Idebenone-Loaded Nanocomposite Microspheres for Nasal Administration-A Perspective in the Treatment of Alzheimer's Disease.

Radka Boyuklieva, Plamen Katsarov, Plamen Zagorchev, Silviya Abarova, Asya Hristozova, Bissera Pilicheva
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Abstract

Background: Alzheimer's disease results in neurodegeneration and is characterized by an accumulation of abnormal neuritic lesions and intracellular aggregates of hyperphosphorylated Tau proteins in the cerebrum. That leads to progressive decline in memory, thinking, and learning skills. Oxidative stress has been shown to play a significant role in the pathogenesis of Alzheimer's disease. Antioxidants are identified as part of therapeutic strategy to prevent or reduce the disease. Idebenone is a synthetic analogue of coenzyme Q10 with potent antioxidant properties, originally developed for the treatment of Alzheimer's disease and other cognitive disorders. After oral administration idebenone undergoes excessive first-pass metabolism and has a very low bioavailability of only about 1%. The use of an alternative route of administration such as the nasal and its incorporation into a novel carrier (nanocomposite microspheres) will eliminate the problems associated with reduced absorption, stability, and rapid biotransformation and will increase the opportunity for idebenone to realize its therapeutic potential in Alzheimer's disease.

Methods: Idebenone-loaded nanocomposite microspheres were obtained by spray drying. The structures were characterized using laser diffraction, scanning electron microscopy, high-performance liquid chromatography, Fourier-transform infrared spectroscopy, and differential scanning calorimetry. The ability of nanocomposite microspheres to bind human serum albumin was investigated by fluorescence spectroscopy. The mucoadhesive properties of the carrier were also determined.

Results: Bioadhesive nanocomposite microparticles with spherical shape, smooth surface, size of 7.37 ± 2.4 μm, and with high production yield, good drug entrapment efficiency, and loading values were obtained. Infrared spectra demonstrated no chemical interactions between idebenone and structure-forming polymers. The ability of particles to bind to human serum albumin depends on their drug loading.

Conclusions: Nanocomposite microspheres were developed as the novel delivery system of idebenone for target nose-to-brain delivery. The obtained carrier may increase the therapeutic potential of idebenone by providing higher concentrations in brain tissue and reducing systemic exposure and side effects.

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用于鼻腔给药的依地苯酮负载纳米复合微球--治疗阿尔茨海默病的前景。
背景:阿尔茨海默病会导致神经退行性变,其特征是大脑中异常神经损伤和高磷酸化 Tau 蛋白细胞内聚集的累积。这导致记忆、思维和学习能力逐渐下降。氧化应激已被证明在阿尔茨海默病的发病机制中起着重要作用。抗氧化剂被认为是预防或减轻这种疾病的治疗策略的一部分。艾地苯醌是辅酶 Q10 的合成类似物,具有强大的抗氧化特性,最初开发用于治疗阿尔茨海默氏症和其他认知障碍。口服idebenone后会发生过度的首过代谢,生物利用度非常低,仅为1%左右。使用鼻腔等替代给药途径,并将其纳入新型载体(纳米复合微球),将消除与吸收减少、稳定性和快速生物转化相关的问题,并将增加依地苯酮发挥其治疗阿尔茨海默病潜力的机会:方法:通过喷雾干燥法获得了伊地苯酮负载纳米复合微球。采用激光衍射、扫描电子显微镜、高效液相色谱、傅立叶变换红外光谱和差示扫描量热法对微球结构进行了表征。荧光光谱法研究了纳米复合微球结合人血清白蛋白的能力。此外,还测定了载体的粘附性:结果:获得了球形、表面光滑、大小为 7.37 ± 2.4 μm 的生物黏附性纳米复合微球,其产量高、药物包埋效率高、载药量大。红外光谱显示,艾地苯醌与结构形成聚合物之间没有化学作用。颗粒与人血清白蛋白的结合能力取决于其药物负载量:结论:纳米复合微球被开发为从鼻腔到大脑靶向递送艾地苯醌的新型递送系统。所获得的载体可以在脑组织中提供更高的浓度,减少全身暴露和副作用,从而提高依地苯酮的治疗潜力。
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