Łukasiewicz Sylwia
Department of Physical Biochemistry, Faculty of Biochemistry, Biophysics and Biotechnology, Jagiellonian University, 30-387 Krakow, Poland.
Polymers (Basel). 2021 Mar 24;13(7):1000. doi: 10.3390/polym13071000.
Clozapine, the second generation antipsychotic drug, is one of the prominent compounds used for treatment of schizophrenia. Unfortunately, use of this drug is still limited due to serious side effects connected to its unspecific and non-selective action. Nevertheless, clozapine still remains the first-choice drug for the situation of drug-resistance schizophrenia. Development of the new strategy of clozapine delivery into well-defined parts of the brain has been a great challenge for modern science. In the present paper we focus on the presentation of a new nanocarrier for clozapine and its use for targeted transport, enabling its interaction with the dopamine D and serotonin 5-HT heteromers (D-5-HT) in the brain tissue. Clozapine polymeric nanocapsules (CLO-NCs) were prepared using anionic surfactant AOT (sodium docusate) as an emulsifier, and bio-compatible polyelectrolytes such as: poly-l-glutamic acid (PGA) and poly-l-lysine (PLL). Outer layer of the carrier was grafted by polyethylene glycol (PEG). Several variants of nanocarriers containing the antipsychotic varying in physicochemical parameters were tested. This kind of approach may enable the availability and safety of the drug, improve the selectivity of its action, and finally increase effectiveness of schizophrenia therapy. Moreover, the purpose of the manuscript is to cover a wide scope of the issues, which should be considered while designing a novel means for drug delivery. It is important to determine the interactions of a new nanocarrier with many cell components on various cellular levels in order to be sure that the new nanocarrier will be safe and won't cause undesired effects for a patient.
氯氮平作为第二代抗精神病药物,是用于治疗精神分裂症的重要化合物之一。不幸的是,由于其非特异性和非选择性作用所带来的严重副作用,该药物的使用仍然受到限制。尽管如此,氯氮平仍是耐药性精神分裂症情况下的首选药物。开发将氯氮平输送到大脑特定区域的新策略一直是现代科学面临的巨大挑战。在本文中,我们专注于介绍一种用于氯氮平的新型纳米载体及其用于靶向运输的用途,使其能够与脑组织中的多巴胺D和5-羟色胺5-HT异聚体(D-5-HT)相互作用。使用阴离子表面活性剂AOT(二辛基磺酸钠)作为乳化剂以及生物相容性聚电解质聚-L-谷氨酸(PGA)和聚-L-赖氨酸(PLL)制备了氯氮平聚合物纳米胶囊(CLO-NCs)。载体的外层接枝了聚乙二醇(PEG)。测试了几种物理化学参数不同的含有抗精神病药物的纳米载体变体。这种方法可以提高药物的可用性和安全性,提高其作用的选择性,并最终提高精神分裂症治疗的有效性。此外,本文的目的是涵盖广泛的问题,在设计新型药物递送手段时应予以考虑。确定新型纳米载体与各种细胞水平上的许多细胞成分之间的相互作用非常重要,以确保新型纳米载体是安全的,不会给患者带来不良影响。