El-Shenawy Ahmed A, Elsayed Mahmoud M A, Atwa Gamal M K, Abourehab Mohammed A S, Mohamed Mohamed S, Ghoneim Mohammed M, Mahmoud Reda A, Sabry Shereen A, Anwar Walid, El-Sherbiny Mohamed, Hassan Yasser A, Belal Amany, Ramadan Abd El Hakim
Department of Pharmaceutics and Pharmaceutical Technology, Faculty of Pharmacy, Al-Azhar University, Assiut Branch, Assiut 71524, Egypt.
Department of Pharmaceutics and Clinical Pharmacy, Faculty of Pharmacy, Sohag University, Sohag 82524, Egypt.
Pharmaceutics. 2023 Feb 17;15(2):680. doi: 10.3390/pharmaceutics15020680.
Gefitinib (GFT) is a tyrosine kinase inhibitor drug used as a first-line treatment for patients with advanced or metastatic non-small cell lung, colon, and breast cancer. GFT exhibits low solubility and hence low oral bioavailability, which restricts its clinical application. One of the most important trends in overcoming such problems is the use of a vesicular system. Cubosomes are considered one of the most important vesicular systems used to improve solubility and oral bioavailability. In this study, GFT cubosomal nanoparticles (GFT-CNPs) were prepared by the emulsification method. The selected formulation variables were analyzed and optimized by full factorial design and response surface methodology. Drug entrapment efficiency (EE%), transmission electron microscopy, particle size, polydispersity index, in vitro release and its kinetics, and the effect of storage studies were estimated. The chosen GFT-CNPs were subjected to further investigations as gene expression levels of tissue inhibitors of metalloproteinases-1 (TIMP-1) and matrix metalloproteinases-7 (MMP-7), colon biomarkers, and histopathological examination of colon tissues. The prepared GFT-CNPs were semi-cubic in shape, with high EE%, smaller vesicle size, and higher zeta potential values. The in vivo data showed a significant decrease in the serum level of embryonic antigen (CEA), carbohydrate antigen 19-9 (CA 19-9), and gene expression level of TIMP-1 and MMP-7. Histopathological examination showed enhancement in cancer tissue and highly decreased focal infiltration in the lamina propria after treatment with GFT-CNPs.
吉非替尼(GFT)是一种酪氨酸激酶抑制剂药物,用作晚期或转移性非小细胞肺癌、结肠癌和乳腺癌患者的一线治疗药物。GFT的溶解度低,因此口服生物利用度也低,这限制了其临床应用。克服这些问题的最重要趋势之一是使用囊泡系统。立方液晶相脂质体被认为是用于提高溶解度和口服生物利用度的最重要囊泡系统之一。在本研究中,通过乳化法制备了GFT立方液晶相纳米粒(GFT-CNPs)。通过全因子设计和响应面法对选定的制剂变量进行了分析和优化。评估了药物包封率(EE%)、透射电子显微镜、粒径、多分散指数、体外释放及其动力学以及储存研究的影响。对选定的GFT-CNPs进行了进一步研究,检测了金属蛋白酶组织抑制剂-1(TIMP-1)和基质金属蛋白酶-7(MMP-7)的基因表达水平、结肠生物标志物以及结肠组织的组织病理学检查。所制备的GFT-CNPs呈半立方体形,具有高EE%、较小的囊泡尺寸和较高的ζ电位值。体内数据显示胚胎抗原(CEA)、糖类抗原19-9(CA 19-9)的血清水平以及TIMP-1和MMP-7的基因表达水平显著降低。组织病理学检查显示,用GFT-CNPs治疗后,癌组织有所改善,固有层的局灶性浸润显著减少。
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