机构地区:[1]南通大学附属南通第三医院感染二科,南通市226006 [2]南通大学公共卫生学院,南通市226019
出 处:《中华实验和临床感染病杂志(电子版)》2023年第2期125-132,共8页Chinese Journal of Experimental and Clinical Infectious Diseases(Electronic Edition)
基 金:南通市市级科技计划项目(No.MSZ20172);南通市卫生健康委员会科研立项课题(No.MA2019007)。
摘 要:目的开发抗人类免疫缺陷病毒(HIV)纳米药物递送系统和释放方式,改善抗HIV药物的生物利用度,并减少不良反应。方法通过水油水乳化和蒸发技术,抗病毒药物依非韦伦、替诺福韦酯和拉米夫定(重量比2︰1︰1)与聚乳酸-羟基乙酸共聚物(PLGA)及壳聚糖混合制备PLGA和聚乳酸-羟基乙酸共聚物-壳聚糖(PLGA-CS)载药纳米颗粒。PLGA和PLGA-CS载药纳米颗粒的粒径、多分散性分布指数和ζ-电位等进行表征,应用高效液相色谱(HPLC)探讨PLGA和PLGA-CS药物载量、包封率和药物释放,体外细胞试验分析生物相容性和细胞毒性。结果PLGA-CS和PLGA颗粒粒径均一性好,经CS修饰PLGA-CS粒径由(198.2±2.3)nm增加至(219.8±6.5)nm,且与扫描电子显微镜(SEM)结果一致。经CS修饰后ζ-电位由(-25±1.6)mV增加至(23.5±1.9)mV。抗病毒药物包封效率由49%~52%增加至68%~77%。4℃和25℃下存储2个月PLGA-CS纳米颗粒药物保持量均>90%,提示PLGA-CS载药纳米颗粒稳定性好。PLGA-CS初始暴发性释放减少,24 h内释放不足20%,与PLGA相比PLGA-CS的释放更长久。MTT实验发现,与PLGA-CS共培养的细胞活力均>91.2%,且不依赖纳米颗粒浓度,提示PLGA-CS细胞毒性低生物相容性高。结论PLGA-CS对抗HIV药物封装率高、稳定性好、无毒,且具有持续释放药物和增强药物疗效的优点,这为HIV感染者临床给药提供了一种新思路。Objective To develop a new nano-drug delivery system,to improve bioavailability and reduce adverse effect of antiretroviral drugs for human immunodeficiency virus(HIV).Methods Nanodrug delivery system produced by awater-oil-water emulsion and solvent evaporation technique was prepared by mixing anti-viral drug:efavirenz(EFV),tenofovir(TDF)and lamivudine(LAM)(weight ratio of 2︰1︰1)with poly(lactic-co-glycolic acid)(PLGA)and PLGA-chitosan(PLGA-CS).The drug-loaded nanoparticles were characterized for their particle size,poly-dispersity index andζ-potential.The drug loading,encapsulation efficiency and drug release of PLGA and PLGA-CS nanoparticles were analyzed by high-performance liquid chromatography(HPLC).In vitro,cell viability was performed to evaluate biocompatibility and cytotoxicity.Results Both PLGA-CS and PLGA nanoparticles exhibit good uniformity in particle size.Due to be coated with CS,the particle size of PLGA-CS nanoparticle was increased from(198.2±2.3)nm to(219.8±6.5)nm;theζ-potential was increased from(-25.0±1.6)mV to(23.5±1.9)mV;drug encapsulation efficiency was increased from 49%-52%to 68%-77%.After a 2-month storage at 4℃or 25℃,the drug retention of PLGA-CS nanoparticles remained above 90%.These results confirmed the excellent stability of PLGA-CS nanoparticles.The initial burst release of the antiretroviral drug from PLGA-CS nanoparticles exhibited a significant reduction,with the drug release remaining below 20%within 24 hours.The results in vitro studies pointed to the prolonged antiviral activity of AR-PLGA-CS.The stability of PLGA-CS was better than PLGA.Regardless of the concentration of PLGA-CS nanoparticles,the MTT assay showed that the cell viability was higher than 90%.This result indicated that PLGA-CS nanoparticles have low toxicity and excellent biocompatibility.Conclusions PLGA-CS nanoparticles exhibited high drug encapsulation efficiency,excellent stability,and the capacity of sustained drug release and enhanced therapeutic efficacy.This provides a new way for the cl
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