万古霉素新型脂质体制剂的研制及稳定性研究。

Krishna Muppidi, Andrew S Pumerantz, Jeffrey Wang, Guru Betageri
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引用次数: 72

摘要

靶向治疗是提高抗菌药物治疗效率的一种有前景的策略。尽管万古霉素被认为是治疗MRSA肺炎的金标准,但由于其缓慢的、时间依赖性的杀菌活性、不同的肺组织穿透性和对巨噬细胞的细胞内穿透性差,临床失败率也有报道。与标准制剂相比,脂质体包封作为抗微生物药物递送到感染组织巨噬细胞的替代方法,具有增强的药效学、药代动力学和降低的毒性。本工作的目的是用不同的方法制备万古霉素两种不同的脂质体制剂,常规脂质体和聚乙二醇脂质体。对制备的配方进行了粒径、包封效率和物理稳定性的优化。脱水-复水法是最佳的制备方法。结果表明,常规脂质体和聚乙二醇化脂质体均具有较窄的粒径和粒径分布,包封率分别为9±2和12±3。两种制剂在4℃下稳定3个月。这些制剂成功地用于评估其细胞内MRSA杀伤和体内药代动力学和生物分布研究。
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Development and stability studies of novel liposomal vancomycin formulations.

A promising strategy to improve the therapeutic efficiency of antimicrobial agents is targeted therapy. Although vancomycin has been considered a gold standard for the therapy of MRSA pneumonia, clinical failure rates have also been reported owing to its slow, time-dependent bactericidal activity, variable lung tissue penetration and poor intracellular penetration into macrophages. Liposomal encapsulation has been established as an alternative for antimicrobial delivery to infected tissue macrophages and offers enhanced pharmacodynamics, pharmacokinetics and decreased toxicity compared to standard preparations. The aim of the present work is to prepare vancomycin in two different liposomal formulations, conventional and PEGylated liposomes using different methods. The prepared formulations were optimized for their particle size, encapsulation efficiency and physical stability. The dehydration-rehydration was found to be the best preparation method. Both the conventional and PEGylated liposomal formulations were successfully formulated with a narrow particle size and size distribution and % encapsulation efficiency of 9 ± 2 and 12 ± 3, respectively. Both the formulations were stable at 4°C for 3 months. These formulations were successfully used to evaluate for their intracellular killing of MRSA and in vivo pharmacokinetic and bio-distribution studies.

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