Institute of Materia Medica, Hangzhou Medical College, Hangzhou, China.
School of Biological Engineering, Hangzhou Medical College, Hangzhou, China.
Drug Deliv. 2021 Dec;28(1):2534-2547. doi: 10.1080/10717544.2021.2008054.
Liver fibrosis is a major global health concern. Management of chronic liver disease is severely restricted in clinics due to ineffective treatment approaches. However, a lack of targeted therapy may aggravate this condition. Asiatic acid (AA), a pentacyclic triterpenoid acid, can effectively protect the liver from hepatic disorders. However, the pharmaceutical application of AA is limited by low oral bioavailability and poor targeting efficiency. This study synthesized a novel liver-targeting material from PEG-SA, chemically linked to ursodeoxycholic acid (UA), and utilized it to modify AA nanostructured lipid carriers (UP-AA-NLC) with enhanced targeting and improved efficacy. The formulation of UP-AA-NLC was optimized via the Box-Behnken Experimental Design (BBD) and characterized by size, zeta potential, TEM, DSC, and XRD. Furthermore, antifibrotic activity and proliferation of AA and NLCs were assessed in LX-2 cells. The addition of UP-AA-NLC significantly stimulated the TGF-beta1-induced expression of α-SMA, FN1, and Col I α1. near-infrared fluorescence imaging and distribution trials in rats demonstrated that UP-AA-NLC could significantly improve oral absorption and liver-targeting efficiency. Oral UP-AA-NLC greatly alleviated carbon tetrachloride-induced liver injury and fibrosis in rats in a dosage-dependent manner, as reflected by serum biochemical parameters (AST, ALT, and ALB), histopathological features (H&E and Masson staining), and antioxidant activity parameters (SOD and MDA). Also, treatment with UP-AA-NLC lowered liver hydroxyproline levels, demonstrating a reduction of collagen accumulation in the fibrotic liver. Collectively, optimized UP-AA-NLC has potential application prospects in liver-targeted therapy and holds great promise as a drug delivery system for treating liver diseases.
肝纤维化是一个全球性的健康问题。由于缺乏有效的治疗方法,慢性肝病的临床管理受到严重限制。然而,缺乏靶向治疗可能会加重这种情况。齐墩果酸(AA)是一种五环三萜酸,能有效保护肝脏免受肝损伤。然而,AA 的药物应用受到口服生物利用度低和靶向效率差的限制。本研究从聚乙二醇琥珀酸(PEG-SA)合成了一种新型的肝靶向材料,通过化学方法与熊去氧胆酸(UA)相连,并用其修饰具有增强靶向性和提高疗效的 AA 纳米结构脂质载体(UP-AA-NLC)。通过 Box-Behnken 实验设计(BBD)优化了 UP-AA-NLC 的配方,并通过粒径、Zeta 电位、TEM、DSC 和 XRD 进行了表征。此外,还评估了 AA 和 NLC 在 LX-2 细胞中的抗纤维化活性和增殖作用。加入 UP-AA-NLC 可显著刺激 TGF-β1 诱导的α-SMA、FN1 和 Col I α1 的表达。在大鼠体内的近红外荧光成像和分布试验表明,UP-AA-NLC 可显著提高口服吸收和肝靶向效率。口服 UP-AA-NLC 可显著改善大鼠四氯化碳诱导的肝损伤和纤维化,血清生化参数(AST、ALT 和 ALB)、组织病理学特征(H&E 和 Masson 染色)和抗氧化活性参数(SOD 和 MDA)均有所改善。此外,UP-AA-NLC 治疗可降低肝羟脯氨酸水平,表明纤维化肝脏中胶原积累减少。综上所述,优化后的 UP-AA-NLC 在肝靶向治疗中具有潜在的应用前景,作为一种治疗肝脏疾病的药物传递系统具有广阔的前景。
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