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1.
AAPS PharmSciTech ; 21(8): 288, 2020 Oct 18.
Artículo en Inglés | MEDLINE | ID: mdl-33073311

RESUMEN

Nanostructured lipid carriers (NLC) are aqueous dispersions of nanoparticles formed by solid and liquid lipids. In this study, NLC containing an organic UV filter, bemotrizinol, were developed for sunscreen formulation using carnauba wax and caprylic/capric triglycerides through ultrasonication technique. A Box-Behnken design was used to evaluate the influence of three variables on the particle size with the purpose of choosing the best system for further characterization. The particle size decreased as the surfactant concentration increased, reaching an average size of 122.4 ± 0.3 nm at 30 days of storage. Scanning electron microscopy showed intact and spherical particles. Thermal analysis and Fourier-transform infrared spectroscopy suggest that bemotrizinol was incorporated into the NLC. The X-ray diffraction showed a reduction in the crystallinity of the NLC. In vitro analysis indicated an improvement in the photoprotective activity of bemotrizinol when incorporated into NLC. These findings suggest a promising, stable, and biocompatible system.


Asunto(s)
Portadores de Fármacos/química , Lípidos/química , Nanoestructuras/química , Fenoles/química , Protectores Solares/química , Triazinas/química , Ceras/química , Microscopía Electrónica de Rastreo , Difracción de Rayos X
2.
Eur J Pharm Sci ; 155: 105547, 2020 Dec 01.
Artículo en Inglés | MEDLINE | ID: mdl-32927070

RESUMEN

The N-acylhydrazone subunit is considered a privileged structure in medicinal chemistry for its importance in pharmaceutical research. Also, alternative methods to deliver these molecules have a great pharmaceutical interest. Therefore, the objective of this work was to encapsulate JR19, an N-acyl hydrazone subunit, into chitosan films and evaluate several properties relevant for transdermal delivery, including biocompatibility using in vitro tests. CHI + JR19 film demonstrates greater strength, flexibility, water absorption capacity, low contact angle and higher surface roughness when compared to CHI. Agar diffusion and 3-(4,5-dimethyl)-2,5-diphenyl tetrazolium bromide (MTT) assay show the absence of cytotoxicity and the higher cell viability for CHI + JR19 films. Therefore, the addition of JR19 in the system positively influenced mechanical properties and granted better compatibility with biological environments, showing the potential to treat skin inflammation.


Asunto(s)
Quitosano , Preparaciones Farmacéuticas , Administración Cutánea , Supervivencia Celular , Química Farmacéutica , Propiedades de Superficie
3.
Oxid Med Cell Longev ; 2019: 1983137, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31827669

RESUMEN

Ethnomedicinal studies in the Amazon community and in the Northeast region of Brazil highlight the use of Libidibia ferrea fruits for the treatment of gastric problems. However, there are no data in the literature of this pharmacological activity. Thus, the aim of this paper is to provide a scientific basis for the use of the dry extract of L. ferrea pods (DELfp) for the treatment of peptic ulcers. Phytochemical characterization was performed by HPLC/MS. In vitro antioxidant activity was assessed using DPPH, ABTS, phosphomolybdenum, and superoxide radical scavenging activity. The gastroprotective activity, the ability to stimulate mucus production, the antisecretory activity, and the influence of -SH and NO compounds on the antiulcerogenic activity of DELfp were evaluated. The healing activity was determined by the acetic acid-induced chronic ulcer model. Anti-Helicobacter pylori activity was investigated. HPLC/MS results identified the presence of phenolic compounds, gallic acid and ellagic acid, in DELfp. The extract showed antioxidant activity in vitro. In ulcers induced by absolute ethanol and acidified ethanol, the ED50 values of DELfp were 113 and 185.7 mg/kg, respectively. DELfp (100, 200, and 400 mg/kg) inhibited indomethacin-induced lesions by 66.7, 69.6, and 65.8%, respectively. DELfp (200 mg/kg) reduced gastric secretion and H+ concentration in the gastric contents and showed to be independent of nitric oxide (NO) and dependent on sulfhydryl (-SH) compounds in the protection of the gastric mucosa. In the chronic ulcer model, DELfp reduced the area of the gastric lesion. DELfp also showed anti-H. pylori activity. In conclusion, DELfp showed antioxidant, gastroprotective, healing, and antiulcerogenic activities. The mechanism of these actions seems to be mediated by different pathways and involves the reduction of gastric secretion and H+ concentration, dependence on sulfhydryl compounds, and anti-H. pylori activity. All these actions support the medicinal use of this species in the management of peptic ulcers.


Asunto(s)
Antiulcerosos/química , Antioxidantes/química , Fabaceae/química , Extractos Vegetales/química , Ácido Acético/toxicidad , Animales , Antiulcerosos/farmacología , Antiulcerosos/uso terapéutico , Cromatografía Líquida de Alta Presión , Fabaceae/metabolismo , Femenino , Mucosa Gástrica/efectos de los fármacos , Mucosa Gástrica/patología , Helicobacter pylori/efectos de los fármacos , Espectrometría de Masas , Óxido Nítrico/química , Óxido Nítrico/metabolismo , Fenoles/análisis , Extractos Vegetales/farmacología , Ratas , Ratas Wistar , Úlcera Gástrica/inducido químicamente , Úlcera Gástrica/tratamiento farmacológico , Úlcera Gástrica/patología , Compuestos de Sulfhidrilo/química , Compuestos de Sulfhidrilo/metabolismo
4.
Int J Pharm ; 506(1-2): 351-60, 2016 Jun 15.
Artículo en Inglés | MEDLINE | ID: mdl-27130362

RESUMEN

Microemulsion containing pentoxifylline was developed and characterized for use as a topical alternative to treat skin disorders. The transparent formulation was developed and optimized based on a pseudoternary phase diagram. Pentoxifylline-loaded microemulsion (PTX-ME) was composed of 44% Tween 80™/Brij 52™ mix as surfactants (S), 51% of caprylic/capric triglycerides as the oil phase (O) and 5% of water as aqueous phase (A). It was classified as an isotropic water-in-oil (W/O) system with droplets that had a heterogeneous spherical shape within the nanosized range (67.36±8.90nm) confirmed by polarized light microscopy, differential scanning calorimetry (DSC), transmission electron microscopy (TEM) and dynamic light scattering (DLS) analysis. In vitro studies using static diffusion Franz cells revealed that the release of PTX from ME followed the Higuchi kinetic model. Topical PTX-ME application developed superior anti-inflammatory activity when compared to the PTX solution, reducing the paw edema up to 88.83%. Our results suggested that this colloidal nanosystem is a promising agent for the delivery of pentoxifylline, increasing its ability to modulate the inflammatory aspects of skin disorders.


Asunto(s)
Excipientes/química , Pentoxifilina/administración & dosificación , Inhibidores de Fosfodiesterasa/administración & dosificación , Administración Cutánea , Animales , Química Farmacéutica/métodos , Modelos Animales de Enfermedad , Liberación de Fármacos , Edema/tratamiento farmacológico , Emulsiones , Inflamación/tratamiento farmacológico , Masculino , Nanopartículas , Tamaño de la Partícula , Pentoxifilina/química , Pentoxifilina/farmacocinética , Transición de Fase , Inhibidores de Fosfodiesterasa/química , Inhibidores de Fosfodiesterasa/farmacocinética , Ratas , Ratas Wistar , Absorción Cutánea , Tensoactivos/química
5.
Curr Drug Deliv ; 13(6): 982-93, 2016.
Artículo en Inglés | MEDLINE | ID: mdl-26549650

RESUMEN

BACKGROUND: Amphotericin B eye drops are widely used in the treatment of ocular infections. However, amphotericin's toxicity leads to low patient compliance and aggravation of symptoms. This work describes the development of a microemulsion system containing amphotericin B, aiming for its use in ocular applications. METHODS: The microemulsion was developed by the titration technique. The physicochemical characteristics were determined with both loaded and unloaded amphotericin B-microemulsion. The nanostructures were analyzed by polarized light microscopy. The microdilution method was used to establish the minimum inhibitory concentration against fungal strains, and, therefore, evaluate the microemulsion activity. Additionally, in order to evaluate the microemulsion toxicity an in vitro toxicity assay against red blood cells was performed. RESULTS: The performed studies showed that the presence of amphotericin B loaded into the system did not induce serious changes in the physicochemical properties of the microemulsion when compared to the unloaded system. The spectrophotometric studies depicted amphotericin B-self-associated species, which allow predicting its behavior in vitro. The high pressure liquid chromatography results revealed high drug content entrapment in the microemulsion droplet. Finally, the amphotericin B-microemulsion in vitro susceptibility test showed high activity against Candida strains and a low toxicity profile against red blood cells when compared to Fungizone®. CONCLUSION: The physicochemical characterization of the microemulsion demonstrated that its characteristics are compatible with the topical ocular route, making it eligible for consideration as a new and interesting amphotericin B-deliverydosage form to be used as eye drop formulation.


Asunto(s)
Anfotericina B/administración & dosificación , Anfotericina B/farmacología , Antifúngicos/administración & dosificación , Portadores de Fármacos/administración & dosificación , Emulsiones/administración & dosificación , Emulsiones/química , Soluciones Oftálmicas/administración & dosificación , Antifúngicos/farmacología , Portadores de Fármacos/efectos adversos , Portadores de Fármacos/química , Emulsiones/efectos adversos , Eritrocitos/efectos de los fármacos , Pruebas de Sensibilidad Microbiana , Nanoestructuras/administración & dosificación , Nanoestructuras/efectos adversos , Nanoestructuras/química , Soluciones Oftálmicas/efectos adversos , Soluciones Oftálmicas/química , Tamaño de la Partícula
6.
J Biomed Nanotechnol ; 8(2): 290-300, 2012 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-22515080

RESUMEN

Amphotericin B remains the drug of choice for the treatment of most of the systemic fungal infections in immunodeficient patients. Because of the high incidence of adverse drug reactions the clinical use of Amphotericin B is rather limited. To reduce its toxicity new drug delivery systems has been suggested. Nevertheless, these carriers present several technological drawbacks that impair the development of a marketable product. The aim of this work was to develop an Amphotericin B microemulsion in order to increase its efficacy and decrease its toxicity compared to Fungizon, the widely know inexpensive micellar system of Amphotericin B. Amphotericin B loaded microemulsion showed an average size close to 300 nm by photon correlation spectroscopy. In the UV spectrum, the observation of the monomeric peak at 405 nm, which was independent of the sample dilution, revealed that the Amphotericin B molecules were strongly and individually bound to the microemulsion droplets. The new microemulsion formulation had the same efficacy than Fungizon against C. albicans. Concerning toxicity, Amphotericin B loaded microemulsion showed lower toxicity against human red blood cells compared to the commercial product. Taken together, these results suggested that microemulsion is an eligible drug carrier for Amphotericin B or other water insoluble molecules, and it has potential applications to targeting fungal cells. Additionally, a novel formulation of Amphotericin B-loaded microemulsion was prepared by a straightforward and fast procedure.


Asunto(s)
Anfotericina B/química , Anfotericina B/toxicidad , Antifúngicos/química , Antifúngicos/toxicidad , Portadores de Fármacos/química , Portadores de Fármacos/toxicidad , Anfotericina B/farmacología , Antifúngicos/farmacología , Candida albicans/efectos de los fármacos , Supervivencia Celular/efectos de los fármacos , Portadores de Fármacos/farmacología , Emulsiones/química , Emulsiones/farmacología , Emulsiones/toxicidad , Eritrocitos/efectos de los fármacos , Eritrocitos/metabolismo , Hemoglobinas/metabolismo , Humanos , Modelos Lineales , Masculino , Nanopartículas/efectos adversos , Nanopartículas/química , Nanopartículas/toxicidad , Tamaño de la Partícula , Potasio/sangre , Espectrofotometría
7.
Acta Cir Bras ; 22 Suppl 1: 57-63, 2007.
Artículo en Inglés | MEDLINE | ID: mdl-17505657

RESUMEN

PURPOSE: This study explores the potential of the simvastatin to ameliorate inflammation and infection in open infected skin wounds of rats. METHODS: Fourteen Wistar rats weighing 285 +/- 12g were used. The study was done in a group whose open infected skin wounds were treated with topical application of simvastatin microemulsion (SIM, n=7) and a second group with wounds treated with saline 0.9 % (SAL, n=7). A bacteriological exam of the wounds fluid for gram positive and gram negative bacteria, the tecidual expression of TNFá and IL-1â by immunohistochemical technique, and histological analysis by HE stain were performed. RESULTS: The expression of TNFa could be clearly demonstrated in lower degree in skin wounds treated with simvastatin (668.6 +/- 74.7 ìm(2)) than in saline (2120.0 +/-327.1 ìm(2)). In comparison, wound tissue from SIM group displayed leukocyte infiltration significantly lower than that observed in SAL group (p<0.05). Culture results of the samples taken from wound fluid on fourth post treatment day revealed wound infection in only one rat of group simvastatin (SIM), where Proteus mirabilis, Escherichia coli and Enterobacter sp were isolated. In the rats whose wounds were treated with saline (SAL), polymicrobial infection with more than 100,000 CFU/g was detected in all the wounds. CONCLUSION: In addition to its antiinflammatory properties, the protective effects of simvastatin in infected open skin wounds is able to reduce infection and probably has antibacterial action. The potential to treat these wounds with statins to ameliorate inflammation and infection is promising.


Asunto(s)
Antibacterianos/uso terapéutico , Inhibidores de Hidroximetilglutaril-CoA Reductasas/uso terapéutico , Simvastatina/uso terapéutico , Infección de la Herida Quirúrgica/tratamiento farmacológico , Cicatrización de Heridas/efectos de los fármacos , Análisis de Varianza , Animales , Antibacterianos/farmacología , Modelos Animales de Enfermedad , Evaluación Preclínica de Medicamentos , Bacterias Gramnegativas/efectos de los fármacos , Bacterias Grampositivas/efectos de los fármacos , Inhibidores de Hidroximetilglutaril-CoA Reductasas/farmacología , Inflamación/tratamiento farmacológico , Interleucina-1beta/metabolismo , Distribución Aleatoria , Ratas , Ratas Wistar , Simvastatina/farmacología , Infección de la Herida Quirúrgica/microbiología , Infección de la Herida Quirúrgica/patología , Factor de Necrosis Tumoral alfa/metabolismo
8.
Acta cir. bras ; 22(supl.1): 57-63, 2007. tab, ilus
Artículo en Inglés | LILACS | ID: lil-449616

RESUMEN

PURPOSE: This study explores the potential of the simvastatin to ameliorate inflammation and infection in open infected skin wounds of rats. METHODS: Fourteen Wistar rats weighing 285±12g were used. The study was done in a group whose open infected skin wounds were treated with topical application of sinvastatina microemulsion (SIM, n=7) and a second group with wounds treated with saline 0.9 percent (SAL, n=7). A bacteriological exam of the wounds fluid for gram positive and gram negative bacteria, the tecidual expression of TNFá and IL-1â by imunohistochemical technique, and histological analysis by HE stain were performed. RESULTS: The expression of TNFa could be clearly demonstrated in lower degree in skin wounds treated with simvastatin (668.6 ± 74.7 ìm²) than in saline (2120.0 ± 327.1 ìm²). In comparison, wound tissue from SIM group displayed leukocyte infiltration significantly lower than that observed in SAL group (p<0.05). Culture results of the samples taken from wound fluid on fourth post treatment day revealed wound infection in only one rat of group simvastatin (SIM), where Proteus mirabilis, Escherchia coli and Enterobacter sp were isolated. In the rats whose wounds were treated with saline (SAL), polymicrobial infection with more than 100,000 CFU/g was detected in all the wounds. CONCLUSION: In addition to its antiinflammatory properties, the protective effects of simvastatin in infected open skin wounds is able to reduce infection and probably has antibacterial action. The potential to treat these wounds with statins to ameliorate inflammation and infection is promising.


OBJETIVO: O presente estudo avaliou o potencial da sinvastatina para atenuar a inflamação e a infecção em feridas abertas infectadas de pele de ratos. MÉTODOS: Foram utilizados 14 ratos Wistar pesando 285±12g. O estudo foi realizado com um grupo de animais cujas feridas abertas infectadas foram tratadas com aplicação tópica de sinvastatina microemulsão (SIM, n=7) e um segundo grupo com feridas tratadas com solução salina 0,9 por cento (SAL n=7). Foi realizado exame bacteriológico do fluido das feridas para detecção de bactérias gram positivas e negativas, a expressão tecidual de TNFá e IL-1â por imunohistoquímica e análise histológica pela coloração H-E. RESULTADOS: A expressão do TNFa pode ser claramente demonstrada em menor grau nas feridas de pele tratadas com sinvastatina (668.6 ± 74.7 ìm²) do que no grupo salina (2120.0 ± 327.1 ìm²). Em comparação, os tecidos das feridas do grupo SIM mostrou infiltração leucocitária significantemente menor do que a observada no grupo SAL (p<0,05). O resultado das culturas realizadas no fluido das feridas no 4° dia de tratamento revelou infecção em apenas um rato do grupo sinvastatina (SIM), onde Proteus mirabilis, Escherchia coli e Enterobacter sp foram isolados. Nos ratos cujas feridas foram tratadas com solução salina (SAL), infecção polimicrobiana com mais de 100,000 UFC/g foi detectada em todas as feridas. CONCLUSÃO: Além de suas propriedades antiinflamatórias, o efeito protetor da sinvastatina em feridas abertas e infectadas de pele é capaz de reduzir a infecção e provavelmente tem ação antibacteriana. O potencial da droga para atenuar inflamação e infecção de feridas é promissor.


Asunto(s)
Animales , Ratas , Antibacterianos/uso terapéutico , Inhibidores de Hidroximetilglutaril-CoA Reductasas/uso terapéutico , Simvastatina/uso terapéutico , Infección de la Herida Quirúrgica/tratamiento farmacológico , Cicatrización de Heridas/efectos de los fármacos , Análisis de Varianza , Antibacterianos/farmacología , Modelos Animales de Enfermedad , Evaluación Preclínica de Medicamentos , Bacterias Gramnegativas/efectos de los fármacos , Bacterias Grampositivas/efectos de los fármacos , Inhibidores de Hidroximetilglutaril-CoA Reductasas/farmacología , Inflamación/tratamiento farmacológico , Interleucina-1beta/metabolismo , Distribución Aleatoria , Ratas Wistar , Simvastatina/farmacología , Infección de la Herida Quirúrgica/microbiología , Infección de la Herida Quirúrgica/patología , Factor de Necrosis Tumoral alfa/metabolismo
9.
Curr Drug Deliv ; 2(2): 199-205, 2005 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-16305421

RESUMEN

The aim of this work was to develop an in vitro experimental protocol for the evaluation of toxicity and efficacy of an amphotericin B (AmB) micelle system, Fungizone, which was previously diluted with a lipid based emulsion for parenteral use, named Lipofundin LCT/MCT-20%. Two cell models were used for the experiments: Red Blood Cells (RBC) from human donnors and Candida tropicalis (Ct). These models were used to perform the toxicity and activity of the Fungizone/ Lipofundin admixture (AmB-LP) and the Fungizone (AmB-M) alone. While potassium (K+) and hemoglobin leakage from RBC were the parameters used to evaluate the acute and chronic toxicity, respectively, the efficacy of AmB-LP and AmB-M were assessed by K+ leakage or cell survival rate (CSR) from Ct. The results show that the toxicity of AmB-LP to RBC was concentration dependent concerning the K+ leakage; while at high concentrations, 5 and 50 mg x mL(-1), the leakage was 50.91 +/- 2.09% and 95.71 +/- 0.64%, respectively, at a concentration of 0.5 mg x mL(-1) this value was 17.16 +/- 1.57% and the value tended to zero for the lowest concentration studied, 0.05 mg x mL(-1). Surprisingly, AmB-LP induced very low hemoglobin leakage for all concentrations studied. At the highest concentration, 50 mg x mL(-1), this value was around 3%. When the cell model was Ct, the results changed completely. Not only high concentrations of AmB-LP, but also lower ones were able to induce a K+ permeability of around 100%. The CSR parameter showed an inverse correlation with the concentration; high values, between 50 and 5 mg x mL(-1), resulted in a CSR of around 8%. On the other hand, for lower concentration values, 0.05 and 0.5 mg x mL(-1), this one was around 80%. The same profile of activity against Ct was found for AmB-M. Only a small variation was found for the K+ leakage at 0.05 mg x mL(-1) that presented a value of 96.99 +/- 2.53%. However, AmB-M seemed to be much more toxic than AmB-LP. Its induction of hemoglobin leakage started at 0.5 mg x mL(-1) and reached the 100% at 5 mg x mL(-1). K+ leakage results were worse. The intermediate concentrations of study, 0.5 and 5 mg x mL(-1), presented a significant increase compared to AmB-LP. All together these results reveal that the activity of AmB is not only concentration dependent, but also depends on the drug carrier in which this compound was inserted. The AmB-LP preparation showed the same efficacy as AmB-M, but with a low toxicity. Therefore, AmB-LP presented a higher therapeutic index that permits the administration of high concentration of AmB without revealing side effects. However, the simple mixture of two complex pharmaceutical entities, as micelles and emulsions, should be analyzed carefully to assure that physicochemical stability is not reduced and thereby cause a different biodistribution in vivo.


Asunto(s)
Anfotericina B/administración & dosificación , Anfotericina B/toxicidad , Fosfolípidos/administración & dosificación , Sorbitol/administración & dosificación , Adulto , Relación Dosis-Respuesta a Droga , Combinación de Medicamentos , Eritrocitos/efectos de los fármacos , Eritrocitos/metabolismo , Femenino , Humanos , Micelas , Potasio/metabolismo
10.
Acta Cir Bras ; 20 Suppl 1: 257-61, 2005.
Artículo en Inglés | MEDLINE | ID: mdl-16186987

RESUMEN

PURPOSE: Amphotericin B (AmB), an antifungal agent that presents a broad spectrum of activity, remains the gold standard in the antifungal therapy. However, sometimes the high level of toxicity forbids its clinical use. The aim of this work was to evaluate and compare the efficacy and toxicity in vitro of Fungizon (AmB-D) and two new different AmB formulations. METHODS: three products were studied: Fungizon, and two Fungizon /Lipofundin admixtures, which were diluted through two methods: in the first one, Fungizon was previously diluted with water for injection and then, in Lipofundin (AmB-DAL); the second method consisted of a primary dilution of AmB-D as a powder in the referred emulsion (AmB-DL). For the in vitro assay, two cell models were used: Red Blood Cells (RBC) from human donors and Candida tropicallis (Ct). The in vitro evaluation (K+ leakage, hemoglobin leakage and cell survival rate-CSR) was performed at four AmB concentrations (from 50 to 0.05 mg x L(-1)). RESULTS: The results showed that the action of AmB was not only concentration dependent, but also cellular type and vehicle kind dependent. At AmB concentrations of 50 mg x L(-1), although the hemoglobin leakage for AmB-D was almost complete (99.51), for AmB-DAL and AmB-DL this value tended to zero. The p = 0.000 showed that AmB-D was significantly more hemolytic. CONCLUSION: The Fungizon-Lipofundin admixtures seem to be the more valuable AmB carrier systems due to their best therapeutic index presented.


Asunto(s)
Anfotericina B/farmacología , Antifúngicos/farmacología , Nutrición Parenteral/normas , Fosfolípidos/farmacología , Sorbitol/farmacología , Anfotericina B/efectos adversos , Análisis de Varianza , Antifúngicos/efectos adversos , Candida tropicalis/efectos de los fármacos , Portadores de Fármacos , Combinación de Medicamentos , Eritrocitos/efectos de los fármacos , Femenino , Hemoglobinas/efectos de los fármacos , Humanos , Técnicas In Vitro , Modelos Biológicos , Fosfolípidos/efectos adversos , Potasio/sangre , Sorbitol/efectos adversos , Resultado del Tratamiento
11.
Acta cir. bras ; 20(supl.1): 257-261, 2005.
Artículo en Inglés | LILACS | ID: lil-414652

RESUMEN

OBJETIVO: A anfotericina B é um agente antifúngico de largo espectro bastante empregado na terapia antifúngica. Entretanto, esta molécula apresenta um alto nível de toxicidade que, na maioria das vezes, impede o seu uso contínuo na terapêutica médica. O objetivo deste artigo foi comparar a eficácia e a toxicidade in vitro do Fungizon™ (AmB-D) e de dois sistemas carreadores de AmB. MÉTODOS: Três produtos foram avaliados: o Fungizon™ , e dois sistemas oriundos da mistura entre o Fungizon™ e o Lipofundin™ , uma emulsão de uso parenteral. Tais sistemas foram obtidos por duas técnicas: Na primeira diluiu-se previamanete o Fungizon™ com água para injetáveis e em seguida inseriu-se o Lipofundin™ (AmB-DAL); o segundo método consistiu na diluíção extemporânea do Fungizon™ com a referida emulsão (AmB-DL). Dois modelos celulares foram empregados no estudo: os eritrócitos (RBC) oriundos de doadores humanos e a Candida tropicalis (Ct). A avaliação in vitro (liberação de K+ e hemoglobina, e o índice de sobrevivência celular-CSR) foi realizado com quatro concentrações de AmB (entre 50 e 0.05mg.L-1). RESULTADOS: Os resultados demonstram que a ação da AmB não só foi dependente da concentração como também variou de acordo com o modelo celular e o veículo que diluiu o Fungizon™ . Nas concentrações de 50 mg.L-1, apesar da liberação de hemoglobina ser quase que total para AmB-D (99.51), para a AmB-DAL e AmB-DL este valor tendeu a zero. Um p = 0.000 demonstrou que AmB-D foi significativamente mais hemolítico. CONCLUSÃO: A mistura Fungizon™ -Lipofundin™ aparenta ser um bom sistema para carrear a AmB tendo em vista seu elevado índice terapêutico demonstrado.


Asunto(s)
Femenino , Humanos , Anfotericina B/farmacología , Antifúngicos/farmacología , Técnicas In Vitro , Nutrición Parenteral/normas , Fosfolípidos/farmacología , Sorbitol/farmacología , Análisis de Varianza , Anfotericina B/efectos adversos , Antifúngicos/efectos adversos , Candida tropicalis/efectos de los fármacos , Portadores de Fármacos , Combinación de Medicamentos , Eritrocitos/efectos de los fármacos , Hemoglobinas/efectos de los fármacos , Modelos Biológicos , Fosfolípidos/efectos adversos , Potasio/sangre , Sorbitol/efectos adversos , Resultado del Tratamiento
12.
J Pharm Sci ; 91(11): 2354-66, 2002 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-12379920

RESUMEN

Mixing Fungizone with a fat emulsion used for nutritional purpose (Intralipid or Lipofundin ) was reported to decrease Amphotericin B (AmB) toxicity in clinical use. In an effort to understand the reason for this phenomenon, spectral and morphological analyses were done for the Fungizone and Fungizone /Lipofundin admixture (FLmix). The absorption spectra analyses showed that not only Fungizone but also FLmix presented spectra that were concentration dependent. Moreover, the spectra of FLmix remained stable until the concentration of 5 x 10(-7) M, and only at 5 x 10(-8) M did they become similar in shape to the Fungizone spectra. Morphological studies revealed that even though emulsion droplets with or without Fungizone presented the same particle size, the former was less electron dense compared with Lipofundin alone. These results suggest a kind of association between Fungizoneand Lipofundin that remains over the whole range of concentrations. This hypothesis was confirmed by in vitro studies in which FLmix presented an important selectivity against human and fungal cells compared with Fungizone. These findings suggest that parenteral emulsions should be able to reduce the AmB toxicity probably by changing the AmB self-association state by binding it with emulsion droplets.


Asunto(s)
Anfotericina B/farmacocinética , Anfotericina B/toxicidad , Anfotericina B/química , Candida tropicalis/efectos de los fármacos , Química Farmacéutica , Interacciones Farmacológicas/fisiología , Emulsiones , Eritrocitos/efectos de los fármacos , Eritrocitos/metabolismo , Femenino , Humanos
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