Porcello Alexandre, Gonzalez-Fernandez Paula, Jordan Olivier, Allémann Eric
School of Pharmaceutical Sciences, University of Geneva, CH-1206 Geneva, Switzerland.
Institute of Pharmaceutical Sciences of Western Switzerland, University of Geneva, CH-1206 Geneva, Switzerland.
Pharmaceutics. 2022 Mar 17;14(3):659. doi: 10.3390/pharmaceutics14030659.
Hyaluronic acid (HA) constitutes a versatile chemical framework for the development of osteoarthritis pain treatment by means of injection in the joints, so-called viscosupplementation. Without appropriate physico-chemical tuning, such preparations are inherently hindered by prompt in vivo degradation, mediated by hyaluronidases and oxidative stress. To prolong hydrogel residence time and confer optimized product functionality, novel thermoresponsive nanoforming HA derivatives were proposed and characterized. Combined use of sulfo-dibenzocyclooctyne-PEG4-amine linkers and poly(-isopropylacrylamide) in green chemistry process enabled the synthesis of HA-based polymers, with in situ obtention of appropriate viscoelastic properties. Spontaneous and reversible thermoformation of nanoparticles above 30 °C was experimentally confirmed. Lead formulations were compared to a commercially available HA-based product and shown significantly better in vitro resistance to enzymatic and oxidative degradation, required half the injection force with optimal viscoelastic hydrogel properties in equine synovial fluids. Results highlighted the vast potential of appropriately engineered HA-based systems as next-generation long-acting viscosupplementation products for osteoarthritic patients.
透明质酸(HA)构成了一个通用的化学框架,用于通过关节注射(即所谓的粘弹性补充疗法)来开发骨关节炎疼痛治疗方法。如果没有适当的物理化学调节,此类制剂会因透明质酸酶和氧化应激介导的快速体内降解而受到固有阻碍。为了延长水凝胶的停留时间并赋予优化的产品功能,人们提出并表征了新型热响应性纳米成型HA衍生物。在绿色化学过程中联合使用磺基二苯并环辛炔-聚乙二醇4-胺连接体和聚(-异丙基丙烯酰胺),能够合成基于HA的聚合物,并原位获得适当的粘弹性。实验证实,纳米颗粒在30℃以上会自发且可逆地热成型。将领先配方与市售的基于HA的产品进行比较,结果表明其在体外对酶解和氧化降解的抵抗力明显更强,在马滑液中具有最佳粘弹性水凝胶特性时所需的注射力减半。结果突出了经过适当工程设计的基于HA的系统作为骨关节炎患者下一代长效粘弹性补充产品的巨大潜力。
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