开发和评估用于治疗幽门螺旋杆菌感染的新型阿莫西林和植酸胃粘膜黏附性果胶微粒

IF 2.7 4区 医学 Q2 PHARMACOLOGY & PHARMACY Journal of Pharmaceutical Innovation Pub Date : 2024-02-17 DOI:10.1007/s12247-024-09820-2
Ajit Mishra, Debalina Maity, Deepak Pradhan, Jitu Halder, Tushar Kanti Rajwar, Vineet Kumar Rai, Manoj Kumar Sarangi, Salim Manoharadas, Manish Ramchandani, Amit Goyal, Biswakanth Kar, Goutam Ghosh, Goutam Rath
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引用次数: 0

摘要

摘要 目的 阿莫西林是一种广泛用于治疗幽门螺杆菌感染的药物,但由于抗菌药耐药性的增加,阿莫西林的疗效正变得越来越差。阿莫西林在胃液中的稳定性差以及幽门螺杆菌对阿莫西林的耐药性对阿莫西林的疗效产生了负面影响。植酸具有金属螯合能力,因此已被证明能提高辅助抗菌药的抗菌效果。胃泌素给药载体具有较长的胃停留时间和控制药物释放的特性,是治疗胃病的一种可行方法。 方法 在目前的研究中,通过离子凝胶技术制备了阿莫西林和植酸负载的苯扎氯铵(BAC)交联果胶微颗粒,收率为 83.65 ± 3.12%。根据药物释放曲线、药物降解、渗透、粘附、β-内酰胺酶抑制、体外抗菌活性、体内胃保留、体内胃保护和体外细胞毒性参数对微颗粒进行了评估,以确保其治疗效果。 结果 根据硅学研究预测,植酸与β-内酰胺酶的结合亲和力(- 5.752 kcal/mol)高于克拉维酸(- 4.870 kcal/mol)。微颗粒的夹持效率为 85.21 ± 1.12%,粘附性良好(约 40%),具有较高的胃稳定性和持续释放性(14 小时内释放约 82%)。扫描电子显微镜(SEM)检查显示颗粒为非球形,表面多孔。傅立叶变换红外光谱和 DSC 分析表明,药物与聚合物基质之间没有相互作用。与纯药物(18.33 ± 1.69)相比,微粒具有更高的β-内酰胺酶抑制潜力和抑制区(27.66 ± 2.49 mm)。X 射线照相术研究表明,制备的微粒在胃中的存留时间超过 4 小时。 图表摘要
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Development and Evaluation of Novel Amoxicillin and Phytic Acid-Loaded Gastro-Retentive Mucoadhesive Pectin Microparticles for the Management of Helicobacter pylori Infections

Purpose

Amoxicillin, a treatment option widely employed against H. pylori infection, is becoming ineffective due to the rising antimicrobial resistance. The poor stability of amoxicillin in gastric juice, as well as amoxicillin resistance in H. pylori, has a negative impact on amoxicillin’s therapeutic efficacy. Because of its metal chelating capacity, phytic acid has been shown to improve the antibacterial effectiveness of adjunct antimicrobials. Gastroretentive drug delivery carriers present a viable approach for treating gastric conditions owing to their higher gastric residence time and controlled drug release properties.

Methods

In the current investigation, amoxicillin and phytic acid loaded benzalkonium chloride (BAC) cross-linked pectin microparticles were prepared via ionic gelation technique with 83.65 ± 3.12% yield. Microparticles were evaluated based on drug release profile, drug degradation, permeation, mucoadhesion, β-lactamase inhibition, in vitro antimicrobial activity, in vivo gastro retention, in vivo gastroprotection and in vitro cytotoxicity parameters to ensure their therapeutic outcomes.

Results

In silico investigation predicted higher binding affinity (− 5.752 kcal/mol) of phytic acid with β-lactamase enzyme than clavulanic acid (− 4.870 kcal/mol). The microparticles that demonstrated 85.21 ± 1.12% entrapment efficiency and good mucoadhesive profile (~ 40%) showed high gastric stability and sustained release profile (~ 82% release in 14 h). SEM examination portrayed non-spherical particles with porous surfaces. FTIR and DSC analyses revealed no interaction between the drug and the polymer matrix. Microparticles were found to have superior β-lactamase inhibition potential and higher zone of inhibition (27.66 ± 2.49 mm)) compared with pure drug (18.33 ± 1.69). X-ray radiography study indicated that the prepared microparticles retained in the stomach for over 4 h.

Conclusion

In conclusion, provided with tremendous improvement in the drug’s stability in the gastric environment, these microparticles pose a viable option in the treatment of H. pylori infections.

Graphical Abstract

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来源期刊
Journal of Pharmaceutical Innovation
Journal of Pharmaceutical Innovation PHARMACOLOGY & PHARMACY-
CiteScore
3.70
自引率
3.80%
发文量
90
审稿时长
>12 weeks
期刊介绍: The Journal of Pharmaceutical Innovation (JPI), is an international, multidisciplinary peer-reviewed scientific journal dedicated to publishing high quality papers emphasizing innovative research and applied technologies within the pharmaceutical and biotechnology industries. JPI''s goal is to be the premier communication vehicle for the critical body of knowledge that is needed for scientific evolution and technical innovation, from R&D to market. Topics will fall under the following categories: Materials science, Product design, Process design, optimization, automation and control, Facilities; Information management, Regulatory policy and strategy, Supply chain developments , Education and professional development, Journal of Pharmaceutical Innovation publishes four issues a year.
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