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Polymer–drug conjugates as nano-sized multi-targeting systems for the treatment of Alzheimer's disease 聚合物-药物共轭物作为治疗阿尔茨海默病的纳米级多靶点系统
Pub Date : 2024-02-29 DOI: 10.1039/D3PM00075C
Nuruddin Mahadik, Gemma A. Barron, Paul Kong Thoo Lin and Colin J. Thompson

Alzheimer's disease (AD) is a progressive, neurodegenerative condition. There are clear markers for the presence and progression of the disease, including β-amyloid (Aβ) plaques and Tau tangles, with many potential causes debated in the scientific community. Most existing treatments only provide symptomatic solutions. Due to poor aqueous solubility and possibly limited uptake across the blood–brain barrier (BBB), medications targeting the hallmarks of AD are still under study despite enormous efforts. Recently, nanoparticle-based drug delivery systems have demonstrated remarkable promise as precision medicines that may effectively increase bioavailability, permeate the BBB, and improve the targeting ability of a variety of pharmaceuticals. Polymer therapeutics have made tremendous progress in recent years, particularly in cancer treatment. Polymer–drug conjugates (PDCs) typically have a longer half-life, higher stability, and enhanced water solubility. Polymers serve as carriers for the administration of drugs, proteins, targeting moieties, and imaging agents in polymeric and macromolecular prodrugs. Numerous commercially viable PDCs for the treatment of various diseases have already proved their potential. This paper focuses mainly on the rationale for the design, synthesis, and potential use of PDCs as a multi-target treatment for neurodegenerative diseases.

阿尔茨海默病(AD)是一种进行性神经退行性疾病。这种疾病的存在和发展有明确的标志物,包括β-淀粉样蛋白(Aβ)斑块和Tau缠结。现有的大多数治疗方法只能对症下药。由于水溶性较差,通过血脑屏障(BBB)的吸收可能有限,尽管付出了巨大努力,但针对注意力缺失症特征的药物仍在研究之中。最近,基于纳米颗粒的给药系统作为一种精准药物已显示出显著的前景,可有效提高生物利用度、渗透 BBB 并改善各种药物的靶向能力。近年来,聚合物疗法取得了巨大进展,尤其是在癌症治疗方面。聚合物-药物共轭物(PDC)通常具有更长的半衰期、更高的稳定性和更强的水溶性。聚合物和大分子原药中的聚合物可作为药物、蛋白质、靶向分子和成像剂的载体。许多用于治疗各种疾病的商业化 PDC 已经证明了它们的潜力。本文主要介绍 PDCs 的设计原理、合成以及作为神经退行性疾病多靶点治疗药物的潜在用途。
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引用次数: 0
Exploring co-crystallisation as a technique for taste-masking of nevirapine† 将共晶体化作为奈韦拉平掩味技术的探索†。
Pub Date : 2024-02-26 DOI: 10.1039/D3PM00074E
Yichun Shen, Marique Aucamp, Hend E. Abdelhakim, Xiunan Li, Yusuf Ghazali and Katharina Edkins

The bitter taste of pharmaceuticals majorly impacts patient adherence. Co-crystallisation has been proposed as a novel way for taste masking using sweetener-based co-formers, while other co-formers also have a positive effect. We hypothesise that the sweetness of the co-formers is not the key factor but rather the molecular aggregation between the drug and co-former in solution, i.e., the stronger the interaction, the better the taste masking effect. Here, we explore the solution aggregation between the bitter-tasting drug nevirapine and five co-formers by 1H NMR spectroscopy. The co-formers benzoic acid, salicylic acid and maleic acid show strong interaction with nevirapine, while glutaric acid and saccharin have weak and no interaction, respectively. The taste of the resulting co-crystal, as assessed by the electrical taste sensing system e-tongue, reveals that the bitterness of nevirapine has been covered with the co-crystal benzoic acid, maleic acid and glutaric acid but not saccharin or salicylic acid. From the taste results we deduct that both solution aggregation and the taste of the pure co-former play an important role in taste masking. It is likely that a large variety of co-formers can be used to cover bitter drugs and we show that the investigation of molecular aggregation in solution can help screen the co-formers before any in vitro or in vivo taste test.

药品的苦味严重影响了患者的依从性。有人提出,共结晶是使用甜味剂共形剂掩盖味道的一种新方法,而其他共形剂也有积极作用。我们假设,共形剂的甜味并不是关键因素,而是药物和共形剂在溶液中的分子聚集,即相互作用越强,掩味效果越好。在此,我们通过 1H NMR 光谱探讨了苦味药物奈韦拉平和五种共形物之间的溶液聚集。共形物苯甲酸、水杨酸和马来酸与奈韦拉平有较强的相互作用,而戊二酸和糖精则分别有较弱的相互作用和无相互作用。通过电子味觉传感系统 e-tongue 对所得共晶体的味道进行评估,发现苯甲酸、马来酸和戊二酸共晶体掩盖了奈韦拉平的苦味,但没有掩盖糖精和水杨酸的苦味。从味道结果中我们可以推断出,溶液聚集和纯共晶的味道在味道掩蔽中都起着重要作用。我们的研究表明,在进行体外或体内味觉测试之前,对溶液中的分子聚集情况进行调查有助于筛选共形物。
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引用次数: 0
Nanotechnology-driven wound healing potential of asiaticoside: a comprehensive review 以纳米技术为驱动力的积雪草苷伤口愈合潜力:综述
Pub Date : 2024-02-26 DOI: 10.1039/D3PM00024A
Mohit Kumar, Devesh Kumar, Syed Mahmood, Varinder Singh, Shruti Chopra, Ayah R. Hilles and Amit Bhatia

Asiaticoside (AC) is a naturally occurring phytoconstituent that aids in wound healing by stimulating collagen biosynthesis. However, the physical properties of AC, such as its high molecular weight (959.12 g mol−1), poor water solubility, and low permeability, restrict its therapeutic benefits. Additionally, the management of inflammation and angiogenesis in wound healing using AC-loaded wound dressings can be challenging in terms of its delivery across the skin layers. These challenges can be rectified by utilizing nanotechnology. The concept of nanotechnology is widely utilized in dermatology to boost the therapeutic efficacy of the entrapped drug. The AC-loaded nano-carriers deliver the drug at their target site in order to increase their efficacy, stability, and safety. These carriers efficiently distribute the loaded drug to the different skin layers. The current review focuses on the limitations associated with the topical administration of asiaticoside and the many initiatives made so far for effective and safe topical delivery using innovative constituents and techniques, along with other potential benefits of AC in wound healing, diabetes, inflammation, and depression.

积雪草苷(AC)是一种天然植物成分,可通过刺激胶原蛋白的生物合成来帮助伤口愈合。然而,AC 的物理特性,如分子量高(959.12 g mol-1)、水溶性差和渗透性低,限制了其治疗功效。此外,使用含有 AC 的伤口敷料来控制伤口愈合过程中的炎症和血管生成,在跨皮肤层输送 AC 方面具有挑战性。利用纳米技术可以解决这些难题。纳米技术的概念被广泛应用于皮肤病学领域,以提高夹带药物的疗效。含有 AC 的纳米载体可将药物输送到目标部位,从而提高药物的疗效、稳定性和安全性。这些载体能将药物有效地分配到不同的皮肤层。本综述重点介绍了与茜草苷局部给药相关的局限性,以及迄今为止利用创新成分和技术实现有效、安全局部给药的许多举措,以及茜草苷在伤口愈合、糖尿病、炎症和抑郁症方面的其他潜在益处。
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引用次数: 0
In vitro anti-trypanosomal activity of 3-(aryl)-6-piperazin1,2,4-triazolo[3,4-a]phthalazines-loaded ultrathin polymeric particles: effect of polymer type and particle size† 3-(芳基)-6-哌嗪-1,2,4-三唑并[3,4-a]酞嗪负载型超薄聚合物颗粒的体外抗锥虫活性:聚合物类型和粒径的影响†。
Pub Date : 2024-02-21 DOI: 10.1039/D3PM00002H
Karina González, Ender Medina, Elena Aguilera, Gema González, Marcos A. Sabino and Angel H. Romero

3-(Aryl)-6-piperazin-1,2,4-triazolo[3,4-a]phthalazines have shown great potential as leishmanicidal agents. Herein, we prepared a series of PLGA-, PLA- and PCL-based-microparticles/nanoparticles of different particle sizes and loaded them with active 3-(aryl)-6-piperazin-1,2,4-triazolo[3,4-a]phthalazines TF1 and TF2. The synthesized microparticles/nanoparticles seek to improve the leishmanicidal activity of 3-(aryl)-6-piperazin-1,2,4-triazolo[3,4-a]phthalazines and extend its effect to the T. cruzi parasite. The encapsulates were prepared using a microemulsification method, achieving an encapsulation percentage between 89% and 99% for PLGA-, PLA- and PCL-microparticles/nanoparticles. The encapsulation of triazolo-phthalazines was confirmed through UV-Vis or EDX analyses. From SEM analysis, two nanoparticle or microparticle/nanoparticle system-loaded TF1 or TF2 with mean sizes of 250, 400, 600–900 or 900–2000 nm were obtained for each of PLGA, PLA and PCL polymeric matrices. TEM analysis revealed that all the prepared microparticles/nanoparticles consisted of particles and not spheres. The microencapsulates/nanoencapsulates showed an acceptable drug release under physiological conditions, achieving a continuous release for up to 96 hours for most of the studied cases. From biological evaluation, encapsulation with PLGA and PLA showed a positive effect against the in vitro model of both parasites showing a decrease in their EC50 values compared with free compounds. Conversely, no improvement in trypanosomaticidal activity was found with PCL encapsulation. Importantly, it was found that that either the small particle size of the capsulate system or facile drug release favored anti-trypanosomatid activity. The three polymeric matrices showed a discrete but slight increase in toxicity toward J774.1 macrophages compared to free compounds. This may be associated with the facile penetration of the polymeric matrix across the macrophage membrane, favoring against intracellular forms of parasites. This study shows that either the particle size or the type of polymer represent key issues for improving the trypanosomaticidal activity of polymeric nanoformulations.

3-(芳基)-6-哌嗪-1,2,4-三唑并[3,4-a]酞嗪具有作为利什曼杀虫剂的巨大潜力。在此,我们制备了一系列基于聚乳酸(PLGA)、聚乳酸(PLA)和聚苯乙烯(PCL)的不同粒径的微颗粒/纳米颗粒,并在其中添加了活性 3-(芳基)-6-哌嗪-1,2,4-三唑并[3,4-a]酞嗪 TF1 和 TF2。所合成的微粒/纳米粒子旨在提高 3-(芳基)-6-哌嗪-1,2,4-三唑并[3,4-a]酞嗪的杀利什曼活性,并将其作用范围扩大到克鲁兹绦虫。包囊采用微乳化法制备,PLGA、PLA 和 PCL 微颗粒/纳米颗粒的包囊率介于 89% 和 99% 之间。通过 UV-Vis 或 EDX 分析确认了三唑并酞胺类化合物的封装。通过扫描电子显微镜分析,在 PLGA、PLA 和 PCL 聚合物基质中分别获得了两种平均尺寸为 250、400、600-900 或 900-2000 纳米的负载 TF1 或 TF2 的纳米颗粒或微粒/纳米颗粒体系。TEM 分析表明,所有制备的微颗粒/纳米颗粒都是由颗粒而非球体组成。在生理条件下,微胶囊/纳米胶囊显示出可接受的药物释放效果,在大多数研究案例中,药物可持续释放长达 96 小时。从生物学评价来看,与游离化合物相比,PLGA 和聚乳酸包囊对两种寄生虫的体外模型都有积极作用,其 EC50 值都有所下降。相反,用 PCL 包封则没有提高杀锥虫活性。重要的是,研究发现,无论是胶囊系统的小粒径还是药物的易释放性都有利于提高抗锥虫活性。与游离化合物相比,三种聚合物基质对 J774.1 巨噬细胞的毒性有离散但轻微的增加。这可能与聚合物基质易于穿透巨噬细胞膜有关,有利于对抗细胞内形式的寄生虫。这项研究表明,粒度或聚合物类型是提高聚合物纳米制剂杀锥虫活性的关键问题。
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引用次数: 0
Electrostatically hindered diffusion for predictable release of encapsulated cationic antimicrobials† 静电阻碍扩散技术可预测封装阳离子抗菌剂的释放†。
Pub Date : 2024-02-19 DOI: 10.1039/D3PM00025G
Viktor Eriksson, Erik Nygren, Romain Bordes, Lars Evenäs and Markus Andersson Trojer

A common challenge in infection control is uncontrolled and unpredictable rapid release of antimicrobials – with ramifications on antimicrobial resistance (AMR) development and pollution – that makes it difficult to determine appropriate dosage levels and treatment times. An important class of antimicrobials is surface-active cationic substances, whose charge can be exploited for manipulating both their encapsulation and controlled release. As a proof of concept, the cationic antimicrobial octenidine dihydrochloride (OCT) was encapsulated in a microcapsule matrix of poly(D,L-lactide-co-glycolide) (PLGA) bearing anionic carboxylate end groups. The strong PLGA–OCT interaction was verified by infrared spectroscopy and by comparing the release of OCT to its uptake into empty microcapsules. By expanding a Fickian diffusion model, the binding event was estimated to result in a 10-fold reduction in effective diffusivity resulting in a sustained release maintained for several months. Using this model, the impacts of temperature and release medium solubilizers were globally examined to improve predictability. By exceeding the glass transition temperature of hydrated PLGA, the diffusional release was significantly faster at 37 °C with a diffusivity 200 times that at room temperature. The addition of solubilizers increased the OCT partitioning towards the aqueous phase without affecting its diffusivity.

感染控制中的一个共同挑战是抗菌剂不受控制和不可预测的快速释放,这对抗菌剂耐药性(AMR)的发展和污染都有影响,因此很难确定适当的剂量水平和治疗时间。表面活性阳离子物质是一类重要的抗菌剂,可以利用其电荷来控制其封装和释放。作为概念验证,阳离子抗菌剂盐酸辛烯定(OCT)被封装在带有阴离子羧酸末端基团的聚(D,L-乳酸-共聚乙二醇)(PLGA)微胶囊基质中。通过红外光谱和比较 OCT 的释放与空微胶囊的吸收,验证了 PLGA 与 OCT 的强烈相互作用。通过扩展菲克扩散模型,估计结合事件会导致有效扩散率降低 10 倍,从而使持续释放保持数月之久。利用该模型,对温度和释放介质增溶剂的影响进行了全面研究,以提高可预测性。通过超过水合聚乳酸的玻璃化转变温度,扩散释放速度在 37 °C 时明显加快,扩散率是室温时的 200 倍。添加增溶剂增加了 OCT 向水相的分配,但不影响其扩散性。
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引用次数: 0
Cerium oxide particles: coating with charged polysaccharides for limiting the aggregation state in biological media and potential application for antibiotic delivery† 氧化铈颗粒:涂覆带电多糖以限制在生物介质中的聚集状态以及在抗生素递送中的潜在应用†。
Pub Date : 2024-02-19 DOI: 10.1039/D3PM00081H
Cléa Chesneau, André Pawlak, Séna Hamadi, Eric Leroy and Sabrina Belbekhouche

Bacterial resistance to antibiotics has emerged as a major health issue. Developing new antibacterial systems is crucial. We propose to exploit cerium oxide particles which present interesting physicochemical and biological properties. We demonstrated by zeta potential measurement that according to the pH, cerium oxide particles present either negatively or positively charged surfaces (isoelectric point determined around 8). We then take advantage of this property for modifying the particle surfaces with charged polysaccharides (dextran derivative to limit aggregation in aqueous media). The surface modification of particles has been examined by FT-IR, DRX and TGA measurements. The physicochemical properties of the resulting dispersion have been investigated as the size, dispersity and potential zeta value in physiological media. A fluorescent probe (Nile red) has then been loaded as a model of hydrophobic cargo, and then a hydrophobic antibiotic has been loaded (e.g. ciprofloxacin). Finally, the inhibitory effect on bacterial growth of the resulting antibiotic-loaded particles has been evaluated against antibiotic-resistant bacteria, namely spectinomycin-resistant Escherichia coli. These findings demonstrated the potential of the particles to be employed as an antimicrobial material, more specifically those resistant to antibiotic therapy.

细菌对抗生素的耐药性已成为一个重大的健康问题。开发新的抗菌系统至关重要。我们建议利用具有有趣的物理化学和生物特性的氧化铈颗粒。我们通过 zeta 电位测量证明,根据 pH 值的不同,氧化铈颗粒的表面要么带负电,要么带正电(等电点约为 8)。然后,我们利用这一特性,用带电多糖(葡聚糖衍生物,用于限制在水介质中的聚集)对颗粒表面进行修饰。我们通过傅立叶变换红外光谱、DRX 和热重分析法对颗粒的表面改性进行了检测。对所得分散体的物理化学特性进行了研究,包括在生理介质中的尺寸、分散性和潜在 zeta 值。然后,载入荧光探针(尼罗河红)作为疏水性货物的模型,再载入疏水性抗生素(如环丙沙星)。最后,针对抗生素耐药菌(即耐光谱霉素的大肠杆菌),对所产生的抗生素负载颗粒对细菌生长的抑制作用进行了评估。这些研究结果表明,这种微粒具有用作抗菌材料的潜力,特别是对抗生素治疗产生耐药性的细菌。
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引用次数: 0
Comparative study on the effects of the inclusion complexes of non-steroidal anti-inflammatory drugs with 2-hydroxypropyl-β-cyclodextrins on dissociation rates and supersaturation† 非甾体抗炎药与 2-羟丙基-β-环糊精包合物对解离率和过饱和度†影响的比较研究
Pub Date : 2024-02-19 DOI: 10.1039/D3PM00039G
Yukiko Oshite, Ayako Wada-Hirai, Risa Ichii, Chihiro Kuroda, Kanji Hasegawa, Ryosuke Hiroshige, Hideshi Yokoyama, Tomohiro Tsuchida and Satoru Goto

Active pharmaceutical ingredient (API) complexes with cyclodextrins (CDs) and their derivatives are widely formulated. Previously, we reported on the supersaturation effect and its benefits for CD inclusion complexes without polymers. The degree of amorphization and percentage of remaining crystals were determined using X-ray powder diffraction (XRPD) and differential scanning calorimetry (DSC) techniques. However, these properties clash with the stoichiometry of the solution according to the phase solubility diagram. In this study, the complexation contents of the prepared mixtures of indomethacin, piroxicam, diclofenac, and loxoprofen sodium with the 2-hydroxypropylated derivative of CD (HP-β-CD) were comparatively analyzed using dissolution curves. XRPD and DSC measurements indicated that equimolar mixtures were favorable for the interaction between these APIs and HP-β-CD. Enhancing the API solubility of HP-β-CD can be achieved through dissolution experiments. Mixtures of indomethacin with HP-β-CD consisted of an equimolar complex and corresponding remains. If the remaining component was HP-β-CD, then a gradual release of the equimolar complex was induced, and the release of diclofenac indicated similar dissolution behaviors. In contrast, the mixtures of indomethacin and diclofenac at molar ratios of 2 : 1 and 1 : 1 showed immediate supersaturation and a gradual decrease in the equilibrium concentration. These results indicate that the unbound HP-β-CD in the mixture acts as a matrix for controlled release.

活性药物成分(API)与环糊精(CD)及其衍生物的复合物被广泛配制。此前,我们曾报道过过饱和效应及其对不含聚合物的 CD 包合物的益处。我们使用 X 射线粉末衍射 (XRPD) 和差示扫描量热 (DSC) 技术测定了非晶化程度和剩余晶体的百分比。然而,根据相溶解度图,这些特性与溶液的化学计量相冲突。本研究利用溶解曲线比较分析了吲哚美辛、吡罗昔康、双氯芬酸和洛索洛芬钠与 CD 的 2- 羟丙基化衍生物(HP-β-CD)制备的混合物的络合含量。XRPD 和 DSC 测量结果表明,等摩尔混合物有利于这些原料药与 HP-β-CD 之间的相互作用。通过溶解实验可以提高 HP-β-CD 的原料药溶解度。吲哚美辛与 HP-β-CD 的混合物由等摩尔复合物和相应的残留物组成。如果残余物是 HP-β-CD,则等摩尔复合物会逐渐释放,双氯芬酸的释放也显示出类似的溶解行为。相反,吲哚美辛和双氯芬酸摩尔比为 2 :1 和 1 :1 的混合物立即出现过饱和,平衡浓度逐渐降低。这些结果表明,混合物中未结合的 HP-β-CD 起到了控释基质的作用。
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引用次数: 0
Indocyanine green within glycosylated polymeric micelles as potential image agents to map sentinel lymph nodes and breast cancer† 糖基化聚合物胶束中的吲哚菁绿是绘制前哨淋巴结和乳腺癌图谱的潜在图像剂†。
Pub Date : 2024-02-05 DOI: 10.1039/D3PM00053B
Nicole Lecot, Marcelo Fernández-Lomónaco, Hugo Cerecetto, Juan Pablo Gambini, Pablo Cabral and Romina Glisoni

Indocyanine green (ICG) is an FDA-approved near-infrared (NIR) dye used as a contrast agent for medical diagnosis in such techniques as image-guided surgery (IGS) and IGS-supported mapping for sentinel lymph node biopsy (SNLB). However, there are numerous disadvantages to its use in clinical applications: (i) self-aggregation in solution, (ii) poor targeting and (iii) short half-life in vivo, due to the rapid uptake by the liver. Herein, to overcome these obstacles, we utilized polymeric micelles (PMs) based on the amphiphilic linear and branched block poly(ethylene oxide)–poly(propylene oxide) (PEO–PPO) copolymers (Pluronic® and Tetronic®) for ICG stabilization, vehicleization and to directionally target breast cancer tissues. Because of their singular properties, PMs offer several advantages such as the ability to modify their surfaces with a variety of receptor-targeting ligands and their nano-scale size, which is suitable for taking advantage of the enhanced permeability and retention (EPR) effect for cancer diagnosis. In this work, we prepared ICG within pristine F127 and T1307 and their glucosylated derivatives (F127-Glu and T1307-Glu, respectively). These systems have a sub-30 nm-nanosized hydrodynamic diameter (19–27 nm), moderate negative Z-potentials (until −10 mV), and satisfactory stability in water even after lyophilisation and reconstitution, at 25 and 37 °C, respectively. Particularly, ICG within T1307-Glu PMs displayed maximum solubility and excellent encapsulation efficiency (100%), with a potentially large in vivo uptake according to high specificity and efficacious capture in lymph nodes (LNs) and tumors. All the results presented in this work, indicate that ICG-loaded PMs can potentially be used as image probe agents for IGS, SLNB and breast cancer imaging.

吲哚菁绿(ICG)是一种经美国食品及药物管理局(FDA)批准的近红外(NIR)染料,在图像引导手术(IGS)和 IGS 支持的前哨淋巴结活检(SNLB)绘图等技术中用作医学诊断的造影剂。然而,它在临床应用中存在许多缺点:(i) 在溶液中会自我聚集;(ii) 靶向性差;(iii) 由于会被肝脏快速吸收,因此在体内的半衰期较短。在此,为了克服这些障碍,我们利用基于两亲性线性和支链嵌段聚环氧乙烷-聚环氧丙烷(PEO-PPO)共聚物(Pluronic® 和 Tetronic®)的聚合物胶束(PMs)来稳定和载体化 ICG,并定向靶向乳腺癌组织。聚甲基丙烯酸酯具有独特的性能,因此具有多种优势,例如可以用各种受体靶向配体修饰其表面,而且其纳米级尺寸适合利用增强的渗透性和保留(EPR)效应进行癌症诊断。在这项工作中,我们在原始 F127 和 T1307 及其葡萄糖基化衍生物(分别为 F127-Glu 和 T1307-Glu)中制备了 ICG。这些体系的流体力学直径(19-27 nm)小于 30 nm,Z 电位为中等负值(直到 -10 mV),即使在冻干和复溶后(温度分别为 25 和 37 °C)在水中的稳定性也令人满意。特别是,T1307-Glu PMs 中的 ICG 显示出最大的溶解度和出色的封装效率(100%),由于在淋巴结(LN)和肿瘤中的高特异性和有效捕获,其体内摄取量可能很大。这项工作中展示的所有结果表明,ICG 负载 PMs 有可能用作 IGS、SLNB 和乳腺癌成像的图像探针剂。
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引用次数: 0
Dextrin conjugation to colistin inhibits its toxicity, cellular uptake and acute kidney injury in vivo† 糊精与可乐定共轭可抑制其毒性、细胞吸收和体内急性肾损伤†。
Pub Date : 2024-02-05 DOI: 10.1039/D3PM00014A
Mathieu Varache, Siân Rizzo, Edward J. Sayers, Lucy Newbury, Anna Mason, Chia-Te Liao, Emilie Chiron, Nathan Bourdiec, Adam Jones, Donald J. Fraser, Philip R. Taylor, Arwyn T. Jones, David W. Thomas and Elaine L. Ferguson

The acute kidney injury (AKI) and dose-limiting nephrotoxicity, which occurs in 20–60% of patients following systemic administration of colistin, represents a challenge in the effective treatment of multi-drug resistant Gram-negative infections. To reduce clinical toxicity of colistin and improve targeting to infected/inflamed tissues, we previously developed dextrin–colistin conjugates, whereby colistin is designed to be released by amylase-triggered degradation of dextrin in infected and inflamed tissues, after passive targeting by the enhanced permeability and retention effect. Whilst it was evident in vitro that polymer conjugation can reduce toxicity and prolong plasma half-life, without significant reduction in antimicrobial activity of colistin, it was unclear how dextrin conjugation would alter cellular uptake and localisation of colistin in renal tubular cells in vivo. We discovered that dextrin conjugation effectively reduced colistin's toxicity towards human kidney proximal tubular epithelial cells (HK-2) in vitro, which was mirrored by significantly less cellular uptake of Oregon Green (OG)-labelled dextrin–colistin conjugate, when compared to colistin. Using live-cell confocal imaging, we revealed localisation of both, free and dextrin-bound colistin in endolysosome compartments of HK-2 and NRK-52E cells. Using a murine AKI model, we demonstrated dextrin–colistin conjugation dramatically diminishes both proximal tubular injury and renal accumulation of colistin. These findings reveal new insight into the mechanism by which dextrin conjugation can overcome colistin's renal toxicity and show the potential of polymer conjugation to improve the side effect profile of nephrotoxic drugs.

20%-60%的患者在全身服用可乐定后会出现急性肾损伤(AKI)和剂量限制性肾毒性,这对有效治疗耐多药革兰氏阴性菌感染构成了挑战。为了降低可乐定的临床毒性并改善对感染/发炎组织的靶向性,我们之前开发了糊精-可乐定共轭物,通过增强的渗透性和滞留效应被动靶向后,在感染和发炎组织中通过淀粉酶触发的糊精降解释放可乐定。虽然体外实验表明,聚合物共轭可以降低毒性并延长血浆半衰期,同时不会显著降低可乐定的抗菌活性,但目前还不清楚糊精共轭会如何改变细胞对可乐定的吸收以及可乐定在肾小管细胞中的定位。我们发现,在体外,糊精共轭可有效降低可乐定对人肾近曲小管上皮细胞(HK-2)的毒性,与可乐定相比,细胞对俄勒冈绿(OG)标记的糊精-可乐定共轭物的摄取明显减少,这反映了这一点。利用活细胞共聚焦成像技术,我们揭示了游离和与糊精结合的可乐定在 HK-2 和 NRK-52E 细胞溶酶体内的定位情况。通过使用小鼠 AKI 模型,我们证明了糊精-可乐定共轭可显著减轻近端肾小管损伤和可乐定在肾脏的蓄积。这些发现揭示了糊精共轭克服可乐定肾毒性的新机制,并显示了聚合物共轭改善肾毒性药物副作用的潜力。
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引用次数: 0
A zuranolone nanocrystal formulation enables solubility-independent in vivo study of pentylenetetrazol-induced seizures in a rat model 一种唑拉诺酮纳米晶体制剂可在大鼠模型中对戊四唑诱导的癫痫发作进行不依赖溶解度的体内研究
Pub Date : 2024-02-05 DOI: 10.1039/D3PM00043E
Stanislav Chvíla, Hana Kubová, Pavel Mareš, Eva Kudová and František Štěpánek

Neuroactive steroids are a promising class of substances with many potential therapeutic applications, but their preclinical evaluation is challenging due to very low aqueous solubility. A common practice is to “solubilise” such drugs using water-miscible solvents, but this approach has drawbacks: the drug can precipitate uncontrollably after injection, the solvent can artificially increase membrane permeability, and such formulations are not directly transferrable to humans. It would be beneficial to use the same physical form of the drug during preclinical and clinical studies. This work reports an approach based on an aqueous suspension of phospholipid-coated nanocrystals of zuranolone, chosen as a representative of poorly soluble neuroactive steroid drugs. The wet stirred media milling method was used for creating a nanosuspension with a mean particle size of d1,0 = 114 ± 39 nm, colloidally stable in PBS over 24 months at a concentration up to 100 mg mL−1. The applicability of the nanosuspension was demonstrated in a study of pentylenetetrazol-induced seizures in developing rats as a model of human generalized tonic–clonic seizures. The incidence and severity of seizures were assessed for the zuranolone nanosuspension and compared to an established dosage as a cyclodextrin complex. The incidence of generalized seizures with or without the tonic phase was found to be lower in P12 rats receiving zuranolone in doses of 0.5 and 1 mg kg−1 in the nanocrystal formulation than in those receiving the cyclodextrin solution. In contrast, both formulations significantly decreased seizure severity in P25 rats at a dose of 1 mg kg−1. Crucially, the nanocrystal formulation enabled the creation of a concentration series independent of the thermodynamic solubility of the drug. A constant volume appropriate to the body size of the young rats could therefore be injected during the in vivo study.

神经活性类固醇是一类前景广阔的物质,具有许多潜在的治疗用途,但由于其水溶性极低,对其进行临床前评估极具挑战性。一种常见的做法是使用水溶性溶剂 "溶解 "这类药物,但这种方法也有缺点:注射后药物会出现无法控制的沉淀,溶剂会人为增加膜渗透性,而且这种制剂不能直接用于人体。在临床前和临床研究中使用相同物理形式的药物将是有益的。这项研究报告了一种基于磷脂包裹的莪术酮纳米晶体水悬浮液的方法,莪术酮被选为溶解性较差的神经活性类固醇药物的代表。采用湿法搅拌介质研磨法制备的纳米悬浮液平均粒径为 d1,0 = 114 ± 39 nm,在 PBS 中胶体稳定 24 个月,浓度高达 100 mg mL-1。在一项关于戊四唑诱发发育中大鼠癫痫发作的研究中证明了纳米悬浮液的适用性,该研究将戊四唑作为人类全身强直阵挛发作的模型。评估了唑来诺龙纳米悬浮剂的癫痫发作发生率和严重程度,并与环糊精复合物的既定剂量进行了比较。结果发现,与服用环糊精溶液的大鼠相比,服用 0.5 和 1 mg kg-1 剂量纳米晶体制剂的 P12 大鼠全身性癫痫发作的发生率较低,无论是否出现强直期。相比之下,在剂量为 1 毫克/千克时,两种制剂都能显著降低 P25 大鼠癫痫发作的严重程度。最重要的是,纳米晶体制剂能够建立一个独立于药物热力学溶解度的浓度系列。因此,在进行体内研究时,可以根据幼鼠的体型注射恒定体积的药物。
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引用次数: 0
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RSC Pharmaceutics
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