用于骨修复的阿仑膦酸控制递送系统的研制

RAN Pub Date : 2016-04-01 DOI:10.11159/NDDTE16.103
A. Deca, I. Belu, O. Croitoru, J. Neamțu
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引用次数: 0

摘要

人们对设计骨靶向医疗递送系统以治疗多种骨疾病表现出极大的兴趣。这种方法确保药物释放到疾病部位[1]。此外,它允许通过传统途径递送生物利用度低的药物。这提高了患者的依从性,改善了骨相关疾病的临床结果[2]。鉴于羟基磷灰石是骨基质的主要成分,它代表了特定递送系统的靶标[3]。由于它们的结构是由两个与碳原子相连的膦酸盐基团组成,双膦酸盐对羟基磷灰石具有很高的亲和力。此外,它们增加成骨细胞增殖和破骨细胞凋亡,导致骨重塑[4]。阿仑膦酸盐是一种双膦酸盐,用于治疗和预防骨质疏松症、Paget病、原发性甲状旁腺功能亢进、骨转移、多发性骨髓瘤[5]。微颗粒介导的骨给药是一种很有前途的方法,它可以确保阿仑膦酸钠的高局部浓度和药物的可控释放[4,6]。Stadelmann等人最近进行的一项研究[7]表明,局部给药唑来膦酸钠会增加骨密度。聚乳酸-羟基乙酸(PLGA)是一种共聚物,由于其生物相容性和可生物降解性,被FDA批准在制药应用中是安全的。许多不同共聚物比例的PLGA化合物被用来设计具有不同性能的微粒[8]。本研究的目的是开发和优化一种基于plga -阿仑膦酸微颗粒的靶向骨组织递送装置。该载体系统具有较高的生物相容性和药物控释的优点。此外,它还具有可生物降解系统的优点[8,9]。首先,对微胶囊化工艺进行优化。制备PLGA微粒的技术有超临界流体萃取、挤压和喷雾干燥等[6]。然而,本研究的最佳方法是溶剂蒸发法。该方法采用水/油/水(w/o/w)双乳液制备微颗粒。我们最初制备了两种溶液:阿仑膦酸钠水溶液和PLGA有机溶液。用这些溶液形成初级乳液,将初级乳液倒入聚乙烯醇水溶液中,得到w/o/w双乳液。为了使溶剂蒸发并形成微粒,双乳液在室温下搅拌4小时。该方法获得的微颗粒还有待进一步表征,以评估其大小分布、包封效率、形态和药物释放特征。同时,通过改变制备条件、共聚物比例和降解速率,可以调节微颗粒的载药量[1]。在第二步中,优化的阿仑膦酸负载微颗粒将用于开发对骨组织具有高亲和力的植入物。综上所述,该系统可以改善阿仑膦酸钠的局部递送,在骨修复中具有很大的应用潜力。
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Development of an Alendronate Controlled Delivery System for Bone Repair Applications
Extended Abstract A great interest has been shown towards designing bone targeted medical delivery systems for the treatment of several bone disorders. This approach ensures the release of the drug to the site of the disease [1]. Moreover, it allows delivery of drugs that have low bioavailability when administrated by conventional routes. This leads to enhanced patient adherence and an improved clinical outcome of bone related diseases [2]. Given that hydroxyapatite is a major component of the bone matrix, it represents a target for specific delivery systems [3]. Due to their structure which consists in two phosphonates groups linked to a carbon atom, bisphosphonates show a high affinity for hydroxyapatite. Furthermore they increase both osteoblast proliferation and osteoclast apoptosis leading to bone remodeling [4]. Alendronate is a bisphosphonate used in the treatment and prevention of osteoporosis, Paget's disease, primary hyperparathyroidism, bone metastasis, multiple myeloma [5]. Microparticle-mediated drug delivery to the bone is a promising approach which ensures a high local alendronate concentration and a controlled release of the drug [4, 6]. A recent study conducted by Stadelmann et al. [7] shows an increase in bone density when zoledronate was locally delivered. Poly lactic-co-glycolic acid (PLGA) is a copolymer approved to be safe in pharmaceutical applications by the FDA due to its biocompatibility and biodegradability. A number of PLGA compounds with different copolymer ratio are used to design microparticles with various properties [8]. The aim of the study is to develop and optimize a PLGA-alendronate microparticles based delivery device, designed to target the bone tissue. This carrier system has the advantages of a high biocompatibility and a controlled release of the incorporated drug. Furthermore, it has the benefit of being a biodegradable system [8, 9]. In a first step, the microencapsulation process is to be optimized. There are a number of techniques for PLGA microparticles preparation such as supercritical fluid extraction, extrusion and spray drying [6]. However, the method optimized for this study is the solvent evaporation method. Using this method the microparticles are prepared via a water/oil/water (w/o/w) double emulsion. Initially we prepared two solutions: the alendronate aqueous solution and the PLGA organic solution. The solutions were used to form the primary emulsion which was poured into a polyvinyl alcohol aqueous solution resulting into the w/o/w double emulsion. In order to evaporate the solvent and form the microparticles, the double emulsion was stirred at room temperature for 4 hours. The microparticles obtained following this method remain to be furthermore characterized in order to evaluate the size distribution, entrapment efficiency, morphology and drug release profile. Also, by altering the manufacturing conditions, copolymer ratio and degradation rate, the microparticles drug loading can be adjusted [1]. In a second step, the optimized alendronate loaded microparticles are to be used to develop an implant with high affinity for bone tissue. In conclusion, this system could improve the local delivery of alendronate and have a high potential in bone repair applications.
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