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1.
Mol Pharm ; 16(3): 1009-1024, 2019 03 04.
Article in English | MEDLINE | ID: mdl-30698450

ABSTRACT

Despite advances in cancer therapies, glioblastoma multiforme treatment remains inefficient due to the brain-blood barrier (BBB) inhibitory activity and to the low temozolomide (TMZ) chemotherapeutic selectivity. To improve therapeutic outcomes, in this work we propose two strategies, (i) photodynamic therapy (PDT) as adjuvant treatment and (ii) engineering of multifunctional theranostic/targeted nanoparticles ( m-NPs) that integrate biotin as a targeting moiety with rhodamine-B as a theranostic agent in pluronic P85/F127 copolymers. These smart m-NPs can surmount the BBB and coencapsulate multiple cargoes under optimized conditions. Overall, the present study conducts a rational m-NP design, characterization, and optimizes the formulation conditions. Confocal microscopy studies on T98-G, U87-MG, and U343 glioblastoma cells and on NIH-3T3 normal fibroblast cells show that the m-NPs and the encapsulated drugs are selectively taken up by tumor cells presenting a broad intracellular distribution. The formulations display no toxicity in the absence of light and are not toxic to healthy cells, but they exert a robust synergic action in cancer cells in the case of concomitant PDT/TMZ treatment, especially at low TMZ concentrations and higher light doses, as demonstrated by nonlinear dose-effect curves based on the Chou-Talalay method. The results evidenced different mechanisms of action related to the disjoint cell cycle phases at the optimal PDT/TMZ ratio. This effect favors synergism between the PDT and the chemotherapy with TMZ, enhances the antiproliferative effect, and overcomes cross-resistance mechanisms. These results point out that m-NP-based PDT adjuvant therapy is a promising strategy to improve TMZ-based glioblastoma multiforme treatments.


Subject(s)
Brain Neoplasms/drug therapy , Chemotherapy, Adjuvant/methods , Drug Compounding/methods , Glioblastoma/drug therapy , Nanoparticles/chemistry , Temozolomide/therapeutic use , Verteporfin/therapeutic use , Animals , Brain Neoplasms/pathology , Cell Cycle Checkpoints/drug effects , Cell Line, Tumor , Cell Survival/drug effects , Drug Liberation , Drug Stability , Drug Synergism , Glioblastoma/pathology , Humans , Mice , Microscopy, Atomic Force , Microscopy, Confocal , NIH 3T3 Cells , Particle Size , Poloxalene/chemistry , Rhodamines/chemistry
2.
Int J Biol Macromol ; 120(Pt B): 2418-2430, 2018 Dec.
Article in English | MEDLINE | ID: mdl-30195611

ABSTRACT

Development of curcumin-loaded mixed polymeric micelles based on chitosan, alginate, maltodextrin, pluronic F127, pluronic P123, and tween 80, by thin-film hydration method has been investigated in Bisphenol A induced diabetics rats. Curcumin (C21H20O6) extracted from rhizomes of the "Curcuma longa" has attracted considerable attention of pharmaceutical researchers due to its low cost, excellent pharmacological activities and lesser side effects. Despite its diverse pharmacological properties, the therapeutic application of curcumin as an oral therapy has been limited due to its poor aqueous solubility, fixed chemical stability, and low bioavailability. In an attempt to overcome these limitations, we developed curcumin-loaded mixed polymeric micelles. Diabetes mellitus is a most common chronic carbohydrate metabolic disorder. The results clearly demonstrated the ability of developed formulation to reduce the elevated blood glucose level and lipid profile (total cholesterol, triglycerides). It maintained the body-weight, HDL cholesterol level, various biochemical parameters and accelerated the wound healing process when treated with these curcumin-based formulations. The treatment of curcumin loaded mixed polymeric formulations allowed a favorable inhibitory effect to these histopathological changes of liver, kidney, and pancreas. The newly developed curcumin-based formulations have proved superior therapeutic potential and excellent healing efficacy as compared to standard drugs and pure curcumin.


Subject(s)
Alginates/chemistry , Chitosan/chemistry , Curcumin/chemistry , Poloxalene/chemistry , Poloxamer/chemistry , Polysaccharides/chemistry , Wound Healing/drug effects , Animals , Biological Availability , Blood Glucose/metabolism , Curcumin/pharmacokinetics , Curcumin/pharmacology , Curcumin/therapeutic use , Diabetes Mellitus, Type 2/blood , Diabetes Mellitus, Type 2/drug therapy , Diabetes Mellitus, Type 2/pathology , Drug Carriers/chemistry , Hypoglycemic Agents/chemistry , Hypoglycemic Agents/pharmacokinetics , Hypoglycemic Agents/pharmacology , Hypoglycemic Agents/therapeutic use , Insulin-Secreting Cells/drug effects , Insulin-Secreting Cells/pathology , Micelles , Polysorbates/chemistry , Rats
3.
Mater Sci Eng C Mater Biol Appl ; 91: 395-403, 2018 Oct 01.
Article in English | MEDLINE | ID: mdl-30033270

ABSTRACT

Although sorafenib (SFB) showed improved efficacy and much reduced the side effects in clinical liver cancer therapy, its therapeutic efficacy was still greatly limited due to short half-life in vivo as well as drug resistance. To solve these problems, we developed a novel SFB-loaded polymeric nanoparticle for targeted therapy of liver cancer. This polymeric nanoparticle, referred to NP-SFB-Ab, was fabricated from self-assembly of biodegradable block copolymers TPGS-b-poly(caprolactone) (TPGS-b-PCL) and Pluronic P123 and drug SFB, followed by conjugating the anti-GPC3 antibody. NP-SFB-Ab showed robust stability and achieve excellent SFB release in cell medium. The CLSM demonstrated that the Ab-conjugated NP exhibited much higher cellular uptake in HepG2 human liver cells than non-targeted NP. The MTT assay also confirmed that NP-SFB-Ab caused much greater cytotoxicity than non-targeted NP-SFB and free SFB. Finally, NP-SFB-Ab was proved to greatly inhibit the tumor growth of HepG2 xenograft-bearing nude mice without obvious side effects. Therefore, this NP-SFB-Ab provides a promising new approach for targeted therapy of hepatocellular carcinoma.


Subject(s)
Antineoplastic Agents, Immunological , Carcinoma, Hepatocellular/drug therapy , Drug Delivery Systems/methods , Liver Neoplasms/drug therapy , Nanoparticles , Poloxalene , Polyesters , Sorafenib , Animals , Antineoplastic Agents, Immunological/chemistry , Antineoplastic Agents, Immunological/pharmacology , Carcinoma, Hepatocellular/metabolism , Carcinoma, Hepatocellular/pathology , HeLa Cells , Hep G2 Cells , Humans , Liver Neoplasms/metabolism , Liver Neoplasms/pathology , Mice , Mice, Nude , Nanoparticles/chemistry , Nanoparticles/therapeutic use , Poloxalene/chemistry , Poloxalene/pharmacology , Polyesters/chemistry , Polyesters/pharmacology , Sorafenib/chemistry , Sorafenib/pharmacology , Xenograft Model Antitumor Assays
4.
J Biomed Mater Res A ; 106(6): 1614-1625, 2018 06.
Article in English | MEDLINE | ID: mdl-29377525

ABSTRACT

The aim of this study was to evaluate the chemical reactivity of 58S mesoporous bioactive glass (MBG) particles in as-synthesized condition and after embedding propolis and cranberry antibiofilm compounds at different concentrations. MBG 58S was synthesized by alkali sol-gel method with the addition of the triblock pluronic copolymer P123 as surfactant. Samples were characterized by physicochemical properties measurement, N2 adsorption/desorption analysis, and field emission gun scanning electron microscopy (FEGSEM) observations. MBG powders were immersed into 5 and 10 µg/mL propolis or cranberry solutions for 24 h. The chemical reactivity of the specimens was evaluated by FEGSEM, EDX, FTIR, Ca/P ratio, XRD, and sample weight gain analysis after being immersed in simulated body fluid (SBF) for 8, 24, and 72 h. MBG particles exhibited the expected chemical composition with a particle size distribution ranging from 1.44 to 955 µm, and a mean particle size of 154 µm. MBG particles exhibited a pore volume of 0.8 cc/g, pore radius of ∼2 nm, and surface area of 350.2 m2 /g, according to BJH and BET analyses. A hydroxyl-carbonate apatite (HCAp) layer was formed on all samples after SBF immersion for 72 h. Pure MBG showed the highest chemical reactivity after 72 h, with the resulting apatite layer exhibiting a Ca/P ratio of ∼1.6 in accordance to stoichiometric biological apatite. MBG embedding propolis and cranberry can be considered for future microbiological analysis since the presence of propolis or cranberry did not interfere with MBG's ability to develop a HCAp layer, which is an essential feature for bone regeneration applications. © 2018 Wiley Periodicals, Inc. J Biomed Mater Res Part A: 106A: 1614-1625, 2018.


Subject(s)
Anti-Infective Agents/administration & dosage , Bone Substitutes/chemistry , Glass/chemistry , Plant Extracts/administration & dosage , Propolis/administration & dosage , Apatites/chemistry , Humans , Phase Transition , Poloxalene/chemistry , Porosity , Surface-Active Agents/chemistry , Vaccinium macrocarpon/chemistry
5.
Int J Nanomedicine ; 13: 31-41, 2018.
Article in English | MEDLINE | ID: mdl-29296084

ABSTRACT

Formation of a dental biofilm by Streptococcus mutans can cause dental caries, and remains a costly health problem worldwide. Recently, there has been a growing interest in the use of peptidic drugs, such as peptide p1025, analogous to the fragments 1025-1044 of S. mutans cellular adhesin, responsible for the adhesion and formation of dental biofilm. However, peptides have physicochemical characteristics that may affect their biological action, limiting their clinical performance. Therefore, drug-delivery systems, such as a bioadhesive liquid-crystalline system (LCS), may be attractive strategies for peptide delivery. Potentiation of the action of LCS can be achieved with the use of bioadhesive polymers to prolong their residence on the teeth. In line with this, three formulations - polyoxypropylene-(5)-polyoxyethylene-(20)-cetyl alcohol, oleic acid, and Carbopol C974P in different combinations (F1C, F2C, and F3C) were developed to observe the influence of water in the LCS, with the aim of achieving in situ gelling in the oral environment. These formulations were assessed by polarized light microscopy, small-angle X-ray scattering, rheological analysis, and in vitro bioadhesion analysis. Then, p1025 and a control (chlorhexidine) were incorporated into the aqueous phase of the formulation (F + p1025 and F + chlorhexidine), to determine their antibiofilm effect and toxicity on epithelial cells. Polarized light microscopy and small-angle X-ray scattering showed that F1C and F2C were LCS, whereas F3C was a microemulsion. F1C and F2C showed pseudoplastic behavior and F3C Newtonian behavior. F1C showed the highest elastic and bioadhesive characteristics compared to other formulations. Antibiofilm effects were observed for F + p1025 when applied in the surface-bound salivary phase. The p1025-loaded nanostructured LCS presented limited cytotoxicity and effectively reduced S. mutans biofilm formation, and could be a promising p1025-delivery strategy to prevent the formation of S. mutans dental biofilm.


Subject(s)
Bacterial Proteins/pharmacology , Drug Delivery Systems/methods , Liquid Crystals/chemistry , Streptococcus mutans/drug effects , Animals , Bacterial Proteins/administration & dosage , Biofilms/drug effects , Cattle , Dental Caries/prevention & control , Drug Evaluation, Preclinical/methods , Emulsions/chemistry , Fatty Alcohols/chemistry , Humans , Nanostructures/administration & dosage , Nanostructures/chemistry , Poloxalene/chemistry , Rheology , Scattering, Small Angle , Streptococcus mutans/pathogenicity
6.
Mol Pharm ; 14(10): 3331-3342, 2017 10 02.
Article in English | MEDLINE | ID: mdl-28806519

ABSTRACT

Overexpression of the drug efflux transporter multidrug resistance-associated protein 2 (MRP2) in the gastrointestinal tract and blood-brain barrier compromises the oral delivery of drugs to the circulation system and brain in the treatment of Parkinson's disease (PD). In this study, we aim to develop small-sized Pluronic P85/F68 micelles loaded with baicalein (B-MCs) to overcome MRP2-mediated efflux and to investigate related mechanism, as well as the anti-Parkinsonian efficacy. Spherical and sustained-release B-MCs have a mean particle size of 40.61 nm, a low critical micelle concentration (CMC) of 5.01 × 10-3 mg/mL with an encapsulation efficiency of 95.47% and a drug loading of 7.07%. In comparison with the free baicalein, the cellular uptake and apparent permeability coefficient (Papp) of B-MCs were significantly enhanced (p < 0.01). Fluorescence resonance energy transfer (FRET) analysis indicated that micelles carrying the hydrophobic fluorophores were internalized intact, followed by a rapid release of fluorophores inside the cells, and then the released free fluorophores were transported across the cell monolayers to the basolateral side. Further study on the MRP2 inhibitory effect showed that B-MCs could reverse the MRP2-mediated efflux of baicalein via interfering with the structure and function of mitochondria, i.e., reducing mitochondrial membrane potential and intracellular ATP level and influencing the respiration chain of mitochondria. In addition, B-MCs exerted strong neuroprotective effects on zebrafish model of PD. In summary, Pluronic P85/F68 micelles could be considered as a promising drug delivery system to reverse MRP2-mediated efflux and improve the bioactivity of this MRP2 substrate, baicalein, for the treatment of PD.


Subject(s)
Drug Carriers/chemistry , Drugs, Chinese Herbal/pharmacology , Flavanones/pharmacology , Mitochondria/metabolism , Mitochondrial Membranes/metabolism , Multidrug Resistance-Associated Proteins/metabolism , Parkinson Disease/drug therapy , Administration, Oral , Animals , Cell Membrane Permeability , Delayed-Action Preparations/pharmacology , Delayed-Action Preparations/therapeutic use , Disease Models, Animal , Drug Liberation , Drugs, Chinese Herbal/therapeutic use , Flavanones/metabolism , Flavanones/therapeutic use , Humans , Micelles , Multidrug Resistance-Associated Protein 2 , Poloxalene/chemistry , Poloxamer/chemistry , Zebrafish
7.
Mater Sci Eng C Mater Biol Appl ; 71: 1-9, 2017 Feb 01.
Article in English | MEDLINE | ID: mdl-27987651

ABSTRACT

Nanotechnology development provides new strategies to treat cancer by integration of different treatment modalities in a single multifunctional nanoparticle. In this scenario, we applied the multifunctional Pluronic P123/F127 mixed micelles for Verteporfin-mediated photodynamic therapy in PC3 and MCF-7 cancer cells. Micelles functionalization aimed the targeted delivery by the insertion of biotin moiety on micelle surface and fluorescence image-based through rhodamine-B dye conjugation in the polymer chains. Multifunctional Pluronics formed spherical nanoparticulated micelles that efficiently encapsulated the photosensitizer Verteporfin maintaining its favorable photophysical properties. Lyophilized formulations were stable at least for 6months and readily reconstituted in aqueous media. The multifunctional micelles were stable in protein-rich media due to the dual Pluronic mixed micelles characteristic: high drug loading capacity provided by its micellar core and high kinetic stability due its biocompatible shell. Biotin surface functionalized micelles showed higher internalization rates due biotin-mediated endocytosis, as demonstrated by competitive cellular uptake studies. Rhodamine B-tagged micelles allowed monitoring cellular uptake and intracellular distribution of the formulations. Confocal microscopy studies demonstrated a larger intracellular distribution of the formulation and photosensitizer, which could drive Verteporfin to act on multiple cell sites. Formulations were not toxic in the dark condition, but showed high Verteporfin-induced phototoxicity against both cancer cell lines at low drug and light doses. These results point Verteporfin-loaded multifunctional micelles as a promising tool to further developments in photodynamic therapy of cancer.


Subject(s)
Drug Carriers , Micelles , Nanoparticles/chemistry , Neoplasms/drug therapy , Photochemotherapy , Poloxalene , Poloxamer , Porphyrins , Theranostic Nanomedicine/methods , Drug Carriers/chemistry , Drug Carriers/pharmacokinetics , Drug Carriers/pharmacology , Female , Humans , MCF-7 Cells , Male , Neoplasms/metabolism , Neoplasms/pathology , Poloxalene/chemistry , Poloxalene/pharmacokinetics , Poloxalene/pharmacology , Poloxamer/chemistry , Poloxamer/pharmacokinetics , Poloxamer/pharmacology , Porphyrins/chemistry , Porphyrins/pharmacokinetics , Porphyrins/pharmacology , Verteporfin
8.
Nanomedicine (Lond) ; 11(19): 2581-602, 2016 Oct.
Article in English | MEDLINE | ID: mdl-27623396

ABSTRACT

AIM: This study aimed to develop a new stable nanoformulation of silymarin (SM) with optimum enhanced oral bioavailability and to evaluate its effect as well as mechanism of action as a superior antidiabetic agent over native SM using streptozotocin-induced diabetic rats. MATERIALS AND METHODS: SM-loaded pluronic nanomicelles (SMnp) were prepared and fully characterized. Biochemical parameters were performed as well as histological, confocal and reverse-transcription polymerase chain reaction studies on pancreatic target tissues. RESULTS & CONCLUSION: SMnp were found to improve significantly the antihyperglycemic, antioxidant and antihyperlipidemic properties as compared with native SM. In addition, SMnp was found to be a more efficient agent over SM in the management of diabetes and its associated complications due to its superior bioavailability in vivo, and the controlled release profile of SM. [Formula: see text].


Subject(s)
Diabetes Mellitus, Experimental/drug therapy , Hypoglycemic Agents/pharmacology , Nanoparticles/chemistry , Plant Extracts/chemistry , Poloxalene/chemistry , Silymarin/pharmacology , Administration, Oral , Animals , Biological Availability , Blood Glucose/drug effects , Humans , Hypoglycemic Agents/administration & dosage , Hypoglycemic Agents/chemistry , Insulin/administration & dosage , Insulin/pharmacology , Liver/metabolism , Male , Micelles , Oxidative Stress , Pancreas/metabolism , Particle Size , Peptide Fragments/administration & dosage , Peptide Fragments/pharmacology , Rats, Sprague-Dawley , Silymarin/administration & dosage , Silymarin/chemistry , Tissue Distribution
9.
J Phys Chem B ; 119(1): 179-91, 2015 Jan 08.
Article in English | MEDLINE | ID: mdl-25490177

ABSTRACT

Micelles formed by amphiphiles in a protic ionic liquid (PIL), ethylammonium nitrate (EAN), were investigated using synchrotron small-angle X-ray scattering and contrasted with those that formed in water. The amphiphiles studied were cationic hexadecyltrimethylammonium chloride (CTAC) and hexadecylpyridinium bromide (HDPB) and nonionic poly(oxyethylene) (10) oleyl ether (Brij 97) and Pluronic ethylene oxide-propylene oxide-ethylene oxide block copolymer (P123). The scattering patterns were analyzed using spherical, core-shell, and cylindrical scattering models. The apparent micelle shape and size of the surfactants and the block copolymer in the PIL have been reported. At low amphiphile concentrations (<10 wt %) spherical micelles were preferentially formed for all the amphiphiles in EAN. The micelles formed by the two cationic amphiphiles in EAN and water were similar, though different scattering models were required predominantly due to the ionic nature of EAN. The two nonionic amphiphiles formed micelles with similar core radii in water and in EAN. However, the micelle shells composed of ethylene oxide groups fitted to a significantly thicker layer in water compared to EAN. At high concentrations (>10 wt %) in EAN and water, there was a preference for cylindrical micelles for CTAC, HDPB, and Brij 97; however, the P123 micelles remained spherical.


Subject(s)
Ionic Liquids/chemistry , Quaternary Ammonium Compounds/chemistry , Surface-Active Agents/chemistry , Water/chemistry , Bis-Trimethylammonium Compounds/chemistry , Micelles , Molecular Structure , Plant Oils/chemistry , Poloxalene/chemistry , Polyethylene Glycols/chemistry , Pyridinium Compounds/chemistry , Scattering, Small Angle , Synchrotrons
10.
Chemistry ; 19(33): 10958-64, 2013 Aug 12.
Article in English | MEDLINE | ID: mdl-23813582

ABSTRACT

Ordered mesoporous alumina-doped titania thin films with anatase crystalline structure were prepared by using triblock copolymer Pluronic P123 as structure-directing agent. Uniform Al doping was realized by using aluminum isopropoxide as a dopant source which can be hydrolyzed together with titanium tetraisopropoxide. Aluminum doping into the titania framework can prevent rapid crystallization to the anatase phase, thereby drastically increasing thermal stability. With increasing Al content, the crystallization temperatures tend to increase gradually. Even when the Al content doped into the framework was increased to 15 mol %, a well-ordered mesoporous structure was obtained, and the mesostructural ordering was still maintained after calcination at 550 °C. During the calcination process, large uniaxial shrinkage occurred along the direction perpendicular to the substrate with retention of the horizontal mesoscale periodicity, whereby vertically oriented nanopillars were formed in the film. The resulting vertical porosity was successfully exploited to fabricate a high-speed and high-quality passive-matrix electrochromic display by using a leuco dye. The vertical nanospace in the films can effectively prevent drifting of the leuco dye.


Subject(s)
Aluminum Oxide/chemistry , Titanium/chemistry , Coloring Agents/chemistry , Crystallization , Electrochemical Techniques , Electrodes , Hot Temperature , Poloxalene/chemistry , Porosity , Scattering, Small Angle , X-Ray Diffraction
11.
Biol Pharm Bull ; 31(12): 2283-7, 2008 Dec.
Article in English | MEDLINE | ID: mdl-19043214

ABSTRACT

We have prepared lipid emulsions of approximately 200 nm in diameter with soybean oil (SO) and a series of Pluronics with various numbers of oxyethylene units and about 60 oxypropylene units (SO/Pluronics), and studied the pharmacokinetics of menatetrenone incorporated into SO/Pluronics in rats. Emulsions of approximately 200 nm in diameter were obtained when SO contents were 2.5% and 20% (w/w) for 2.4% (w/w) PL101 and Pluronics that more than 30% was made up by oxyethylene units, respectively. The half-life of menatetrenone in plasma when oxyethylene units made up less than 30% of the Pluronic (SO/PL101 and SO/PP103) was similar to that for SO/egg yolk phosphatides (SO/EYP), but longer than that when oxyethylene units composed more than 40% of the Pluronic (SO/PP104 and SO/PF108, by 3- and 10-fold, respectively). Pretreatment with dextran sulfate 500000, an inhibitor of emulsion uptake by the reticuloendothelial system (RES), resulted in a higher plasma concentration and a lower liver uptake of menatetrenone as SO/PL101 at 10 min and SO/PP103 at 60 min, indicating that both SO/PL101 and SO/PP103 were taken up by the RES, although SO/PP103 required some time to be recognized by the RES. These findings suggested that larger numbers of oxyethylene units of Pluronics with 60 oxypropylene units were required for the longer plasma circulation of SO/Pluronics due to evasion of the RES.


Subject(s)
Hemostatics/pharmacokinetics , Poloxalene/chemistry , Vitamin K 2/analogs & derivatives , Animals , Dextran Sulfate , Emulsions , Excipients , Hemostatics/administration & dosage , Injections, Intravenous , Liver/drug effects , Liver/metabolism , Male , Particle Size , Poloxamer , Rats , Rats, Wistar , Soybean Oil/chemistry , Structure-Activity Relationship , Tissue Distribution , Triglycerides , Vitamin K 2/administration & dosage , Vitamin K 2/pharmacokinetics
12.
J Agric Food Chem ; 53(11): 4476-83, 2005 Jun 01.
Article in English | MEDLINE | ID: mdl-15913314

ABSTRACT

The solubilization of three major components, viz., palmitic, oleic, and linoleic acids, in palm oil by ethoxylated surfactants was investigated. The results were analyzed in terms of the molecular properties of surfactants and free fatty acids (FFAs). It was found that the solubilities of these FFAs in various micellar solutions depend not only on their octanol-water partition coefficients (Kow), but also on their physicochemical properties. The study on the solubilization kinetics was conducted by choosing palmitic acid as a model solubilizate and Tergitol 15-S-7 as the model surfactant. A first-order film diffusion model, which accounts for the direct uptake of organic molecules at a solid surface into surfactant micelles, was adopted to analyze the effect of surfactant on dissolution of palmitic acid. It was observed that the presence of surfactant reduced the mass-transfer coefficient. Instead, the overall mass-transfer rate was enhanced because of the much higher driving force from the increased solubilization capacity.


Subject(s)
Fatty Acids, Nonesterified/chemistry , Plant Oils/chemistry , Poloxalene/chemistry , Surface-Active Agents/chemistry , Biodegradation, Environmental , Chemical Phenomena , Chemistry, Physical , Micelles , Palm Oil , Palmitic Acid/chemistry , Solubility , Solutions
13.
J Cardiovasc Pharmacol ; 22(3): 456-61, 1993 Sep.
Article in English | MEDLINE | ID: mdl-7504138

ABSTRACT

Fluosol, a complex mixture of perfluorocarbons with a high oxygen-carrying capacity emulsified with the detergent pluronic F-68 and various lipids, recently was approved for adjuvant therapy to reduce myocardial ischemia during coronary angioplasty. Anaphylactoid reactions after Fluosol infusion through activation of the complement pathway have been reported in some patients. We examined the mechanism of complement activation by Fluosol. In vitro, incubation of both dog and human plasma with Fluosol for 1 h caused a significant reduction in total hemolytic complement levels (CH50). None of the individual components of Fluosol tested activated complement. A reduction in CH50 levels similar to that observed with Fluosol was obtained after incubation of dog or human plasma with the detergent pluronic F-68 in combination with either perfluorocarbon. In vivo, a bolus injection of the detergent and perfluorocarbon fully mimicked the anaphylactoid reaction of Fluosol previously observed in dogs, with transient profound hypotension, tachycardia, and reduction in CH50 levels occurring < or = 5 min. To investigate further the mechanism by which the pluronic/perfluorocarbon combination activates complement, an inert dense liquid (mineral oil or silicon oil) substituted for the perfluorocarbons produced comparable complement activation both in vitro and in vivo. These observations suggest that creation of a larger pluronic micelle around a core of perfluorocarbons or any inert dense substance, causes formation of a specific surface configuration, resulting in activation of the complement cascade.


Subject(s)
Complement Activation/drug effects , Fluorocarbons/pharmacology , Micelles , Poloxalene/chemistry , Animals , Dogs , Emulsions , Humans , In Vitro Techniques , Poloxalene/pharmacology
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