CN105380900B - 一种治疗痤疮的纳米磁疗外用凝胶及其制备方法和应用 - Google Patents

一种治疗痤疮的纳米磁疗外用凝胶及其制备方法和应用 Download PDF

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CN105380900B
CN105380900B CN201510824766.6A CN201510824766A CN105380900B CN 105380900 B CN105380900 B CN 105380900B CN 201510824766 A CN201510824766 A CN 201510824766A CN 105380900 B CN105380900 B CN 105380900B
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牟杰
裴冬生
赵伯南
陆健吾
徐铭递
高干
高军红
姜力群
杨冬芝
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Abstract

本发明公开了一种治疗痤疮的纳米磁疗外用凝胶及其制备方法和应用,原料包括药物米诺环素、纳米金属氧化物、生物可降解高分子材料、卡波姆胶940、化学交联剂;重量百分比为:米诺环素0.05%~0.5%(W/W),生物可降解高分子材料20%~25%(W/W),纳米金属氧化物0.2%~4%(W/W),卡波姆胶CBM‑940 60%~79%(W/W),化学交联剂为0.01%~0.02%(W/W);以生物可降解高分子材料包裹米诺环素及纳米金属氧化物制成金属氧化物‑米诺环素纳米粒,以卡波姆940(carbopol‑940)为基质制成缓释凝胶;所述纳米金属氧化物为纳米氧化铁、纳米氧化锌的混合物。

Description

一种治疗痤疮的纳米磁疗外用凝胶及其制备方法和应用
技术领域
本发明涉及纳米材料与抗菌药物协同作用的临床研究,用于制备皮肤科用药品,特别用于治疗痤疮等皮肤疾病。
背景技术
痤疮是毛囊皮脂腺单位的一种慢性炎症性皮肤病,好发于青少年,愈后易遗留疤痕,对青少年的心理和社交影响很大。据估计,全球对治疗青春痘药物的需求每年可达约18.7亿英镑的(约合190亿元人民币)市值。痤疮发病机制较为复杂,目前研究认为毛囊中含有糠秕马拉色菌、凝固酶阴性葡萄球菌、格兰阴性杆菌以及痤疮丙酸杆菌等多种微生物,其中痤疮丙酸杆菌产生的脂酶分解皮脂生成游离脂肪酸,同时趋化炎症细胞和介质,是诱导痤疮发生的关键因素。临床上痤疮的主要疗法是局部或系统使用抗生素或维A酸类药物,但痤疮丙酸杆菌日益增多的耐药性以及维A酸类药物的不良反应,大大限制了其在临床上的使用。
2005年《全球痤疮联盟》指南明确指出“选择药物治疗痤疮时应尽可能针对多种发病机制”,因此既能抑制痤疮丙酸杆菌繁殖又兼顾非特异性抗炎症作用的抗生素应当优先考虑。但是,只有活的痤疮丙酸杆菌与炎症形成有关,而皮损部位分离的痤疮丙酸杆菌会对四环素类或大环内酯类抗生素耐药,因此,有效抑制活的细菌才能从根本上控制炎症反应。抗生素需有效渗透至毛囊及皮脂腺,才能获得较高的抗菌效果,由于药物的分子质量及亲脂性存在较大差别,导致在毛囊、皮脂腺中的分布浓度有差别。结合抗生素药代动力学特别是选择分布皮脂溢出部位,应首选四环素类抗生素。对于痤疮患者耐药性携带情况分析发现四环素类耐药率为四环素>多西环素>米诺环素,同时研究发现米诺环素在毛囊、皮脂腺中的浓度高,所以米诺环素是治疗寻常痤疮的首选抗生素。
目前已有口服米诺环素与维A酸类药物、水杨酸类化合物以及过氧苯胺酰等外用制剂协同作用的报道。但口服米诺环素每日剂量最少为100mg,肝肾毒性较强,而外用米诺环素会产生耐药性,不能长期使用;维A酸类药物遇光和氧化剂易分解,诱发皮炎;水杨酸类化合物和强氧化剂过氧苯胺酰皮肤刺激性较强。如何寻找出一种安全、有效、彻底、耐受性好的治疗药物或治疗方法,是当今皮肤科医生所面临的难题之一。
发明内容
本发明的目的是为解决现有技术上的问题,提供了一种治疗痤疮的纳米磁疗外用凝胶及其制备方法和应用,本产品在抗菌药物及缓释材料的选择上进行优化,使其具有药效好、副作用小、定向作用准、易于操作、成本低等优点。
本发明是通过以下方式实现的:
一种治疗痤疮的纳米磁疗外用凝胶的制备方法,原料包括药物米诺环素、纳米金属氧化物、生物可降解高分子材料、卡波姆胶940、化学交联剂;重量百分比为:米诺环素0.05%~0.5%(W/W),生物可降解高分子材料20%~25%(W/W),纳米金属氧化物0.2%~4%(W/W),卡波姆胶CBM-94060%~79%(W/W),化学交联剂为0.01%~0.02%(W/W);以生物可降解高分子材料包裹米诺环素及纳米金属氧化物制成金属氧化物-米诺环素纳米粒,以卡波姆940(carbopol-940)为基质制成缓释凝胶;所述纳米金属氧化物为纳米氧化铁、纳米氧化锌的混合物。
所述的制备方法,金属氧化物-米诺环素纳米粒尺寸大小在500nm以下。
所述的制备方法,所述生物可降解高分子材料包括白蛋白、聚乳酸(PLA)、羧甲基纤维素盐(CMC-Na)、海藻酸盐多种材料中的一种或多种。
所述的制备方法,所述纳米金属氧化物为纳米氧化铁和纳米氧化锌,纳米氧化铁与纳米氧化锌质量比为1∶4~1∶10。
所述的制备方法,所述的化学交联剂包括甲醛、戊二醛、多聚甲醛中的一种或几种。
所述的制备方法,所述含药磁性纳米粒的具体制备步骤如下:
1)、将米诺环素溶于水中配制成水溶液后将该水溶液加入磷酸盐缓冲液中,制成米诺环素质量浓度为0.05~50%的溶液,pH=8,加入所述的纳米金属氧化物及所述的生物可降解高分子材料,搅拌使之形成悬浊液;
2)、向步骤(1)所得悬浊液中加入有机相,水相与有机相的体积比为1∶4~1∶5,并加入所述化学交联剂,搅拌30min,待其充分固化后离心,洗涤得金属氧化物-米诺环素纳米粒。
所述的制备方法,所述缓释凝胶的制备步骤如下:取卡波姆胶固体,加入蒸馏水,水浴搅拌至固体完全溶解;冷却至室温后,放置到搅拌器中,边搅拌边加入质量分数为0.05%~10%的金属氧化物-米诺环素纳米粒,搅拌混匀,逐滴滴加三乙醇胺调节pH值,pH值为7时形成透明凝胶,超声波脱气后即得目标产品。
所述的制备方法,所述的有机相为乙醇。
根据任一所述制备方法制备获得的纳米磁疗外用凝胶。
所述的纳米磁疗外用凝胶在制备治疗痤疮药物中的应用。
本发明将米诺环素药物分子与具有抗菌作用的纳米氧化锌粒子相结合制成外用凝胶,利用纳米粒子携带药物分子通过内吞作用进入毛囊、皮脂腺细胞的特定部位,直接作用于病菌,提高了靶区的药物浓度、药物利用率和疗效,同时利用微量元素疗法与抗生素治疗的协同作用,降低药物的毒副作用及不良反应,由于减少了米诺环素用量,因此可以降低细菌耐药性的发生机率。
附图说明
图1是活性氧化物-米诺环素纳米粒透射电镜图;
图2是本发明的体外实验结果:活性氧化物-米诺环素纳米粒凝胶细胞毒性研究;
图3是本发明的体外实验结果:活性氧化物-米诺环素纳米粒凝胶的抑菌性能测试;
具体实施方式
以下结合具体实施例,对本发明进行详细说明。
实施例1:纳米氧化铁-米诺环素纳米级凝胶
一、纳米氧化锌反胶束微乳液的制备
精确配置1mol/L乙酸锌水溶液待用,然后称取0.3655g的十六烷基三甲基溴化胺(CTAB),加入到10ml的环己烷中;随后向溶液中精确低价5ml的异丙醇(IPA),持续搅拌至形成均匀的乳白色乳液,继续搅拌,并加入乙酸锌水溶液直至溶液体系瞬间澄清,说明两项体系已经形成反胶束微乳液,继续滴加乙酸锌溶液保持澄清即停止。
二、纳米氧化铁-纳米氧化锌-米诺环素白蛋白纳米粒的制备
1)取50%浓度的米诺环素0.1ml溶液于0.9ml缓冲溶液中配置成pH=8含药5%混合液,加入混合液体积比0.5%的白蛋白,即5mg白蛋白,放置于西林瓶中,再将混合液加入西林瓶中,匀速搅拌10min,转速600rpm。
2)各加入0.1mg纳米氧化铁(四氧化三铁)固体和0.5ml纳米氧化锌胶束后,再各加入无水乙醇4ml继续搅拌30s。
3)加入戊二醛20μl后继续搅拌30min得到所要制备的纳米粒溶液。
三、含药纳米凝胶的制备
取卡波姆胶固体1g于250mL烧杯中,加入100mL蒸馏水,置于40℃水浴搅拌至固体完全溶解。冷却至室温后,放置到搅拌器中,边搅拌边加入质量分数为0.05%、0.5%、5%、10%等不同浓度的含药磁性纳米粒,搅拌混匀,逐滴滴加三乙醇胺调节pH值,pH值为7时形成透明凝胶,超声波脱气30min后即得目标产品。
透射电镜实验结果显示(图1),活性氧化物-米诺环素白蛋白纳米粒粒径小于100nm,属于纳米粒。
细胞毒性:收集对数期L929小鼠成纤维细胞,加入96孔平底板,每孔加入100μl,在5%CO2,37℃孵育至细胞单层铺满孔底。加入浓度梯度的药物,5%CO2,37℃孵育16~48小时,倒置显微镜下观察。每孔加入20μl MTT溶液(5mg/ml,即0.5%MTT),继续培养4h后终止培养,小心吸去孔内培养液。每孔加入150μl二甲基亚砜,置摇床上低速振荡10min,使结晶物充分溶解。在酶联免疫检测仪OD 490nm处测量各孔的吸光值,计算细胞存活率。图2是本发明的体外细胞毒性实验结果:研究结果表明该凝胶可以降低盐酸米诺环素的细胞毒性,不会对机体产生毒性、过敏反应及免疫作用。
抑菌能力:以疮疱丙酸杆菌(Propionibacterium acnes)为待测菌种,用打孔法来评价水凝胶的抑菌效果。将痤疮丙酸菌接种到琼脂平板上,用直径为4mm的打孔器在营养琼脂平板上均匀打出4个孔。用微量移液器加入25μl配置好的不同纳米氧化锌含量的凝胶。静置,倒置培养皿于37℃培养24h后,用游标卡尺测量抑菌直径。如图3所示,是本发明的抑菌性能体外实验结果:抑菌圈直径大于7mm视为有抑菌活性。由结果能看出凝胶对痤疮丙酸杆菌的抑菌能力随纳米氧化锌含量增加逐步增大,当纳米氧化锌含量大于0.6%时抑菌能力较为稳定。
临床疗效:治疗组外用活性氧化物-米诺环素凝胶(含米诺环素纳米粒质量分数为0.6%,米诺环素含量为0.005%,每日1次,凝胶5mg/次;对照组口服盐酸米诺环素胶囊(惠氏制药有限公司,批准文号:国药准字H10960010)50mg/次,每日2次;空白组外用空白卡波姆胶,5mg/次,均为每日一次。连续治疗6周,每2周复诊1次,观察并记录皮损变化。
疗效判断标准分为显效、改善和无效。显效:皮损消退70~99%;改善:皮损消退30~69%;无效:治疗后皮损消退不足30%或无明显好转。
表1 凝胶法治疗痤疮与普通对照法对比
应当理解的是,对本领域普通技术人员来说,可以根据上述说明加以改进或变换,而所有这些改进和变换都应属于本发明所附权利要求的保护范围。

Claims (1)

1.一种治疗痤疮的纳米磁疗外用凝胶的制备方法,其特征在于,包括以下步骤:
一、纳米氧化锌反胶束微乳液的制备
配制1mol/L乙酸锌水溶液待用,然后称取0.3655g的十六烷基三甲基溴化铵,加入到10mL的环己烷中;随后向溶液中滴加5mL的异丙醇,持续搅拌至形成均匀的乳白色乳液,继续搅拌,并加入乙酸锌水溶液直至溶液体系瞬间澄清,说明两相体系已经形成反胶束微乳液,继续滴加乙酸锌溶液保持澄清即停止;
二、含药磁性纳米粒的制备
1)取50%浓度的米诺环素0.1mL溶液于0.9mL缓冲溶液中配制成pH=8含药5%混合液,5mg白蛋白放置于西林瓶中,再将混合液加入西林瓶中,匀速搅拌10min,转速600rpm;
2)加入0.1mg纳米四氧化三铁和0.5ml纳米氧化锌反胶束后,再加入无水乙醇4mL继续搅拌30s;
3)加入戊二醛20μl后继续搅拌30min得到所要制备的纳米粒溶液;
三、含药纳米凝胶的制备
取卡波姆胶固体1g于250mL烧杯中,加入100mL蒸馏水,置于40℃水浴搅拌至固体完全溶解;冷却至室温后,放置到搅拌器中,边搅拌边加入质量分数为0.05%、0.5%、5%或10%的含药磁性纳米粒,搅拌混匀,逐滴滴加三乙醇胺调节pH值,pH值为7时形成透明凝胶,超声波脱气30min后即得。
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