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1.
Crit Rev Eukaryot Gene Expr ; 11(1-3): 1-21, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-11693956

RESUMO

Angiogenesis is a novel approach for the therapy of various ischemia-related pathophysiologic conditions. Proangiogenic growth factors have shown promising results in preclinical studies using protein- and gene-based therapies. However, their success in clinical trials is hindered by the lack of an optimal delivery strategy that would provide sustained and localized levels of the growth factors in the diseased tissue. Targeted delivery of proangiogenic agents is expected to demonstrate therapeutic efficacy of growth factors at relatively lower doses, without the risk of systemic toxicity in terms of unwanted angiogenesis. To achieve the above objectives, various drug delivery systems are under investigation. This review describes the basic mechanism of action of growth factors, their current status in preclinical and clinical studies, and the issue of drug delivery.


Assuntos
Arteriosclerose/tratamento farmacológico , Circulação Colateral/efeitos dos fármacos , Substâncias de Crescimento/uso terapêutico , Angiopoietina-1 , Animais , Embrião de Galinha , Ensaios Clínicos como Assunto , Doença da Artéria Coronariana/tratamento farmacológico , Composição de Medicamentos , Sistemas de Liberação de Medicamentos , Avaliação Pré-Clínica de Medicamentos , Fatores de Crescimento Endotelial/farmacologia , Fatores de Crescimento Endotelial/uso terapêutico , Endotélio Vascular/efeitos dos fármacos , Fatores de Crescimento de Fibroblastos/farmacologia , Previsões , Terapia Genética , Substâncias de Crescimento/administração & dosagem , Substâncias de Crescimento/efeitos adversos , Membro Posterior/irrigação sanguínea , Humanos , Hipotensão/induzido quimicamente , Isquemia/tratamento farmacológico , Linfocinas/farmacologia , Linfocinas/uso terapêutico , Glicoproteínas de Membrana/farmacologia , Glicoproteínas de Membrana/uso terapêutico , Camundongos , Neovascularização Patológica/induzido quimicamente , Neovascularização Fisiológica/fisiologia , Coelhos , Ratos , Receptores de Fatores de Crescimento/efeitos dos fármacos , Fator A de Crescimento do Endotélio Vascular , Fatores de Crescimento do Endotélio Vascular
2.
Clin Pharmacokinet ; 29(1): 1-5, 1995 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-7586894

RESUMO

Conventional antiarrhythmia therapy by oral or intravenous routes of administration is often ineffective and results in drug-associated complications and toxicity. In addition, poor bioavailability and a high first-pass effect limit therapeutic applications of several investigational antiarrhythmic compounds, which are otherwise more potent and less toxic than available agents. The regional nature of the several cardiac diseases, such as ischaemia, restenosis or heart valve calcification, may require a high concentration of drug at the location of the disease, which by conventional routes may not be attainable due to systemic toxicity of the drug. Localised cardiac delivery of antiarrhythmic agents, based on drug-polymer implants, may have several advantages, including enhanced drug effects and reduced systemic drug toxicity. Computer-assisted automated feedback systems may further enhance the usefulness of this therapy in the clinical setting. Before clinical application of this method of drug delivery further study will be required, but it is hypothesised that pharmacokinetic variability for drugs delivered in this manner will be reduced and therefore efficacy and toxicity will be more predictable.


Assuntos
Antiarrítmicos/administração & dosagem , Antiarrítmicos/farmacocinética , Sistemas de Liberação de Medicamentos , Coração/efeitos dos fármacos , Miocárdio/metabolismo , Antiarrítmicos/farmacologia , Antiarrítmicos/uso terapêutico , Disponibilidade Biológica , Preparações de Ação Retardada/normas , Implantes de Medicamento , Retroalimentação , Iontoforese
3.
J Control Release ; 54(2): 201-11, 1998 Jul 31.
Artigo em Inglês | MEDLINE | ID: mdl-9724907

RESUMO

Biodegradable nanoparticles (NP) with a spherical diameter ranging from 70 to 160 nm were investigated for potential usefulness for the local intraluminal therapy of restenosis, the disease process responsible for arterial reobstruction following angioplasty. NPs containing a water-insoluble anti-proliferative agent U-86983 (U-86, Pharmacia and Upjohn, Kalamazoo, MI) were formulated from oil-water emulsions using biodegradable polymers such as poly(lactic acid-co-glycolic acid) (PLGA), and specific additives after particle formation, to enhance arterial retention using either heparin, didodecylmethylammonium bromide (DMAB), or fibrinogen, or combinations. Femoral and carotid arteries of male mongrel dogs were isolated in situ, and were then subjected to a balloon angioplasty. A NP suspension of a predetermined concentration was then infused into the artery for various durations. This was followed by a 30 min restoration of blood flow through the vessel. The arterial segments were excised and analyzed for drug levels. From the drug loading the NP and the drug levels in the artery, the quantity of nanoparticles retained was calculated and expressed as microgram per 10 mg dry arteries. In general, repeated short infusions of nanoparticle suspension (15 s x 4) were two-fold more effective in terms of higher arterial U-86 levels than a single prolonged infusion (60 s). A single 15 s infusion was not significantly different than a 60 s compared to non-modified NPs (39.2 +/- 2.5 and 49.1 +/- 2.4 vs. 21.5 +/- 0.6 micrograms/10 mg mean +/- s.e., respectively). A comparably enhanced NP uptake was noted with a combined heparin/DMAB modification. Increasing the concentration of NP in infusate from 5 to 30 mg ml-1 significantly increased arterial NP uptake level (from 22.5 +/- 3.5 to 83.7 +/- 1.4 micrograms/10 mg). Thus, the results support the view that modified nanoparticles along with optimized infusion conditions could enhance arterial wall drug concentrations of agents to treat restenosis.


Assuntos
Artérias/efeitos dos fármacos , Cromonas/uso terapêutico , Sistemas de Liberação de Medicamentos , Morfolinas/uso terapêutico , Angioplastia com Balão , Animais , Artérias/química , Artérias/metabolismo , Materiais Biocompatíveis/química , Biodegradação Ambiental , Cromonas/administração & dosagem , Cromonas/análise , Doença das Coronárias/prevenção & controle , Modelos Animais de Doenças , Cães , Endotélio Vascular/efeitos dos fármacos , Fibrinogênio/análise , Fibrinogênio/farmacologia , Fibrinolíticos/análise , Fibrinolíticos/farmacologia , Heparina/análise , Heparina/farmacologia , Infusões Intra-Arteriais , Ácido Láctico/química , Masculino , Morfolinas/administração & dosagem , Morfolinas/análise , Tamanho da Partícula , Ácido Poliglicólico/química , Copolímero de Ácido Poliláctico e Ácido Poliglicólico , Polímeros/química , Complicações Pós-Operatórias/prevenção & controle
4.
J Drug Target ; 10(6): 515-23, 2002 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-12575742

RESUMO

Localized intramural delivery of sustained release biodegradable nanoparticles containing an antiproliferative agent could provide prolonged drug effect at the site of vascular injury that could inhibit the proliferation of smooth muscle cells and hence restenosis. The efficiency of arterial localization of nanoparticles is crucial in maximizing the drug effect in the target tissue. Therefore, the objective of the present study was to determine the comparative efficiency of the Dispatch and the Infiltrator cardiac infusion catheters to localize nanoparticles in the arterial wall. Following a standard balloon angioplasty procedure on the left anterior descending artery (LAD) in a porcine coronary model of restenosis, a suspension of nanoparticles containing a fluorescent marker was infused at the site of injury using either the Dispatch or the Infiltrator catheter. One hour following the infusion, animals were sacrificed and the nanoparticle levels in the LAD and other tissue were analyzed. The Dispatch catheter resulted in 3.3 folds greater efficiency of nanoparticle localization in the LAD than the Infiltrator catheter (309 +/- 124 vs. 93 +/- 43 microg/g of tissue, n = 6 for Dispatch and n = 5 for Infiltrator, p = 0.082, t-test). It is estimated that about 2% of the arterial volume can be displaced with the nanoparticle infusion. Fluorescence microscopy of the cross-sections of the LAD revealed greater fluorescence activity in the intimal layer with both the catheters, however the arteries infused using the Dispatch catheter demonstrated relatively higher degree of fluorescence activity in the medial and adventitial layers. The transmission electron microscopy of the arterial sections demonstrated infiltration of nanoparticles in the arterial wall and the histological analysis of the sections demonstrated no apparent damage to the endothelium due to the infusion of nanoparticles.


Assuntos
Reestenose Coronária/tratamento farmacológico , Modelos Animais de Doenças , Infusões Intra-Arteriais/métodos , Nanotecnologia/métodos , Animais , Infusões Intra-Arteriais/instrumentação , Microesferas , Suínos
5.
J Pharm Sci ; 83(10): 1482-94, 1994 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-7884674

RESUMO

An implantable drug delivery method using iontophoresis through cation-selective membranes was further developed. Heterogeneous cation-exchange membranes (HCMs) were prepared by mixing conductive sulfonated polystyrene beads into a nonconductive silicone rubber matrix. The membrane resistivity and lag time to steady-state transport of two salts, (+/-)-phenylpropanolamine hydrochloride (PPA) and NaCl, were evaluated during constant current iontophoresis at 37 degrees C as a function of the resin content in the HCMs. A continuous decline in membrane resistivity was observed as fractional resin content (l) was increased over the entire usable region (l = 0.29-0.52), a characteristic that could be described by a percolation scaling law (for an infinite lattice, 3-D geometry). Morphological analysis of the membranes before and after swelling strongly suggested that the conducting clusters of resin beads form during the swelling period prior to use. The response time to steady-state transport of PPA into NaCl during a 40 microA constant current (0.27 cm2) was found to increase with increasing l, but not without decreasing the permselectivity of the HCMs for the drug cation. The lag time effect could be explained in terms of an increasing number of fixed charge groups in the membrane available for transport (mfcA), which was derived from a macroscopic mass balance model. The values of mfcA were also found to be related to the characteristic time of diffusion in a homogeneous transport projection of the HCM (or an effective medium), an essential parameter for future non-steady-state simulations. The characteristic time of diffusion was found to be invariant with changing resin content, suggesting that the membranes are fairly nontortuous (ca. seven beads thick). By assuming that the thickness of the HCM approaches the thickness of its homogeneous projection, an expression was derived to predict lag time to steady-state PPA transport requiring resistance measurements only (provided that the resin capacity is known). There was excellent agreement between the theoretical and experimental lag time to steady-state transport of PPA (r = 0.96, p < 0.001), further implicating the role of membrane resistance in the bi-ionic system. These modeling approaches have already found utility in iontophoretic implant design for prevention of cardiac arrhythmias and may be valuable in future non-steady-state analysis to further develop on-line detection-implant response technology.


Assuntos
Bombas de Infusão Implantáveis , Iontoforese/métodos , Membranas Artificiais , Cátions , Computação Matemática , Farmacocinética , Fenilpropanolamina/administração & dosagem , Resinas Vegetais/química , Fatores de Tempo
6.
J Pharm Sci ; 87(10): 1229-34, 1998 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-9758682

RESUMO

Restenosis is the reobstruction of an artery following interventional procedures such as balloon angioplasty or stenting. Local pharmacotherapeutic approaches using controlled release systems are under investigation to inhibit the regional pathophysiologic process of restenosis. We have been investigating biodegradable nanoparticles (100 +/- 39 nm in diameter, mean +/- sd) for the local intra-arterial drug delivery. The purpose of this study was to investigate nanoparticle surface modifications (see Table 1) to enhance their arterial uptake. The PLGA (polylactic polyglycolic acid copolymer) nanoparticles were formulated by an oil-in-water emulsion solvent evaporation technique using a 2-aminochromone (U-86983, Upjohn and Pharmacia) (U-86) as a model antiproliferative agent. The various formulations of nanoparticles were evaluated for the arterial wall uptake by using an ex-vivo dog femoral artery model. The selected formulations were then tested in vivo in acute dog femoral artery and pig coronary artery models. The nanoparticles surface modified with a cationic compound, didodecyldimethylammonium bromide (DMAB), demonstrated 7-10-fold greater arterial U-86 levels compared to the unmodified nanoparticles in different ex-vivo and in-vivo studies. The mean U-86 levels were 10.7 +/- 1.7 microg/10 mg (dog) and 6.6 +/- 0.6 microg/10 mg (pig) in the artery segments ( approximately 2 cm) which were infused with the nanoparticles. The pig coronary studies further demonstrated that the infusion of nanoparticles with higher U-86 loading reduced the arterial U-86 levels, whereas increasing the nanoparticle concentration in the infusion solutions increased the arterial U-86 levels. The biodistribution studies in pigs following coronary arterial administration of nanoparticles demonstrated disposition of U-86 in the myocardium and distally in the liver and the lung. The mechanism of enhanced arterial uptake of the DMAB surface modified nanoparticles seems to be due to the alteration in the nanoparticle surface charge. The unmodified nanoparticles had a zeta potential of -27.8 +/- 0.5 mV (mean +/- sem, n = 5), whereas the DMAB modified nanoparticles demonstrated a zeta potential of +22.1 +/- 3.2 mV (mean +/- sem, n = 5). The adsorption of DMAB to the nanoparticle surface followed the Freundlich isotherm with binding capacity k = 28.1 microg/mg and affinity constant p = 2. 33. In conclusion, surface modified nanoparticles have potential applications for intra-arterial drug delivery to localize therapeutic agents in the arterial wall to inhibit restenosis.


Assuntos
Cromonas/farmacocinética , Vasos Coronários/metabolismo , Artéria Femoral/metabolismo , Morfolinas/farmacocinética , Animais , Arteriopatias Oclusivas/prevenção & controle , Biodegradação Ambiental , Cromonas/administração & dosagem , Cromonas/química , Cães , Infusões Intra-Arteriais , Ácido Láctico , Microesferas , Morfolinas/administração & dosagem , Morfolinas/química , Tamanho da Partícula , Ácido Poliglicólico , Copolímero de Ácido Poliláctico e Ácido Poliglicólico , Polímeros , Propriedades de Superfície , Suínos
7.
J Pharm Sci ; 87(11): 1347-50, 1998 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-9811488

RESUMO

In this paper we report a novel technique of DNA-polymer coating for gene transfer. A proprietary DNA polymer solution was used for thin-layer coating on a chromic gut suture as a model study. The coated sutures were characterized for physical properties such as coating thickness, mass of the DNA deposited on the suture, surface characteristics as determined by scanning electron microscopy, and in vitro DNA release characteristics under simulated physiologic conditions. The in vivo gene transfection using DNA-coated sutures was demonstrated in rat skeletal muscle and in canine atrial myocardium. A heat-stable human placental alkaline phosphatase (AP) plasmid was used as a marker gene. Incisions of 1 to 1.5 cm were made in the rat skeletal muscles or the canine atrial myocardium. The sites were closed with either the DNA-coated sutures or control sutures. Two weeks after the surgery, the tissue samples adjacent to the suture lines were retrieved and analyzed for AP activity. The DNA-coated sutures demonstrated a sustained release of the DNA under in vitro conditions, with an approximately 84% cumulative DNA release occurring in 26 days. An agarose gel electrophoresis of the DNA samples released from the suture demonstrated two bands, with the lower band corresponding to the input DNA (supercoiled). It seems that there was a partial transformation of the DNA from a supercoiled to an open circular form due to the polymer coating. The tissue sites, which received the DNA-coated sutures, demonstrated a significantly higher AP activity compared with the tissue sites that received control sutures. In the rat studies, the mean AP activity (square root of cpm/microgram protein) was 43.6 +/- 3.3 vs 20.6 +/- 2.1 (p = 0.001) at the control sites. Similarly, in the canine studies, the AP activity was 73.6 +/- 7.4 Vs 21.6 +/- 1.4 (p = 0.0009) at the control sites. Thus, our studies demonstrated a successful gene transfer using our DNA-polymer coating technique. This technique could be useful for coating sutures used in vascular and general surgery, and also for coating medical devices, such as stents, catheters, or orthopedic devices, to achieve a site-specific gene delivery.


Assuntos
DNA/administração & dosagem , Sistemas de Liberação de Medicamentos , Terapia Genética , Coração/fisiologia , Músculo Esquelético/fisiologia , Animais , DNA/química , Preparações de Ação Retardada , Cães , Portadores de Fármacos , Humanos , Masculino , Ratos , Ratos Sprague-Dawley , Transfecção
8.
J Pharm Sci ; 83(2): 156-64, 1994 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-8169781

RESUMO

An array of controlled-release formulations of sotalol were investigated for epicardial drug delivery in short-term and chronic long-term treatment models with dogs. A nondegradable matrix formulation of sotalol made with polyurethane was studied by use of short-term treatment model with dogs, and the electrophysiologic effects were compared with those resulting from an intravenous dose of 2 mg/kg of body weight. Epicardial sotalol-polyurethane matrices were also used in 7-day canine implant studies. A sotalol-silicone rubber matrix was used in 60-day epicardial canine implant studies. A biodegradable poly(dl-lactide-co-glycolide) (PLGA) microsphere formulation of sotalol was also studied as a pericardial injection in another series involving 30-day dog experiments. The short-term treatment electrophysiologic effects observed with the epicardial (left ventricular) implantation of a sotalol-polyurethane matrix formulation were comparable to those observed with intravenous sotalol. However, the total dose delivered by the matrix over a 2-h experimental period was 25 times smaller than the intravenous dose (0.077 versus 2 mg/kg). Furthermore, coronary venous sotalol levels after sotalol-polyurethane matrix implantation were in the therapeutic range (1812.4 +/- 415.1 ng/mL), whereas simultaneous peripheral venous levels were more than 1 order of magnitude lower (149.8 +/- 14.1 ng/mL). An intravenous bolus administration of sotalol (2 mg/kg) resulted in coronary venous levels (1537.1 +/- 44.6 ng/mL) that were very close to simultaneous peripheral venous levels (1428.6 +/- 63.9 ng/mL).(ABSTRACT TRUNCATED AT 250 WORDS)


Assuntos
Antiarrítmicos/administração & dosagem , Ácido Láctico , Ácido Poliglicólico , Sotalol/administração & dosagem , Animais , Antiarrítmicos/farmacocinética , Antiarrítmicos/farmacologia , Cromatografia Líquida de Alta Pressão , Preparações de Ação Retardada , Cães , Eletrofisiologia , Injeções Intravenosas , Masculino , Microesferas , Miocárdio/metabolismo , Condução Nervosa/efeitos dos fármacos , Tamanho da Partícula , Copolímero de Ácido Poliláctico e Ácido Poliglicólico , Polímeros , Poliuretanos , Período Refratário Eletrofisiológico/efeitos dos fármacos , Elastômeros de Silicone , Solubilidade , Sotalol/farmacocinética , Sotalol/farmacologia
9.
Int J Pharm ; 270(1-2): 27-36, 2004 Feb 11.
Artigo em Inglês | MEDLINE | ID: mdl-14726119

RESUMO

Rosin and Rosin-based polymers have diversified drug delivery applications achieving sustained/controlled release profiles. In this manuscript, two new Rosin derivatives were synthesized and evaluated for physicochemical properties, molecular weight, polydispersity and glass transition temperature. Plasticizer-free films prepared by solvent evaporation were tested for surface morphology, water vapour transmission and mechanical properties (tensile strength, percent elongation and modulus of elasticity). The films showed low tensile strength and high percent elongation values achieving smooth and uniform surface. The derivatives were further characterized for film coating by evaluating the release of a model drug (diclofenac sodium) from pellets coated with the rosin derivatives as retarding membrane. Drug release was sustained up to 10 h due to 10% (w/w) coat built up with the new rosin derivatives. Increase in coat-built-up further facilitated sustained release from coated forms. Film coating could be achieved without agglomeration of the pellets within a reasonable operating time. The present study proposes novel film forming materials with potential use in sustained drug delivery.


Assuntos
Resinas Vegetais/química , Química Farmacêutica , Preparações de Ação Retardada , Composição de Medicamentos , Concentração de Íons de Hidrogênio , Polímeros/síntese química , Polímeros/química , Resinas Vegetais/síntese química , Solubilidade , Fatores de Tempo
10.
Drug Deliv ; 3(3): 137-42, 1996.
Artigo em Inglês | MEDLINE | ID: mdl-26790908

RESUMO

Cardiac implants using drug-polymer systems for the release of anti-arrhythmic agents directly to the myocardium have been successfully utilized in experimental studies for preventing and treating arrhythmias. This approach is hypothesized to be optimal since anti-arrhythmic agents are provided directly to the heart, and therefore the possibility of systemic side effects is reduced. Furthermore, anti-arrhythmic agents with poor oral bioavailability or with first-pass clearance characteristics following intravenous administration, such as the class III agent ibutilide, are optimally used by the direct cardiac route of administration. Cardiac controlled release implants have been demonstrated to be effective for optimizing the therapy of ventricular tachycardia, ventricular fibrillation, and atrial flutter. Monolithic matrices have been used for fixed rate release kinetics, and modulation of release has been possible through the use of iontophoretic drug delivery systems. Future implants will interface with forefront strategies in tissue engineering and molecular genetics to provide optimal therapy of the diseased arrhythmogenic myocardium.

11.
Cell Death Dis ; 4: e903, 2013 Nov 07.
Artigo em Inglês | MEDLINE | ID: mdl-24201802

RESUMO

Several neurodegenerative diseases and brain injury involve reactive oxygen species and implicate oxidative stress in disease mechanisms. Hydrogen peroxide (H2O2) formation due to mitochondrial superoxide leakage perpetuates oxidative stress in neuronal injury. Catalase, an H2O2-degrading enzyme, thus remains an important antioxidant therapy target. However, catalase therapy is restricted by its labile nature and inadequate delivery. Here, a nanotechnology approach was evaluated using catalase-loaded, poly(lactic co-glycolic acid) nanoparticles (NPs) in human neuronal protection against oxidative damage. This study showed highly efficient catalase encapsulation capable of retaining ~99% enzymatic activity. NPs released catalase rapidly, and antioxidant activity was sustained for over a month. NP uptake in human neurons was rapid and nontoxic. Although human neurons were highly sensitive to H2O2, NP-mediated catalase delivery successfully protected cultured neurons from H2O2-induced oxidative stress. Catalase-loaded NPs significantly reduced H2O2-induced protein oxidation, DNA damage, mitochondrial membrane transition pore opening and loss of cell membrane integrity and restored neuronal morphology, neurite network and microtubule-associated protein-2 levels. Further, catalase-loaded NPs improved neuronal recovery from H2O2 pre-exposure better than free catalase, suggesting possible applications in ameliorating stroke-relevant oxidative stress. Brain targeting of catalase-loaded NPs may find wide therapeutic applications for oxidative stress-associated acute and chronic neurodegenerative disorders.


Assuntos
Catalase/metabolismo , Nanopartículas/química , Neurônios/efeitos dos fármacos , Neurônios/metabolismo , Catalase/administração & dosagem , Células Cultivadas , Humanos , Peróxido de Hidrogênio/farmacologia , Ácido Láctico/química , Estresse Oxidativo/efeitos dos fármacos , Ácido Poliglicólico/química , Copolímero de Ácido Poliláctico e Ácido Poliglicólico
12.
Cancer Gene Ther ; 19(8): 530-7, 2012 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-22595792

RESUMO

Mutation of the p53 tumor suppressor gene, the most common genetic alteration in human cancers, results in more aggressive disease and increased resistance to conventional therapies. Aggressiveness may be related to the increased angiogenic activity of cancer cells containing mutant p53. To restore wild-type p53 function in cancer cells, we developed polymeric nanoparticles (NPs) for p53 gene delivery. Previous in vitro and in vivo studies demonstrated the ability of these NPs to provide sustained intracellular release of DNA, thus sustained gene transfection and decreased tumor cell proliferation. We investigated in vivo mechanisms involved in NP-mediated p53 tumor inhibition, with focus on angiogenesis. We hypothesize that sustained p53 gene delivery will help decrease tumor angiogenic activity and thus reduce tumor growth and improve animal survival. Xenografts of p53 mutant tumors were treated with a single intratumoral injection of p53 gene-loaded NPs (p53NPs). We observed intratumoral p53 gene expression corresponding to tumor growth inhibition, over 5 weeks. Treated tumors showed upregulation of thrombospondin-1, a potent antiangiogenic factor, and a decrease in microvessel density vs controls (saline, p53 DNA alone, and control NPs). Greater levels of apoptosis were also observed in p53NP-treated tumors. Overall, this led to significantly improved survival in p53NP-treated animals. NP-mediated p53 gene delivery slowed cancer progression and improved survival in an in vivo cancer model. One mechanism by which this was accomplished was disruption of tumor angiogenesis. We conclude that the NP-mediated sustained tumor p53 gene therapy can effectively be used for tumor growth inhibition.


Assuntos
Terapia Genética , Nanopartículas/uso terapêutico , Neoplasias Experimentais , Neovascularização Patológica , Proteína Supressora de Tumor p53 , Animais , Apoptose/genética , Linhagem Celular Tumoral , Proliferação de Células/efeitos dos fármacos , Regulação Neoplásica da Expressão Gênica , Técnicas de Transferência de Genes , Humanos , Camundongos , Camundongos Nus , Neoplasias Experimentais/tratamento farmacológico , Neoplasias Experimentais/genética , Neovascularização Patológica/tratamento farmacológico , Neovascularização Patológica/genética , Proteína Supressora de Tumor p53/genética , Proteína Supressora de Tumor p53/uso terapêutico
13.
J Microencapsul ; 8(1): 83-5, 1991.
Artigo em Inglês | MEDLINE | ID: mdl-1880694

RESUMO

Gelatin, methylcellulose and agar microcapsules were prepared with and without suphadiazine. The zeta potential of these microcapsules was measured at regular intervals during ageing at 45 degrees C. An initial sharp rise in zeta potential is followed by a progressive decrease. Zeta potential could prove to be a useful parameter to study the changes occurring in the encapsulating material of microcapsules during ageing.


Assuntos
Cápsulas/química , Fenômenos Químicos , Físico-Química , Estabilidade de Medicamentos , Eletroquímica , Eletroforese , Excipientes/química , Sulfadiazina/química
14.
J Microencapsul ; 11(3): 319-25, 1994.
Artigo em Inglês | MEDLINE | ID: mdl-8064555

RESUMO

The present work was undertaken to study the effect of liposome formulation factors on its efficiency as a carrier for oral administration of insulin. The insulin-liposomes were prepared by two methods: solvent evaporation hydration and solvent spherule evaporation, with various variables such as concentration of insulin (I), lecithin (L), cholesterol (C), and Tween-80 (T). It was found that the insulin-liposomes when administered orally could produce hypoglycaemia. Variation in liposome composition was found to affect the efficiency of liposome as a carrier for oral administration of insulin. A liposome system containing L, 100 mg; C, 20 mg; I, 150 units; T, 1 per cent v/v, and prepared by the solvent spherule evaporation method was found to be most effective. The effect of insulin-liposome had prolonged action in diabetes-induced rabbits compared with that in normal rabbits. The results of the insulin-liposome system were comparable with the action of 1 unit of insulin/kg administered subcutaneously.


Assuntos
Portadores de Fármacos , Insulina/administração & dosagem , Lipossomos , Administração Oral , Animais , Glicemia/efeitos dos fármacos , Glicemia/metabolismo , Fenômenos Químicos , Química Farmacêutica , Físico-Química , Colesterol/química , Feminino , Insulina/farmacologia , Masculino , Fosfatidilcolinas/química , Polissorbatos/química , Coelhos , Solventes
15.
J Microencapsul ; 5(4): 339-41, 1988.
Artigo em Inglês | MEDLINE | ID: mdl-3236154

RESUMO

Gelatin and methylcellulose microcapsules with and without sulphadiazine were compressed into compacts. The dielectric constant of these compacts was measured at regular intervals during ageing at 45 degrees C. An initial sharp fall in dielectric constant is followed by a progressive increase. Dielectric constant could be a parameter to study the changes occurring in microcapsules during ageing.


Assuntos
Cápsulas , Eletroquímica , Gelatina , Metilcelulose , Sulfadiazina , Fatores de Tempo
16.
J Microencapsul ; 6(1): 115-8, 1989.
Artigo em Inglês | MEDLINE | ID: mdl-2715911

RESUMO

Shellac esters were prepared by heating shellac with glycerol and intermediate reaction products were withdrawn. Salicyclic acid granules were encapsulated using a 20 per cent w/v alcoholic solution of shellac and shellac esters. The coated microcapsules were evaluated for moisture absorption, flow properties, and dissolution studies. The drug release from coated granules was seen to depend upon the acid value of the esters. Results indicate that shellac esters could be better encapsulating material than shellac in sustained release formulation.


Assuntos
Cápsulas , Ácidos Carboxílicos , Composição de Medicamentos/métodos , Ésteres , Glicerol , Resinas Vegetais , Salicilatos/farmacocinética , Ácido Salicílico
17.
J Microencapsul ; 11(6): 663-8, 1994.
Artigo em Inglês | MEDLINE | ID: mdl-7884632

RESUMO

Zeta potential and dielectric constant of the liposomes were measured to study the effect of some of the formulation factors and in vitro ageing. Sonication affects zeta potential and dielectric constant of the liposomes. The ageing study showed an increase in the dielectric constant and zeta potential of liposomes at different storage temperatures. These two electrical parameters could be useful in studying structural alterations in liposomal vesicles and system as a function of different conditions. Particle size distribution and optical density were also measured, for comparison.


Assuntos
Físico-Química , Lipossomos/química , Fenômenos Químicos , Portadores de Fármacos , Potenciais da Membrana , Propriedades de Superfície
18.
J Cardiovasc Pharmacol ; 24(5): 826-40, 1994 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-7532762

RESUMO

Polymer-drug composites known as controlled-release systems have been used effectively to prevent and treat ventricular arrhythmias in experimental studies. We wished to determine if such systems could be useful in reducing ventricular defibrillation energy requirements in an acute canine model without producing undesirable electrophysiologic effects. Ibutilide-polyurethane monolithic controlled-release matrices were formulated with ibutilide fumarate and a polyether polyurethane. In vitro drug-release characteristics of the drug matrices were determined. Two formulations were investigated: (a) 20% ibutilide by weight in polyether polyurethane, and (b) 4% ibutilide/16% dimethyl tartrate in polyurethane. Based on in vitro release studies, 20% ibutilide matrices (25 mg) would provide a 25-kg dog with a dose of 25 micrograms/kg ibutilide in a 2-h acute experimental period, and 4% ibutilide matrices were estimated to provide 3.5 micrograms/kg. We used each of these types of matrices in acute open-chest dog studies to assess electrophysiologic effects and the influence of epicardial controlled-release ibutilide, as compared with intravenous (i.v.) administration, on defibrillation energy thresholds (DFTs), using epicardial defibrillation electrodes. In monophasic defibrillation waveform studies, 20% matrices significantly decreased DFT as compared with a predrug control period [2.54 +/- 0.59 (mean +/- SEM) vs. 7.23 +/- 1.73 J, respectively, p = 0.038]. Administration of the same dose i.v. did not cause significant reduction in energy requirement. With a biphasic defibrillation waveform, 4% ibutilide matrices significantly decreased DFT as compared with control (2.53 +/- 0.34 vs. 3.42 +/- 0.46 J, respectively, p = 0.003). Administration of an equivalent i.v. dose did not cause a significant reduction in biphasic energy requirement. Both types of controlled-release systems significantly prolonged refractoriness and conduction times of ventricular extrastimuli as compared with vehicle. No proarrhythmia events were observed. Epicardial polymeric controlled-release ibutilide significantly prolonged ventricular refractoriness and conduction and thus may enhance antiarrhythmia activity. In addition, controlled-release ibutilide formulations significantly decreased DFT requirements. Thus, ibutilide-polymeric controlled-release matrix systems may be useful in conjunction with implantable defibrillators in preventing ventricular arrhythmias and reducing defibrillation energy requirements.


Assuntos
Antiarrítmicos/farmacologia , Pericárdio/efeitos dos fármacos , Sulfonamidas/farmacologia , Fibrilação Ventricular/tratamento farmacológico , Animais , Antiarrítmicos/administração & dosagem , Antiarrítmicos/uso terapêutico , Cromatografia Líquida de Alta Pressão , Preparações de Ação Retardada , Modelos Animais de Doenças , Cães , Relação Dose-Resposta a Droga , Sistemas de Liberação de Medicamentos , Eletrofisiologia , Técnicas In Vitro , Injeções Intravenosas , Masculino , Poliuretanos/metabolismo , Sulfonamidas/administração & dosagem , Sulfonamidas/uso terapêutico
19.
Proc Natl Acad Sci U S A ; 92(7): 2612-6, 1995 Mar 28.
Artigo em Inglês | MEDLINE | ID: mdl-7708693

RESUMO

Cardiac arrhythmias are a frequent cause of death and morbidity. Conventional antiarrhythmia therapy involving oral or intravenous medication is often ineffective and complicated by drug-associated side effects. Previous studies from our laboratory have demonstrated the advantages of cardiac drug-polymer implants for enhanced efficacy for cardiac arrhythmia therapy compared with conventional administration. However, these studies were based on systems that deliver drugs at a fixed release rate. Modulation of the drug delivery rate has the advantage of regulating the amount of the drug delivered depending upon the disease state of the patient. We hypothesized that iontophoresis could be used to modulate cardiac drug delivery. In this study, we report our investigations of a cardiac drug implant in dogs that is capable of iontophoretic modulation of the administration of the antiarrhythmic agent sotalol. We used a heterogeneous cation-exchange membrane (HCM) as an electrically sensitive and highly efficient rate-limiting barrier on the cardiac-contacting surface of the implant. Thus, electric current is passed only through the HCM and not the myocardium. The iontophoretic cardiac implant demonstrated in vitro drug release rates that were responsive to current modulation. In vivo results in dogs have confirmed that iontophoresis resulted in regional coronary enhancement of sotalol levels with current-responsive increases in drug concentrations. We also observed acute current-dependent changes in ventricular effective refractory periods reflecting sotalol-induced refractoriness due to regional drug administration. In 30-day dog experiments, iontophoretic cardiac implants demonstrated robust sustained function and reproducible modulation of drug delivery kinetics.


Assuntos
Arritmias Cardíacas/tratamento farmacológico , Cães , Iontoforese/métodos , Sotalol/administração & dosagem , Animais , Circulação Coronária , Portadores de Fármacos , Implantes de Medicamento , Iontoforese/instrumentação , Sotalol/sangue , Sotalol/uso terapêutico , Fatores de Tempo
20.
Pharm Res ; 13(12): 1838-45, 1996 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-8987081

RESUMO

PURPOSE: To investigate the effect of microparticle size on gastrointestinal tissue uptake. METHODS: Biodegradable microparticles of various sizes using polylactic polyglycolic acid (50:50) co-polymer (100 nm, 500 nm, 1 micron, and 10 microns) and bovine serum albumin as a model protein were formulated by water-in-oil-in-water emulsion solvent evaporation technique. The uptake of microparticles was studied in rat in situ intestinal loop model and quantitatively analyzed for efficiency of uptake. RESULTS: In general, the efficiency of uptake of 100 nm size particles by the intestinal tissue was 15-250 fold higher compared to larger size microparticles. The efficiency of uptake was dependent on the type of tissue, such as Peyer's patch and non patch as well as on the location of the tissue collected i.e. duodenum or ileum. Depending on the size of microparticles, the Peyer's patch tissue had 2-200 fold higher uptake of particles than the non-patch tissue collected from the same region of the intestine. Histological evaluation of the tissue sections demonstrated that 100 nm particles were diffused throughout the submucosal layers while the larger size nano/microparticles were predominantly localized in the epithelial lining of the tissue. CONCLUSIONS: There is a microparticle size dependent exclusion phenomena in the gastrointestinal mucosal tissue with 100 nm size particles showing significantly greater tissue uptake. This has important implications in designing of nanoparticle-based oral drug delivery systems, such as an oral vaccine system.


Assuntos
Materiais Biocompatíveis/farmacologia , Absorção Intestinal/efeitos dos fármacos , Mucosa Intestinal/metabolismo , Ácido Láctico , Tamanho da Partícula , Ácido Poliglicólico , Polímeros/farmacologia , Animais , Biodegradação Ambiental , Duodeno/anatomia & histologia , Duodeno/metabolismo , Íleo/anatomia & histologia , Íleo/metabolismo , Técnicas In Vitro , Masculino , Nódulos Linfáticos Agregados/anatomia & histologia , Nódulos Linfáticos Agregados/metabolismo , Copolímero de Ácido Poliláctico e Ácido Poliglicólico , Ratos , Ratos Sprague-Dawley
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