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1.
Anal Bioanal Chem ; 406(28): 7071-83, 2014 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-25315452

RESUMO

Multidrug resistance (MDR) is one of the major obstacles in drug delivery, and it is usually responsible for unsuccessful cancer treatment. MDR may be overcome by using MDR inhibitors. Among different classes of these inhibitors that block drug efflux mediated by permeability-glycoprotein (P-gp), less toxic amphiphilic diblock copolymers composed of methoxypolyethyleneglycol-block-polycaprolactone (MePEG-b-PCL) have been studied extensively. The purpose of this work is to evaluate how these copolymer molecules can reduce the efflux, thereby enhancing the accumulation of P-gp substrates (e.g., daunorubicin or DNR) in MDR cells. Using conventional methods, it was found that the low-molecular-weight diblock copolymer, MePEG17-b-PCL5 (PCL5), enhanced drug accumulation in MDCKII-MDR1 cells, but the high-molecular-weight version, MePEG114-b-PCL200 (PCL200), did not. However, when PCL200 was mixed with PCL5 (and DNR) in order to encapsulate them to facilitate drug delivery, there was no drug enhancement effect attributable to PCL5, and the reason for this negative result was unclear. Since drug accumulation measured on different cell batches originated from single cells, we employed the same-single-cell analysis in the accumulation mode (SASCA-A) to find out the reason. A microfluidic biochip was used to select single MDR cells, and the accumulation of DNR was fluorescently measured in real time on these cells in the absence and presence of PCL5. The SASCA-A method allowed us to obtain drug accumulation information faster in comparison to conventional assays. The SASCA-A results, and subsequent curve-fitting analysis of the data, have confirmed that when PCL5 was encapsulated in PCL200 nanoparticles as soon as they were synthesized, the ability of PCL5 to enhance DNR accumulation was retained, thus suggesting PCL200 as a promising delivery system for encapsulating P-gp inhibitors, such as PCL5.


Assuntos
Química Farmacêutica , Daunorrubicina/metabolismo , Resistência a Múltiplos Medicamentos , Microfluídica/métodos , Polímeros/química , Análise de Célula Única/métodos , Membro 1 da Subfamília B de Cassetes de Ligação de ATP/metabolismo , Sistemas de Liberação de Medicamentos , Humanos , Peso Molecular
2.
Mol Pharm ; 9(2): 248-60, 2012 Feb 06.
Artigo em Inglês | MEDLINE | ID: mdl-22204437

RESUMO

Paclitaxel loaded amphiphilic block copolymer nanoparticles have been demonstrated to enhance the aqueous solubility and improve the toxicity profile as compared to the commercially available product Taxol; however, in many cases long circulation of the drug is not achieved due to rapid partitioning of the drug from the carrier and/or carrier instability upon injection. In this work we investigated the effect of increasing the hydrophobic block length of methoxy poly(ethylene glycol)-block-poly(ε-caprolactone) (MePEG-b-PCL) copolymers on the physicochemical properties and in vitro stability of the formed nanoparticles as well as the pharmacokinetics and biodistribution of both the copolymer and solubilized drug. We hypothesized that copolymers composed of high molecular weight hydrophobic blocks (MePEG114-b-PCL104) that form nanoparticles with a kinetically "frozen core" (which we term nanospheres) would better retain their PTX payload as compared to micelles composed of shorter hydrophobic blocks (MePEG114-b-PCL19), thus leading to prolonged drug circulation. Nanospheres solubilized PTX more efficiently, released the drug in a more sustained fashion and were characterized by enhanced stability and drug retention in the presence of plasma proteins as compared to micelles. Using radiolabeled copolymers and PTX, it was found that, upon injection, MePEG114-b-PCL104 circulated for longer than MePEG114-b-PCL19; however, the drug was rapidly eliminated from the blood regardless of the formulation. These results suggest that, despite formulation in more stable nanospheres, PTX was still rapidly extracted from these nanoparticles.


Assuntos
Antineoplásicos Fitogênicos/farmacocinética , Portadores de Fármacos , Micelas , Nanosferas/química , Paclitaxel/farmacocinética , Poliésteres/química , Polietilenoglicóis/química , Animais , Antineoplásicos Fitogênicos/administração & dosagem , Antineoplásicos Fitogênicos/sangue , Transferência Ressonante de Energia de Fluorescência , Meia-Vida , Espectroscopia de Ressonância Magnética , Camundongos , Paclitaxel/administração & dosagem , Paclitaxel/sangue , Poliésteres/análise , Poliésteres/farmacocinética , Polietilenoglicóis/análise , Polietilenoglicóis/farmacocinética , Distribuição Tecidual
3.
Mol Pharm ; 9(5): 1489-501, 2012 May 07.
Artigo em Inglês | MEDLINE | ID: mdl-22482935

RESUMO

The purpose of this study was to characterize the phase separation behavior of fusidic acid (FA) and rifampicin (RIF) in poly(d,l-lactic acid-co-glycolic acid) (PLGA) using a model microsphere formulation. To accomplish this, microspheres containing 20% FA with 0%, 5%, 10%, 20%, and 30% RIF and 20% RIF with 30%, 20% 10%, 5%, and 0% FA were prepared by solvent evaporation. Drug-polymer and drug-drug compatibility and miscibility were characterized using laser confocal microscopy, Raman spectroscopy, XRPD, DSC, and real-time video recordings of single-microsphere formation. The encapsulation of FA and RIF alone, or in combination, results in a liquid-liquid phase separation of solvent-and-drug-rich microdomains that are excluded from the polymer bulk during microsphere hardening, resulting in amorphous spherical drug-rich domains within the polymer bulk and on the microsphere surface. FA and RIF phase separate from PLGA at relative droplet volumes of 0.311 ± 0.014 and 0.194 ± 0.000, respectively, predictive of the incompatibility of each drug and PLGA. When coloaded, FA and RIF phase separate in a single event at the relative droplet volume 0.251 ± 0.002, intermediate between each of the monoloaded formulations and dependent on the relative contribution of FA or RIF. The release of FA and RIF from phase-separated microspheres was characterized exclusively by a burst release and was dependent on the phase exclusion of surface drug-rich domains. Phase separation results in coalescence of drug-rich microdroplets and polymer phase exclusion, and it is dependent on the compatibility between FA and RIF and PLGA. FA and RIF are mutually miscible in all proportions as an amorphous glass, and they phase separate from the polymer as such. These drug-rich domains were excluded to the surface of the microspheres, and subsequent release of both drugs from the microspheres was rapid and reflected this surface location.


Assuntos
Ácido Fusídico/química , Ácido Láctico/química , Microesferas , Ácido Poliglicólico/química , Rifampina/química , Varredura Diferencial de Calorimetria , Composição de Medicamentos , Microscopia Confocal , Tamanho da Partícula , Copolímero de Ácido Poliláctico e Ácido Poliglicólico , Análise Espectral Raman
4.
J Mater Sci Mater Med ; 23(7): 1705-13, 2012 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-22528072

RESUMO

Many sites of bacterial infection such as in-dwelling catheters and orthopedic surgical sites require local rather than systemic antibiotic administration. However, currently used controlled release vehicles, such as polymeric films, release water-soluble antibiotics too quickly, whereas nonporous bone cement, used in orthopedics, release very little drug. The purpose of this study was to investigate the use of nanoparticulates composed of layered double hydroxide clays to bind various antibiotics and release them in a controlled manner. Mg-Al (carbonate) layered double hydroxides were synthesized and characterized using established methods. These clay particles were suspended in solutions of the antibiotics tetracycline, doxorubicin (DOX), 5-fluorouracil, vancomycin (VAN), sodium fusidate (SF) and antisense oligonucleotides and binding was determined following centrifugation and quantitation of the unbound fraction by UV/Vis absorbance or HPLC analysis. Drug release from layered double hydroxide clay/drug complexes dispersed in polymeric films was measured by incubation in phosphate-buffered saline (pH 7.4) at 37 °C using absorbance or HPLC analysis. Antimicrobial activity of drug released from film composites was determined using zonal inhibition studies against S. epidermidis. All drugs bound to the clay particles to various degrees. Generally, drugs released with a large burst phase of release (except DOX) with little further drug release after 4 days. Dispersion of drug/clay complexes in poly(lactic-co-glycolic acid) films resulted in a reduced burst phase of release and a slow continuous release for many weeks with effective antimicrobial amounts of VAN and SF released at later time points. Layered double hydroxide clays may be useful for controlled release applications at sites requiring long-term antibiotic exposure as they maintain the drug in a non-degraded state and release effective amounts of drug over long time periods. LDH clay/drug complexes are amenable to homogenous dispersion in polymeric films where implant coating may be optimal or required.


Assuntos
Silicatos de Alumínio , Antibacterianos/administração & dosagem , Ácido Láctico/química , Ácido Poliglicólico/química , Materiais Biocompatíveis , Cromatografia Líquida de Alta Pressão , Argila , Portadores de Fármacos , Copolímero de Ácido Poliláctico e Ácido Poliglicólico , Espectrofotometria Ultravioleta
5.
Biomacromolecules ; 12(1): 145-55, 2011 Jan 10.
Artigo em Inglês | MEDLINE | ID: mdl-21128674

RESUMO

Hyperbranched polyglycerols (HPGs) with hydrophobic cores and derivatized with methoxy poly(ethylene glycol) were synthesized and further functionalized with carboxylate groups to bind and deliver cisplatin. Low and high levels of carboxylate were conjugated to HPGs (HPG-C(8/10)-MePEG(6.5)-COOH(113) and HPG-C(8/10)-MePEG(6.5)-COOH(348)) and their structures were confirmed through NMR and FTIR spectroscopy and potentiometric titration. The hydrodynamic diameter of the HPGs ranged from 5-10 nm and the addition of COOH groups decreased the zeta potential of the polymers. HPG-C(8/10)-MePEG(6.5)-COOH(113) bound up to 10% w/w cisplatin, whereas HPG-C(8/10)-MePEG(6.5)-COOH(348) bound up to 20% w/w drug with 100% efficiency. Drug was released from HPG-C(8/10)-MePEG(6.5)-COOH(113) over 7 days at the same rate, regardless of the pH. Cisplatin release from HPG-C(8/10)-MePEG(6.5)-COOH(348) was significantly slower than HPG-C(8/10)-MePEG(6.5)-COOH(113) at pH 6 and 7.4, but similar at pH 4.5. Release of cisplatin into artificial urine was considerably faster than into buffer. Carboxylated HPGs demonstrated good biocompatibility, and drug-loaded HPGs effectively inhibited proliferation of KU-7-luc bladder cancer cells.


Assuntos
Antineoplásicos , Ácidos Carboxílicos/química , Cisplatino , Preparações de Ação Retardada , Glicerol , Nanopartículas/química , Polímeros , Antineoplásicos/química , Antineoplásicos/farmacologia , Linhagem Celular Tumoral , Proliferação de Células/efeitos dos fármacos , Cisplatino/química , Cisplatino/farmacologia , Portadores de Fármacos/síntese química , Portadores de Fármacos/química , Portadores de Fármacos/farmacologia , Glicerol/síntese química , Glicerol/química , Glicerol/farmacologia , Humanos , Concentração de Íons de Hidrogênio , Interações Hidrofóbicas e Hidrofílicas , Espectroscopia de Ressonância Magnética , Polímeros/síntese química , Polímeros/química , Polímeros/farmacologia , Espectroscopia de Infravermelho com Transformada de Fourier , Neoplasias da Bexiga Urinária/tratamento farmacológico
6.
BJU Int ; 103(7): 978-86, 2009 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-19007363

RESUMO

OBJECTIVE: To develop paclitaxel incorporated into unimolecular micelles based on hydrophobically derivatized hyperbranched polyglycerols (dHPGs) for use as mucoadhesive intravesical agents against non-muscle-invasive bladder cancer. MATERIALS AND METHODS: Two different types of dHPGs (HPG- C10-polyethylene glycol (PEG) and polyethyleneimine (PEI)-C18-HPG) were synthesized and paclitaxel was loaded into these using a solvent evaporation method. After physicochemical characterization of the resulting nanoparticles, four human bladder cancer cell lines were incubated with various concentrations of paclitaxel incorporated in dHPGs and the results were compared with those of paclitaxel formulated in Cremophor-EL (Taxol(R), Bristol-Myers-Squibb). In vivo, nude mice with orthotopic KU7-luc tumours were intravesically instilled with phosphate buffered saline, Taxol, or paclitaxel/HPG-C10-PEG. RESULTS: dHPGs are mucoadhesive nanoparticles with hydrodynamic radii of <10 nm and incorporation of paclitaxel did not affect their size. The release profiles of paclitaxel from dHPGs were characterized by a rapid-release phase followed by a slower sustained-release phase. While the PEI-C18-HPG formulation released only approximately 40% of the initially incorporated paclitaxel, up to 80% was released from HPG-C10-PEG. Moreover, only paclitaxel/HPG-C10-PEG was stable in acidic urine. In vitro, all paclitaxel formulations potently decreased bladder cancer proliferation although paclitaxel/HPG-C10-PEG was slightly less cytotoxic than standard Taxol. By contrast, in vivo, the mucoadhesive HPG-C10-PEG formulation of paclitaxel was significantly more effective in reducing orthotopic tumour growth than Taxol and was well tolerated. CONCLUSION: Intravesical administration of mucoadhesive nanoparticulate formulations of paclitaxel might be a promising approach for instillation therapy of patients with non-muscle-invasive bladder cancer.


Assuntos
Antineoplásicos Fitogênicos/administração & dosagem , Sistemas de Liberação de Medicamentos/métodos , Paclitaxel/administração & dosagem , Polietilenoglicóis/administração & dosagem , Polietilenoimina/administração & dosagem , Neoplasias da Bexiga Urinária/tratamento farmacológico , Administração Intravesical , Animais , Antineoplásicos Fitogênicos/farmacologia , Linhagem Celular Tumoral , Humanos , Camundongos , Camundongos Nus , Nanopartículas , Paclitaxel/farmacologia , Polietilenoglicóis/química , Polietilenoimina/química
7.
Pharm Res ; 26(7): 1644-56, 2009 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-19384471

RESUMO

PURPOSE: To develop and characterize the solid-state properties of poly(DL-lactic-co-glycolic acid) (PLGA) and poly(3-hydroxybutyric acid-co-3-hydroxyvaleric acid) (PHBV) microspheres for the localized and controlled release of fusidic acid (FA). METHODS: The effects of FA loading and polymer composition on the mean diameter, encapsulation efficiency and FA released from the microspheres were determined. The solid-state and phase separation properties of the microspheres were characterized using DSC, XRPD, Raman spectroscopy, SEM, laser confocal and real time recording of single microspheres formation. RESULTS: Above a loading of 1% (w/w) FA phase separated from PLGA polymer and formed distinct spherical FA-rich amorphous microdomains throughout the PLGA microsphere. For FA-loaded PLGA microspheres, encapsulation efficiency and cumulative release increased with initial drug loading. Similarly, cumulative release from FA-loaded PHBV microspheres was increased by FA loading. After the initial burst release, FA was released from PLGA microspheres much slower compared to PHBV microspheres. CONCLUSIONS: A unique phase separation phenomenon of FA in PLGA but not in PHBV polymers was observed, driven by coalescence of liquid microdroplets of a DCM-FA-rich phase in the forming microsphere.


Assuntos
Antibacterianos/química , Preparações de Ação Retardada/química , Ácido Fusídico/química , Glicolatos/química , Microesferas , Poliésteres/química , Varredura Diferencial de Calorimetria , Cinética , Ácido Láctico , Tamanho da Partícula , Transição de Fase , Ácido Poliglicólico , Copolímero de Ácido Poliláctico e Ácido Poliglicólico , Difração de Pó , Propriedades de Superfície , Difração de Raios X
8.
Cancer Chemother Pharmacol ; 61(6): 997-1005, 2008 May.
Artigo em Inglês | MEDLINE | ID: mdl-17701176

RESUMO

PURPOSE: The objective of this study was to manufacture paclitaxel (PTX) loaded polymeric microspheres, that were surface conjugated with antibodies to vascular endothelial growth factor receptor 2 (anti-VEGFR2), for systemic targeting to angiogenic sites in prostate tumors. METHODS: Microspheres were manufactured in the 1-3 microm size range from poly (l-lactic acid) (PLLA) or poly (lactide-co-glycolide) (PLGA) by a modified solvent evaporation method using Polytron homogenization followed by high speed dispersion in poly vinyl alcohol. Antibodies were conjugated to the surface of these microspheres using cyanogen bromide activation of the polymer surface. Cell Binding was determined using human umbilical vein endothelial cells (HUVECs) in vitro. Efficacy determinations were made using human prostate tumors (PC-3) grown subcutaneously in mice. RESULTS: Antibodies were effectively bound to the surface of PLLA and PLGA microspheres. Anti-VEGFR2 conjugated PLLA microspheres bound strongly to HUVEC's. Pilot efficacy studies in mice showed variability but demonstrated a significant inhibition of tumor growth following the systemic administration of a single dose of PTX-loaded anti-VEGFR2 conjugated PLLA microspheres as compared to non-antibody-conjugated PTX-loaded microspheres. CONCLUSION: Anti-VEGFR2 conjugated PLLA microspheres containing PTX may offer an effective way of administering a controlled release formulation of the drug to target prostate tumors.


Assuntos
Anticorpos Bloqueadores/uso terapêutico , Antineoplásicos Fitogênicos/uso terapêutico , Paclitaxel/uso terapêutico , Neoplasias da Próstata/tratamento farmacológico , Receptor 2 de Fatores de Crescimento do Endotélio Vascular/imunologia , Animais , Anticorpos Bloqueadores/administração & dosagem , Antineoplásicos Fitogênicos/administração & dosagem , Linhagem Celular Tumoral , Composição de Medicamentos , Sistemas de Liberação de Medicamentos , Células Endoteliais/efeitos dos fármacos , Fluoresceína-5-Isotiocianato , Humanos , Imunoglobulina G/química , Ácido Láctico , Masculino , Camundongos , Camundongos Endogâmicos BALB C , Microesferas , Transplante de Neoplasias , Paclitaxel/administração & dosagem , Tamanho da Partícula , Projetos Piloto , Poliésteres , Ácido Poliglicólico , Copolímero de Ácido Poliláctico e Ácido Poliglicólico , Polímeros , Neoplasias da Próstata/patologia
9.
Biomacromolecules ; 9(3): 886-95, 2008 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-18247528

RESUMO

This paper discusses the binding and release properties of hydrophobically modified hyperbranched polyglycerol-polyethylene glycol copolymers that were originally developed as human serum albumin (HSA) substitutes. Their unimolecular micellar nature in aqueous solution has been proven by size measurements and other spectroscopic methods. These polymers aggregate weakly in solution, but the aggregates are broken down by low shear forces or by encapsulating a hydrophobic ligand within the polymer. The small molecule binding properties of these polymers are compared with those of HSA. The preliminary in vitro paclitaxel release studies showed very promising sustained drug release characteristics achieved by these unimolecular micelles.


Assuntos
Dendrímeros/química , Glicerol/química , Micelas , Polímeros/química , Albumina Sérica/química , Preparações de Ação Retardada , Ácidos Graxos/química , Corantes Fluorescentes/química , Humanos , Interações Hidrofóbicas e Hidrofílicas , Ligantes , Mimetismo Molecular , Paclitaxel/administração & dosagem , Paclitaxel/química , Polietilenoglicóis/química , Pirenos/química
10.
J Pharm Sci ; 96(4): 864-75, 2007 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-17094135

RESUMO

We have previously shown that amphiphilic diblock copolymers composed of methoxypolyethylene glycol-b-polycaprolactone (MePEG-b-PCL) increased the cellular accumulation and reduced the basolateral to apical flux of the P-glycoprotein substrate, rhodamine 123 (R-123) in caco-2 cells. The purpose of this study was to investigate membrane perturbation effects of MePEG-b-PCL diblock copolymers with erythrocyte membranes and caco-2 cells and the effect on P-gp ATPase activity. The diblock copolymer MePEG(17)-b-PCL(5) induced increasing erythrocyte hemolysis at concentrations which correlated with increasing accumulation of R-123 into caco-2 cells. However, no increase in cellular accumulation of R-123 by non-P-gp expressing cells was observed, suggesting that diblock did not enhance the transmembrane passive diffusion of R-123, but that the accumulation enhancement effect of the diblock in caco-2 cells was likely mediated primarily via P-gp inhibition. Fluorescence anisotropy measurements of membrane fluidity and P-gp ATPase activity demonstrated that MePEG(17)-b-PCL(5) decreased caco-2 membrane fluidity while stimulating ATPase activity approximately threefold at concentrations that maximally enhanced R-123 caco-2 accumulation. These results suggest that inhibition of P-gp efflux by MePEG(17)-b-PCL(5) does not appear to be related to increases in membrane fluidity or through inhibition in P-gp ATPase activities, which are two commonly reported cellular effects for P-gp inhibition mediated by surfactants.


Assuntos
Membro 1 da Subfamília B de Cassetes de Ligação de ATP/farmacocinética , Adenosina Trifosfatases/metabolismo , Fluidez de Membrana/efeitos dos fármacos , Poliésteres/farmacologia , Polietilenoglicóis/farmacologia , Linhagem Celular Tumoral , Hemólise/efeitos dos fármacos , Humanos , Octoxinol/farmacologia , Rodamina 123/metabolismo
11.
Int J Pharm ; 342(1-2): 6-17, 2007 Sep 05.
Artigo em Inglês | MEDLINE | ID: mdl-17555895

RESUMO

Paclitaxel-loaded biodegradable drug delivery systems manufactured from poly(lactic-co-glycolic acid) (PLGA) are known to release the drug at extremely slow rates. The objective of this study was to characterize paclitaxel-loaded microspheres composed of blends of PLGA with low molecular weight ampipathic diblock copolymers. The encapsulation and release of a series of poly(epsilon-caprolactone) (PCL)- or poly(D,L-lactic acid) (PDLLA)-co-methoxypolyethylene glycol (MePEG) diblock copolymers was measured using quantitative gel permeation chromatography. Polymeric miscibility was determined by glass transition temperature measurements using differential scanning calorimetry and paclitaxel release was measured using HPLC methods. The PCL- and PDLLA-based diblock copolymers encapsulated at high efficiency and were miscible in PLGA microspheres (30-120m microm size range). The burst phase of paclitaxel release was increased up to 20-fold by the inclusion of diblock copolymers in PLGA microspheres. Approximately 10% of the more hydrophobic PCL-based copolymers released from the microspheres in a short burst over 3 days followed by very slow release over the following 10 weeks. Only the PDLLA-based copolymer released from the PLGA microspheres in a controlled manner over 10 weeks. All microspheres containing PEG were found to have more hydrophilic surfaces (as measured by contact angle) with improved biocompatibility (reduced neutrophil activation) compared to PLGA only microspheres. These results indicate that low molecular weight polyester-based diblock copolymers may be effectively encapsulated in PLGA microspheres to increase paclitaxel release (probably through a micellization process) and improve biocompatibility.


Assuntos
Antineoplásicos Fitogênicos/química , Ácido Láctico/química , Paclitaxel/química , Ácido Poliglicólico/química , Polímeros/química , Antineoplásicos Fitogênicos/administração & dosagem , Fenômenos Químicos , Físico-Química , Cromatografia em Gel , Cromatografia Líquida de Alta Pressão , Preparações de Ação Retardada , Análise Diferencial Térmica , Composição de Medicamentos , Excipientes , Luminescência , Espectroscopia de Ressonância Magnética , Microscopia Eletrônica de Varredura , Microesferas , Peso Molecular , Neutrófilos/efeitos dos fármacos , Paclitaxel/administração & dosagem , Tamanho da Partícula , Poliésteres , Copolímero de Ácido Poliláctico e Ácido Poliglicólico , Propriedades de Superfície
12.
Adv Drug Deliv Rev ; 58(3): 350-7, 2006 Jun 03.
Artigo em Inglês | MEDLINE | ID: mdl-16546288

RESUMO

Coronary stenting is the most common form of interventional treatment for symptomatic coronary artery disease. In-stent restenosis following bare metal stent (BMS) placement is the most common cause of procedural failure and occurs as a result of vessel wall trauma secondary to balloon angioplasty and stent deployment that results in an overly aggressive healing response (neointimal hyperplasia) that overgrows the stent lumen and causes vascular narrowing. Drug-eluting stents (DES) are specialized vascular stents capable of delivering drugs to the arterial wall in a controlled manner such that neointimal hyperplasia is reduced or prevented, luminal patency is preserved, coronary blood flow is maintained and the patient is spared a repeat procedure to re-open the vessel. The objectives of the review are to provide an overview of the major contributions that a broad range of disciplines have made to the design and development of drug-eluting stents and to summarize future directions of these fields of research. Engineers and biomaterials scientists have explored relationships between stent design and stent performance and work continues to optimize stent design and biocompatibility of stent biomaterials. Pharmaceutical scientists are continually expanding the range of candidate drugs for pharmacological intervention, and improving the technology using novel coatings to modulate drug release. Clinical scientists are investigating issues such as long-term safety and efficacy, new applications of drug-eluting stents and optimal deployment techniques.


Assuntos
Sistemas de Liberação de Medicamentos/métodos , Stents , Engenharia Biomédica/métodos , Ensaios Clínicos como Assunto/economia , Ensaios Clínicos como Assunto/métodos , Ensaios Clínicos como Assunto/estatística & dados numéricos , Materiais Revestidos Biocompatíveis/síntese química , Materiais Revestidos Biocompatíveis/uso terapêutico , Sistemas de Liberação de Medicamentos/tendências , Humanos , Transferência de Tecnologia , Tecnologia Farmacêutica/métodos , Tecnologia Farmacêutica/tendências
13.
J Pharm Sci ; 94(6): 1204-15, 2005 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-15858840

RESUMO

The pharmacokinetics and tissue distribution of methotrexate (MTX) were investigated following intra-articular injection of either MTX solution or controlled release MTX loaded microspheres in healthy rabbit joints. MTX solution or MTX loaded microspheres (size 30-100 mum) (10 mg MTX) was injected into the right knee joint cavity of rabbits. Blood samples were taken at predetermined times from the jugular vein. Urine samples were also collected over time periods up to 24 h. The major organs and synovial tissues were removed for analysis 6 and 24 h post-injection (n = 4). MTX and 7-OH-MTX concentrations in the plasma and major organs were determined by HPLC. The MTX plasma area under the concentration-time curve (AUC) for rabbits injected with MTX solution was seven fold higher than that of the rabbits injected with MTX microspheres, while t(1/2) and mean residence time (MRT) were not significantly different between two treatment groups. Four fold more MTX was excreted in the urine from rabbits injected with MTX solution compared to those injected with MTX loaded microspheres 24 h following intra-articular injection. The concentration of MTX in the synovial tissues following intra-articular injection was significantly higher in the rabbits injected with microspheres than in the rabbits injected with MTX solution. MTX solution was rapidly cleared from the joint cavity while MTX encapsulated microspheres retained MTX in the joint cavity.


Assuntos
Ácido Láctico/administração & dosagem , Metotrexato/administração & dosagem , Metotrexato/farmacocinética , Microesferas , Polímeros/administração & dosagem , Alanina Transaminase/sangue , Animais , Área Sob a Curva , Feminino , Injeções Intra-Articulares , Metotrexato/análogos & derivados , Metotrexato/sangue , Poliésteres , Coelhos , Membrana Sinovial/metabolismo
14.
J Pharm Sci ; 93(4): 943-56, 2004 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-14999731

RESUMO

A controlled release delivery system that localizes methotrexate (MTX) in the synovial joint is needed to treat inflammation in rheumatoid arthritis (RA). The purpose of this work was to develop and characterize MTX loaded poly(l-lactic acid) (PLLA) microspheres and evaluate in vivo tolerability and MTX plasma concentrations following intra-articular injection into healthy rabbits. MTX loaded PLLA (2 kg/mole) microspheres were prepared using the solvent evaporation method and characterized in terms of size, molecular weight, thermal properties, and release rates into phosphate buffered saline (PBS) (pH 7.4) at 37 degrees C. Biocompatibility was evaluated by observing the swelling of the joints of the rabbits and histological analysis following the injection of the microspheres. MTX concentrations in the plasma and urine samples of rabbits were evaluated by high-performance liquid chromatography (HPLC). MTX loaded microspheres showed a rapid burst phase followed by a slow release phase. MTX loaded and control microspheres were biocompatible and plasma concentrations of MTX were tenfold higher in rabbits injected intra-articularly with free MTX than MTX microspheres. MTX microspheres may retain the drug in the joint by reducing clearance from the joint into the blood.


Assuntos
Antirreumáticos/administração & dosagem , Ácido Láctico/química , Metotrexato/administração & dosagem , Polímeros/química , Animais , Antirreumáticos/farmacocinética , Varredura Diferencial de Calorimetria , Composição de Medicamentos , Sistemas de Liberação de Medicamentos , Excipientes , Feminino , Injeções Intra-Articulares , Articulações/efeitos dos fármacos , Articulações/patologia , Teste de Materiais , Metotrexato/farmacocinética , Microesferas , Peso Molecular , Tamanho da Partícula , Poliésteres , Coelhos , Termodinâmica
15.
Int J Pharm ; 271(1-2): 167-79, 2004 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-15129983

RESUMO

Amphiphilic graft copolymers with dextrans as the main chains and poly(epsilon-caprolactone) as the side chains were synthesized by solution polymerization in dimethyl sulfoxide using stannous 2-ethylhexanoate as a catalyst. The copolymers were characterized with nuclear magnetic resonance spectroscopy and gel permeation chromatography. Paclitaxel loaded copolymer films were prepared using a solution cast method. In vitro release rates were influenced by both the initial paclitaxel loading and the morphology of the films. The films with paclitaxel loadings up to 10% (w/w) showed a single-phase morphology when dry. However, paclitaxel crystallization occurred in the films with high loadings (5 and 10%) upon incubation in phosphate buffered saline at 37 degrees C. The crystals had a spherulitic structure and were found to be paclitaxel dihydrate based on X-ray diffraction analysis. The formation of paclitaxel dihydrate in the films produced a marked effect on the in vitro release rates.


Assuntos
Antineoplásicos Fitogênicos/química , Dextranos/química , Paclitaxel/química , Poliésteres/química , Antineoplásicos Fitogênicos/administração & dosagem , Cromatografia em Gel , Cristalização , Preparações de Ação Retardada , Dextranos/síntese química , Espectroscopia de Ressonância Magnética , Peso Molecular , Paclitaxel/administração & dosagem , Poliésteres/síntese química , Polímeros , Difração de Raios X
16.
Int J Pharm ; 281(1-2): 103-6, 2004 Aug 20.
Artigo em Inglês | MEDLINE | ID: mdl-15288347

RESUMO

The kinetics of solvent removal in microsphere preparation and their effect on the morphology and release characteristics of paclitaxel-loaded PLLA microspheres were determined. Microspheres were analyzed by SEM and DSC and in vitro paclitaxel release was monitored by HPLC. During manufacture, dichloromethane evaporated at a constant rate, which increased with dispersion stirring speed and decreased with increasing paclitaxel content. Paclitaxel-loaded microspheres had a dimpled surface, due to surface deposition of the drug, while controls were smooth. In the formation of larger microspheres, the deposition of drug in the surface slowed the solidification process resulting in drug-loading dependent thermal properties. Paclitaxel release did not follow diffusion kinetics, rather it was characterized by a large burst followed by a linear phase. We speculate that non-uniform (surface-rich) drug distribution in the microspheres may contribute to the deviation from the theoretical pattern of kinetics for diffusion from a sphere.


Assuntos
Portadores de Fármacos/farmacocinética , Ácido Láctico/química , Microesferas , Paclitaxel/química , Paclitaxel/farmacocinética , Polímeros/química , Tecnologia Farmacêutica/métodos , Varredura Diferencial de Calorimetria/métodos , Química Farmacêutica/métodos , Portadores de Fármacos/química , Ácido Láctico/farmacocinética , Microscopia Eletrônica de Varredura/métodos , Poliésteres , Polímeros/farmacocinética
17.
Int J Pharm ; 282(1-2): 61-71, 2004 Sep 10.
Artigo em Inglês | MEDLINE | ID: mdl-15336382

RESUMO

Microspheres were prepared from paclitaxel and binary polymer blends incorporating 1, 3, 40k and 100k g/mol PLLA. Thermal analysis was performed by DSC and in vitro paclitaxel release profiles were determined at 37 degrees C in phosphate buffer using an HPLC assay. In microspheres made with 3k/40k PLLA blends, the glass transition (Tg), crystallinity and melting temperature (Tm) all decreased with an increasing proportion of low molecular weight polymer in the blend. Similar trends were observed for 1k/100k blends. Tm values ranged from 175 to 110 degrees C and Tg values between 66 and 37 degrees C. However, for 1k/100k blends, melting point depression was linearly dependent on blend composition when plotted as 1/Tm = 0.000109 x (%1k in blend) + 0.0223, R2 = 0.97. A similar plot with data from the 3k/40k system yielded a non-linear relationship. Furthermore, the decrease in Tg for both 1k/100k and 3k/40k blends followed the Fox equation, although experimental values were consistently 1-2 degrees C above predicted values. Paclitaxel release from microspheres made with a 1k/100k blend occurred in four distinct phases: a burst phase (day 0), a slower phase, a second burst (day 35) and a second slower phase (until day 70). The second burst coincided with visible degradation of the microspheres. Blends of low and high molecular weight PLLA display thermal properties indicating that 1k g/mol PLLA behaves as a diluent when blended with 100k g/mol PLLA, being excluded from the crystalline domains in the polymer matrix. In contrast, 3k g/mol PLLA is incorporated in both amorphous and crystalline regions of the polymer blend. Paclitaxel release profiles from 1k/100k PLLA microspheres demonstrate a multiphase profile due to the effects of both diffusion and degradation controlled release mechanisms.


Assuntos
Antineoplásicos Fitogênicos/administração & dosagem , Ácido Láctico/química , Paclitaxel/administração & dosagem , Polímeros/química , Algoritmos , Varredura Diferencial de Calorimetria , Química Farmacêutica , Cromatografia Líquida de Alta Pressão , Preparações de Ação Retardada , Excipientes , Injeções Intraperitoneais , Microesferas , Peso Molecular , Tamanho da Partícula , Poliésteres , Espectrofotometria Ultravioleta
18.
Int J Pharm ; 270(1-2): 185-98, 2004 Feb 11.
Artigo em Inglês | MEDLINE | ID: mdl-14726134

RESUMO

The objective of this work was to characterize a polymeric paste formulation of the anticancer drug paclitaxel that was injectable through a narrow gauge needle at room temperature and set to a solid implant in vivo for the intratumoral treatment of localized cancer. Pastes were manufactured from a triblock copolymer composed of poly(D,L-lactide-co-caprolactone)-block-polyethylene glycol-block-poly(D,L-lactide-co-caprolactone) (PLC-PEG-PLC) or triblock blended with a low molecular weight polymer methoxypolyethylene glycol (MePEG). Characterization of pastes was performed using differential scanning calorimetry (DSC), gel permeation chromatography (GPC) and drug release studies. Paste integrity in water was measured by determining the degree of fragmentation under initial agitation. MePEG was found to be miscible with the triblock polymer and paclitaxel dissolved in various blends of these polymers up to 15% drug loading. Pastes composed of 40:60 triblock:MePEG blends and 10% paclitaxel were found to inject through a 23-gauge needle and set to a solid pellet in phosphate-buffered saline at 37 degrees C. Such pellets released paclitaxel in a controlled manner over 7 weeks. Pastes composed of 40:60 triblock:MePEG blends containing 10% paclitaxel are proposed as suitable injectable formulations of the drug for intratumoral therapy.


Assuntos
Antineoplásicos/química , Paclitaxel/química , Poliésteres/química , Polietilenoglicóis/química , Antineoplásicos/administração & dosagem , Varredura Diferencial de Calorimetria , Química Farmacêutica , Cromatografia em Gel , Composição de Medicamentos , Estabilidade de Medicamentos , Óxido de Etileno , Injeções , Lactonas , Pomadas , Paclitaxel/administração & dosagem , Temperatura , Fatores de Tempo
19.
Int J Pharm ; 283(1-2): 97-109, 2004 Sep 28.
Artigo em Inglês | MEDLINE | ID: mdl-15363506

RESUMO

The objectives of this study were to investigate the use of poly(lactic-co-glycolic acid) (PLGA) for the formulation of paclitaxel loaded films and to characterize these films for potential application as perivascular "wraps" to prevent restenosis. Films were manufactured from PLGA blended with either methoxypolyethylene glycol (MePEG) or a diblock copolymer composed of poly(D,L-lactic acid)-block-methoxypolyethylene glycol, PDLLA-MePEG (diblock) by solvent evaporation on teflon discs. Elasticity was determined by gravimetric stress/strain analysis. Thermal analysis was determined using differential scanning calorimetry (DSC). Changes in film composition and degradation in aqueous media were determined using gel permeation chromatography (GPC). Paclitaxel release from films was measured by incubation of the films in phosphate buffered saline (PBS) with drug analysis by HPLC methods. The addition of MePEG or diblock to PLGA caused a concentration dependent increase in the elasticity of films, due to plasticizing effects. DSC analysis showed that MePEG and diblock caused a concentration dependent decrease in the glass transition temperature (Tg) of PLGA indicating miscibility of the polymers. When placed in aqueous media, more than 75% of MePEG dissolved out of the PLGA films within 2 days, whereas diblock partitioned slowly and in a controlled manner out of the films. Paclitaxel release from PLGA/MePEG films was very slow with less than 5% of the encapsulated drug being released over 2 weeks. The addition of 30% diblock to paclitaxel loaded PLGA films caused a substantial increase (five- to eight-fold) in the release rate of paclitaxel. PLGA films containing 30% diblock and either 1% or 5% paclitaxel were partially or completely degraded following perivascular implantation in rats.


Assuntos
Antineoplásicos Fitogênicos/administração & dosagem , Química Farmacêutica/métodos , Ácido Láctico/farmacologia , Paclitaxel/administração & dosagem , Ácido Poliglicólico/farmacologia , Polímeros/farmacologia , Animais , Biodegradação Ambiental/efeitos dos fármacos , Varredura Diferencial de Calorimetria , Sistemas de Liberação de Medicamentos , Copolímero de Ácido Poliláctico e Ácido Poliglicólico , Ratos , Ratos Wistar
20.
Int J Pharm ; 243(1-2): 43-55, 2002 Aug 28.
Artigo em Inglês | MEDLINE | ID: mdl-12176294

RESUMO

Ribozymes are catalytic RNA that bind and cleave specific regions of target RNA. Therefore, protein synthesis by the target RNA may be specifically inhibited by ribozymes. However, ribozymes are rapidly cleared from plasma so effective treatment of proliferative diseases may rely on the repeated administration of these agents to maintain therapeutic ribozyme concentrations. Therefore, the objective of this study was to encapsulate ribozymes in injectable polymeric paste and microsphere formulations to allow for the controlled release of these agents over extended periods of time. Ribozymes were effectively encapsulated in poly(L-lactic acid) (PLLA) and poly(lactic-co-glycolic) (PLGA) microspheres in various size ranges using a modified water-in-oil-in-water emulsion system and in poly(epsilon-caprolactone) (PCL) pastes by physical blending. These formulations released non-degraded ribozymes, in vitro, in a controlled manner. PLLA microspheres released the ribozymes rapidly whereas PLGA released drugs more slowly. The release rate of ribozymes from PCL pastes could be effectively controlled by altering the loading concentration of ribozymes in the paste. These polymeric injectable formulations of ribozymes may allow for the extended treatment of localized disease sites, such as cancer and arthritis, without the need for repeated dosing.


Assuntos
RNA Catalítico/química , Biodegradação Ambiental , Química Farmacêutica , Preparações de Ação Retardada , Composição de Medicamentos , Estabilidade de Medicamentos , Eletroforese em Gel de Poliacrilamida , Glicolatos , Ácido Láctico , Microesferas , Tamanho da Partícula , Poliésteres , Ácido Poliglicólico , Copolímero de Ácido Poliláctico e Ácido Poliglicólico , Polímeros
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