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结肠靶向 pH 响应凝聚体微滴用于溃疡性结肠炎的治疗。

Colon Targeting pH-Responsive Coacervate Microdroplets for Treatment of Ulcerative Colitis.

机构信息

Tongji School of Pharmacy, Huazhong University of Science and Technology, Wuhan, 430030, China.

Hubei Engineering Research Centre for Novel Drug Delivery System, Wuhan, 430030, China.

出版信息

Small. 2024 Aug;20(33):e2311890. doi: 10.1002/smll.202311890. Epub 2024 Apr 5.

Abstract

Ulcerative colitis (UC), an immune-mediated chronic inflammatory disease, drastically impacts patients' quality of life and increases their risk of colorectal cancer worldwide. However, effective oral targeted delivery and retention of drugs in colonic lesions are still great challenges in the treatment of UC. Coacervate microdroplets, formed by liquid-liquid phase separation, are recently explored in drug delivery as the simplicity in fabrication, spontaneous enrichment on small molecules and biological macromolecules, and high drug loading capacity. Herein, in this study, a biocompatible diethylaminoethyl-dextran hydrochloride/sodium polyphenylene sulfonate coacervates, coated with eudragit S100 to improve the stability and colon targeting ability, named EU-Coac, is developed. Emodin, an active ingredient in traditional Chinese herbs proven to alleviate UC symptoms, is loaded in EU-Coac (EMO@EU-Coac) showing good stability in gastric acid and pepsin and pH-responsive release behavior. After oral administration, EMO@EU-Coac can effectively target and retain in the colon, displaying good therapeutic effects on UC treatment through attenuating inflammation and oxidative stress response, repairing colonic epithelia, as well as regulating intestinal flora balance. In short, this study provides a novel and facile coacervate microdroplet delivery system for UC treatment.

摘要

溃疡性结肠炎(UC)是一种免疫介导的慢性炎症性疾病,极大地影响了患者的生活质量,并增加了他们在全球范围内罹患结直肠癌的风险。然而,在 UC 的治疗中,有效实现药物在结肠病变部位的口服靶向递药和保留仍然是巨大的挑战。凝聚体微滴是通过液-液相分离形成的,最近在药物传递中得到了探索,因为其具有制造简单、自发富集小分子和生物大分子以及高载药能力的特点。在本研究中,开发了一种生物相容性的二乙氨基乙基-葡聚糖盐酸盐/聚苯乙烯磺酸钠凝聚体,并用 Eudragit S100 进行涂层以提高其稳定性和结肠靶向能力,命名为 EU-Coac。大黄素是一种中药的有效成分,已被证明可以缓解 UC 症状,被负载在 EU-Coac 中(EMO@EU-Coac),在胃酸和胃蛋白酶中表现出良好的稳定性和 pH 响应性释放行为。口服给药后,EMO@EU-Coac 可以有效地靶向并保留在结肠中,通过减轻炎症和氧化应激反应、修复结肠上皮以及调节肠道菌群平衡,显示出对 UC 治疗的良好疗效。总之,本研究为 UC 治疗提供了一种新颖且简便的凝聚体微滴递药系统。

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