用于治疗阿尔茨海默病的盐酸多奈哌齐纳米结构脂质载体。

Avinash Tekade, Ram Susar, Gajanan Kulkarni, Samiksha Surwade, Anil Gaikwad
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引用次数: 0

摘要

背景:阿尔茨海默病(AD)是一种长期的脑部疾病,会随着时间的推移而恶化。一种名为盐酸多奈哌齐(DNZ)的胆碱酯酶抑制剂被用于治疗和控制阿尔茨海默病。由于其无法在脑细胞中达到适当浓度,口服给药的疗效有限,因此有必要研究其他给药途径:本研究的目的是开发可绕过血脑屏障、通过鼻腔直接输送到大脑的盐酸多奈哌齐纳米结构脂质载体(NLCs)。这种方法提高了药物在作用部位的可用性,减少了口服药物的负面影响,并确保快速起效:方法:使用高压均质和超声波配制 NLC。采用单硬脂酸甘油酯(GMS)作为固体脂质,吐温 80 作为表面活性剂,Poloxamer 407 作为辅助表面活性剂。在这项研究中,摩洛哥坚果油被用作液体脂质和渗透增强剂:结果:所选 NLC 的粒径为 137.34 ± 0.79 nm,PDI 为 0.365 ± 0.03,zeta 电位为 -10.4 mV。所选制剂的包埋效率为 84.05 ± 1.30%,药物含量为 77.02 ± 0.23%。静脉注射和鼻内注射 DNZ NLCs 1 小时后,大脑中的药物浓度分别为 0.490 ± 0.007 和 4.287 ± 0.115。因此,DNZ NLCs 经鼻内给药后在大脑中的浓度约为静脉给药浓度的 9 倍:结论:经鼻腔给药的负载 DNZ 的 NLCs 显著提高了药物在大脑中的可用性,这表明这是一种治疗阿尔茨海默病的高效给药策略。
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Nanostructured Lipid Carriers of Donepezil Hydrochloride for the Treatment of Alzheimer's Disease.

Background: Alzheimer's Disease (AD) is a long-term brain disorder that worsens over time. A cholinesterase inhibitor called Donepezil HCl (DNZ) is used to treat and control AD. Due to its failure to reach the appropriate concentration in the brain cells, its efficacy upon oral administration is limited, and thus investigation of alternative administration route is necessary.

Objective: The objective of this study was to develop donepezil HCl-loaded Nanostructured Lipid Carriers (NLCs) that can bypass the blood-brain barrier and thus be directly delivered to the brain through the nasal route. This method improves availability at the site of action, reduces the negative effects of oral medication, and ensures an expedited commencement of action.

Method: High-pressure homogenization and ultrasonication were used to formulate NLCs. Glyceryl Monostearate (GMS) as a solid lipid, Tween 80 as a surfactant, and Poloxamer 407 as a co-- surfactant were used. In this study, argan oil was employed as a liquid lipid as well as a penetration enhancer.

Results: The chosen NLCs displayed a particle size of 137.34 ± 0.79 nm, a PDI of 0.365 ± 0.03, and a zeta potential of -10.4 mV. The selected formulation showed an entrapment efficiency of 84.05 ± 1.30% and a drug content of 77.02 ± 0.23%. The concentration of the drug in the brain after intravenous and intranasal administration of DNZ NLCs at 1 h was found to be 0.490 ± 0.007 and 4.287 ± 0.115, respectively. Thus, the concentration of DNZ achieved in the brain after intranasal administration of DNZ NLCs was approximately 9 times more than the concentration when administered by intravenous route.

Conclusion: The DNZ-loaded NLCs, when administered via nasal route, showed markedly improved drug availability in the brain, suggesting an efficient drug delivery strategy to treat Alzheimer's disease.

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