Zhangjiagang Hospital of Traditional Chinese Medicine Affiliated to Nanjing University of Chinese Medicine, Zhangjiagang, Jiangsu, China.
School of Medicine, Jiangsu University, Zhenjiang, China.
IET Nanobiotechnol. 2021 Sep;15(7):619-626. doi: 10.1049/nbt2.12058. Epub 2021 May 15.
Although multidrug combinations are an effective therapeutic strategy for serious disease in clinical practice, their therapeutic effect may be reduced because they conflict with each other medicinally in certain cases. Hence, there is an urgent need to develop a single drug carrier for precise multidrug delivery to avoid this interference. A reverse coordination method is reported that fabricates a double-layer barium sulphate microcapsule (DL@BS MS) for two drugs separately loading simultaneously. In addition, BS nanoclusters were synthesised in situ inside the DL@BS MSs for real-time computed tomography (CT) imaging. The results showed that the DL@BS MSs with a particle size of approximately 2 mm exhibited a uniform sphere. Because BS nanoclusters have a high X-ray attenuation coefficient, the retention of DL@BS MSs in the digestive tract could be monitored through CT imaging in real time. More important, the core-shell structure of DL@BS MSs encapsulating two different drugs could be released in spatiotemporal order in an acidic stomach environment. The as-synthesis DL@BS MSs with a core-shell structure and real-time imaging performance provide an ideal carrier for the oral administration of multiple drugs simultaneously loaded but sequentially released.
虽然多药物联合是临床实践中治疗严重疾病的有效策略,但在某些情况下,它们可能会因药物相互作用而降低治疗效果。因此,迫切需要开发一种单一的药物载体,以精确地输送多种药物,从而避免这种干扰。本文报道了一种反位配位的方法,用于分别同时装载两种药物的双层硫酸钡微胶囊(DL@BS MS)的构建。此外,还在 DL@BS MS 内原位合成了 BS 纳米簇,用于实时计算机断层扫描(CT)成像。结果表明,粒径约为 2mm 的 DL@BS MS 呈均匀球体。由于 BS 纳米簇具有较高的 X 射线衰减系数,因此通过实时 CT 成像可以监测 DL@BS MS 在消化道中的滞留情况。更重要的是,在酸性胃环境中,包载两种不同药物的 DL@BS MS 的核壳结构可以实现时空有序的释放。这种具有核壳结构和实时成像性能的 DL@BS MS 为同时装载但顺序释放的多种药物的口服给药提供了理想的载体。