Department of Pharmaceutics and Drug Delivery, The University of Mississippi, 111 Faser Hall, University, MA, 38677, USA.
Department of Infectious Diseases, Division of Drug Discovery, Southern Research, 2000 Ninth Avenue South, Birmingham, AL, 35205, USA.
AAPS PharmSciTech. 2021 Sep 29;22(7):240. doi: 10.1208/s12249-021-02108-5.
Primaquine (PQ), an 8-aminoquinoline antimalarial drug, has been widely used for the eradication of hypnozoites from the liver and, therefore, recognized as the radical cure of malaria. However, the clinical applications of PQ are restricted to patients with glucose-6-phosphate dehydrogenase (G6PD) deficiency due to severe dose-related hemolytic side effects. Nanoparticle carriers have shown great potential in achieving higher PQ concentrations in the target site, thereby reducing dose-related systemic toxicity caused by non-specific exposure. This work aims to develop, compare, and evaluate three PQ-loaded lipid-based drug carriers including solid lipid nanoparticles (SLN), nanostructured lipid carriers (NLC), and nano-emulsions (NE). The optimized PQ-SLN, PQ-NLC, and PQ-NE had a particle size of 250 nm, a PDI range of 0.1 to 0.3, a zeta potential of - 30 mV, and entrapment efficiency of ~ 90%. All lipid formulations showed sustained release in both simulated gastric and intestinal fluids over 6 h. Four empirical models - including zero-order, Higuchi, Korsmeyer-Peppas, and Hixson-Crowell models - were tested to understand the drug release mechanisms of PQ-SLN, PQ-NLC, and PQ-NE. The model fitness was found to be the highest in the Korsmeyer-Peppas model for all the PQ-loaded lipid formulations (R: 0.88-0.94). No significant changes were observed in the entrapment efficiency, particle size, and PDI of lipid formulations throughout 1 month of storage at 4 °C and 25 °C. PQ-SLN and PQ-NLC can be further lyophilized with cryoprotectants to improve long-term stability. Finally, the treatment of erythrocytes with PQ-SLN, PQ-NLC, and PQ-NE reduced erythrocyte hemolysis by approximately 4.5-fold compared to the free drug solution.
伯氨喹(PQ)是一种 8-氨基喹啉抗疟药物,已广泛用于清除肝脏中的休眠疟原虫,因此被认为是疟疾的根治方法。然而,PQ 的临床应用仅限于葡萄糖-6-磷酸脱氢酶(G6PD)缺乏症患者,因为其严重的剂量相关溶血性副作用。纳米颗粒载体在实现靶部位更高的 PQ 浓度方面显示出巨大潜力,从而减少了非特异性暴露引起的剂量相关全身毒性。本工作旨在开发、比较和评价三种载有 PQ 的脂质药物载体,包括固体脂质纳米粒(SLN)、纳米结构脂质载体(NLC)和纳米乳剂(NE)。优化的 PQ-SLN、PQ-NLC 和 PQ-NE 的粒径为 250nm,PDI 范围为 0.1 至 0.3,zeta 电位为-30mV,包封效率约为 90%。所有脂质制剂在模拟胃液和肠液中均表现出 6 小时以上的持续释放。四种经验模型——包括零级、Higuchi、Korsmeyer-Peppas 和 Hixson-Crowell 模型——被用于理解 PQ-SLN、PQ-NLC 和 PQ-NE 的药物释放机制。所有载有 PQ 的脂质制剂的模型拟合度最高的是 Korsmeyer-Peppas 模型(R:0.88-0.94)。在 4°C 和 25°C 下储存 1 个月,脂质制剂的包封效率、粒径和 PDI 均未发生显著变化。PQ-SLN 和 PQ-NLC 可以用冷冻保护剂进一步冻干,以提高长期稳定性。最后,PQ-SLN、PQ-NLC 和 PQ-NE 处理红细胞可使红细胞溶血比游离药物溶液减少约 4.5 倍。