Department of Pharmaceutics, School of Pharmacy, Shenyang Pharmaceutical University, Shenyang 110016, Liaoning, China.
School of Functional Food and Wine, Shenyang Pharmaceutical University, Shenyang 110016, Liaoning, China.
Int J Pharm. 2023 Apr 5;636:122802. doi: 10.1016/j.ijpharm.2023.122802. Epub 2023 Mar 8.
The complexity of periodontitis, including the complex formation mechanisms and the complex periodontium physiological environment, as well as the complex association with multiple complications, often results in poor therapy effects. Herein, we aimed to design a nanosystem with a controlled release of minocycline hydrochloride (MH) and good retention to effectively treat periodontitis by inhibiting inflammation and repairing the alveolar bone. Firstly, insoluble ion-pairing (IIP) complexes were constructed to improve the encapsulation efficiency of hydrophilic MH in PLGA nanoparticles. Then, a nanogenerator was constructed and combined with a double emulsion method to encapsulate the complexes into PLGA nanoparticles (MH-NPs). The average particle size of MH-NPs was about 100 nm as observed by AFM and TEM, and the drug loading and encapsulation efficiency were 9.59% and 95.58%, respectively. Finally, a multifunctional system (MH-NPs-in-gels) was prepared by dispersing MH-NPs into thermosensitive gels, which could continue to release drug for 21 days in vitro. And the release mechanism showed that this controlled release behavior for MH was influenced by the insoluble ion-pairing complex, PLGA nanoparticles, and gels. In addition, the periodontitis rat model was established to investigate the pharmacodynamic effects. After 4 weeks of treatment, changes in the alveolar bone were assessed by Micro-CT (BV/TV: 70.88%; BMD: 0.97 g/cm; TB.Th: 0.14 mm; Tb.N: 6.39 mm; Tb.Sp: 0.07 mm). The mechanism of MH-NPs-in-gels in vivo was clarified by the analysis of pharmacodynamic results, which showed that insoluble ion-pairing complexes with the aid of PLGA nanoparticles and gels achieved significant anti-inflammatory effects and bone repair capabilities. In conclusion, the multiple controlled-release hydrophilicity MH delivery system would have good prospects for the effective treatment of periodontitis.
牙周炎的复杂性,包括复杂的形成机制和复杂的牙周生理环境,以及与多种并发症的复杂关联,常常导致治疗效果不佳。在这里,我们旨在设计一种具有盐酸米诺环素(MH)控释和良好保留效果的纳米系统,通过抑制炎症和修复牙槽骨来有效治疗牙周炎。首先,构建不溶性离子对(IIP)复合物以提高亲水性 MH 在 PLGA 纳米粒中的包封效率。然后,构建纳米发电机并结合双乳液法将复合物包封到 PLGA 纳米粒中(MH-NPs)。AFM 和 TEM 观察到 MH-NPs 的平均粒径约为 100nm,载药量和包封效率分别为 9.59%和 95.58%。最后,通过将 MH-NPs 分散到温敏凝胶中制备多功能系统(MH-NPs-in-gels),体外 21 天持续释放药物。并且释放机制表明,MH 的这种控制释放行为受到不溶性离子对复合物、PLGA 纳米粒和凝胶的影响。此外,还建立了牙周炎大鼠模型来研究药效学作用。经过 4 周的治疗,通过 Micro-CT 评估牙槽骨的变化(BV/TV:70.88%;BMD:0.97g/cm;TB.Th:0.14mm;Tb.N:6.39mm;Tb.Sp:0.07mm)。通过药效学结果分析阐明了 MH-NPs-in-gels 体内的作用机制,表明不溶性离子对复合物在 PLGA 纳米粒和凝胶的辅助下实现了显著的抗炎作用和骨修复能力。总之,具有多重控制释放亲水性 MH 递送系统有望有效治疗牙周炎。