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用于直肠给药的米氮平泡囊pH敏感原位凝胶:突出的生物利用度和抗抑郁疗效。

pH-Sensitive In Situ Gel of Mirtazapine Invasomes for Rectal Drug Delivery: Protruded Bioavailability and Anti-Depressant Efficacy.

作者信息

Eissa Essam M, El Sisi Amani M, Bekhet Marina A, El-Ela Fatma I Abo, Kharshoum Rasha M, Ali Adel A, Alrobaian Majed, Ali Ahmed M Abdelhaleem

机构信息

Department of Pharmaceutics and Industrial Pharmacy, Faculty of Pharmacy, Beni-Suef University, Beni-Suef 62514, Egypt.

Department of Pharmacology, Faculty of Veterinary Medicine, Beni-Suef University, Beni-Suef 62511, Egypt.

出版信息

Pharmaceuticals (Basel). 2024 Jul 24;17(8):978. doi: 10.3390/ph17080978.

Abstract

The present research emphasizes fabrication alongside the assessment of an innovative nano-vesicular membranous system known as invasomes (NVMs) laden with Mirtazapine for rectal administration. This system could circumvent the confines of orally administered counterparts regarding dose schedules and bioavailability. Mirtazapine invasomes were tailored by amalgamating phospholipid, cineole, and ethanol through a thin-film hydration approach rooted in the Box-Behnken layout. Optimization of composition parameters used to fabricate desired NVMs' physicochemical attributes was undertaken using the Design-Expert program. The optimal MRZ-NVMs were subsequently transformed to a pH-triggered in situ rectal gel followed by animal pharmacodynamic and pharmacokinetic investigations relative to rectal plain gel and oral suspension. The optimized NVMs revealed a diameter size of 201.3 nm, a z potential of -28.8 mV, an entrapment efficiency of 81.45%, a cumulative release within 12 h of 67.29%, and a cumulative daily permeated quantity of 468.68 µg/cm. Compared to the oral suspension, pharmacokinetic studies revealed a 2.85- and 4.45-fold increase in calculated rectal bioavailability in circulation and brain, respectively. Pharmacodynamic and immunohistopathology evaluations exposed superior MRZ-NVMs attributed to the orally administered drug. Consequently, rectal MRZ-NVMs can potentially be regarded as a prospective nanoplatform with valuable pharmacokinetics and tolerability assets.

摘要

本研究着重于制备并评估一种创新的纳米囊泡膜系统,即载有米氮平的侵入体(NVMs)用于直肠给药。该系统可以规避口服制剂在给药方案和生物利用度方面的限制。通过基于Box-Behnken设计的薄膜水化法,将磷脂、桉叶油素和乙醇混合来制备米氮平侵入体。使用Design-Expert软件对用于制备所需NVMs物理化学性质的组成参数进行优化。随后将优化后的MRZ-NVMs转化为pH触发的原位直肠凝胶,然后相对于直肠普通凝胶和口服混悬液进行动物药效学和药代动力学研究。优化后的NVMs直径为201.3 nm,ζ电位为-28.8 mV,包封率为81.45%,12 h内累积释放率为67.29%,每日累积渗透量为468.68 μg/cm。药代动力学研究表明,与口服混悬液相比,直肠给药后循环和大脑中的计算生物利用度分别提高了2.85倍和4.45倍。药效学和免疫组织病理学评估显示,MRZ-NVMs优于口服给药的药物。因此,直肠MRZ-NVMs有望成为一种具有宝贵药代动力学和耐受性特性的前瞻性纳米平台。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f59/11357403/03d972e97a7b/pharmaceuticals-17-00978-g001.jpg

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