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Tea Saponins: a Novel Stabilizer for Enhancing the Oral Bioavailability of Albendazole Nanocrystals 茶皂素:一种提高阿苯达唑纳米晶口服生物利用度的新型稳定剂
IF 3.4 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2025-01-08 DOI: 10.1208/s12249-024-03015-1
Sumin Lan, Kexi Chen, Liqiang Feng, Panle Sima, Xiaoyao Ji, Feihua Wu, Yining Lin

Albendazole serves as a broad-spectrum anthelmintic medication for treating hydatid cysts and neurocysticercosis. However, its therapeutic effectiveness is limited by poor solubility. Nanocrystals offer a promising technology to address this limitation by enhancing drug solubility. The objective of this study is to evaluate an effective stabilizer for creating an albendazole nanocrystal formulation to improve oral absorption. Among different surfactants and polymers examined, tea saponins were used as the stabilizer to develop a nanosuspension with the particle size of 180 nm through a wet grinding approach. The physical characteristics of the nanocrystals were assessed using SEM, DSC, and XRPD. The nanocrystals significantly enhanced solubility by 2.9–2602 fold in different media and showed significant enhancement in dissolution rate compared to albendazole crystals in both pH 1.0 and pH 6.8 medium. Everted gut sacs experiments demonstrated that the nanocrystals increased Papp by 3.60-fold in duodenum, 3.76-fold in jejunum, 3.71-fold in ileum, and 5.26-fold in colon, respectively. Furthermore, pharmacokinetic studies revealed that the nanocrystals significantly enhanced oral bioavailability, resulting in a 4.65-fold increase in plasma AUC0−t value of albendazole sulfoxide (the primary active metabolite of albendazole) compared to the albendazole group. The present data indicates that tea saponins are potential natural stabilizers for preparing nanocrystals with enhanced oral bioavailability for insoluble drugs.

Graphical Abstract

阿苯达唑是治疗包虫病和神经囊虫病的广谱驱虫药。然而,其溶解度差限制了其治疗效果。纳米晶体提供了一种很有前途的技术,通过提高药物的溶解度来解决这一限制。本研究的目的是评估一种有效的稳定剂,用于制造阿苯达唑纳米晶体配方,以改善口服吸收。在不同的表面活性剂和聚合物中,以茶皂素为稳定剂,通过湿磨法制备了粒径为180 nm的纳米悬浮液。利用扫描电镜(SEM)、DSC和XRPD对纳米晶体的物理特性进行了评价。与阿苯达唑晶体相比,纳米晶体在不同介质中的溶解度提高了2.9-2602倍,在pH 1.0和pH 6.8介质中的溶解速率均有显著提高。肠外翻实验表明,纳米晶体在十二指肠、空肠、回肠和结肠中的Papp分别提高了3.60倍、3.76倍、3.71倍和5.26倍。此外,药代动力学研究表明,纳米晶体显著提高口服生物利用度,导致阿苯达唑亚砜(阿苯达唑的主要活性代谢物)的血浆AUC0−t值比阿苯达唑组增加4.65倍。目前的数据表明,茶皂素是制备纳米晶体的潜在天然稳定剂,对不溶性药物具有增强的口服生物利用度。图形抽象
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引用次数: 0
New Ionic Liquid Forms of Antituberculosis Drug Combinations for Optimized Stability and Dissolution 新型离子液体形式抗结核药物组合的稳定性和溶出度优化
IF 3.4 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2025-01-08 DOI: 10.1208/s12249-024-03023-1
Hanan E. Rasmy, Sara A. Abouelmagd, Elsayed A. Ibrahim

Isoniazid (INH) and rifampicin (RIF) are the two main drugs used for the management of tuberculosis. They are often used as a fixed drug combination, but their delivery is challenged by suboptimal solubility and physical instability. This study explores the potential of active pharmaceutical ingredient-ionic liquids (API-ILs) to improve the physicochemical and pharmaceutical properties of INH and RIF. Antitubercular drugs, INH, or RIF, were paired with different counter ions (ascorbic acid (AsA), citric acid (CA), tartaric acid (TA), benzoic acid (BA), salicylic acid (SA), and p-amino salicylic acid (PAS)) using the solvent evaporation method. INH and RIF API-ILs were formed successfully using AsA and CA counter ions. IL formation was examined and analyzed using Fourier transform infrared (FTIR) spectroscopy, x-ray powder diffraction (XRPD), and polarized optical microscopy (POM). XRPD and POM confirmed their amorphous nature, while FTIR analysis demonstrated the contribution of hydrogen bonding to IL formation. IL formation enhanced the storage stability of the INH + RIF mixture in the presence of CA. Moreover, RIF-CA IL significantly increased the rate and extent of RIF dissolution. An effect that is unattainable with the RIF/CA physical mixture. Thus, API-IL formation not only enhances RIF dissolution but also facilitates the preparation of stable, compatible INH-RIF combinations.

Graphical Abstract

异烟肼(INH)和利福平(RIF)是治疗结核病的两种主要药物。它们通常作为固定的药物组合使用,但它们的递送受到次优溶解度和物理不稳定性的挑战。本研究探讨了活性药物成分-离子液体(api - il)在改善INH和RIF的理化和药学性能方面的潜力。采用溶剂蒸发法将抗肿瘤药物INH或RIF与不同的反离子(抗坏血酸(AsA)、柠檬酸(CA)、酒石酸(TA)、苯甲酸(BA)、水杨酸(SA)和对氨基水杨酸(PAS))配对。用AsA和CA反离子制备了INH和RIF api - il。利用傅里叶变换红外光谱(FTIR)、x射线粉末衍射(XRPD)和偏振光学显微镜(POM)对IL的形成进行了检测和分析。XRPD和POM证实了它们的无定形性质,而FTIR分析证实了氢键对IL形成的贡献。在CA存在下,IL的形成增强了INH + RIF混合物的储存稳定性,并且RIF-CA IL显著增加了RIF溶解的速度和程度。RIF/CA物理混合无法达到的效果。因此,API-IL的形成不仅促进了RIF的溶解,而且有利于制备稳定、兼容的INH-RIF组合。图形抽象
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引用次数: 0
Investigation of the Thermal Stability and Hydrolytic Degradation Kinetics of Poly(Lactide-co-Glycolide) Melts 聚丙交酯-羟基乙酸酯熔体热稳定性及水解降解动力学研究
IF 3.4 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2025-01-08 DOI: 10.1208/s12249-024-03018-y
Beibei Chen, Mark A. Costello, Louise Kuehster, Nathaniel A. Lynd, Bin Qin, Yan Wang, Feng Zhang

Poly(lactide-co-glycolide) (PLGA) is widely used in a variety of long-acting injectables. However, its biodegradable nature creates potential chemical stability challenges during melt extrusion, where PLGA is exposed to elevated temperature (100–140 °C) for several minutes. This study evaluated the thermal stability of three PLGA grades (Resomer® 502, 502H, and 505) with varying molecular weights and chain-ends using a differential scanning calorimeter and twin-screw extruder. DSC results revealed that both residual water content and chain-end groups significantly accelerate PLGA degradation. At 0.2% water content, all samples maintained good stability (less than 15% reduction in molecular weight). However, at 0.4% water content, Resomer 502H, which has acid end groups, experienced significant degradation (45% reduction in molecular weight) after 30 min at 140 °C due to catalyzed hydrolysis. The extruded samples remained stable across tested barrel temperatures (100 °C and 140 °C) and screw speeds (125 and 250 rpm). Further investigations of PLGA with 0.2% water content demonstrates that the hydrolysis rates of Resomer® 502 and 505 were comparable, indicating that molecular weight does not influence hydrolysis rate. In contrast, Resomer® 502H exhibited a higher hydrolysis rate and a slightly higher activation energy, suggesting a greater temperature dependency. Additionally, when subjected to 200 °C for one hour with less than 0.03% water content, Resomer® 505 showed a less than 7% reduction in molecular weight, indicating minimal thermal degradation. Conversely, Resomer® 502 and 502H experienced an increase in molecular weight, which was likely attributed to recombination reactions, particularly in Resomer® 502H, which has higher tin content (170 ppm).

Graphical Abstract

聚丙交酯(PLGA)广泛应用于各种长效注射剂中。然而,在熔融挤压过程中,PLGA的可生物降解特性带来了潜在的化学稳定性挑战,其中PLGA暴露在高温(100-140°C)下几分钟。本研究使用差示扫描量热计和双螺杆挤出机评估了具有不同分子量和链端的三种PLGA等级(Resomer®502,502H和505)的热稳定性。DSC结果表明,残余含水量和链端基团都显著加速了PLGA的降解。在0.2%的含水量下,所有样品都保持了良好的稳定性(分子量降低小于15%)。然而,当含水量为0.4%时,具有酸性端基的Resomer 502H在140°C下经过30分钟的催化水解后发生了显著降解(分子量降低45%)。挤压后的样品在测试的筒体温度(100°C和140°C)和螺杆转速(125和250 rpm)下保持稳定。进一步研究了0.2%水含量的PLGA,结果表明Resomer®502和505的水解率相当,表明分子量不影响水解率。相比之下,Resomer®502H表现出更高的水解率和略高的活化能,表明更大的温度依赖性。此外,Resomer®505在含水量低于0.03%的情况下,在200°C下放置1小时,其分子量降低幅度小于7%,表明热降解最小。相反,Resomer®502和502H的分子量增加,这可能是由于重组反应,特别是在Resomer®502H中,锡含量较高(170 ppm)。图形抽象
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引用次数: 0
In Silico and Experimental Evidence for the Stabilization of rhEPO by Glycine, Glutamic Acid and Lysine 甘氨酸、谷氨酸和赖氨酸稳定rhEPO的硅和实验证据
IF 3.4 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2025-01-08 DOI: 10.1208/s12249-024-03008-0
Yoshio Aldo Alarcón-López, Pablo Aguirre-Vidal, Hugo Víctor Vásquez-Valadez, Alejandro Manuel Hernández-Serda, Alfonso Luis Cárdenas-Granados, Carlos E. Espinosa de la Garza, Néstor O. Pérez, Enrique Angeles, Víctor Pérez Medina Martínez

The available literature indicates that amino acids can stabilize proteins. Our experimental data demonstrated that lysine and glutamic acid can stabilize recombinant human erythropoietin (rhEPO) at 40°C for at least 1 month, as measured by RP-UPLC. Studies with different excipient concentrations demonstrated optimal concentrations of these amino acids within 10–12 mM. The results suggest that a lower concentration of amino acids may not be sufficient to stabilize formulations, while a higher concentration of amino acids can lead lower stability. In silico studies highlighted the importance of the FA4G4S4 model in experimental glycosylation determination, particularly in glycoprotein analysis. We obtained insights into the interactions between the glycosylated ligands of rhEPO and amino acids, as well as their impact on protein behavior and stability. We observed different interactions between the amino acids glycine, glutamic acid, and lysine and the rhEPO protein using this model in docking experiments. They also made it easier to find specific interaction areas by analyzing ligand‒protein interaction fingerprints (PLIFs). This demonstrated how the ligands bind to the proteins or remain outside their vicinity. Furthermore, this study revealed specific places where ligands and rhEPO residues can interact, which helps us learn more about how they stabilize rhEPO.

Graphical Abstract

现有文献表明,氨基酸可以稳定蛋白质。我们的实验数据表明,赖氨酸和谷氨酸可以在40°C下稳定重组人促红细胞生成素(rhEPO)至少1个月,通过RP-UPLC测量。对不同赋形剂浓度的研究表明,这些氨基酸的最佳浓度在10-12 mM之间。结果表明,较低浓度的氨基酸可能不足以稳定配方,而较高浓度的氨基酸可能导致较低的稳定性。计算机研究强调了FA4G4S4模型在实验糖基化测定中的重要性,特别是在糖蛋白分析中。我们深入了解了rhEPO的糖基化配体与氨基酸之间的相互作用,以及它们对蛋白质行为和稳定性的影响。我们利用该模型在对接实验中观察了甘氨酸、谷氨酸和赖氨酸与rhEPO蛋白之间不同的相互作用。他们还通过分析配体-蛋白质相互作用指纹图谱(PLIFs)更容易找到特定的相互作用区域。这证明了配体是如何与蛋白质结合或保持在蛋白质附近的。此外,本研究揭示了配体和rhEPO残基可以相互作用的特定位置,这有助于我们更多地了解它们如何稳定rhEPO。图形抽象
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引用次数: 0
Therapeutic Potential of Microneedle Assisted Drug Delivery for Wound Healing: Current State of the Art, Challenges, and Future Perspective 微针辅助给药治疗伤口愈合的潜力:现状、挑战和未来展望
IF 3.4 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2025-01-08 DOI: 10.1208/s12249-024-03017-z
Devesh Kumar, Shubham Pandey, Jailani Shiekmydeen, Mohit Kumar, Shruti Chopra, Amit Bhatia

Microneedles (MNs) appear as a transformative and minimally invasive platform for transdermal drug delivery, representing a highly promising strategy in wound healing therapeutics. This technology, entailing the fabrication of micron-scale needle arrays, enables the targeted and efficient delivery of bioactive agents into the epidermal and dermal layers without inducing significant pain or discomfort. The precise penetration of MNs facilitates localized and sustained drug release, which significantly enhances tissue regeneration and accelerates wound closure. Furthermore, MNs can be engineered to encapsulate essential bioactive compounds, including antimicrobial agents, growth factors, and stem cells, which are critical for modulating the wound healing cascade and mitigating infection risk. The biodegradable nature of these MNs obviates the need for device removal, rendering them particularly advantageous in the management of chronic wounds such as diabetic ulcers and pressure sores. The integration of nanotechnology within MNs further augments their drug-loading capacity, stability, and controlled-release kinetics, offering a sophisticated therapeutic modality. This cutting-edge approach has the potential to redefine wound care by optimizing therapeutic efficacy, reducing adverse effects, and enhancing patient adherence. As MN technology advances, its application in wound healing exemplifies a dynamic frontier within biomedical engineering and regenerative medicine.

Graphical Abstract

微针(MNs)作为一种革命性的、微创的经皮给药平台,在伤口愈合治疗中表现出非常有前途的策略。这项技术需要制造微米尺度的针阵列,能够将生物活性药物靶向和有效地输送到表皮和真皮层,而不会引起明显的疼痛或不适。MNs的精确渗透有助于局部和持续的药物释放,从而显著增强组织再生和加速伤口愈合。此外,纳米颗粒可以被设计成包封必需的生物活性化合物,包括抗菌剂、生长因子和干细胞,这些对调节伤口愈合级联和降低感染风险至关重要。这些MNs的可生物降解性质避免了移除设备的需要,使它们在慢性伤口的治疗中特别有利,如糖尿病溃疡和压疮。纳米技术在纳米颗粒中的整合进一步增强了它们的载药能力、稳定性和控释动力学,提供了一种复杂的治疗方式。这种尖端的方法有可能通过优化治疗效果、减少不良反应和提高患者依从性来重新定义伤口护理。随着MN技术的进步,其在伤口愈合中的应用体现了生物医学工程和再生医学的动态前沿。图形抽象
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引用次数: 0
Multi-Layered Microneedles Loaded with Microspheres 装载微球的多层微针
IF 3.4 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2025-01-03 DOI: 10.1208/s12249-024-03016-0
Andrew R. Tadros, Xin Dong Guo, Mark R. Prausnitz

Delivery of therapies into skin is attractive for medical indications including vaccination and treatment of dermatoses but is highly constrained by the stratum corneum barrier. Microneedle (MN) patches have emerged as a promising technology to enable non-invasive, intuitive, and low-cost skin delivery. When combined with biodegradable polymer formulations, MN patches can further enable controlled-release drug delivery without injection. Herein, we sought to expand on the capability of MN patches to deliver therapies into skin by providing improved spatiotemporal control. Polylactic-co-glycolic acid (PLGA) microspheres were used to encapsulate model dye and then loaded into MN patches through a layer-by-layer fabrication method that created multiple layers of different composition within each MN. MN patches were loaded with up to 5 μg/MN of PLGA microspheres. Mechanical testing demonstrated that mechanical strength of MNs decreased with increasing number of microsphere layers. Microsphere-loaded MN patches inserted into porcine skin ex vivo and murine skin in vivo fully dissolved within 15 min, administering drug-loaded microspheres for controlled release lasting over 45 days. These data support the feasibility of multi-layered, microsphere-loaded MN patches designed for spatially targeted and sustained delivery of therapies into skin.

Graphical Abstract

对医学适应症(包括疫苗接种和皮肤病治疗)而言,将疗法导入皮肤很有吸引力,但受到角质层屏障的高度限制。微针(MN)贴片已经成为一种有前途的技术,可以实现无创、直观和低成本的皮肤递送。当与可生物降解的聚合物制剂结合使用时,MN贴片可以进一步实现无需注射的控释给药。在此,我们试图通过提供改进的时空控制来扩展MN贴片将治疗传递到皮肤的能力。用聚乳酸-羟基乙酸(PLGA)微球包封模型染料,然后通过逐层制备方法将其装入MN贴片中,在每个MN中形成不同组成的多层。MN贴片上的PLGA微球含量高达5 μg/MN。力学试验表明,微球层数的增加使微球的力学强度降低。将负载微球的MN贴片植入离体猪皮肤和体内鼠皮肤,15分钟内完全溶解,给药微球控释持续超过45天。这些数据支持多层、微球负载MN贴片的可行性,该贴片设计用于空间靶向和持续地将治疗递送到皮肤中。图形抽象
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引用次数: 0
Use of Remote Regulatory Assessment (RRA) for Site Evaluations during the COVID-19 Pandemic: The USFDA’s Office of Study Integrity and Surveillance (OSIS) Perspective 在COVID-19大流行期间使用远程监管评估(RRA)进行现场评估:USFDA研究完整性和监测办公室(OSIS)的观点
IF 3.4 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2025-01-03 DOI: 10.1208/s12249-024-03024-0
Tahseen Mirza, Nicola Fenty-Stewart, Clint Mitchell, Brian Folian, Sean Kassim

Travel restrictions during the novel coronavirus, SARS-CoV-2 (COVID-19) public health emergency affected the U.S. Food and Drug Administration’s (FDA) ability to conduct on-site bioavailability/bioequivalence (BA/BE) and Good Laboratory Practice (GLP) nonclinical inspections. FDA’s Office of Study Integrity and Surveillance (OSIS) developed a remote regulatory assessment (RRA) as an alternate tool to evaluate the reliability and integrity of data from such studies submitted in marketing applications for drug approval. This manuscript provides a retrospective comparative evaluation of metrics from three pre-pandemic years (2017–2019) versus those of RRAs performed during the COVID-19 pandemic (2020–2022). More clinical inspections than analytical inspections were conducted during the pre-pandemic years, while this trend was reversed during the pandemic years. A normalized comparison of inspections and RRAs revealed that RRAs were able to identify potential concerns in study conduct and data reliability comparable to on-site BA/BE and GLP nonclinical study inspections. The number of studies, types of studies, and final classification of site evaluations were reviewed. During the pandemic years, fewer RRAs were performed by OSIS as compared with the number of on-site inspections performed by OSIS during the pre-pandemic years. This can be attributed in part to the dedication of resources for the development of the RRA approach, the need to focus all efforts on the highest priority sites, the limited availability of staff, or the lack of adequate data sharing software or audio-visual hardware at the sites.

在新型冠状病毒SARS-CoV-2 (COVID-19)突发公共卫生事件期间,旅行限制影响了美国食品和药物管理局(FDA)进行现场生物利用度/生物等效性(BA/BE)和良好实验室规范(GLP)非临床检查的能力。FDA的研究完整性和监督办公室(OSIS)开发了一种远程监管评估(RRA),作为评估此类研究在药物批准上市申请中提交的数据的可靠性和完整性的替代工具。本文对大流行前三年(2017-2019年)与COVID-19大流行期间(2020-2022年)进行的RRAs的指标进行了回顾性比较评估。在大流行前几年,临床检查多于分析检查,而在大流行期间,这一趋势发生了逆转。检查和RRAs的标准化比较显示,RRAs能够识别研究行为和数据可靠性方面的潜在问题,与现场BA/BE和GLP非临床研究检查相当。审查了研究的数量、研究的类型和场地评价的最终分类。在大流行年份,与大流行前年份大流行期间进行的现场视察次数相比,大流行国家统计系统进行的实地视察次数较少。这可部分归因于为制订RRA办法而投入的资源,需要将所有努力集中在最优先的场址,工作人员有限,或场址缺乏适当的数据共享软件或视听硬件。
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引用次数: 0
Amorphous Solid Dispersions of Glycyrrhetinic Acid: Using Soluplus, PVP, and PVPVA as the Polymer Matrix to Enhance Solubility, Bioavailability, and Stability 甘草次酸的无定形固体分散体:使用 Soluplus、PVP 和 PVPVA 作为聚合物基质提高溶解度、生物利用度和稳定性
IF 3.4 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2024-12-21 DOI: 10.1208/s12249-024-03007-1
Meng-yu Zhao, Xian-bao Shi, Jin-hua Chang, Ru-xing Wang, Jian-yu Zhou, Pei Liu

Glycyrrhetinic acid (GA) possesses various pharmacological effects, including anti-inflammatory, anti-tumor, and anti-viral properties. However, its clinical application is limited by poor solubility and low oral bioavailability. Polymers play a crucial role in pharmaceutical formulations, particularly as matrices in excipients to enhance the solubility, bioavailability, and stability of active pharmaceutical ingredients. The amorphous solid dispersions (ASDs) of GA were prepared with three different polymers (i.e., GA-S-ASD, GA-VA64-ASD, and GA-K30-ASD). The ASDs were characterized by differential scanning calorimetry (DSC), powder X-ray diffractometry (PXRD), scanning electron microscopy (SEM), Fourier transform infrared spectroscopy (FT-IR spectroscopy), molecular docking, and contact angle measurement. Pharmacokinetics were evaluated in Beagle dogs, and long-term stability was examined. The solubility of GA increased with the rising weight of the polymer, and the optimal drug-to-carrier ratio was 1:5. In all ASDs, GA was amorphous, thus suggesting that a hydrogen bonding must have formed between GA and the polymers. The molecular docking showed that the binding energy was the highest and the hydrogen bonding was the strongest between GA and Soluplus. The dissolution of the ASDs was primarily driven by carrier-controlled dissolution, and there was minor influence from diffusion-limited release in the case of GA-S-ASD. The three ASDs significantly improved the bioavailability of GA. However, only GA-S-ASD passed the accelerated stability test. In the case of GA-VA64-ASD and GA-K30-ASD, due to serious moisture absorption, the originally fluffy ASDs became gels, and recrystallization occurred. Overall, GA-S-ASD presents promising potential for pharmaceutical applications due to its superior solubility, bioavailability, and stability.

Graphical Abstract

甘草次酸(GA)具有多种药理作用,包括抗炎、抗肿瘤和抗病毒特性。但其溶解度差、口服生物利用度低,限制了其临床应用。聚合物在药物配方中起着至关重要的作用,特别是作为赋形剂的基质,以提高活性药物成分的溶解度、生物利用度和稳定性。采用GA- s - asd、GA- va64 - asd和GA- k30 - asd三种不同的聚合物制备了GA的非晶固体分散体(asd)。采用差示扫描量热法(DSC)、粉末x射线衍射法(PXRD)、扫描电镜(SEM)、傅里叶变换红外光谱(FT-IR)、分子对接和接触角测量对asd进行了表征。对Beagle犬进行了药代动力学评价,并对其长期稳定性进行了检验。GA的溶解度随聚合物重量的增加而增加,最佳药载比为1:5。在所有的asd中,GA都是无定形的,这表明GA和聚合物之间一定形成了氢键。分子对接表明,GA和Soluplus之间的结合能最高,氢键最强。asd的溶解主要由载流子控制的溶解驱动,GA-S-ASD受扩散限制释放的影响较小。3种asd均显著提高了GA的生物利用度。然而,只有GA-S-ASD通过了加速稳定性测试。GA-VA64-ASD和GA-K30-ASD由于吸湿严重,原本蓬松的asd变成凝胶状,发生再结晶。总的来说,GA-S-ASD由于其优越的溶解度、生物利用度和稳定性,在制药应用方面具有很大的潜力。图形抽象
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引用次数: 0
Gene Therapy: Towards a New Era of Medicine 基因治疗:迈向医学新时代
IF 3.4 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2024-12-19 DOI: 10.1208/s12249-024-03010-6
Mokshit Bhagat, Raj Kamal, Jyoti Sharma, Kirandeep Kaur, Amit Sharma, Gurjeet Singh Thakur, Rohit Bhatia, Ankit Awasthi

Over the past years, many significant advances have been made in the field of gene therapy and shown promising results in clinical trials conducted. Gene therapy aims at modifying or replacing a defective, inefficient, or nonfunctional gene with a healthy, functional gene by administration of genome material into the cell to cure genetic diseases. Various methods have been devised to do this by using several viral and non-viral vectors which are either administered by in vivo or ex vivo technique. Viral vectors are best suitable for this therapy due to their potential to invade cells and deliver their genetic material whereas non-viral vectors are less efficient than viral vectors but possess some advantages such as less immunogenic response and large gene carrying capacity. Recent advances in biotechnology such as CRISPR-Cas9 mediated genome engineering and Cancer treatment with Chimeric antigen receptor (CAR) T-cell therapy are addressed in this review. This review article also delves into some recent research studies, gene therapy trials, and its applications, laying out future hopes for gene therapy in the treatment of various diseases namely haemophilia, Muscular dystrophy, SCID, Sickle cell disease, Familial Hypercholesterolemia, Cystic Fibrosis. Additionally, it also includes various nanoformulations and clinical trial data related to gene therapy.

Graphical Abstract

Gene therapy is a technique that aims at altering or replacing a defective gene with a healthy functional gene by administration of genetic material into the cell. The Ex-vivo technique involves transfer of genetic material by modifying the cell outside the body and transplanting it back into a patient. In the In-vivo technique genetic material is directly transferred into the patient’s body by using a liposome or viral vector.

过去几年来,基因治疗领域取得了许多重大进展,并在临床试验中显示出良好的效果。基因疗法旨在通过向细胞内注入基因组材料,用健康的功能基因修饰或替换有缺陷、低效或无功能的基因,从而治疗遗传疾病。为此,人们设计了多种方法,使用多种病毒和非病毒载体,通过体内或体外技术进行治疗。病毒载体最适合用于这种疗法,因为它们具有侵入细胞并传递遗传物质的潜力,而非病毒载体的效率低于病毒载体,但具有一些优点,如免疫原性反应小、基因携带量大。本综述探讨了 CRISPR-Cas9 介导的基因组工程和嵌合抗原受体(CAR)T 细胞疗法治疗癌症等生物技术的最新进展。这篇综述文章还深入探讨了近期的一些研究、基因治疗试验及其应用,为基因治疗在治疗各种疾病(即血友病、肌肉萎缩症、SCID、镰状细胞病、家族性高胆固醇血症、囊性纤维化)方面的未来前景描绘了美好前景。此外,它还包括与基因疗法有关的各种纳米制剂和临床试验数据。图解 摘要基因疗法是一种技术,旨在通过向细胞内注入遗传物质,用健康的功能基因改变或替换有缺陷的基因。体内外技术包括通过改变体外细胞来转移遗传物质,然后将其移植回患者体内。在体内技术中,遗传物质通过脂质体或病毒载体直接转移到患者体内。
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引用次数: 0
Establishment of Biopredictive Dissolution and Bioequivalence Safe Space Using the Physiologically Based Biopharmaceutics Modeling for Tacrolimus Extended-Release Capsules 利用基于生理学的生物药剂学模型为他克莫司缓释胶囊建立生物预测溶解度和生物等效性安全空间
IF 3.4 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2024-12-17 DOI: 10.1208/s12249-024-03006-2
Fulin Bi, Tong Yuan, Baohong Zhang, Jixia Li, Yan Lin, Jin Yang

A slight variation in in vivo exposure for tacrolimus extended-release (ER) capsules, which have a narrow therapeutic index (NTI), significantly affects the pharmacodynamics of the drug. Generic drug bioequivalence (BE) standards are stricter, necessitating accurate assessment of the rate and extent of drug release. Therefore, an in vitro dissolution method with high in vivo predictive power is crucial for developing generic drugs. In this study, physiologically based biopharmaceutics modeling (PBBM) for 5 mg tacrolimus ER capsules was developed and validated. The reference and non-BE test formulations were assessed using the Flow-Through Cell apparatus (USP IV) with biorelevant media to establish a biopredictive dissolution method. Using PBBM, virtual bioequivalence trials with virtual batches were conducted to propose a BE safe space. These criteria can identify formulations that pass the internal quality control test but are likely non-BE. This study highlights the benefits of developing biopredictive dissolution methods that are based on biorelevant dissolution. The PBBM, constructed by integrating various drug parameters, combined with the developed biopredictive dissolution methods, is a convenient approach for BE evaluation of NTI drugs and a practical tool for developing new drugs.

Graphical Abstract

他克莫司缓释(ER)胶囊具有狭窄的治疗指数(NTI),其体内暴露的微小变化显著影响药物的药效学。仿制药生物等效性(BE)标准更为严格,需要对药物释放速度和程度进行准确评估。因此,一种具有较高体内预测能力的体外溶出度方法对于仿制药的开发至关重要。本研究建立并验证了5 mg他克莫司ER胶囊的生理生物制药模型(PBBM)。使用流式细胞仪(USP IV)和生物相关介质对参比制剂和非be试验制剂进行评估,以建立生物预测溶出度方法。使用PBBM,进行虚拟批次的虚拟生物等效性试验,以提出BE的安全空间。这些标准可以识别通过内部质量控制测试但可能不是be的配方。这项研究强调了开发基于生物相关溶出度的生物预测溶出度方法的好处。通过整合各种药物参数,结合已建立的生物预测溶出度方法构建的PBBM是一种简便的NTI药物BE评价方法,也是开发新药的实用工具。图形抽象
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