School of Pharmacy, Shanxi Medical University, Taiyuan, 030001, People's Republic of China.
Medicinal Basic Research Innovation Center of Chronic Kidney Disease, Ministry of Education, Shanxi Medical University, Taiyuan, 030001, People's Republic of China.
Int J Nanomedicine. 2024 Jun 6;19:5273-5295. doi: 10.2147/IJN.S462374. eCollection 2024.
PURPOSE: Reducing the first-pass hepatic effect via intestinal lymphatic transport is an effective way to increase the oral absorption of drugs. 2-Monoacylglycerol (2-MAG) as a primary digestive product of dietary lipids triglyceride, can be assembled in chylomicrons and then transported from the intestine into the lymphatic system. Herein, we propose a biomimetic strategy and report a 2-MAG mimetic nanocarrier to target the intestinal lymphatic system via the lipid absorption pathway and improve oral bioavailability. METHODS: The 2-MAG mimetic liposomes were designed by covalently bonding serinol (SER) on the surface of liposomes named SER-LPs to simulate the structure of 2-MAG. Dihydroartemisinin (DHA) was chosen as the model drug because of its disadvantages such as poor solubility and high first-pass effect. The endocytosis and exocytosis mechanisms were investigated in Caco-2 cells and Caco-2 cell monolayers. The capacity of intestinal lymphatic transport was evaluated by ex vivo biodistribution and in vivo pharmacokinetic experiments. RESULTS: DHA loaded SER-LPs (SER-LPs-DHA) had a particle size of 70 nm and a desirable entrapment efficiency of 93%. SER-LPs showed sustained release for DHA in the simulated gastrointestinal environment. In vitro cell studies demonstrated that the cellular uptake of SER-LPs primarily relied on the caveolae- rather than clathrin-mediated endocytosis pathway and preferred to integrate into the chylomicron assembly process through the endoplasmic reticulum/Golgi apparatus route. After oral administration, SER-LPs efficiently promoted drug accumulation in mesenteric lymphatic nodes. The oral bioavailability of DHA from SER-LPs was 10.40-fold and 1.17-fold larger than that of free DHA and unmodified liposomes at the same dose, respectively. CONCLUSION: SER-LPs improved oral bioavailability through efficient intestinal lymphatic transport. These findings of the current study provide a good alternative strategy for oral delivery of drugs with high first-pass hepatic metabolism.
目的:通过肠淋巴转运减少首过肝脏效应是提高药物口服吸收的有效方法。2-单酰甘油(2-MAG)作为膳食脂质三酰甘油的主要消化产物,可以组装在乳糜微粒中,然后从肠道进入淋巴系统。在此,我们提出了一种仿生策略,并报告了一种 2-MAG 模拟纳米载体,通过脂质吸收途径靶向肠道淋巴系统,提高口服生物利用度。
方法:通过在脂质体表面共价键合丝氨酸(SER)设计 2-MAG 模拟脂质体,命名为 SER-LPs,以模拟 2-MAG 的结构。选择二氢青蒿素(DHA)作为模型药物,因为其溶解度差和首过效应高的缺点。在 Caco-2 细胞和 Caco-2 细胞单层中研究了内吞作用和外排作用机制。通过离体生物分布和体内药代动力学实验评价了肠道淋巴转运能力。
结果:DHA 负载的 SER-LPs(SER-LPs-DHA)粒径为 70nm,包封率为 93%。SER-LPs 在模拟胃肠道环境中对 DHA 表现出持续释放。体外细胞研究表明,SER-LPs 对 DHA 的细胞摄取主要依赖于胞饮作用而不是网格蛋白介导的内吞作用途径,并且更喜欢通过内质网/高尔基体途径整合到乳糜微粒组装过程中。口服给药后,SER-LPs 能够有效地促进药物在肠系膜淋巴结中的积累。与游离 DHA 和未修饰脂质体相比,SER-LPs 使 DHA 的口服生物利用度分别提高了 10.40 倍和 1.17 倍。
结论:SER-LPs 通过有效的肠淋巴转运提高了口服生物利用度。本研究结果为具有高首过肝代谢的药物的口服给药提供了一种很好的替代策略。
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