Zamani Marjon, Monir Kirmina, Furst Ariel L
Department of Chemical Engineering, Massachusetts Institute of Technology, Cambridge MA, 02139, USA.
Center for Environmental Health Sciences, Massachusetts Institute of Technology, Cambridge, MA 02139, USA.
J Mater Chem B. 2025 Jul 22. doi: 10.1039/d5tb00901d.
Lithium is the gold-standard treatment for bipolar disorder, which impacts over 5.7 million US adults. Yet, this treatment has a narrow therapeutic range that is dangerously close to toxic levels. Though extended-release lithium formulations exist, they necessitate frequent serum monitoring and cause adverse effects in nearly one in ten patients. Here, we report a novel lithium formulation with improved release kinetics. By coating alginate microparticles with lithium-doped metal phenolic networks (MPNs), lithium release is maintained within a safe, therapeutically relevant range for an unprecedented 100 hours. Release studies show lithium concentrations reaching their peak in serum after 11 hours, more than twice as long as existing formulations, with maintenance of therapeutic levels for at least four days. This novel lithium formulation is the first to offer such tight control over lithium concentration in serum for such an extended time, providing the potential to revolutionize lithium therapy and vastly improve patient experience with this medication.
锂是治疗双相情感障碍的黄金标准疗法,该疾病影响着超过570万美国成年人。然而,这种疗法的治疗范围狭窄,与中毒水平危险地接近。尽管存在缓释锂制剂,但它们需要频繁进行血清监测,并且在近十分之一的患者中会引起不良反应。在此,我们报告了一种具有改善释放动力学的新型锂制剂。通过用锂掺杂的金属酚醛网络(MPN)包裹藻酸盐微粒,锂的释放在100小时内维持在安全的、与治疗相关的范围内,这是前所未有的。释放研究表明,锂浓度在11小时后在血清中达到峰值,是现有制剂的两倍多,并且治疗水平维持至少四天。这种新型锂制剂是首个能够在如此长的时间内对血清中的锂浓度进行如此严格控制的制剂,具有彻底改变锂疗法并极大改善患者用药体验的潜力。
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