Sawarkar Sujata P, Deshpande S G, Bajaj A N, Nikam V S
SVKM's Dr. Bhanuben Nanavati College of Pharmacy, V.M Road, Vile Parle (W), Mumbai, 400 056, India.
C.U. Shah College of Pharmacy, SNDT University, Juhu, Mumbai, 400 049, India.
AAPS PharmSciTech. 2015 Dec;16(6):1445-54. doi: 10.1208/s12249-015-0331-z. Epub 2015 May 28.
Colonic drug delivery is intended not only for local treatment in inflammatory bowel disease (IBD) but also for systemic delivery of therapeutics. Intestinal myeloperoxidase (MPO) determination could be used to estimate the average level of inflammation in colon as well as to determine the efficacy of drugs to be used in the treatment of inflammatory bowel diseases or study the specificity of dosage forms to be used for colonic targeting of anti-inflammatory drugs. Colonic prodrug sulfasalazine (SASP) gets metabolized to give 5-aminosalicylic acid (5-ASA), which is the active portion of SASP. However, when given orally, 5-ASA is absorbed in upper part of gastrointestinal tract (GIT) and not made available in colon. In the present study, colon-targeted delivery of 5-ASA was achieved by formulating tablets with two natural polymers namely guar gum and pectin using compression coating method. Colonic specificity of 5-ASA tablets (prepared using guar gum and pectin as polymers) was evaluated in vitro using simulated fluids mimicking in vivo environment as well as in vivo method using chemically (2,4,6-trinitrobenzenesulfonic acid and acetic acid)-induced colitis rat model. Both colon-specific formulations of 5-ASA (guar gum and pectin) were observed to be more effective in reducing inflammation in chemically induced colitis rat models when compared to colon-specific prodrug sulfasalazine as well as conventional 5-ASA administered orally.
结肠给药不仅旨在用于炎症性肠病(IBD)的局部治疗,还用于药物的全身递送。肠道髓过氧化物酶(MPO)测定可用于估计结肠中的平均炎症水平,以及确定用于治疗炎症性肠病的药物疗效或研究用于抗炎药物结肠靶向的剂型特异性。结肠前药柳氮磺胺吡啶(SASP)代谢后产生5-氨基水杨酸(5-ASA),这是SASP的活性部分。然而,口服时,5-ASA在胃肠道(GIT)上部被吸收,无法在结肠中发挥作用。在本研究中,采用压缩包衣法,用瓜尔胶和果胶这两种天然聚合物制备片剂,实现了5-ASA的结肠靶向递送。使用模拟体内环境的模拟液在体外评估了5-ASA片剂(以瓜尔胶和果胶为聚合物制备)的结肠特异性,并使用化学(2,4,6-三硝基苯磺酸和乙酸)诱导的结肠炎大鼠模型在体内进行了评估。与结肠特异性前药柳氮磺胺吡啶以及口服的传统5-ASA相比,观察到两种5-ASA的结肠特异性制剂(瓜尔胶和果胶)在减轻化学诱导的结肠炎大鼠模型炎症方面更有效。