Goo Yoon Tae, Yang Hee Mang, Kim Chang Hyun, Kim Min Song, Kim Hyeon Kyun, Chang In Ho, Choi Young Wook
College of Medicine, Chung-Ang University, 84, Heuksuk-ro, Dongjak-gu, Seoul 06974, Republic of Korea.
College of Medicine, Chung-Ang University, 84, Heuksuk-ro, Dongjak-gu, Seoul 06974, Republic of Korea.
Eur J Pharm Sci. 2021 Aug 1;163:105885. doi: 10.1016/j.ejps.2021.105885. Epub 2021 May 19.
Intravesical instillation of a poloxamer 407 (PLX)-based hydrogel offers advantages such as thermo-sensitivity and sol-to-gel transition, but its utility is limited by urinary obstruction and insufficient bladder residence time. To overcome these obstacles, a floating PLX-hydrogel (FPH) was developed using sodium bicarbonate (BC) as a floating agent and hyaluronic acid (HA) as a gel strength modulator. The FPH composition was optimized using the Box-Behnken design with three independent variables: X [PLX concentration, 23.91%], X [BC concentration, 5.15%], and X [HA concentration, 3.49%]. The quadratic model was the best fit (desirability function, 0.623), resulting in response parameters of Y [floating time, 53.7 s], Y [gelation temperature gap, 20.3°C], and Y [duration time of gel, 396.7 min]. Rheological observations revealed the mechanical rigidity (storage modulus > loss modulus at elevated temperature) of the optimized FPH (phase transition temperature, 15.08°C). Gel erosion and drug release studies were performed using the gravimetric method; the remaining FPH fraction decreased exponentially with time, and gemcitabine release was biphasic and surface erosion-controlled. In vivo buoyancy was evaluated in rats using ultrasonography; these results were similar to those of the in vitro floating behavior. Thus, optimized FPH for intravesical instillation is a prospective option for bladder cancer treatment.
膀胱内灌注基于泊洛沙姆407(PLX)的水凝胶具有诸如热敏性和溶胶-凝胶转变等优点,但其应用受到尿路梗阻和膀胱停留时间不足的限制。为了克服这些障碍,开发了一种漂浮的PLX水凝胶(FPH),使用碳酸氢钠(BC)作为漂浮剂,透明质酸(HA)作为凝胶强度调节剂。采用Box-Behnken设计对FPH组成进行了优化,有三个自变量:X[PLX浓度,23.91%]、X[BC浓度,5.15%]和X[HA浓度,3.49%]。二次模型拟合最佳(可取性函数,0.623),得到响应参数Y[漂浮时间,53.7秒]、Y[凝胶化温度差,20.3℃]和Y[凝胶持续时间,396.7分钟]。流变学观察揭示了优化后的FPH在高温下的机械刚性(储能模量>损耗模量)(相变温度,15.08℃)。使用重量法进行了凝胶侵蚀和药物释放研究;剩余的FPH分数随时间呈指数下降,吉西他滨释放是双相的且受表面侵蚀控制。在大鼠体内使用超声评估了浮力;这些结果与体外漂浮行为的结果相似。因此,优化后的用于膀胱内灌注的FPH是膀胱癌治疗的一个有前景的选择。