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基于 Cubosome 的功能化嵌段共聚物平台用于同时递送利拉鲁肽和恩格列净:最大化控制高危 2 型糖尿病的协同策略的最新进展。

Cubosomal functionalized block copolymer platform for dual delivery of linagliptin and empagliflozin: Recent advances in synergistic strategies for maximizing control of high-risk type II diabetes.

机构信息

Department of Pharmaceutics, Egyptian Drug Authority (formerly National Organization of Drug Control and Research (NODCAR)), Giza, Egypt.

Department of Pharmaceutics and Industrial Pharmacy, Faculty of Pharmacy, Cairo University, Kasr El Eini Street, Cairo, Egypt.

出版信息

Drug Deliv Transl Res. 2024 Mar;14(3):678-695. doi: 10.1007/s13346-023-01423-7. Epub 2023 Oct 8.


DOI:10.1007/s13346-023-01423-7
PMID:37805954
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10810935/
Abstract

A well-made chitosan-PVP block copolymer platform was equipped with highly ordered and uniform nano-channels. This highly adhesive block copolymer platform was designed to ensure the efficient co-delivery of two synergistic-acting hypoglycemic drugs. Linagliptin oral bioavailability is 30% due to poor permeability and intestinal degradation. Its pharmacokinetics shows a non-linear profile. Empagliflozin exhibited decreased permeability and decreased solubility in aqueous media between pH 1 and 7.5. Cubosomes were functionalized as a good microdomain to guest and improve the physicochemical characteristics of drug molecules with decreased permeability and solubility. Cubosomes loaded with linagliptin (linagliptin cubosomes (LCs)) and empagliflozin (empagliflozin cubosomes ECs) were separately prepared using the top-down method and optimized by applying 2 factorial design. Optimized cubosomal systems LCs (F3) and ECs (F4) were incorporated into a chitosan-PVP gel to obtain dual cubosome-loaded platforms (LECF) optimized through 2 factorial design. The permeation study from the optimized LECF (C1) ensured enhanced empagliflozin permeation alongside continued efflux for linagliptin, resolving potential risks due to its non-linear plasma profile. The in-vivo study revealed that AUC of linagliptin and empagliflozin was enhanced by 2- and threefold, respectively. Therefore, the chitosan-PVP block copolymer platform buccal application for the co-delivery of linagliptin and empagliflozin could contribute to enhanced clinical effectiveness in treating diabetes.

摘要

一个精心制作的壳聚糖-PVP 嵌段共聚物平台配备了高度有序且均匀的纳米通道。这个高粘性的嵌段共聚物平台旨在确保两种协同作用的降糖药物的有效共递。由于通透性差和肠道降解,linagliptin 的口服生物利用度为 30%。其药代动力学呈非线性特征。恩格列净在 pH 值为 1 至 7.5 之间的水介质中表现出通透性降低和溶解度降低。立方脂质体被功能化为良好的微区,以容纳并改善通透性和溶解度降低的药物分子的理化特性。用自上而下的方法分别制备了载有 linagliptin(linagliptin 立方脂质体 (LCs))和 empagliflozin(empagliflozin 立方脂质体 ECs)的立方脂质体,并通过应用 2 因子设计进行了优化。优化后的立方脂质体系统 LCs(F3)和 ECs(F4)被掺入壳聚糖-PVP 凝胶中,以获得通过 2 因子设计优化的双立方脂质体载药平台(LECF)。从优化的 LECF(C1)进行的渗透研究确保了 empagliflozin 的通透性增强,同时保持了 linagliptin 的持续外排,解决了由于其非线性血浆特征而带来的潜在风险。体内研究表明,linagliptin 和 empagliflozin 的 AUC 分别提高了 2 倍和 3 倍。因此,壳聚糖-PVP 嵌段共聚物平台颊用共递送 linagliptin 和 empagliflozin 可能有助于提高治疗糖尿病的临床疗效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88d7/10810935/5105c1580870/13346_2023_1423_Fig9_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88d7/10810935/d5483300ea14/13346_2023_1423_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88d7/10810935/553822e34baa/13346_2023_1423_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88d7/10810935/8c6c01c81cd2/13346_2023_1423_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88d7/10810935/0678986c0a67/13346_2023_1423_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88d7/10810935/5859203ac7cc/13346_2023_1423_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88d7/10810935/5d0b282e45ce/13346_2023_1423_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88d7/10810935/7c2e323310fe/13346_2023_1423_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88d7/10810935/5a08d3863aa6/13346_2023_1423_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88d7/10810935/5105c1580870/13346_2023_1423_Fig9_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88d7/10810935/d5483300ea14/13346_2023_1423_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88d7/10810935/553822e34baa/13346_2023_1423_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88d7/10810935/8c6c01c81cd2/13346_2023_1423_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88d7/10810935/0678986c0a67/13346_2023_1423_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88d7/10810935/5859203ac7cc/13346_2023_1423_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88d7/10810935/5d0b282e45ce/13346_2023_1423_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88d7/10810935/7c2e323310fe/13346_2023_1423_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88d7/10810935/5a08d3863aa6/13346_2023_1423_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88d7/10810935/5105c1580870/13346_2023_1423_Fig9_HTML.jpg

相似文献

[1]
Cubosomal functionalized block copolymer platform for dual delivery of linagliptin and empagliflozin: Recent advances in synergistic strategies for maximizing control of high-risk type II diabetes.

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[2]
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[3]
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[4]
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[5]
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[6]
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[8]
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[9]
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[10]
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Ann Endocrinol (Paris). 2016-10

引用本文的文献

[1]
Design and Evaluation of Instant Release Buccal Films of Empagliflozin: A Statistical Approach.

ACS Omega. 2025-5-27

[2]
Nanoparticle and microparticle-based systems for enhanced oral insulin delivery: A systematic review and meta-analysis.

J Nanobiotechnology. 2024-12-29

[3]
Discerning computational, in vitro and in vivo investigations of self-assembling empagliflozin polymeric micelles in type-2 diabetes.

Drug Deliv Transl Res. 2024-12

[4]
Emerging immunotherapeutics for immune activation and tolerance.

Drug Deliv Transl Res. 2023-7

本文引用的文献

[1]
Architecting novel multilayer nanosponges for co-administration of two drugs managing high-risk type II diabetes mellitus patients suffering from cardiovascular diseases.

Int J Biol Macromol. 2022-11-1

[2]
Cubosomes: Design, Development, and Tumor-Targeted Drug Delivery Applications.

Polymers (Basel). 2022-7-31

[3]
Cubosomes with surface cross-linked chitosan exhibit sustained release and bioavailability enhancement for vinpocetine.

RSC Adv. 2019-2-21

[4]
An Updated Overview of the Emerging Role of Patch and Film-Based Buccal Delivery Systems.

Pharmaceutics. 2021-8-5

[5]
Chitosan as Valuable Excipient for Oral and Topical Carvedilol Delivery Systems.

Pharmaceuticals (Basel). 2021-7-23

[6]
Norfloxacin loaded nano-cubosomes for enhanced management of otitis externa: In vitro and in vivo evaluation.

Int J Pharm. 2021-5-1

[7]
Preparation and Evaluation of Cubosomes/Cubosomal Gels for Ocular Delivery of Beclomethasone Dipropionate for Management of Uveitis.

Pharm Res. 2020-9-23

[8]
Synergistic and antagonistic effects of non-ionic surfactants with bile salt + phospholipid mixed micelles on the solubility of poorly water-soluble drugs.

Int J Pharm. 2020-10-15

[9]
Buccal administration of mucoadhesive blend films saturated with propranolol loaded nanoparticles.

Asian J Pharm Sci. 2018-1

[10]
Sodium-glucose cotransporter 2 inhibitor effects on cardiovascular outcomes in chronic kidney disease.

Nephrol Dial Transplant. 2020-1-1

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