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用于阴道内 pH 值响应性释放替诺福韦的 Eudragit® L100/壳聚糖复合薄双层膜。

Eudragit® L100/chitosan composite thin bilayer films for intravaginal pH-responsive release of Tenofovir.

机构信息

Department of Pharmaceutics and Food Technology, Faculty of Pharmacy, Complutense University of Madrid, Plaza Ramón y Cajal s/n, 28040 Madrid, Spain.

Institute of Ceramics and Glass, Spanish National Research Council, Calle Kelsen 5, 28049 Madrid, Spain.

出版信息

Int J Pharm. 2022 Mar 25;616:121554. doi: 10.1016/j.ijpharm.2022.121554. Epub 2022 Feb 5.

Abstract

The high rate of HIV new infections and AIDS-related deaths each year make prevention tools still necessary today. Different dosage forms - including films - for vaginal administration of antiretroviral drugs have been developed for this purpose. Six batches of Tenofovir-loaded films were formulated based on Eudragit® L100 (EL100) and chitosan, containing triethyl citrate and glycerol. In all the cases films structured in two layers - the upper layer mainly attributed to EL100 and the lower layer to chitosan - were revealed by SEM. A higher content in EL100 and plasticizers improves the mechanical properties and control over drug release in the vaginal medium without affecting mucoadhesion. The EL100-based layer acts as a structuring agent that controls Tenofovir release for days in the vaginal medium while it occurs in a few hours in the presence of seminal fluid. Bilayer films with the highest tested content of EL100 and plasticizers would be the most suitable as vaginal microbicides as they are easier to administer due to their excellent mechanical properties and they offer more comfortable posology and enhanced protection against HIV during intercourse due to their pH-responsive release of Tenofovir.

摘要

每年艾滋病毒新感染病例和艾滋病相关死亡病例居高不下,这使得预防工具在今天仍然是必要的。为此,已经开发出了多种不同的剂型,包括阴道给药的抗逆转录病毒药物薄膜。基于 Eudragit® L100(EL100)和壳聚糖,共制备了六批载有替诺福韦的薄膜,其中包含柠檬酸三乙酯和甘油。在所有情况下,薄膜都呈现出两层结构 - 上层主要归因于 EL100,下层归因于壳聚糖 - 这一点通过 SEM 得到了揭示。EL100 和增塑剂含量的增加可以改善薄膜在阴道介质中的机械性能和药物释放控制,而不会影响粘膜粘附性。基于 EL100 的层作为一种结构剂,可以控制替诺福韦在阴道介质中的释放时间长达数天,而在有精液存在的情况下,其释放时间仅为数小时。含有最高测试含量的 EL100 和增塑剂的双层薄膜将是最合适的阴道杀微生物剂,因为它们具有出色的机械性能,更容易给药,并且由于其对 pH 响应的替诺福韦释放,提供了更舒适的用药方案和对 HIV 的增强保护作用,从而在性交中更有效地预防 HIV。

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