用于抗结核药物持续释放的可注射原位凝胶系统的研发与优化
Development and optimization of an injectable in-situ gel system for sustained release of anti-tuberculosis drugs.
作者信息
Balu Pooraniammal, Srikanth Srimari, Gnandhas Divya Prakash, Durai Ramya Devi, Ulaganathan Venkasubramanian, B Narayanan Vedha Hari
机构信息
Pharmaceutical Technology Laboratory, School of Chemical and Biotechnology, SASTRA Deemed University, Thanjavur, Tamil Nadu, India.
Molecular Motors Laboratory, Department of Biotechnology, SASTRA Deemed University, Thanjavur, Tamil Nadu, India.
出版信息
Sci Rep. 2025 Jul 1;15(1):21383. doi: 10.1038/s41598-025-05644-3.
Addressing the challenges of drug-resistant Mycobacterium tuberculosis requires regular drug intake and consistent therapeutic drug concentrations, for which in-situ gel systems offer a promising solution by enabling sustained drug release. This study aims to develop an injectable system for chronic tuberculosis treatment, focusing on an in-situ gel formulation created using Poloxamer 407, Carbopol 940, and Hydroxy Propyl Methyl Cellulose (HPMC). The experiments involved a combination of two FDA-approved first-line anti-TB molecules, namely Rifampicin (RIF) and Isoniazid (INZ), by loading in the in-situ gel (IGS) formulations prepared by cold process. The gelling polymers were varied at three levels of concentration and optimized through the molecular docking method, wherein the blend of polymers with drugs showed the docking score of - 3.085. The physicochemical properties and analytical characterization, including gelation temperature, drug content, FT-IR, SEM, TG-DSC, in-vitro drug release, ex-vivo permeation, and cytotoxicity, were performed. According to the study results, the optimized gelation temperature was 26 °C, the viscosity of the sol and gel was 238 cP and 1700 cP, respectively, with the maximum drug content (RIF 100 ± 2.17% and INZ 97 ± 1.31%). The FTIR analysis confirmed the stability of drugs, the morphological study using SEM showed the formation of a network structure, and thermal analysis by TG-DSC confirmed the solid-state transition of drugs. The in-vitro drug release studies in phosphate buffer pH 7.4 showed sustained release of Rifampicin and Isoniazid for up to 10 days and 6 days, respectively. The selected formulation exhibited non-toxic effects in the L929 cell line. Based on the results, in-situ gel administration could be recommended for intramuscular administration for sustained release of the drugs, which is expected to reduce the dosing frequency and improve patient compliance for chronic tuberculosis therapy.
应对耐多药结核分枝杆菌带来的挑战需要规律服药并维持稳定的治疗药物浓度,原位凝胶系统通过实现药物的持续释放为此提供了一个有前景的解决方案。本研究旨在开发一种用于慢性结核病治疗的注射系统,重点关注使用泊洛沙姆407、卡波姆940和羟丙基甲基纤维素(HPMC)制备的原位凝胶制剂。实验涉及将两种FDA批准的一线抗结核分子利福平(RIF)和异烟肼(INZ)组合,通过冷法载入原位凝胶(IGS)制剂中。对凝胶聚合物的浓度进行了三个水平的变化,并通过分子对接方法进行优化,其中聚合物与药物的混合物显示对接分数为-3.085。进行了包括凝胶化温度、药物含量、傅里叶变换红外光谱(FT-IR)、扫描电子显微镜(SEM)、热重-差示扫描量热法(TG-DSC)、体外药物释放、离体渗透和细胞毒性在内的物理化学性质和分析表征。根据研究结果,优化后的凝胶化温度为26℃,溶胶和凝胶的粘度分别为238厘泊和1700厘泊,药物含量最高(利福平为100±2.17%,异烟肼为97±1.31%)。FTIR分析证实了药物的稳定性,使用SEM的形态学研究显示形成了网络结构,TG-DSC的热分析证实了药物的固态转变。在pH 7.4的磷酸盐缓冲液中进行的体外药物释放研究表明,利福平和异烟肼分别可持续释放长达10天和6天。所选制剂在L929细胞系中表现出无毒作用。基于这些结果,原位凝胶给药可推荐用于肌肉注射以实现药物的持续释放,这有望减少给药频率并提高慢性结核病治疗的患者依从性。