Department of Pharmaceutical Sciences, St. John Fisher College, Rochester, NY 14618, USA; Department of Obstetrics and Gynecology, University of Texas Medical Branch, Galveston, TX 77555, USA.
Department of Pharmaceutics and Drug Delivery, School of Pharmacy, The University of Mississippi, MS 38677, USA.
Int J Pharm. 2021 Mar 15;597:120320. doi: 10.1016/j.ijpharm.2021.120320. Epub 2021 Feb 1.
The oral administration of sildenafil citrate (SC) for the treatment of pulmonary arterial hypertension is associated with several drawbacks. The study aimed to design and formulate SC-loaded inhalable poly (lactic-co-glycolic acid) [PLGA] large porous microparticles (LPMs) for pulmonary delivery. A factorial design was used to study the effect of the composition of LPMs on physicochemical properties. The study also evaluated the effect of glucose and L-leucine concentration on the formulation. The developed LPMs demonstrated an acceptable yield% (≤48%), large geometric particle size (>5µm) with a spherical and porous surface, and sustained drug release (up to 48 h). Increasing the concentration of poly(ethyleneimine) from 0.5% to 1% in SC-loaded LPMs led to an increase in entrapment efficiency from ~3.02% to ~94.48%. The optimum LPMs showed adequate aerodynamic properties with a 97.68 ± 1.07% recovery, 25.33 ± 3.32% fine particle fraction, and low cytotoxicity. Intratracheal administration of LPMs demonstrated significantly higher lung deposition, systemic bioavailability, and longer retention time (p < 0.05) compared to orally administered Viagra® tablets. The study concluded that SC-loaded LPMs could provide better therapeutic efficacy, reduced dosing frequency, and enhanced patient compliance.
枸橼酸西地那非(SC)的口服给药治疗肺动脉高压存在一些缺点。本研究旨在设计并制备载 SC 的可吸入聚乳酸-共-羟基乙酸共聚物[PLGA]大孔微孔颗粒(LPMs)用于肺部给药。采用析因设计研究 LPMs 的组成对理化性质的影响。本研究还评估了葡萄糖和 L-亮氨酸浓度对配方的影响。所开发的 LPMs 表现出可接受的收率(≤48%)、大的几何粒径(>5μm)、具有球形和多孔表面以及持续的药物释放(长达 48 小时)。在载 SC 的 LPMs 中,将聚(亚乙基亚胺)的浓度从 0.5%增加到 1%,包封效率从约 3.02%增加到约 94.48%。最佳 LPMs 表现出足够的空气动力学特性,回收率为 97.68±1.07%,细颗粒分数为 25.33±3.32%,细胞毒性低。与口服 Viagra®片剂相比,LPMs 的气管内给药显示出更高的肺部沉积、系统生物利用度和更长的滞留时间(p<0.05)。本研究得出结论,载 SC 的 LPMs 可以提供更好的治疗效果、减少给药频率和提高患者依从性。