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用于治疗炎症性肠病的槲皮素结肠定位释放的口服果胶/低聚壳聚糖微球。

Oral pectin/oligochitosan microspheres for colon-specific controlled release of quercetin to treat inflammatory bowel disease.

机构信息

School of Pharmacy, Zunyi Medical University, Zunyi 563006, China; Zhongshan Institute for Drug Discovery, Shanghai Institute of Materia Medica, Chinese Academy of Sciences, Zhongshan 528400, China.

Zhongshan Institute for Drug Discovery, Shanghai Institute of Materia Medica, Chinese Academy of Sciences, Zhongshan 528400, China; School of Pharmaceutical Sciences, Southern Medical University, Guangzhou 510515, China.

出版信息

Carbohydr Polym. 2023 Sep 15;316:121025. doi: 10.1016/j.carbpol.2023.121025. Epub 2023 May 23.

Abstract

Inflammatory bowel disease (IBD) is a chronic, life quality-reducing disease with no cures available yet. To develop an effective medication suitable for long-term use is an urgent but unmet need. Quercetin (QT) is a natural dietary flavonoid with good safety and multifaceted pharmacological activities against inflammation. However, orally administrated quercetin yields unproductive outcomes for IBD treatment because of its poor solubility and extensive metabolism in the gastrointestinal tract. In this work, a colon-targeted QT delivery system (termed COS-CaP-QT) was developed, of which the pectin (PEC)/Ca microspheres were prepared and then crosslinked by oligochitosan (COS). The drug release profile of COS-CaP-QT was pH-dependent and colon microenvironment-responsive, and COS-CaP-QT showed preferential distribution in the colon. The mechanism study showed that QT triggered the Notch pathway to regulate the proliferation of T helper 2 (Th2) cells and group 3 innate lymphoid cells (ILC3s) and the inflammatory microenvironment was remodeled. The in vivo therapeutic results revealed that COS-CaP-QT could relieve the colitis symptoms and maintain the colon length and intestinal barrier integrity.

摘要

炎症性肠病(IBD)是一种慢性疾病,会降低生活质量,目前尚无治愈方法。开发一种适合长期使用的有效药物是当务之急,但尚未实现。槲皮素(QT)是一种天然的饮食类黄酮,具有良好的安全性和针对炎症的多方面药理作用。然而,由于其在胃肠道中的溶解度差和广泛代谢,口服槲皮素在治疗 IBD 方面效果不佳。在这项工作中,开发了一种结肠靶向的 QT 传递系统(称为 COS-CaP-QT),其中果胶(PEC)/Ca 微球通过壳聚糖(COS)交联。COS-CaP-QT 的药物释放曲线具有 pH 依赖性和结肠微环境响应性,并且 COS-CaP-QT 优先分布在结肠中。机制研究表明,QT 触发 Notch 通路调节辅助性 T 细胞 2(Th2)细胞和组 3 固有淋巴细胞(ILC3)的增殖,并重塑炎症微环境。体内治疗结果表明,COS-CaP-QT 可以缓解结肠炎症状并维持结肠长度和肠道屏障完整性。

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