Lofts Andrew, Campea Matthew A, Winterhelt Erica, Rigg Nicolette, Rivera Nahieli Preciado, Macdonald Cameron, Frey Benicio N, Mishra Ram K, Hoare Todd
School of Biomedical Engineering, McMaster University, 1280 Main Street West, Hamilton, ON L8S 4L8, Canada.
Department of Chemical Engineering, McMaster University, 1280 Main Street West, Hamilton, ON L8S 4L8, Canada.
Int J Biol Macromol. 2024 Oct;277(Pt 4):134385. doi: 10.1016/j.ijbiomac.2024.134385. Epub 2024 Aug 5.
Intranasal (IN) delivery offers potential to deliver antipsychotic drugs with improved efficacy to the brain. However, the solubilization of such drugs and the frequency of required re-application both represent challenges to its practical implementation in treating various mental illnesses including schizophrenia. Herein, we report a sprayable nanoparticle network hydrogel (NNH) consisting of hydrophobically-modified starch nanoparticles (SNPs) and mucoadhesive chitosan oligosaccharide lactate (COL) that can gel in situ within the nasal cavity and release ultra-small penetrative SNPs over time. Hydrophobization of the SNPs enables enhanced uptake and prolonged release of poorly water soluble drugs such as olanzapine from the NNH depot through mucous and ultimately into the brain via the nose-to-brain (N2B) pathway. The hydrogel shows high in vitro cytocompatibility in mouse striatal neuron and human primary nasal cell lines and in vivo efficacy in an amphetamine-induced pre-clinical rat schizophrenia model, with IN-delivered NNH hydrogels maintaining successful attenuation of locomotor activity for up to 4 h while all other tested treatments (drug-only IN or conventional intraperitoneal delivery) failed to attenuate at any time point past 0.5 h. As such, in situ-gelling NNHs represent a safe excipient for the IN delivery of hydrophobic drugs directly to the brain using customized SNPs that exhibit high penetration and drug complexing properties to maximize effective drug delivery.
鼻内(IN)给药为向大脑递送具有更高疗效的抗精神病药物提供了可能性。然而,此类药物的增溶以及所需重新给药的频率均对其在治疗包括精神分裂症在内的各种精神疾病中的实际应用构成挑战。在此,我们报道了一种可喷雾的纳米颗粒网络水凝胶(NNH),其由疏水改性淀粉纳米颗粒(SNP)和粘膜粘附性壳寡糖乳酸盐(COL)组成,可在鼻腔内原位凝胶化,并随时间释放超小的可穿透SNP。SNP的疏水化能够增强对水难溶性药物(如奥氮平)的摄取,并延长其从NNH储库通过粘液的释放时间,最终通过鼻-脑(N2B)途径进入大脑。该水凝胶在小鼠纹状体神经元和人原代鼻细胞系中显示出高体外细胞相容性,并且在苯丙胺诱导的临床前大鼠精神分裂症模型中具有体内疗效,鼻内递送的NNH水凝胶在长达4小时内成功维持运动活性的减弱,而所有其他测试治疗(仅药物鼻内给药或传统腹腔内给药)在0.5小时后的任何时间点均未能减弱运动活性。因此,原位凝胶化的NNH代表了一种安全的赋形剂,可使用具有高穿透性和药物络合特性的定制SNP将疏水药物直接鼻内递送至大脑,以最大限度地提高药物有效递送。