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Regulatory Considerations Specific to Liposome Drug Development as Complex Drug Products 作为复杂药物产品的脂质体药物开发的特定监管考虑
Pub Date : 2022-04-28 DOI: 10.3389/fddev.2022.901281
Yuwei Wang, D. Grainger
Nearly a half-century after original liposome discovery as a prospective lipid pharmaceutical carrier, the global liposomal drug delivery market has increased dramatically, with an annual market growth rate of 13.2%, valued at ∼$6,993 million by 2027. As an intrinsically complex delivery system, liposomal formulations face much greater characterization and regulatory review challenges than traditional small molecule drugs and biologics. Due to rapid liposomal drug development, both European Medicines Agency (EMA) and US Food and Drug Administration (FDA) now provide regulatory guidance for new liposomal drug application reviews. The expanding global liposome drug market and associated driving forces for increased research and development (R&D) in novel liposomal products are key factors propelling liposomal drug interests. We review and compare EU and US regulations on liposomal drug submissions, and provide insights into regulatory strategies throughout the entire liposomal drug development process. This addresses current gaps noted between liposome-based drug development in research labs and current regulatory guidance for liposomal drug approvals in order to facilitate more efficient, less costly, and less risky complex drug development.
在最初的脂质体作为一种有前景的脂质药物载体被发现近半个世纪后,全球脂质体药物递送市场急剧增长,年市场增长率为13.2%,到2027年价值约为69.93亿美元。作为一个本质上复杂的递送系统,脂质体制剂比传统的小分子药物和生物制剂面临更大的表征和监管审查挑战。由于脂质体药物的快速发展,欧洲药品管理局(EMA)和美国食品药品监督管理局(FDA)现在都为新的脂质体药物申请审查提供监管指导。不断扩大的全球脂质体药物市场和新型脂质体产品研发的相关驱动力是推动脂质体药物发展的关键因素。我们回顾和比较欧盟和美国关于脂质体药物申报的法规,并在整个脂质体药物开发过程中提供监管策略的见解。这解决了目前研究实验室中基于脂质体的药物开发与目前脂质体药物批准的监管指导之间的差距,以促进更有效、更低成本和更低风险的复杂药物开发。
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引用次数: 9
Effects of Nicotine Exposure From Tobacco Products and Electronic Cigarettes on the Pathogenesis of Neurological Diseases: Impact on CNS Drug Delivery 烟草制品和电子烟尼古丁暴露对神经系统疾病发病机制的影响:对中枢神经系统药物传递的影响
Pub Date : 2022-04-26 DOI: 10.3389/fddev.2022.886099
Sejal Sharma, Sabrina Rahman Archie, Vrajesh Kanchanwala, Kyle Mimun, Md. Ashrafur Rahman, Yong Zhang, T. Abbruscato
Nicotine, the major component of tobacco smoke (TS) and electronic cigarette (e-cig) vape, has been reported in some cases to be prodromal to cerebrovascular toxicity as well as a promoting factor for the onset of various neurological diseases. In some conditions, pre-exposure to nicotine can lead to a state of compromised blood-brain barrier (BBB) integrity, including altered BBB-related protein expression, BBB leakage, and defective ion and glucose homeostasis within the brain. Moreover, drugs used to treat central nervous system disorders (CNS) have been reported to interact with nicotine and other components of TS/e-cig through both transporter and enzyme-based mechanisms. Herein we discuss nicotine’s potential toxicity at the brain cerebrovasculature and explain how nicotine (from smoking/vaping) may interfere with the uptake of CNS drugs through a CNS drug interaction perspective.
尼古丁是烟草烟雾(TS)和电子烟(e- cige) vape的主要成分,据报道,在某些情况下,尼古丁是脑血管毒性的前驱症状,也是各种神经系统疾病发病的促进因素。在某些情况下,预先暴露于尼古丁可导致血脑屏障(BBB)完整性受损,包括血脑屏障相关蛋白表达改变、血脑屏障泄漏以及脑内离子和葡萄糖稳态缺陷。此外,据报道,用于治疗中枢神经系统疾病(CNS)的药物通过转运体和基于酶的机制与尼古丁和TS/电子烟的其他成分相互作用。在此,我们讨论尼古丁对脑脑血管系统的潜在毒性,并从中枢神经系统药物相互作用的角度解释尼古丁(来自吸烟/电子烟)如何干扰中枢神经系统药物的摄取。
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引用次数: 2
Half a Century of Technological Advances in Pulmonary Drug Delivery: A Personal Perspective 半个世纪的肺部给药技术进步:个人观点
Pub Date : 2022-04-13 DOI: 10.3389/fddev.2022.871147
A. Clark
The last half century of pulmonary product development is reviewed in the context of the main drivers of innovation, technology development, and the advancement of science. A perspective on development timeframes, patent lifetimes, and the odds of success of developing of new inhaler technologies is presented.
在创新、技术发展和科学进步的主要驱动因素的背景下,回顾了过去半个世纪的肺产品开发。提出了关于开发时间框架、专利寿命和开发新吸入器技术成功几率的观点。
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引用次数: 6
Evaluation and Selection of the Inhaler Device for Treprostinil Palmitil Inhalation Powder 棕榈氨酯吸入性粉剂吸入器的评价与选择
Pub Date : 2022-04-06 DOI: 10.3389/fddev.2022.864922
H. Gauani, T. Baker, Zhili Li, V. Malinin, W. Perkins, E. Sullivan, D. Cipolla
Treprostinil palmitil (TP) is a prodrug of treprostinil that has been formulated as an inhaled powder, termed TPIP, for evaluation in patients with pulmonary arterial hypertension. In these characterization studies we investigated the aerosol performance of TPIP in response to changes in capsule fill, device resistance, and inspiratory flow rate to enable selection of an inhaler for clinical use. Capsules containing 8, 16 or 32 mg of TPIP (80, 160, or 320 μg TP, respectively) were evaluated using four commercially-available, breath-actuated RS01 devices (Plastiape, S. p.A., Osnago, Italy) with low, medium, high or ultra-high inspiratory resistances, creating 12 different capsule and device configurations for evaluation. Aerosol characterization was performed using the next generation impactor at compendial conditions of 23°C and 35% relative humidity and a flow rate corresponding to a 4 kPa pressure drop. The aerosol mass median aerodynamic diameter, geometric standard deviation, fine particle fraction, emitted dose and fine particle dose (FPD) were calculated from the in vitro impactor data. The TP emitted dose at 4 kPa exceeded 75% for all 12 capsule and device configurations. The FPD, an estimate of the respirable dose, varied between 61.0 and 70.6% of the loaded TP dose for all four devices with the 8 and 16 mg TPIP capsule dose. For the 32 mg TPIP capsule dose, the FPD remained above 61.0% for the high and ultra-high resistance devices but decreased to 48.5 and 52.6% for the low and medium resistance devices, respectively. Based on this initial data, the high resistance device was selected for additional characterization studies at 40 and 80 L/min corresponding to pressure drops of 1.4 and 5.4 kPa. The FPD was relatively insensitive to changes in flow rate, providing an expectation of a consistent total lung dose of TP under scenarios simulating variability in how the device is used. Based on these findings, the high resistance device was chosen for further development in human clinical trials.
treprostiil palmitil (TP)是treprostiil的前药,已被配制成吸入粉末,称为TPIP,用于肺动脉高压患者的评估。在这些表征研究中,我们研究了TPIP的气溶胶性能对胶囊填充、装置阻力和吸入流速变化的响应,以便为临床使用选择吸入器。使用四种市售的呼吸驱动RS01装置(Plastiape, S. p.A, Osnago, Italy)对含有8、16或32 mg TPIP (TP分别为80、160或320 μg)的胶囊进行评估,这些装置具有低、中、高或超高吸气阻力,创建了12种不同的胶囊和设备配置进行评估。在23°C、35%相对湿度和4 kPa压降对应的流量条件下,使用下一代冲击器进行气溶胶表征。利用体外撞击器数据计算气溶胶质量中值气动直径、几何标准差、细颗粒分数、发射剂量和细颗粒剂量(FPD)。在4 kPa下,所有12种胶囊和装置的TP发射剂量均超过75%。在所有四种TPIP胶囊剂量为8和16 mg的设备中,FPD(可吸入剂量的估计值)在负载TP剂量的61.0和70.6%之间变化。在32 mg TPIP胶囊剂量下,高阻和超高阻装置的FPD保持在61.0%以上,而低阻和中阻装置的FPD分别下降到48.5%和52.6%。基于这些初始数据,选择高阻装置进行额外的表征研究,分别为40和80 L/min,对应于1.4和5.4 kPa的压降。FPD对流量变化相对不敏感,在模拟设备使用方式变化的情况下,提供一致的TP总肺剂量预期。基于这些发现,高耐药装置被选择用于人体临床试验的进一步发展。
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引用次数: 3
The Cell-Penetrating Peptide Tat Facilitates Effective Internalization of PSD-95 Inhibitors Into Blood–Brain Barrier Endothelial Cells but less Efficient Permeation Across the Blood–Brain Barrier In Vitro and In Vivo 细胞穿透肽可促进PSD-95抑制剂有效内化进入血脑屏障内皮细胞,但在体外和体内通过血脑屏障的效率较低
Pub Date : 2022-04-06 DOI: 10.3389/fddev.2022.854703
Emma Lisa Al Humaidan, Sidse Lund Pedersen, A. Burkhart, Charlotte L. M. Rasmussen, T. Moos, P. Fuchs, E. F. A. Fernandes, B. Ozgür, K. Strømgaard, A. Bach, B. Brodin, M. Kristensen
Inhibition of the interaction between the scaffolding protein PSD-95 and the NMDA receptor has been shown to obstruct ischemic stroke-triggered excitotoxic reactions, leading to neuronal death. The peptides NR2B9c and N-dimer are inhibitors of this interaction. Delivery of the peptides to the brain is challenging due to the general low blood–brain barrier (BBB) permeability. NR2B9c and N-dimer have therefore been conjugated to the cell-penetrating peptide (CPP) Tat, to facilitate blood–brain barrier permeation. However, the BBB permeation of Tat-NR2B9c and Tat-N-dimer has not been fully elucidated. We recently demonstrated that the BBB permeation in vitro and in vivo was lowered upon conjugation of NR2B9c or N-dimer to Tat. In the present study, we aimed to further understand the impact of cargo conjugation to Tat with respect to interaction with and permeation across the BBB in vitro and in vivo. The peptides were labeled with the fluorophore TAMRA (T) and demonstrated efficient Tat-mediated uptake into BBB endothelial cells but differed in their degree of plasma membrane interaction and embedding (T-Tat-NR2B9c = T-Tat > T-Tat-N-dimer) as well as in their chemical stability (T-Tat-N-dimer = T-Tat > T-Tat-NR2B9c). The Tat conjugates all displayed a similar degree of self-association and/or plasma protein adsorption. T-Tat-NR2B9c and T-Tat affected the BBB integrity but not the permeation of the paracellular marker C14-mannitol. T-Tat-NR2B9c and T-Tat-N-dimer displayed less efficient permeation across an in vitro model representing the healthy BBB, when compared to T-Tat, and low BBB permeation in healthy rats.
抑制支架蛋白PSD-95和NMDA受体之间的相互作用已被证明可以阻断缺血性中风引发的兴奋性毒性反应,导致神经元死亡。肽NR2B9c和N-二聚体是这种相互作用的抑制剂。由于血脑屏障(BBB)的通透性普遍较低,将肽输送到大脑具有挑战性。因此,NR2B9c和N-二聚体已与细胞穿透肽(CPP)Tat偶联,以促进血脑屏障渗透。然而,Tat-NR2B9c和Tat-N-二聚体的血脑屏障渗透尚未完全阐明。我们最近证明,当NR2B9c或N-二聚体与Tat结合时,体外和体内的血脑屏障渗透降低。在本研究中,我们旨在进一步了解在体外和体内与血脑屏障的相互作用和渗透方面,与Tat的货物结合的影响。这些肽用荧光团TAMRA(T)标记,并证明了Tat介导的有效摄取到血脑屏障内皮细胞中,但在它们的质膜相互作用和包埋程度(T-Tat-NR2B9c=T-Tat>T-Tat-N-二聚体)以及它们的化学稳定性(T-Tat-N二聚体=T-Tat>T-Tat-NR2B9c)方面存在差异。Tat缀合物均显示出相似程度的自缔合和/或血浆蛋白吸附。T-Tat-NR2B9c和T-Tat影响血脑屏障的完整性,但不影响细胞旁标志物C14甘露醇的渗透。与T-Tat相比,T-Tat-NR2B9c和T-Tat-N-二聚体在代表健康血脑屏障的体外模型中表现出较低的渗透效率,并且在健康大鼠中表现出低的血脑屏障渗透。
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引用次数: 2
Overcoming Blood-Brain Barrier Resistance: Implications for Extracellular Vesicle-Mediated Drug Brain Delivery 克服血脑屏障耐药性:细胞外囊泡介导的药物脑递送的意义
Pub Date : 2022-03-24 DOI: 10.3389/fddev.2022.855017
Jean Paul Dardet, Nelson Serrano, I. András, M. Toborek
Drug delivery across the blood–brain barrier (BBB) has several challenges, especially toward targeting neurological diseases, due to tight and selective barrier function of the BBB. Several structural and functional components of this barrier contribute to restricting drug entry, such as interendothelial tight junctions (TJs), efflux transporters, drug-metabolizing enzymes, and crosstalk between the cells of the neurovascular unit. Among different strategies to overcome BBB resistance to therapeutic drug delivery, the use of extracellular vesicles (EVs) gained attention in recent years. This review discusses the BBB structural and functional resistance, as well as potential avenues to overcome this challenge using EVs as drug delivery vehicles into the brain.
由于血脑屏障具有紧密和选择性的屏障功能,通过血脑屏障(BBB)进行药物递送有几个挑战,尤其是针对神经系统疾病。该屏障的几个结构和功能成分有助于限制药物进入,如内皮间紧密连接(TJs)、外排转运蛋白、药物代谢酶和神经血管单元细胞之间的串扰。在克服血脑屏障对治疗性药物递送耐药性的不同策略中,细胞外囊泡(EV)的使用近年来引起了人们的关注。这篇综述讨论了血脑屏障的结构和功能耐药性,以及使用电动汽车作为药物输送载体进入大脑克服这一挑战的潜在途径。
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引用次数: 5
Suboptimal Inspiratory Flow Rates With Passive Dry Powder Inhalers: Big Issue or Overstated Problem? 被动干粉吸入器的次优吸入流量:大问题还是被夸大了?
Pub Date : 2022-03-22 DOI: 10.3389/fddev.2022.855234
J. Weers
The maximum inspiratory pressure (MIP) that a subject can achieve through the mouthpiece of a “passive” dry powder inhaler (DPI) is driven chiefly by their inspiratory muscle strength (Clark, 2015). Muscle strength increases with age, peaking at about age 25, plateauing until about age 40, after which it steadily decreases. Males achieve greater MIP values than females, and increases in disease severity may further reduce MIP. When using DPIs, patients rarely inhale with maximal effort, instead achieving peak inspiratory pressures (PIP) that are about 40–80% of their MIP (Clark, 2015 and references therein). Based on these observations, current industry guidance is that passive DPIs are inherently flow rate dependent, and that young children and elderly patients may not be able to achieve the PIP or peak inspiratory flow rates (PIFR) necessary to effectively fluidize and disperse dry powders, especially during acute exacerbations (Laube et al., 2011). For patients with COPD, it has been suggested that: “If the PIFR is less than 60 L min the patient may not achieve optimal clinical benefit (with inhaled bronchodilators), and a different delivery system such as a metered dose or soft mist inhaler or nebulized therapy should be considered” (Mahler, 2017). Based on results of multiple breathing studies in COPD patients, it was further suggested that between 19 and 78% of stable outpatients, and 32–47% of in-patients prior to discharge after admission for an exacerbation, have a suboptimal PIFR <60 L min (Mahler et al., 2013; Mahler, 2017; Mahler, 2020). More recently, Mahler has taken the argument one step further, suggesting that PIFR be used as a therapeutic biomarker to guide delivery system selection, while dropping the optimal flow rate for high resistance DPIs to 30 L min (Mahler and Halpin, 2021). This opinion reviews the available literature regarding flow rate dependence of inhaled bronchodilators when administered with passive DPIs for the treatment of asthma and COPD.
受试者通过“被动”干粉吸入器(DPI)的吸口所能达到的最大吸气压力(MIP)主要由其吸气肌力量驱动(Clark, 2015)。肌肉力量随着年龄的增长而增加,在25岁左右达到顶峰,直到40岁左右趋于平稳,之后逐渐下降。男性的MIP值高于女性,疾病严重程度的增加可能进一步降低MIP。当使用dpi时,患者很少以最大的努力吸气,而是达到峰值吸气压力(PIP),约为其MIP的40-80% (Clark, 2015和其中的参考文献)。基于这些观察结果,目前的行业指导是,被动dpi固有地依赖于流量,幼儿和老年患者可能无法达到有效流化和分散干粉所需的PIP或峰值吸气流量(PIFR),特别是在急性加重期间(Laube等人,2011)。对于COPD患者,有研究表明:“如果PIFR小于60 L min,患者可能无法获得最佳临床获益(使用吸入式支气管扩张剂),应考虑使用不同的给药系统,如计量或软雾吸入器或雾化治疗”(Mahler, 2017)。基于COPD患者的多项呼吸研究结果,进一步表明,19 - 78%的稳定门诊患者和32-47%的住院患者在入院后加重出院前的PIFR <60 L min为次优(Mahler等,2013;马勒,2017;马勒,2020)。最近,Mahler进一步提出,PIFR可作为一种治疗性生物标志物来指导给药系统的选择,同时将高阻力dpi的最佳流速降至30 L min (Mahler和Halpin, 2021)。这一观点回顾了现有的关于被动dpi治疗哮喘和COPD时吸入支气管扩张剂流速依赖性的文献。
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引用次数: 2
Formulation of Dry Powders for Inhalation Comprising High Doses of a Poorly Soluble Hydrophobic Drug 含有高剂量难溶疏水药物的吸入用干粉制剂
Pub Date : 2022-03-15 DOI: 10.3389/fddev.2022.862336
T. Tarara, Danforth P Miller, Audrey E. Weers, Ariel R. Muliadi, J. Tso, A. Eliahu, J. Weers
Spray-dried formulations of a hydrophobic, crystalline drug, GDC-A, were prepared using the suspension-PulmoSphere™ technology. Increases in drug loading resulted in decreases in the primary particle size distribution and increases in tapped density. This enabled fine particle doses of up to 25 mg to be achieved with a portable dry powder inhaler from a size three capsule. The powders were physically and chemically stable, with no changes in physical form or degradants observed during processing or on storage in an open configuration at 40°C for 1 month. The potential benefits of the suspension-based spray drying process relative to solution-based spray drying in terms of stability, lung targeting, and safety/tolerability are discussed.
采用悬浮- pulmosphere™技术制备疏水结晶药物GDC-A喷雾干燥制剂。药物负荷的增加导致初级粒径分布的减小和疏通密度的增加。这使得使用便携式干粉吸入器从3号胶囊中获得高达25毫克的细颗粒剂量成为可能。粉末在物理和化学上都是稳定的,在加工过程中或在40°C的开放式环境中储存1个月,没有观察到物理形态的变化或降解。讨论了基于悬浮液的喷雾干燥工艺相对于基于溶液的喷雾干燥工艺在稳定性、肺靶向性和安全性/耐受性方面的潜在优势。
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引用次数: 6
Glioblastoma Vasculature: From its Critical Role in Tumor Survival to Relevant in Vitro Modelling 胶质母细胞瘤血管系统:从其在肿瘤存活中的关键作用到相关的体外建模
Pub Date : 2022-02-17 DOI: 10.3389/fddev.2022.823412
Catarina C. Pacheco, Cláudia Martins, J. Monteiro, F. Baltazar, B. Costa, B. Sarmento
Biochemical and biophysical cues governing glioblastoma (GBM) progression are complex and dynamic. Tumor blood vessels, often recognized only by their transport functions, are more deeply involved in this process. Vessels are involved in tumor immune evasion, matrix alterations and stem cell stimulation, contributing for tumor treatment resistance and patients’ poor survival. Given blood vessel complex and dynamic nature, they are hardly represented in conventional GBM monolayered in vitro models. However, other in vitro approaches, such as three-dimensional (3D) models, incorporating extracellular matrix (ECM), malignant and stromal cells, and promoting their communication, can resemble neovascularization, growing blood vessels in a tumor-like microenvironment. These models mimic GBM physiological architecture and key biochemical and biophysical environments, allowing the investigation of the impact of vascularization in tumor progression. For researchers in neuro-oncology field, 3D vascularized GBM models are of great interest. They are promising tools to evaluate individual driven neovascularization and identify mediators involved in those processes. Moreover, they may be used to test potential anti-GBM therapies targeting blood vessels or influenced by them. This review will discuss the significance of blood vessels in GBM and review novel 3D pre-clinical vascular models.
控制胶质母细胞瘤(GBM)进展的生化和生物物理线索是复杂和动态的。肿瘤血管通常仅通过其运输功能来识别,但它们更深入地参与了这一过程。血管参与肿瘤免疫逃避、基质改变和干细胞刺激,是肿瘤治疗耐药和患者生存差的原因之一。由于血管的复杂性和动态性,它们很难在传统的GBM单层体外模型中表现出来。然而,其他体外方法,如三维(3D)模型,结合细胞外基质(ECM)、恶性细胞和基质细胞,并促进它们的交流,可以在类似肿瘤的微环境中类似于新生血管的生长。这些模型模拟了GBM的生理结构和关键的生化和生物物理环境,允许研究血管化在肿瘤进展中的影响。神经肿瘤学领域的研究人员对三维血管化GBM模型非常感兴趣。它们是评估个体驱动的新生血管形成和识别这些过程中涉及的介质的有前途的工具。此外,它们可用于测试针对血管或受其影响的潜在抗gbm疗法。本文将讨论血管在GBM中的意义,并综述新的三维临床前血管模型。
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引用次数: 2
Optimization and Characterization of a Liposomal Azithromycin Formulation for Alternative Macrophage Activation. 阿奇霉素脂质体替代巨噬细胞活化配方的优化与表征。
Pub Date : 2022-01-01 Epub Date: 2022-07-05 DOI: 10.3389/fddev.2022.908709
Abdullah A Masud, Fahd M Alsharif, Jarrod W Creameans, Jasmine Perdeh, David J Feola, Vincent J Venditto

Liposomal azithromycin (L-AZM) promotes macrophage polarization toward an M2-like phenotype in the context of myocardial infarction that results in improved cardiovascular outcomes in mice. To improve upon this formulation, we sought to identify optimized formulation, stability, and biological activity parameters necessary to enhance the immunomodulatory activity and efficacy of L-AZM. While our parent formulation contains a mixture of long-chain saturated phosphatidylcholine and phosphatidylglycerol lipids, we evaluated a series of formulations with different amounts of unsaturated lipids and cholesterol with the goal of improving the loading capacity and stability of the formulations. We also introduce fusogenic lipids to improve the cytosolic delivery to enhance the immune modulatory properties of the drug. To achieve these goals, we initially prepared a library of 24 formulations using thin film hydration and assessed the resultant liposomes for size and polydispersity. Five lead formulations were identified based on low polydispersity (<0.3) and stability over time. The lead formulations were then evaluated for stability in serum using dialysis and macrophage polarization activity in vitro as measured by decreased IL-12 expression. Collectively, our data indicate that the formulation components drive the balance between encapsulation efficiency and stability and that all the lead liposomal formulations improve in vitro alternative macrophage activation as compared to free AZM.

在心肌梗死的情况下,脂质体阿奇霉素(L-AZM)促进巨噬细胞向m2样表型极化,从而改善小鼠心血管预后。为了改进这一配方,我们试图确定优化的配方、稳定性和生物活性参数,以提高L-AZM的免疫调节活性和功效。虽然我们的母体配方含有长链饱和磷脂酰胆碱和磷脂酰甘油脂的混合物,但我们评估了一系列含有不同数量的不饱和脂和胆固醇的配方,目的是提高配方的负载能力和稳定性。我们还引入了促聚变性脂质来改善胞质递送,以增强药物的免疫调节特性。为了实现这些目标,我们首先使用薄膜水合制备了一个包含24种配方的库,并评估了所得脂质体的大小和多分散性。根据低多分散性(通过降低IL-12表达来测定)鉴定出五种先导配方。总的来说,我们的数据表明,配方成分驱动了包封效率和稳定性之间的平衡,并且与游离AZM相比,所有铅脂质体配方都改善了体外替代巨噬细胞激活。
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引用次数: 0
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