School of Pharmacy, Mashhad University of Medical Sciences, Mashhad, Iran.
Medical Toxicology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Basic Clin Pharmacol Toxicol. 2022 Oct;131(4):251-261. doi: 10.1111/bcpt.13771. Epub 2022 Jul 29.
Pulmonary fibrosis is an important complication of subacute paraquat (PQ) poisoning. Here, we reported a novel nanotherapeutic platform for PQ-induced pulmonary fibrosis in animal inhalation models using simvastatin (SV)-loaded into poly(lactic-co-glycolic acid) (PLGA) nanoparticles (NPs).
Eight inhalations of normal saline, PQ (24 mg/kg), PQ plus SV (20 mg/kg), PQ plus SV-loaded PLGA NPs at doses of 5, 10 or 20 mg/kg or PQ plus PLGA NPs were given to rats. After the end of the treatment period, inflammatory factors and creatine phosphokinase as well as lung pathological changes and tracheal responsiveness were evaluated.
Inhalation of SV-loaded PLGA NPs could significantly prevent the progression of PQ-induced pulmonary fibrosis especially at a dose of 10 mg through decreasing the serum level of inflammatory factors as well as contractile responses (p < 0.001) compared to PQ group. Pathological findings also confirmed the results. However, inhalation of non-formulated SV could not prevent tissue damage and fibrosis in comparision with SV-loaded PLGA NPs.
Taken together, the present work provides us an idea about the pulmonary delivery of PLGA-SV NPs using nebulizer for the treatment of PQ poisoning. However, the efficacy of this formulation in human beings and clinical use needs to be more investigated.
肺纤维化是亚急性百草枯(PQ)中毒的重要并发症。在这里,我们报道了一种使用辛伐他汀(SV)负载到聚乳酸-共-羟基乙酸(PLGA)纳米颗粒(NPs)的新型纳米治疗平台,用于动物吸入模型中的 PQ 诱导的肺纤维化。
给大鼠进行 8 次生理盐水、PQ(24mg/kg)、PQ 加 SV(20mg/kg)、PQ 加 SV 负载的 PLGA NPs 剂量为 5、10 或 20mg/kg 或 PQ 加 PLGA NPs 的吸入。治疗期结束后,评估炎症因子和肌酸磷酸激酶以及肺病理变化和气管反应性。
与 PQ 组相比,吸入 SV 负载的 PLGA NPs 可通过降低血清炎症因子和收缩反应水平(p<0.001),显著预防 PQ 诱导的肺纤维化进展,尤其是在 10mg 的剂量下(p<0.001)。病理发现也证实了这一结果。然而,与 SV 负载的 PLGA NPs 相比,吸入非制剂 SV 并不能预防组织损伤和纤维化。
综上所述,本工作为使用雾化器进行 PLGA-SV NPs 的肺部给药提供了一个想法,用于治疗 PQ 中毒。然而,这种制剂在人体中的疗效和临床应用需要进一步研究。