Guareschi Fabiola, Del Favero Elena, Ricci Caterina, Cantù Laura, Brandolini Martina, Sambri Vittorio, Nicoli Sara, Pescina Silvia, D'Angelo Davide, Rossi Irene, Buttini Francesca, Bettini Ruggero, Sonvico Fabio
ADDRes Lab, Department of Food and Drug, University of Parma, Parco Area delle Scienze 27/a, 43124 Parma, Italy.
Department of Medical Biotechnology and Translational Medicine, University of Milan, Via Fratelli Cervi 93, 20054 Milan, Italy.
Eur J Pharm Sci. 2024 Feb 1;193:106673. doi: 10.1016/j.ejps.2023.106673. Epub 2023 Dec 14.
The upper airways represent the point of entrance from where Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) infection spreads to the lungs. In the present work, α-tocopheryl-polyethylene-glycol succinate (TPGS) micelles loaded with cyclosporine A (CSA) were developed for nasal administration to prevent or treat the viral infection in the very first phases. The behavior of the micelles in presence of simulated nasal mucus was investigated in terms of stability and mucopenetration rate, evidencing long-term stability and fast diffusion across the glycoproteins matrix. Moreover, the spray characteristics of the micellar formulation and deposition profile in a silicon nasal model were studied using three nasal spray devices. Results allowed to identify the nasal spray pump (BiVax, Aptar) able to provide the wider and uniform deposition of the nasal cavity. The cyclosporine A micelles antiviral activity against SARS-CoV-2 was tested on the Omicron BA.1 variant using Vero E6 cells with protocols simulating treatment before, during and after the infection of the upper airways. Complete viral inactivation was observed for the cyclosporine-loaded micelles while a very low activity was evidenced for the non-formulated drug, suggesting a synergistic activity of the drug and the formulation. In conclusion, this work showed that the developed cyclosporine A-loaded micellar formulations have the potential to be clinically effective against a wide spectrum of coronavirus variants.
上呼吸道是严重急性呼吸综合征冠状病毒2(SARS-CoV-2)感染扩散至肺部的入口。在本研究中,开发了负载环孢素A(CSA)的α-生育酚聚乙二醇琥珀酸酯(TPGS)胶束用于鼻腔给药,以在最初阶段预防或治疗病毒感染。研究了胶束在模拟鼻黏液存在下的稳定性和黏液渗透速率,结果表明其具有长期稳定性且能快速扩散穿过糖蛋白基质。此外,使用三种鼻喷雾装置研究了胶束制剂的喷雾特性以及在硅胶鼻模型中的沉积情况。结果确定了能够在鼻腔提供更广泛且均匀沉积的鼻喷雾泵(BiVax,Aptar)。使用Vero E6细胞,通过模拟上呼吸道感染前、感染期间和感染后的治疗方案,测试了环孢素A胶束对SARS-CoV-2奥密克戎BA.1变体的抗病毒活性。观察到负载环孢素的胶束可使病毒完全失活,而未制成制剂的药物活性极低,这表明药物与制剂具有协同活性。总之,这项研究表明,所开发的负载环孢素A的胶束制剂有可能对多种冠状病毒变体具有临床疗效。
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