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采用纳米胶束和姜黄素作为生物增强剂的双重策略提高依非韦伦的口服生物利用度。

Dual strategy to improve the oral bioavailability of efavirenz employing nanomicelles and curcumin as a bio-enhancer.

机构信息

Universidad de Buenos Aires, Facultad de Farmacia y Bioquímica, Cátedra de Tecnología Farmacéutica I, Buenos Aires, Argentina; Universidad de Buenos Aires, Instituto de Tecnología Farmacéutica y Biofarmacia (InTecFyB), Buenos Aires, Argentina.

Universidad de Buenos Aires, Facultad de Farmacia y Bioquímica, Cátedra de Tecnología Farmacéutica I, Buenos Aires, Argentina; Universidad de Buenos Aires, Instituto de Tecnología Farmacéutica y Biofarmacia (InTecFyB), Buenos Aires, Argentina; Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Argentina.

出版信息

Int J Pharm. 2024 Feb 15;651:123734. doi: 10.1016/j.ijpharm.2023.123734. Epub 2023 Dec 22.

DOI:10.1016/j.ijpharm.2023.123734
PMID:38142017
Abstract

The present investigation was focused on the development of Soluplus®-based nanomicelles (NMs) (10 % w/v) loaded with Efavirenz (EFV) (5 mg/mL) and Curcumin (natural bio-enhancer) (CUR) (5, 10 and 15 mg/mL) to improve the oral bioavalability of EFV. Micellar formulations were obtained employing an acetone-diffusion technique. Apparent aqueous solubility was increased up to ∼1250-fold and 25,000-fold for EFV and CUR, respectively. Drug-loaded nanoformulations showed an excellent colloidal stability with unimodal size distribution and PDI values < 0.30. In vitro drug release was 41.5 % (EFV) and 2.6 % (CUR) from EFV-CUR-NMs over 6 h in simulated gastrointestinal fluids. EFV-CUR-loaded NMs resulted as safe nanoformulations according to the in vitro cytocompatibility assays in Caco-2 cells. Furthermore, CUR bio-enhancer activity was demonstrated for those nanoformulations. A CUR concentration of 15 mg/mL produced a significant (p < 0.05) increment (2.64-fold) of relative EFV oral bioavailability. Finally, the active role of the lymphatic system in the absorption process of EFV, after its oral administration was assessed in a comparative pharmacokinetic study in presence and absence of cycloheximide, a lymphatic transport inhibitor. Overall our EFV-CUR-NMs denoted their potential as a novel nanotechnological platform, representing a step towards an optimized "nano-sized" therapy for AIDS patients.

摘要

本研究集中于开发基于 Soluplus®的纳米胶束(NMs)(10%w/v),负载依非韦伦(EFV)(5mg/mL)和姜黄素(天然生物增强剂)(CUR)(5、10 和 15mg/mL),以提高 EFV 的口服生物利用度。采用丙酮扩散技术获得胶束制剂。EFV 和 CUR 的表观水溶解度分别提高了约 1250 倍和 25000 倍。载药纳米制剂表现出优异的胶体稳定性,具有单峰粒径分布和 PDI 值<0.30。在模拟胃肠道液中,EFV-CUR-NMs 在 6 小时内释放 41.5%(EFV)和 2.6%(CUR)的药物。根据 Caco-2 细胞中的体外细胞相容性试验,EFV-CUR 载药纳米制剂被证明是安全的纳米制剂。此外,还证明了 CUR 生物增强剂活性。CUR 浓度为 15mg/mL 时,可显著(p<0.05)提高 EFV 的相对口服生物利用度(2.64 倍)。最后,在环已酰亚胺(一种淋巴转运抑制剂)存在和不存在的情况下,在口服给药后评估了 EFV 吸收过程中淋巴系统的主动作用。总的来说,我们的 EFV-CUR-NMs 表明它们具有作为新型纳米技术平台的潜力,代表了向艾滋病患者优化“纳米级”治疗的一步。

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