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脂质体安非他酮:通过行为剖析探索治疗前沿。

Niosomal Bupropion: Exploring Therapeutic Frontiers through Behavioral Profiling.

作者信息

Harini Karthick, Alomar Suliman Yousef, Vajagathali Mohammed, Manoharadas Salim, Thirumalai Anbazhagan, Girigoswami Koyeli, Girigoswami Agnishwar

机构信息

Medical Bionanotechnology, Faculty of Allied Health Sciences (FAHS), Chettinad Hospital & Research Institute (CHRI), Chettinad Academy of Research and Education (CARE), Kelambakkam, Chennai 603103, TN, India.

Doping Research Chair, Zoology Department, College of Science, King Saud University, Riyadh 11451, Saudi Arabia.

出版信息

Pharmaceuticals (Basel). 2024 Mar 12;17(3):366. doi: 10.3390/ph17030366.

Abstract

Bupropion (Bup) belongs to the norepinephrine-dopamine reuptake inhibitor (NDRI) class and it is the only FDA-approved drug of its class for the treatment of major depressive disorder (MDD), sold under the name of Wellbutrin. Although bupropion is effective in suppressing the symptoms, its regular use and overdose might lead to seizures and liver failure. Thus, we aimed to nanoformulate bupropion onto a niosomal vesicle to improve its efficacy and achieve the same therapeutic effect at lower scheduled doses. A thin film hydration method was adopted to synthesize and optimize Bup entrapped niosomes using three different surfactants of the sorbitan ester series (Span 20, 40, and 60) in combination with cholesterol. The optimization data determined that the niosome formulated with a cholesterol-to-surfactant ratio of 1:1.5 is the most stable system, with the Bup entrapped niosomes containing Span 20 (Bup@NC) exhibiting minimal in vitro and in vivo toxicity, and demonstrating the sustained release of Bup in artificial cerebrospinal fluid (ACSF). The Bup@NC formulation showed increased exploration activity and reduced irregular movements in reserpine-induced depression in the adult zebrafish model, suggesting the potential for mood improvement through the suppression of depression-like behavior which was established by statistical analysis and trajectory data. The Bup@NC-treated group even surpasses the treatment effect of the positive control group and is comparable to the control group. Hence, it can be inferred that niosomal formulations of Bup represent a promising delivery system capable of achieving the brain delivery of the cargo by bypassing the blood-brain barrier facilitated by their small architectural structure.

摘要

安非他酮(Bup)属于去甲肾上腺素-多巴胺再摄取抑制剂(NDRI)类药物,是美国食品药品监督管理局(FDA)批准的该类药物中唯一用于治疗重度抑郁症(MDD)的药物,商品名为安非他酮缓释片(Wellbutrin)。尽管安非他酮能有效抑制症状,但其长期使用和过量服用可能导致癫痫发作和肝衰竭。因此,我们旨在将安非他酮制成纳米脂质体囊泡,以提高其疗效,并在较低的规定剂量下达到相同的治疗效果。采用薄膜水化法,使用失水山梨醇酯系列的三种不同表面活性剂(司盘20、40和60)与胆固醇组合,合成并优化包载安非他酮的脂质体。优化数据表明,胆固醇与表面活性剂比例为1:1.5的脂质体制剂是最稳定的系统,包载安非他酮的含司盘20脂质体(Bup@NC)在体外和体内的毒性最小,并在人工脑脊液(ACSF)中显示出安非他酮的缓释特性。在成年斑马鱼利血平诱导的抑郁模型中,Bup@NC制剂显示出探索活动增加和不规则运动减少,通过统计分析和轨迹数据表明其具有通过抑制类似抑郁行为来改善情绪的潜力。Bup@NC治疗组甚至超过了阳性对照组的治疗效果,与对照组相当。因此,可以推断,安非他酮的脂质体制剂是一种有前景的给药系统,能够通过其小的结构绕过血脑屏障实现药物向脑内递送。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0dd7/10976274/eac2c2345503/pharmaceuticals-17-00366-g001.jpg

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