Vinner Gurinder K, Rezaie-Yazdi Zahra, Leppanen Miika, Stapley Andrew G F, Leaper Mark C, Malik Danish J
Department of Chemical Engineering, Loughborough University, Loughborough LE11 3TU, UK.
Department of Physics, Department of Biological and Environmental Science, Nanoscience Center, University of Jyväskylä, 40014 Jyväskylä, Finland.
Pharmaceuticals (Basel). 2019 Mar 22;12(1):43. doi: 10.3390/ph12010043.
The treatment of enteric bacterial infections using oral bacteriophage therapy can be challenging since the harsh acidic stomach environment renders phages inactive during transit through the gastrointestinal tract. Solid oral dosage forms allowing site-specific gastrointestinal delivery of high doses of phages, e.g., using a pH or enzymatic trigger, would be a game changer for the nascent industry trying to demonstrate the efficacy of phages, including engineered phages for gut microbiome modulation in expensive clinical trials. Spray-drying is a scalable, low-cost process for producing pharmaceutical agents in dry powder form. Encapsulation of a model -specific phage ( phage Felix O1) was carried out using the process of spray-drying, employing a commercially available Eudragit S100 pH-responsive anionic copolymer composed of methyl methacrylate--methacrylic acid formulated with trehalose. Formulation and processing conditions were optimised to improve the survival of phages during spray-drying, and their subsequent protection upon exposure to simulated gastric acidity was demonstrated. Addition of trehalose to the formulation was shown to protect phages from elevated temperatures and desiccation encountered during spray-drying. Direct compression of spray-dried encapsulated phages into tablets was shown to significantly improve phage protection upon exposure to simulated gastric fluid. The results reported here demonstrate the significant potential of spray-dried pH-responsive formulations for oral delivery of bacteriophages targeting gastrointestinal applications.
使用口服噬菌体疗法治疗肠道细菌感染可能具有挑战性,因为恶劣的胃酸环境会使噬菌体在通过胃肠道的过程中失活。能够实现高剂量噬菌体在胃肠道特定部位递送的固体口服剂型,例如利用pH值或酶触发机制的剂型,对于这个试图在包括用于肠道微生物群调节的工程噬菌体的昂贵临床试验中证明噬菌体疗效的新兴行业来说,将是一个重大变革。喷雾干燥是一种可扩展的低成本工艺,用于生产干粉形式的药物制剂。使用喷雾干燥工艺,采用由甲基丙烯酸甲酯 - 甲基丙烯酸组成并与海藻糖配制的市售Eudragit S100 pH响应性阴离子共聚物,对一种模型特异性噬菌体(噬菌体Felix O1)进行包封。优化了配方和加工条件,以提高噬菌体在喷雾干燥过程中的存活率,并证明了它们在暴露于模拟胃酸时的后续保护作用。结果表明,在配方中添加海藻糖可保护噬菌体免受喷雾干燥过程中遇到的高温和干燥影响。将喷雾干燥的包封噬菌体直接压片显示,在暴露于模拟胃液时可显著提高噬菌体的保护效果。此处报道的结果证明了喷雾干燥的pH响应性制剂在口服递送用于胃肠道应用的噬菌体方面具有巨大潜力。