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1.
Biomaterials ; 35(24): 6636-45, 2014 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-24818881

RESUMEN

Antimalarial therapy is a major contributor to declining malaria morbidity and mortality. However, the high toxicity and low bioavailability of current antimalarials and emerging drug resistance necessitates drug-delivery research. We have previously developed glyceryl-dilaurate nanolipid carriers (GDL-NLCs) for antimalarial drug delivery. Here, we show evidence that GDL-NLCs themselves selectively target Plasmodium-infected red blood cells (iRBCs), and cause severe parasite impairment. The glyceryl-dilaurate lipid-moiety was important in the targeting. GDL-NLCs localized to the parasite mitochondrion and uptake led to mitochondrial-membrane polarization and Ca(2+) ion accumulation, ROS release, and stage-specific iRBC lysis. GDL-NLC treatment also resulted in externalization of iRBC-membrane phosphatidylserine and enhanced iRBC clearance by macrophages. GDL-NLC uptake disrupted the parasite-induced tubulovesicular network, which is vital for nutrient import by the parasite. Laser optical trap studies revealed that GDL-NLCs also restored iRBC flexibility. Such restoration of iRBC flexibility may help mitigate the vasculature clogging that can lead to cerebral malaria. We demonstrate the suitability of GDL-NLCs for intravenous delivery of antimalarial combinations artemether-clindamycin and artemether-lumefantrine in the murine model. Complete parasite clearance was achieved at 5-20% of the therapeutic dose of these combinations. Thus, this nanostructured lipid formulation can solubilize lipophilic drugs, selectively target and impair the parasite-infected red cell, and therefore constitutes a potent delivery vehicle for antimalarials.


Asunto(s)
Antimaláricos/farmacología , Diglicéridos/farmacología , Eritrocitos/parasitología , Glicerol/farmacología , Lípidos/química , Nanoestructuras/química , Parásitos/efectos de los fármacos , Plasmodium/efectos de los fármacos , Animales , Línea Celular , Portadores de Fármacos , Sistemas de Liberación de Medicamentos , Endocitosis , Eritrocitos/efectos de los fármacos , Fluorescencia , Cinética , Malaria , Masculino , Ratones , Nanoestructuras/ultraestructura , Tamaño de la Partícula , Electricidad Estática
2.
Pharmacol Res ; 62(2): 166-78, 2010 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-20153429

RESUMEN

With an increase in lifespan and changing population demographics, the incidence of central nervous system (CNS) diseases is expected to increase significantly in the 21st century. Contrary to common belief, it is recognized that neurodegenerative diseases may be multisystemic in nature and this presents numerous difficulties for the potential treatment of these disorders. This review focuses on applications in the nano-delivery of therapeutic agents across the blood-brain barrier. We explore various types of nanoparticles, ranging from polymerics to liposomes. A brief discussion of the pharmacokinetic parameters and specific targeting strategies of these nanoparticles follows, presenting suggestions for the mechanisms of cellular and intracellular uptake and possible toxicity considerations of nanoparticles.


Asunto(s)
Barrera Hematoencefálica/metabolismo , Nanomedicina/métodos , Nanopartículas/química , Enfermedades Neurodegenerativas/tratamiento farmacológico , Preparaciones Farmacéuticas/administración & dosificación , Animales , Transporte Biológico , Barrera Hematoencefálica/citología , Humanos , Nanopartículas/efectos adversos
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