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阿莫达非尼纳米晶鼻用凝胶对改善睡眠剥夺大鼠认知功能的作用。

Effects of armodafinil nanocrystal nasal hydrogel on recovery of cognitive function in sleep-deprived rats.

机构信息

Department of Pharmaceutical Sciences, Beijing Institute of Radiation Medicine, Beijing 100850, China; Anhui Medical University, Hefei 230032, China.

Department of Pharmaceutical Sciences, Beijing Institute of Radiation Medicine, Beijing 100850, China.

出版信息

Int J Pharm. 2021 Mar 15;597:120343. doi: 10.1016/j.ijpharm.2021.120343. Epub 2021 Feb 3.

Abstract

Armodafinil is typically used in clinical practice to maintain cognition and wakefulness in patients suffering from sleep deprivation. However, its poor water solubility and large dosage limit its effective application. Herein, we formulated armodafinil in a nanocrystal hydrogel (NCsG) with appropriate fluidity and viscosity, capable of rapidly dissolving after staying in the nasal cavity for > 4 h and then penetrating the mucosa as quickly as possible in vitro. We found that armodafinil NCsG was biologically safe, as it had no visible ciliary toxicity, as well as extremely stable due to the existence of intermolecular hydrogen-bonding forces. Nasal administration of armodafinil NCsG proved to be more efficient and targeted than oral administration due to its preferential absorption in plasma and more-concentrated distribution in the brain. In addition, compared with the model group, sleep-deprived rats treated with NCsG undergoing Morris water maze (MWM) behavioral experiments had shorter escape latency and much more shuttle times across the platform. Meanwhile, in the open-field test (OFT), these same rats had longer periods of movement in the center, longer time spent upright, and lower anxiety, which clearly demonstrated improved cognitive awareness and wakefulness after intranasal administration. Moreover, we speculated that armodafinil NCsG had a protective effect on hippocampal neurons in Cortical Area 1 (CA1), which is closely related to cognitive function, by upregulating brain-derived neurotrophic factor (BDNF) protein expression. Consequently, the intranasal administration of armodafinil NCsG could serve as a promising integrated-control measure for sleep deprivation.

摘要

阿莫达非尼通常用于临床实践中,以维持遭受睡眠剥夺的患者的认知和清醒度。然而,其较差的水溶性和较大的剂量限制了其有效应用。在此,我们将阿莫达非尼制成纳米晶水凝胶(NCsG),具有适当的流动性和粘度,在鼻腔中停留>4 h 后能够迅速溶解,并在体外尽快穿透黏膜。我们发现阿莫达非尼 NCsG 具有生物安全性,因为它没有明显的纤毛毒性,并且由于存在分子间氢键作用力,它极其稳定。与口服给药相比,鼻内给予阿莫达非尼 NCsG 更有效和更具靶向性,因为它在血浆中优先吸收,在大脑中分布更集中。此外,与模型组相比,接受 NCsG 治疗的睡眠剥夺大鼠在进行 Morris 水迷宫(MWM)行为实验时,逃逸潜伏期更短,穿越平台的穿梭次数更多。同时,在旷场测试(OFT)中,这些相同的大鼠在中心区域的运动时间更长,直立时间更长,焦虑程度更低,这清楚地表明鼻内给药后认知意识和清醒度得到了改善。此外,我们推测阿莫达非尼 NCsG 通过上调脑源性神经营养因子(BDNF)蛋白表达对皮质区 1(CA1)中的海马神经元具有保护作用,而 CA1 与认知功能密切相关。因此,鼻内给予阿莫达非尼 NCsG 可能成为睡眠剥夺的一种有前途的综合控制措施。

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