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壳聚糖-聚氧化乙烯纳米纤维垫作为替诺福韦富马酸酯的阴道给药平台 - 阴道 pH 值对药物载体性能的影响。

Chitosan-poly(ethylene oxide) nanofibrous mat as a vaginal platform for tenofovir disoproxyl fumarate - The effect of vaginal pH on drug carrier performance.

机构信息

Department of Pharmaceutical Technology, Medical University of Białystok, Mickiewicza 2c, 15-222 Białystok, Poland.

Faculty of Chemical and Process Engineering, Warsaw University of Technology, Waryńskiego 1, 00-645 Warsaw, Poland.

出版信息

Int J Biol Macromol. 2022 Dec 1;222(Pt A):856-867. doi: 10.1016/j.ijbiomac.2022.09.207. Epub 2022 Sep 27.

DOI:10.1016/j.ijbiomac.2022.09.207
PMID:36174868
Abstract

In the present work, a solution blow spun nanofibrous mat comprised of chitosan (CS) and poly(ethylene oxide) (PEO) was obtained as vaginal platform for tenofovir disoproxil fumarate (TDF) to prevent sexually transmitted infections. Apart from physicochemical and mechanical analysis, the specific steps involved studies on nanofibrous mat mucoadhesive and swelling characteristics upon pH fluctuations over the physiological range. Physicochemical analysis showed uniform drug distribution within the CS/PEO mat volume and pointed toward physical interactions between the drug and polymers. TDF-loaded CS/PEO nanofibrous mat was shown potentially safe when evaluated by the MTT metabolic activity and JC-1 assays in human vaginal epithelial cells VK2-E6/E7. In vitro antiviral studies indicated inhibition efficacy of TDF-CS/PEO nanofibrous mat toward HSV-2 virus and proved the SBS process does not change the microbicidal activity of drug molecule. Fluctuations in the physiological vaginal pH range of 3.8 to 5.0 substantially affected mucoadhesive and swelling behavior of chitosan which in turn impacted drug dissolution rate from polymer carrier. The rate of permeation and accumulation of TDF in vaginal tissue differed in response to vaginal pH. Faster drug permeation assessed at pH 5.0 suggests that an increase in vaginal pH could improve TDF bioavailability at earlier time points.

摘要

在本工作中,获得了一种由壳聚糖 (CS) 和聚氧化乙烯 (PEO) 组成的溶液纺丝纳米纤维垫,作为替诺福韦二吡呋酯 (TDF) 的阴道给药平台,以预防性传播感染。除了物理化学和机械分析外,还研究了纳米纤维垫在生理范围内 pH 波动时的粘膜粘附和溶胀特性的具体步骤。物理化学分析表明,药物在 CS/PEO 基质体积内均匀分布,并表明药物与聚合物之间存在物理相互作用。通过 MTT 代谢活性和 JC-1 测定法在人阴道上皮细胞 VK2-E6/E7 中评估,载有 TDF 的 CS/PEO 纳米纤维垫显示出潜在的安全性。体外抗病毒研究表明,TDF-CS/PEO 纳米纤维垫对 HSV-2 病毒具有抑制作用,并证明 SBS 工艺不会改变药物分子的杀菌活性。生理阴道 pH 值范围为 3.8 至 5.0 的波动会显著影响壳聚糖的粘膜粘附和溶胀行为,进而影响药物从聚合物载体中的溶解速率。TDF 在阴道组织中的渗透和积累速度会因阴道 pH 值而有所不同。在 pH 5.0 下评估的更快的药物渗透表明,阴道 pH 值的增加可以提高早期 TDF 的生物利用度。

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