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改性脂质纳米囊用于肝纤维化中丹参酮 IIA 的靶向递送。

Modified Lipid Nanocapsules for Targeted Tanshinone IIA Delivery in Liver Fibrosis.

机构信息

Department of Pharmaceutics, Faculty of Pharmacy, Alexandria University, Alexandria, 21521, Egypt.

Department of Medical Biochemistry, Faculty of Medicine, Alexandria University, Alexandria, 21131, Egypt.

出版信息

Int J Nanomedicine. 2021 Dec 8;16:8013-8033. doi: 10.2147/IJN.S331690. eCollection 2021.

Abstract

INTRODUCTION

Liver fibrosis represents a serious global disease with no approved treatment. Tanshinone IIA (TSIIA) is a phytomedicine with documented activity in treating many hepatic disorders. TSIIA has been reported to have potent anti-inflammatory and antioxidant properties. It can also induce apoptosis for activated hepatic stellate cells, and is thereby considered as a promising herbal remedy for treating fibrotic liver. However, its poor aqueous solubility, short half-life, exposure to the first-pass effect, and low concentration reaching targeted cells constitute the major barriers hindering its effective therapeutic potential. Therefore, this work aimed at enhancing TSIIA systemic bioavailability together with achieving active targeting potential to fibrotic liver via its incorporation into novel modified lipid nanocapsules (LNCs).

METHODS

Blank and TSIIA-loaded LNCs modified with either hyaluronate sodium or phosphatidyl serine were successfully prepared, optimized, and characterized both in vitro and in vivo.

RESULTS

The developed LNCs showed good colloidal properties (size ≤100 nm and PDI ≤0.2), high drug-entrapment efficiency (>97%) with sustained-release profile for 24 hours, high storage stability up to 6 months, and good in vitro serum stability. After a single intraperitoneal injection, the administered LNCs exhibited a 2.4-fold significant increase in AUC compared with the TSIIA suspension (≤0.01). Biodistribution-study results proved the liver-targeting ability of the prepared modified LNCs, with a significant ~1.5-fold increase in hepatic accumulation compared with the unmodified formulation (≤0.05). Moreover, the modified formulations had an improved antifibrotic effect compared with both unmodified LNCs and TSIIA suspension, as evidenced by the results of biochemical and histopathological evaluation.

CONCLUSION

The modified TSIIA-LNCs could be regarded as promising novel targeted nanomedicines for effective management of liver fibrosis.

摘要

简介

肝纤维化是一种严重的全球性疾病,目前尚无获批的治疗方法。丹参酮 IIA(TSIIA)是一种具有治疗多种肝部疾病功效的植物药。已有报道称 TSIIA 具有强大的抗炎和抗氧化特性。它还可以诱导活化的肝星状细胞凋亡,因此被认为是治疗肝纤维化的一种有前途的草药疗法。然而,其较差的水溶性、半衰期短、易受首过效应影响以及到达靶向细胞的浓度较低等问题,构成了其有效治疗潜力的主要障碍。因此,本研究旨在通过将其纳入新型改良脂质纳米囊(LNC)来提高 TSIIA 的系统生物利用度,并实现对纤维化肝脏的主动靶向作用。

方法

成功制备、优化并对透明质酸钠或磷脂酰丝氨酸改性的空白和载 TSIIA 的 LNC 进行了体外和体内评价。

结果

所开发的 LNC 表现出良好的胶体性质(粒径≤100nm,PDI≤0.2)、超过 97%的载药效率和 24 小时的持续释放特性、长达 6 个月的高储存稳定性以及良好的体外血清稳定性。单次腹腔注射后,与 TSIIA 混悬剂相比,给予的 LNC 使 AUC 显著增加了 2.4 倍(≤0.01)。药物分布研究结果证明了所制备的改性 LNC 的肝靶向能力,与未改性制剂相比,肝内蓄积显著增加了 1.5 倍(≤0.05)。此外,与未改性 LNC 和 TSIIA 混悬剂相比,改性制剂具有更好的抗纤维化效果,这一点可从生化和组织病理学评价结果中得到证实。

结论

修饰后的 TSIIA-LNC 可被视为有效治疗肝纤维化的有前途的新型靶向纳米药物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1def/8671377/8e814825c9ba/IJN-16-8013-g0001.jpg

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