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Impact of the aggregation state of amphotericin B on its biopharmaceutical properties. Design of micro- and nanocarriers for oral delivery

机译:两性霉素B的聚集状态对其生物药物特性的影响。用于口服的微载体和纳米载体的设计

摘要

This thesis is part of the development and evaluation of nanomedicines potentially able toovercome unfavorable biopharmaceutical properties of amphotericin B (AmB), a highlyeffective molecule used for the treatment of systemic fungal infections and leishmaniasis, butdifficult to formulate efficiently, whatever the route of delivery. It is believed that thishydrophobic molecule suffers from severe limitations due to its pronounced tendency toaggregate under physiological conditions. The first part of the thesis was driven on thehypothesis that the degree of aggregation of AmB could have a strong impact on some of itspharmacokinetics properties. For this purpose albumin has been used to produce controlledcomplexes between albumin and AmB in order to control AmB aggregation states. Themorphological characteristics of the resulting colloidal objects have been carefullycharacterized by UV-Vis spectroscopy and circular dichroism. Furthermore, the impact ofaggregation state on both the intestinal permeability and a possibly expected recognition ofthe aggregates by the immunological system were investigated. The second part of this workwas focused on the development of micro- and nanocarriers intended to overcome theabsorption barrier raised against AmB after oral delivery. For this purpose, AmB was loadedinto micro- and nanoemulsions to evaluate a possible permeability enhancement effectthrough the intestinal membrane, which was evaluated in ratas using the Ussing chambermodel. No detectable permeation was seen in any of the experimental conditions. However,the electrophysiological data showed tissue viability losses due to the strong toxicity of AmB,that were dependent on the aggregation state of AmB when in contact with the tissue. It wasalso concluded from detailed permeation experiments in healthy tissues that paracellular andtranscellular routes were likely to be only marginal pathways when oral absorption areobserved in vivo, as reported in the literature. The likeness of other possible absorptionpathways, including Peyer's patches capture and lymphatic pathway implication foraggregated particles has been discussed. Finally, another particulate system intended forcolonic delivery and based on xylan, a natural and enzymatically degradable biopolymer, hasbeen investigated. Xylan is a polysaccharide present in grains, cereals and angiosperm plantsthat is specifically degraded on colon region, by the microbiota. An original processconsisting in a water-in-water emulsion of xylan in presence of PEG followed by acrosslinking phase using trisodium trimetaphosphate has been developed, making possible the production of xylan-based biocompatible micro- and nanospheres ranging from 380 nm to4.5 μm, depending on the parameters in the process. This eco-friendly process is free ofharmful solvents and has potential application for the delivery of AmB at the colonic level.
机译:本论文是纳米药物开发和评估的一部分,该纳米药物有可能克服两性霉素B(AmB)的不利生物制药特性,该两性霉素B是一种用于治疗系统性真菌感染和利什曼病的高效分子,但无论采用何种给药途径,都难以有效地配制。据信该疏水性分子由于其在生理条件下明显聚集的趋势而受到严重限制。本文的第一部分基于假说,即AmB的聚集程度可能对其某些药物动力学特性产生强烈影响。为此目的,已经使用白蛋白来产生白蛋白和AmB之间的受控复合物,以控制AmB的聚集状态。所得胶体的形态特征已通过紫外-可见光谱和圆二色性仔细表征。此外,研究了聚集状态对肠道通透性的影响以及免疫系统对聚集物的可能预期的识别。这项工作的第二部分侧重于开发微载体和纳米载体,以克服口服给药后针对AmB产生的吸收障碍。为此,将AmB加载到微乳和纳米乳剂中,以评估可能通过肠膜的通透性增强效果,并使用Ussing chambermodel在大鼠中进行评估。在任何实验条件下均未观察到可渗透。然而,电生理数据显示,由于AmB的强毒性,组织活力丧失,这取决于与组织接触时AmB的聚集状态。从健康组织的详细渗透实验还可以得出结论,如文献报道,当在体内观察到口服吸收时,细胞旁和跨细胞途径可能只是边缘途径。已经讨论了其他可能的吸收途径的相似性,包括Peyer斑块捕获和聚集颗粒的淋巴途径暗示。最后,已经研究了另一种用于结肠输送的颗粒系统,该系统基于木聚糖,一种天然且可酶降解的生物聚合物。木聚糖是存在于谷物,谷物和被子植物中的一种多糖,其在菌群区域被微生物群特异性降解。已经开发出了一种原始工艺,该工艺包括在PEG存在下木聚糖的水包水乳液,然后使用三偏磷酸三钠进行交联​​相,从而可以生产380 nm至4.5μm的木聚糖基生物相容性微球和纳米球,取决于过程中的参数。这种环保的方法不含有害溶剂,并且在结肠水平上具有潜在的应用。

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