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新型聚(乳酸-共-乙醇酸)纳米脂质体包载双氯芬酸钠和塞来昔布实现骨关节炎的长效协同治疗。

Novel poly(lactic-co-glycolic acid) nanoliposome-encapsulated diclofenac sodium and celecoxib enable long-lasting synergistic treatment of osteoarthritis.

机构信息

Orthopaedics, Wuxi Xishan People's Hospital, Wuxi, China.

Institute of Translational Medicine, Shanghai University, Shanghai, China.

出版信息

J Biomater Appl. 2024 Sep;39(3):221-234. doi: 10.1177/08853282241258311. Epub 2024 May 31.

DOI:10.1177/08853282241258311
PMID:38820587
Abstract

BACKGROUND

Diclofenac sodium (DS) and celecoxib (CEL) are primary anti-inflammatory agents used in the treatment of osteoarthritis (OA). Formulating these drugs into extended-release versions can effectively address the issue of multiple daily doses. In this study, we designed and synthesized a novel poly(lactic-co-glycolic acid) (PLGA) nanoliposome as a dual-drug delivery sustained-release formulation (PPLs-DS-CEL) to achieve long-lasting synergistic treatment of OA with both DS and CEL.

METHODS

PPLs-DS-CEL was synthesized by the reverse evaporation method and evaluated for its physicochemical properties, encapsulation efficiency, drug release kinetics and biological properties. A rat OA model was established to assess the therapeutic efficacy and biosafety of PPLs-DS-CEL.

RESULTS

The particle size of PPLs-DS-CEL was 218.36 ± 6.27 nm, with a potential of 32.56 ± 3.28 mv, indicating a homogeneous vesicle size. The encapsulation of DS and CEL by PPLs-DS-CEL was 95.18 ± 4.43% and 93.63 ± 5.11%, with drug loading of 9.56 ± 0.32% and 9.68 ± 0.34%, respectively. PPLs-DS-CEL exhibited low cytotoxicity and hemolysis, and was able to achieve long-lasting synergistic analgesic and anti-inflammatory therapeutic effects in OA through slow release of DS and CEL, demonstrating good biosafety properties.

CONCLUSION

This study developed a novel sustained-release nanoliposomes formulation capable of co-loading two drugs for the long-acting synergistic treatment of OA. It offers a new and effective therapeutic strategy for OA treatment in the clinic settings and presents a promising approach for drug delivery systems.

摘要

背景

双氯芬酸钠(DS)和塞来昔布(CEL)是治疗骨关节炎(OA)的主要抗炎药。将这些药物制成缓释制剂可以有效地解决每日多次给药的问题。在本研究中,我们设计并合成了一种新型聚乳酸-羟基乙酸共聚物(PLGA)纳米脂质体作为双药递释缓释制剂(PPLs-DS-CEL),以实现 DS 和 CEL 的长效协同治疗 OA。

方法

采用逆相蒸发法合成 PPLs-DS-CEL,并对其理化性质、包封率、药物释放动力学和生物学性质进行评价。建立大鼠 OA 模型,评估 PPLs-DS-CEL 的治疗效果和生物安全性。

结果

PPLs-DS-CEL 的粒径为 218.36±6.27nm,电位为 32.56±3.28mv,表明囊泡粒径均匀。PPLs-DS-CEL 对 DS 和 CEL 的包封率分别为 95.18±4.43%和 93.63±5.11%,载药量分别为 9.56±0.32%和 9.68±0.34%。PPLs-DS-CEL 具有低细胞毒性和低溶血率,通过缓慢释放 DS 和 CEL 可以实现 OA 的长效协同镇痛和抗炎治疗效果,具有良好的生物安全性。

结论

本研究开发了一种新型载药纳米脂质体缓释制剂,能够实现两种药物的长效协同治疗 OA。为 OA 的临床治疗提供了一种新的有效治疗策略,为药物传递系统的研究提供了新的思路。

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