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利用β-环糊精包合物结合溶解微针开发伊曲康唑眼部递药系统,以期改善真菌性角膜炎的治疗效果。

Development of itraconazole ocular delivery system using β-cyclodextrin complexation incorporated into dissolving microneedles for potential improvement treatment of fungal keratitis.

机构信息

Department of Pharmaceutical Science and Technology, Faculty of Pharmacy, Hasanuddin University, Makassar, Indonesia.

Institute Research and Community Services, Hasanuddin University, Makassar, Indonesia.

出版信息

J Biomater Sci Polym Ed. 2024 Oct;35(15):2315-2342. doi: 10.1080/09205063.2024.2380129. Epub 2024 Jul 31.

Abstract

Itraconazole (ITZ) is one of the broad-spectrum antifungal agents for treating fungal keratitis. In clinical use, ITZ has problems related to its poor solubility in water, which results in low bioavailability when administered orally. To resolve the issue, we formulated ITZ into the inclusion complex (ITZ-IC) system using β-cyclodextrin (β-CD), which can potentially increase the solubility and bioavailability of ITZ. The molecular docking study has confirmed that the binding energy of ITZ with the β-CD was -5.0 kcal/mol, indicating a stable conformation of the prepared inclusion complex. Moreover, this system demonstrated that the inclusion complex could significantly increase the solubility of ITZ up to 4-fold compared to the pure drug. Furthermore, an ocular drug delivery system was developed through dissolving microneedle (DMN) using polyvinyl pyrrolidone (PVP) and polyvinyl alcohol (PVA) as polymeric substances. The evaluation results of DMN inclusion complexes (ITZ-IC-DMN) showed excellent mechanical strength and insertion ability. In addition, ITZ-IC-DMN can dissolve rapidly upon application. The permeation study revealed that 75.71% (equivalent to 3.79 ± 0.21 mg) of ITZ was permeated through the porcine cornea after 24 h. Essentially, ITZ-IC-DMN exhibited no signs of irritation in the HET-CAM study, indicating its safety for application. In conclusion, this study has successfully developed an inclusion complex formulation containing ITZ using β-CD in the DMN system. This approach holds promise for enhancing the solubility and bioavailability of ITZ through ocular administration.

摘要

伊曲康唑(ITZ)是一种广谱抗真菌药物,用于治疗真菌性角膜炎。在临床应用中,ITZ 存在水溶性差的问题,这导致口服给药时生物利用度低。为了解决这个问题,我们使用β-环糊精(β-CD)将 ITZ 制成包合物(ITZ-IC)系统,这可能会提高 ITZ 的溶解度和生物利用度。分子对接研究证实,ITZ 与β-CD 的结合能为-5.0 kcal/mol,表明制备的包合物具有稳定的构象。此外,该系统表明,与纯药物相比,包合物可以将 ITZ 的溶解度显著提高 4 倍。此外,我们通过使用聚乙烯吡咯烷酮(PVP)和聚乙烯醇(PVA)作为聚合物物质溶解微针(DMN)来开发眼部药物递送系统。DMN 包合物(ITZ-IC-DMN)的评价结果表明其具有优异的机械强度和插入能力。此外,ITZ-IC-DMN 在应用时可以迅速溶解。渗透研究表明,24 小时后 75.71%(相当于 3.79±0.21mg)的 ITZ 通过猪角膜渗透。基本上,在 HET-CAM 研究中,ITZ-IC-DMN 没有表现出刺激性,表明其应用安全。总之,本研究成功地在 DMN 系统中使用β-CD 开发了包含 ITZ 的包合物配方。这种方法有望通过眼部给药来提高 ITZ 的溶解度和生物利用度。

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