Shri Vile Parle Kelavani Mandal's Institute of Pharmacy, Dhule, India.
School of Pharmacy & Technology Management, SVKM's NMIMS, Shirpur, India.
Drug Dev Ind Pharm. 2021 Mar;47(3):385-393. doi: 10.1080/03639045.2021.1892743. Epub 2021 Mar 1.
Tuberculosis (TB) disease is caused due to the infection of bacilli which reside in alveolar macrophages (AMs). Clofazimine (CLF) has been reinstated clinically for the treatment of TB. However, major challenge of using CLF is its severe side-effects after oral administration. The present research was aimed to establish the safety and enhance the bioavailability of CLF by loading it into nanostructured lipid carriers (CLF-NLCs) and mannosylated NLCs (M-CLF-NLCs) to selectively target the drug toward AMs. The safety of CLF-NLCs and M-CLF-NLCs was evaluated by hemocompatibility studies, cell viability studies on macrophage J774 cell lines, and acute inhalation toxicity studies. The bioavailability was estimated by single-dose pharmacokinetics and biodistribution studies. Hemocompatibility studies showed normal RBCs count and least hemolysis of 0.23 ± 0.081% for M-CLF-NLCs treated group. Cell viability studies revealed greater safety of NLCs than CLF-drug dispersion in the concentration range of 2.5-25 μg/ml. acute toxicity studies revealed no physiological or behavioral changes and no mortality recorded over 14 days period. In pharmacokinetic studies, a maximum concentration of the drug () of 35.44 ± 0.34 μg/g from M-CLF-NLCs after 48 h and longer residence time in lung tissues observed due to its sustained release and mannose receptor-mediated endocytosis. M-CLF-NLCs showed a maximum AUC value of 2691.83 h μg/ml in lungs that indicated twofold greater bioavailability as compared to CLF-drug dispersion. Thus, mannosylated NLCs can be used as promising carriers for the safe and effective delivery of CLF via inhalation route for the management of TB disease.
肺结核(TB)是由潜伏在肺泡巨噬细胞(AMs)中的杆菌感染引起的。氯法齐明(CLF)已重新被临床用于治疗结核病。然而,CLF 经口服给药后会产生严重的副作用,这是其主要的应用挑战。本研究旨在通过将 CLF 载入纳米结构脂质载体(CLF-NLCs)和甘露糖化 NLCs(M-CLF-NLCs)来提高其生物利用度并确保其安全性,以便将药物选择性靶向 AMs。通过血液相容性研究、巨噬细胞 J774 细胞系的细胞活力研究以及急性吸入毒性研究评估了 CLF-NLCs 和 M-CLF-NLCs 的安全性。通过单次剂量药代动力学和生物分布研究来评估生物利用度。血液相容性研究表明,M-CLF-NLCs 处理组的 RBC 计数正常,溶血率最低为 0.23±0.081%。细胞活力研究表明,NLCs 比 CLF 药物分散体更安全,其浓度范围为 2.5-25μg/ml。急性毒性研究表明,在 14 天的研究期间,未观察到生理或行为变化,也没有死亡记录。在药代动力学研究中,M-CLF-NLCs 在 48 小时后达到最大药物浓度()为 35.44±0.34μg/g,并且由于其持续释放和甘露糖受体介导的内吞作用,在肺部组织中的停留时间更长。M-CLF-NLCs 在肺部的 AUC 值最大为 2691.83 hμg/ml,表明与 CLF 药物分散体相比,其生物利用度提高了两倍。因此,甘露糖化 NLCs 可作为安全有效的 CLF 吸入制剂载体,用于治疗结核病。