Innovation Center, Guangzhou University of Chinese Medicine, Guangzhou 510405, People's Republic of China.

Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100700, People's Republic of China.

出版信息

Int J Nanomedicine. 2020 Dec 24;15:10453-10467. doi: 10.2147/IJN.S272831. eCollection 2020.

Abstract

PURPOSE

Ginkgolide B (GB) is a terpene lactone derivative of Ginkgo biloba that is believed to function in a neuroprotective manner ideal for treating Parkinson's disease (PD). Despite its promising therapeutic properties, GB has poor bioavailability following oral administration and cannot readily achieve sufficient exposure in treated patients, limiting its clinical application for the treatment of PD. In an effort to improve its efficacy, we utilized poly(ethylene glycol)-co-poly(ε-caprolactone) (PEG-PCL) nanoparticles as a means of encapsulating GB (GB-NPs). These NPs facilitated the sustained release of GB into the blood, thereby improving its ability to accumulate in the brain and to treat PD.

METHODS AND RESULTS

Using Madin-Darby canine kidney (MDCK) cells, we were able to confirm that these NPs could be taken into cells via multiple nonspecific mechanisms including micropinocytosis, clathrin-dependent endocytosis, and lipid raft/caveolae-mediated endocytosis. Once internalized, these NPs tended to accumulate in the endoplasmic reticulum and lysosomes. In zebrafish, we determined that these NPs were readily able to undergo transport across the chorion, gastrointestinal, blood-brain, and blood-retinal barriers. In a 1-methyl-4-phenylpyridinium ion (MPP)-induced neuronal damage model system, we confirmed the neuroprotective potential of these NPs. Following oral administration to rats, GB-NPs exhibited more desirable pharmacokinetics than did free GB, achieving higher GB concentrations in both the brain and the blood. Using a murine PD model, we demonstrated that these GB-NPs achieved superior therapeutic efficacy and reduced toxicity relative to free GB.

CONCLUSION

In conclusion, these results indicate that NPs encapsulation of GB can significantly improve its oral bioavailability, cerebral accumulation, and bioactivity via mediating its sustained release in vivo.

摘要

目的

白果内酯 B(GB)是银杏叶的一种萜烯内酯衍生物,被认为具有神经保护作用,非常适合治疗帕金森病(PD)。尽管具有有前景的治疗特性,但 GB 经口服给药后生物利用度差,并且不能在治疗患者中轻易达到足够的暴露量,限制了其在治疗 PD 中的临床应用。为了提高其疗效,我们利用聚乙二醇-共-聚(ε-己内酯)(PEG-PCL)纳米粒作为包裹 GB(GB-NPs)的方法。这些纳米粒促进了 GB 向血液中的持续释放,从而提高了其在大脑中的积累能力,并能够治疗 PD。

方法和结果

我们使用 Madin-Darby 犬肾(MDCK)细胞证实,这些纳米粒可以通过多种非特异性机制被细胞摄取,包括胞饮作用、网格蛋白依赖性内吞作用和脂筏/小窝介导的内吞作用。一旦被内化,这些纳米粒往往会在内质网和溶酶体中积累。在斑马鱼中,我们确定这些纳米粒可以轻易地穿过卵壳、胃肠道、血脑和血视网膜屏障进行转运。在 1-甲基-4-苯基吡啶离子(MPP)诱导的神经元损伤模型系统中,我们证实了这些纳米粒的神经保护潜力。在大鼠口服给药后,GB-NPs 表现出比游离 GB 更理想的药代动力学特性,在大脑和血液中均达到更高的 GB 浓度。使用小鼠 PD 模型,我们证明与游离 GB 相比,这些 GB-NPs 具有更好的治疗效果和更低的毒性。

结论

总之,这些结果表明,纳米粒包裹 GB 可以通过体内介导其持续释放显著提高其口服生物利用度、脑内积累和生物活性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3635/7769078/314588096e53/IJN-15-10453-g0001.jpg

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