Wits Advanced Drug Delivery Platform Research Unit, Department of Pharmacy and Pharmacology, School of Therapeutic Science, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Expert Opin Ther Pat. 2021 Sep;31(9):851-865. doi: 10.1080/13543776.2021.1915292. Epub 2021 Apr 19.
: Among all the anti-schistosomal drugs, praziquantel has been the most widely used. However, some major challenges have been faced using the drug in the treatment of schistosome infections.
: Several approaches used in the synthesis of praziquantel aimed at reducing the time and cost of production, the toxicity and experimental harsh conditions are discussed. Also, patented methods involved in the pharmaceutical reformulation of praziquantel in the treatment of diverse endoparasitic infestations are reported. Additionally, future perspectives in terms of nanomedicine approach in the formulation of praziquantel are highlighted.
: Lipid-based nanosystems (LBNSs) formulations can be used to overcome the shortcomings associated with the use of praziquantel in the schistosomiasis treatment due to their amphipathic nature. This could be a promising vehicle for the delivery of praziquantel, which could in turn improve the bioavailability, as well as reduce the frequent dose of the drug and improve patient compliance. This may sustain the release of the drug and improve the rapid conversion of the drug into inactive metabolite due to rapid metabolism. Additionally, LBNSs approach could increase and improve the lipophilicity of the drug, which could make it easier to interact with the hydrophobic cores of the worm tegument.
在所有的抗血吸虫药物中,吡喹酮的应用最为广泛。然而,在治疗血吸虫感染时,该药物的应用面临着一些重大挑战。
讨论了几种旨在缩短生产时间和降低成本、降低毒性和实验苛刻条件的吡喹酮合成方法。还报告了涉及吡喹酮药物制剂用于治疗各种内寄生虫感染的专利方法。此外,还强调了纳米医学方法在吡喹酮制剂中的未来展望。
基于脂质的纳米系统(LBNS)制剂可用于克服因使用吡喹酮治疗血吸虫病而产生的缺点,因为它们具有双亲性。这可能是一种有前途的载药系统,可以提高生物利用度,减少药物的频繁剂量,提高患者的顺应性。这可能会维持药物的释放,并由于快速代谢而改善药物向无活性代谢物的快速转化。此外,LBNS 方法可以增加和改善药物的亲脂性,使其更容易与虫体被膜的疏水性核心相互作用。