Taghe Shiva, Mirzaeei Shahla
Pharmaceutical Sciences Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Pharmaceutical Sciences Research Center, Rahesh Daru Novine, Kermanshah 6715847141, Iran.
Int J Pharm X. 2024 Oct 22;8:100297. doi: 10.1016/j.ijpx.2024.100297. eCollection 2024 Dec.
Ocular drug delivery presents significant challenges, attributed to the various anatomical and physiological barriers, as well as the limitations associated with conventional ocular formulations including low bioavailability, necessitating frequent dosing. The objective of the essay was to design sustained release nanofibrous inserts loaded with ceftazidime (CAZ), an antibiotic effective against gram-negative and gram-positive microorganisms, for the treatment of ocular infections. These nanofibers were fabricated using the electrospinning technique, employing biodegradable polymers such as polyvinyl alcohol (PVA), polycaprolactone (PCL) and Eudragit® (EUD). The nanofibrous inserts exhibited adequate mechanical strength for ocular use with an average diameter < 250 nm. In the initial 12-h period, a burst drug release was observed, followed by a controlled release for 120 h. Cell viability test confirmed the non-toxicity and safety of the nanofibers. The study demonstrated that the inserts sustain a drug concentration exceeding the minimum inhibitory concentration (MIC) of and for 4 and 5 days, respectively. The AUC for CAZ-PVA-PCL was reported 11,882.81 ± 80.5 μg·h/ml and for CAZ-PVA-EUD was 9649.39 ± 86.84 μg·h/ml. The nanofibrous inserts' extended drug release maintains effective antimicrobial concentrations, avoids the fluctuations of eye drops, and, by being preservative-free, eliminates cytotoxicity.
眼部药物递送面临重大挑战,这归因于各种解剖学和生理学屏障,以及与传统眼部制剂相关的局限性,包括生物利用度低,因此需要频繁给药。本文的目的是设计载有头孢他啶(CAZ)的缓释纳米纤维插入物,头孢他啶是一种对革兰氏阴性和革兰氏阳性微生物有效的抗生素,用于治疗眼部感染。这些纳米纤维采用静电纺丝技术制备,使用可生物降解的聚合物,如聚乙烯醇(PVA)、聚己内酯(PCL)和尤特奇(EUD)。纳米纤维插入物表现出适合眼部使用的足够机械强度,平均直径<250nm。在最初的12小时内,观察到药物的突释,随后是120小时的控释。细胞活力测试证实了纳米纤维的无毒性和安全性。该研究表明,插入物分别在4天和5天内维持超过金黄色葡萄球菌和表皮葡萄球菌最低抑菌浓度(MIC)的药物浓度。据报道,CAZ-PVA-PCL的AUC为11882.81±80.5μg·h/ml,CAZ-PVA-EUD的AUC为9649.39±86.84μg·h/ml。纳米纤维插入物的延长药物释放维持了有效的抗菌浓度,避免了滴眼液的波动,并且由于不含防腐剂,消除了细胞毒性。