CN112336868A - 聚乙基亚胺苦参碱脂微球抗真菌制剂及其应用 - Google Patents
聚乙基亚胺苦参碱脂微球抗真菌制剂及其应用 Download PDFInfo
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Abstract
本发明属于药物领域,涉及一种具有抗真菌作用的脂微球制剂。该脂微球制剂,主要由以下成分组成:(1)中药提取物,(2)抗真菌药物,(3)植物油,(4)抗菌增强剂,(5)注射用磷脂,(6)等渗剂,(7)抗氧化剂VE。本发明制备的脂微球制剂发挥了中西药物的互补作用,通过脂质体包裹可以很好的解决药物的水溶性,采用聚乙亚胺的增强药物杀菌作用,利用透皮增强剂提高药物的透皮吸收并将药物送入真皮层提高药效,避免有副作用的传统助溶剂的使用,可以减少药物以及助溶剂进入全身血液循环系统,可以减少对皮肤的刺激。
Description
技术领域
本发明属于药物领域,涉及一种具有抗真菌作用的脂微球制剂。
背景技术
脂微球是将药物包封于磷脂双分子层,或者包裹在内核的植物油中。脂微球 结构类似细胞结构,具有一定的生物膜的特性和功能,它可以包裹水溶性和脂溶 性两种类型的药物,已广泛用于药物制剂领域,该类药物载体具有提高生物利用 度、降低药物毒副作用、长效缓释等作用。
皮肤疾病大多位于毛囊、皮脂腺等活的表皮组织,如疱疹、皮炎、粉刺等, 药物局部治疗成功的关键是药物必须透过角质层而达到病变部位,并维持一定时 间。使用具有生物膜相似结构的脂微球作为局部用药载体,与传统外用制剂膏剂 等相比,皮肤角质层药物透过量更多,减少药物进入血液循环,同时可避免处方 中使用氮酮等促透药需要乙醇、甲醇等溶剂促渗透,刺激病变部位皮肤。研究表 明氮酮对水溶性药物的促渗作用强于脂溶性药物,而脂微球制剂则可根据药物性 质调节膜材比例提高包水、油溶性两种药物载药量。采用磷脂制备的脂微球本身 具有护肤、美容功效,采用脂微球制剂对局部创伤或病变皮肤、粘膜进行治疗, 不仅利于药物在局部发挥药效,同时,脂微球本身可生物降解,无毒性,不产生 皮肤刺激性,兼具化妆品美容产品功效。
脂微球对皮肤有以下几种作用机制:(1)水合机制脂微球提供了外源性脂 质双层膜,使角质细胞间结构改变,脂质双层中疏水性尾部排列紊乱,脂溶性药 物可通过扩散和毛细管作用进入细胞间隙,使角质层湿化和水合作用加强,有人 作过比较,用亲水性的磷脂与直径200nm左右的多室脂质体结合能力比较,发 现后者为前者的5倍。(2)穿透机制作为转运药物的载体,完整的脂微球可以 穿过角质细胞、角质细胞之间的间隙和皮肤附属管道开口进入皮肤,因脂微球大 小组成不同,穿透皮肤浓度亦不一样,同时把药物带入的深度不一样[1]。等[7]将不同浓度的脂微球涂布于猪背部脱毛皮肤上,分离研究表明,在皮肤中 各层磷脂含量随脂微球浓度增高而增高,但当磷脂浓度大于1.0mg·cm-2时不再增高,其中分布于角质层中磷脂含量占99.5%。Egbaria[3]通过类似实验证明,皮 肤脂质所组成的脂微球作用优于磷脂脂质体。利用此特点我们可进行合理的处方 设计。(3)融合机制提供必须脂肪酸和类脂双层膜,脂微球磷脂与角质层脂质融 合使角质层组成和结构改变,形成一种扁平的颗粒结构,通过脂质颗粒间隙,脂 微球包封的药物便于进入皮肤,经由脂质交换、融合作用,维护皮肤生理功能[4]。 Blume等[5]用核磁共振方法研究不同组分脂微球与皮肤角质层模拟物的相互作 用,表明当加热到37℃放置2~24h,可观察到脂质互相混合,可能由于脂质分子 单体通过水相交换,但也不排斥颗粒间的融合。Gulaskharan[6]于1979年,首 次报道以脂微球包封药物用于透皮吸收,可使更多药物留在表皮到真皮之间,而 使透皮吸收进入血液系统的药量减少,从而有效的避免了全身性不良反应。Masini等[8]在研究维A酸脂微球应用时发现,0.01%维A酸脂微球经皮肤局部给 药后生物利用度高于0.05%维A酸凝胶剂,且前者在靶组织中蓄积和贮存量增加 而进入血液循环的药量减少,表明脂微球能增进维A酸的疗效,减少其毒副作用。
Artisan等[9]用市售大豆磷脂作实验证实,分子量在2万~5万的单克隆抗体 脂微球能很快进入皮肤深层,但不能穿透皮肤,而这种抗体的水溶液不能渗透皮 肤。同时Jorosh等有关DNA修复酶脂微球应用于皮肤的研究也证实了这一点。 说明水溶性药物脂微球也能很快地进入皮肤深层,高分子量物质可以以脂微球为 载体透皮吸收。这对于生物大分子药物防治皮肤病具有重要意义。如生物蛋白 T4N5的脂微球定位于皮肤DNA修复,从而降低紫外线引起皮肤癌发生的可能性 [10]。使用α-干扰素可治疗疱疹、生殖器疣等病毒性感染皮肤病,Hu等以甘油 二月桂酸酯、胆固醇和聚氧乙烯-10-硬脂酸酯制备其脂微球,该脂微球能促进 α-干扰素局部转运进入无毛小鼠皮肤活的表皮组织。
Row等[11]以黄体酮脂微球治疗多毛症时发现,真皮层及皮下组织(毛囊处) 中药物浓度较高,以益康唑脂微球进行体外试验,证明与传统制剂相比,表皮中 有较高的药物浓度。Siciliao[12]强调指出,脂微球在皮肤病学和化妆品方面的良 好前景。
聚乙基亚胺是由亚乙基亚胺聚合而成的高分子化合。与普通的直链高分子不 同,聚乙基亚胺有伯胺、叔胺、和季胺,以1:2:1的比列组成。聚乙基亚胺有一 定的抗菌作用,与很多抗菌药物有很强的协同性,可以增强这些药物的杀菌作用。
聚乙基亚胺(PEI)是一种弱碱性、脂肪族高分子聚合物,根据研究[12][13]发 现,聚乙基亚胺对各种抗生素具有协同作用,可以对抗白色念珠菌等引起的疾病。 聚乙烯亚胺增强了部分亲水性和疏水性抗生素的杀菌效果。聚乙烯亚胺可能通过 竞争细菌脂多糖的阳离子结合位点来减少多粘菌素类的聚阳离子抗生素和氨基 糖苷类的摄取,破坏了整个细菌组织,促进了抗生素的渗透。
苦参碱[14]体外具有抗真菌活性,能抑制和杀灭羊毛状小孢子菌、白色念珠 菌等多种真菌。苦参碱是由豆科植物苦参的根、茎、果实经乙醇等有机溶剂提取 的一种生物碱,属于喹诺里西啶类的衍生物羽扇豆生物碱类。0.3%~1%苦参碱 溶液对乙型链球菌、痢疾杆菌、变形杆菌、大肠杆菌、金黄色葡葡球菌、绿脓杆 菌均有较强的抑制作用。有报道苦参总碱对结核杆菌、霍乱弧菌、麻风杆菌、皮 肤致病性真菌及钩端螺旋体等病原体也都有一定抑制杀灭作用。苦参碱溶于冷水、 乙醇、乙醚、氯仿和苯,难溶于石油醚,在热水中溶解度比在冷水中小。苦参碱 的高脂溶性非常适合制备成脂微球制剂。
本发明利用聚乙基亚胺与脂微球粗渗透作用、保护皮肤等功效,通过包裹可 以抗真菌的苦参碱,以及其它常用抗真菌药物,协同作用,达到增强抗菌杀菌作 用,同时对病变皮肤起到修复作用。
发明内容
本发明的目的在于提供一种具有抗真菌作用的脂微球制剂。
本发明制备的脂微球制剂采用中药提取物与现代制剂技术制备,通过脂微球 包裹可以很好的解决药物的水溶性,采用透皮增强剂聚乙亚胺提高药物的透皮吸 收并将药物送入真皮层提高药效,避免有副作用的传统助溶剂的使用,增强药物 杀菌作用,利用可以减少药物以及助溶剂进入全身血液循环系统,减少对皮肤的 刺激。
本发明通过下述技术方案实现:
本发明提供一种抗真菌组合药物,其特征在于,组成如下:
(1)中药提取物,用量为0.1%-20%(2)抗真菌药物,用量为0.1%-10%(3) 植物油,用量为5%-30%,(4)抗菌增强剂,用量为0.02%-8%(5)注射用磷脂 0.3%-3%,(6)等渗剂,用量为0.5%-5%(7)抗氧化剂VE,用量为1%
上述中药提取物选自:苦参碱、以及土荆皮、白鲜皮、花椒、百部、地肤子、 黄柏中的一种或一种以上,优选为苦参碱。
上述抗真菌药物选自:硝酸咪康唑、益康唑、曲康唑、氟康唑、十一烯酸、 十一烯酸锌中的一种或一种以上,
上述植物油选自:市售注射用大豆油、注射用中链油、红花油、橄榄油、桉 树油、薄荷油、玫瑰油、麝香油中的一种或一种以上。
上述抗菌增强剂选用分子量为2-50ku的聚乙基亚胺。
上述注射用磷脂选自:市售注射用大豆磷脂、注射用蛋黄卵磷脂、氢化大豆 磷脂、氢化蛋黄磷脂中的一种或多种。
等渗剂为甘油。
本发明所述的脂微球制剂,可以制备成任何可药用剂型,优选为外用制剂, 包括:喷雾剂、乳剂、膏剂、霜剂、贴剂。
本发明所述的脂微球制剂优选配方如下:
本发明提供的抗真菌药物制剂制备方法如下:
取注射用磷脂,抗菌增强剂加入植物油中搅拌加热至45℃约30分钟混匀, 然后加入中药提取物,抗真菌药物,维生素E,溶解混匀。另取注射用水,加入 等渗剂。在氮气保护的条件下,将上述混合油溶液加入混合水溶液中。经高压均 质机均质7-8次,压力为100MPa,至粒径范围在180-300nm,调节pH 7.0-8.0, 过滤,分装,通入氮气,密封。115℃灭菌30分钟,灯检合格后,包装。在25℃ 以下贮藏。
本发明与现有技术相比,具有如下优点:
1.透皮性能好,作用持久,减少复发:脂微球独特的结构以及采用聚乙烯亚 胺组成的多元促透剂可以达到单一促透剂无法比拟的效果,使该产品具有很强的 透皮性,能将药物快速送达并蓄积于皮肤深层,彻底治愈,有效减少复发
2.疗程短:由于聚乙烯亚胺与被包裹抗真菌药物具有协同作用,抗真菌效果 提高,所以使用该制剂可缩短疗程;
3.护肤作用:脂微球中的磷脂具有护肤作用,维生素E的抗氧化剂和皮肤 营养作用也对皮肤起到保护作用,在治疗的同时,促进病变皮肤复原。
具体实施方式:
为使本发明的目的、技术方案和优点更加清楚明白,下面结合实施例,对本 发明作进一步的详细说明,本发明的示意性实施方式及其说明仅用于解释本发明, 并不作为对本发明的限定。
实施例1:
将上述处方量注射用蛋黄卵磷脂,聚乙烯亚胺加入大豆油、麝香油中搅拌 加热至45℃约30分钟混匀,然后加入苦参碱,硝酸咪康唑,维生素E,溶解混 匀。另取注射用水,加入甘油。在氮气保护的条件下,将上述混合油溶液加入甘 油水溶液中。经高压均质机均质7-8次,压力为100MPa,至粒径范围在180-300nm, 调节pH 7.0-8.0,过滤,分装,通入氮气,密封。115℃灭菌30分钟,灯检合格 后,包装。在25℃以下贮藏。
实施例2:
将上述处方量注射用蛋黄卵磷脂,聚乙烯亚胺加入注射用大豆油、薄荷油 中搅拌加热至45℃约30分钟混匀,然后加入苦参碱,硝酸益康唑,维生素E, 溶解混匀。另取注射用水,加入甘油。在氮气保护的条件下,将上述混合油溶液 加入甘油水溶液中。经高压均质机均质7-8次,压力为100MPa,至粒径范围在 180-300nm,调节pH 7.0-8.0,过滤,分装,通入氮气,密封。115℃灭菌30分 钟,灯检合格后,包装。在25℃以下贮藏。
实施例3:
将上述处方量注射用蛋黄卵磷脂,聚乙烯亚胺加入注射用大豆油、红花油 中搅拌加热至45℃约30分钟混匀,然后加入苦参碱,酮康唑,维生素E,溶解 混匀。另取注射用水,加入甘油。在氮气保护的条件下,将上述混合油溶液加入 甘油水溶液中。经高压均质机均质7-8次,压力为100MPa,至粒径范围在 180-300nm,调节pH 7.0-8.0,过滤,分装,通入氮气,密封。115℃灭菌30分 钟,灯检合格后,包装。在25℃以下贮藏。
实施例4:
将上述处方量注射用蛋黄卵磷脂,聚乙烯亚胺加入大豆油、中链油橄榄油 中搅拌加热至45℃约30分钟混匀,然后加入苦参碱,维生素E,溶解混匀。另 取注射用水,加入氟康唑,加入甘油。在氮气保护的条件下,将上述混合油溶液 加入甘油水溶液中。经高压均质机均质7-8次,压力为100MPa,至粒径范围在 180-300nm,调节pH 7.0-8.0,过滤,分装,通入氮气,密封。115℃灭菌30分 钟,灯检合格后,包装。在25℃以下贮藏。
实施例5:
将上述处方量注射用蛋黄卵磷脂,聚乙烯亚胺加入大豆油、中链油橄榄油 中搅拌加热至45℃约30分钟混匀,然后加入苦参碱,十一烯酸,十一烯酸锌, 维生素E,溶解混匀。另取注射用水,加入甘油。在氮气保护的条件下,将上述 混合油溶液加入甘油水溶液中。经高压均质机均质7-8次,压力为100MPa,至 粒径范围在180-300nm,调节pH 7.0-8.0,过滤,分装,通入氮气,密封。115℃ 灭菌30分钟,灯检合格后,包装。在25℃以下贮藏。
使用效果测试 随机选取30名长期脚气患者作为试用者,分为三组,每组10名,清洁皮肤后, 取实施例1-3适量涂抹于患病部位,每天早晚各一次,连续使用至症状消失。试用效果如下所示:
抗菌效果测试
实验材料菌株:金黄葡萄球菌、白色念珠菌、痤疮丙酸杆菌
实验方法:1、按照QB/T2738-2012《日化产品抗菌抑菌效果的评价方法》7.2抑 菌型日化产品的抗菌效果检验方法(悬液定量法)
2、按照1:1(V/V)比例用无菌水稀释试验样品,然后取稀释后样品对试验菌作 用5min,试验在20±1℃条件下重复3次,取平均值。
效果评价:杀菌率≥90%,产品有杀菌作用;杀菌率≥50%-90%的产品有抑菌作用。
试验结果:
实施例1:
实施例2:
实施例3:
抑菌体外实验
对实施例1-5组合物和单个抗真菌药物硝酸咪康唑、硝酸益康唑、酮康唑、 氟康唑、十一烯酸/十一烯酸锌进行体外抗真菌试验。试验所用细胞株均为卫生 部医学微生物菌(毒)种保藏管理中心真菌中心提供ATCC标准菌株,其中包括:
熏颜色曲霉:菌号ATCC3626
白念珠菌:菌号ATCC90028
红色毛癣菌:菌号ATCC4438
须癣毛癣菌:菌号ATCC4439
参照美国临床和实验室标准化研究所颁布的酵母菌M-27A3和丝状真菌 M-38P的标准方法进行实验:
菌液制备:实验前,将实验菌活化后,酵母菌在沙保弱琼脂培养基上,30℃ 培养48小时,丝状真菌在马铃薯葡萄糖琼脂培养基上,26℃培养7-10天,用无 菌生理盐水配成悬液,经血球计数板计数,用倍量含2%葡萄糖RMPI-1640液体 培养基稀释成白念球菌1.0×103cfu/mL,其它三株丝状真菌配成2.5×104cfu/mL, 分别取菌液0.1ml,加入含有实施例1-5制备得到的制剂和相同剂量的硝酸咪康 唑、硝酸益康唑、酮康唑、氟康唑、十一烯酸/十一烯酸锌的培养基到各孔中, 溶媒对照孔中加入0.1ml稀释后的溶媒,对照孔中加入0.1ml的蒸馏水。加样完 毕后,放在摇板机上,转速100r/minx10min,使得药物与菌液充分接触。以不含 任何抗生素的2%葡萄糖RMPI-1640液体培养基作为基础培养基。下表为90%最 低抑菌浓度(90%MIC)测定结果:
熏颜色曲霉 | 白念珠菌 | 红色毛癣菌 | 须癣毛癣菌 | |
实施例1制剂 | 2.5 | 1.4 | 3.3 | 4.6 |
硝酸咪康唑 | 3.8 | 1.6 | 4.5 | 5.1 |
上述实验结果表明,实施例1制剂抑菌效果优于硝酸咪康唑单独使用。
熏颜色曲霉 | 白念珠菌 | 红色毛癣菌 | 须癣毛癣菌 | |
实施例2制剂 | 7.5 | 2.2 | 5.9 | 4.3 |
硝酸益康唑 | 8.9 | 2.4 | 7.8 | 5.5 |
上述实验结果表明,实施例2制剂抑菌效果优于硝酸益康唑单独使用。
熏颜色曲霉 | 白念珠菌 | 红色毛癣菌 | 须癣毛癣菌 | |
实施例3制剂 | 2.5 | 1.9 | 6.3 | 6.6 |
酮康唑 | 4.7 | 3.6 | 6.8 | 7.3 |
上述实验结果表明,实施例3制剂抑菌效果优于酮康唑单独使用。
熏颜色曲霉 | 白念珠菌 | 红色毛癣菌 | 须癣毛癣菌 | |
实施例4制剂 | 4.1 | 3.2 | 5.6 | 6.2 |
氟康唑 | 4.6 | 3.9 | 8.3 | 5.1 |
上述实验结果表明,实施例4制剂抑菌效果优于氟康唑单独使用。
上述实验结果表明,实施例5制剂抑菌效果优于使用十一烯酸、十一烯酸锌组合物的抑菌效果。
参考文献
1、Messy M,Gulasekuaram V.liposomes–a selective drug delivery systemfor the topical route of administration:gel dosage from.J Pham Pharmacol,1982,34: 473
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3、Egbaria K,Wiener N.Topical delivery of liposomally encapsulatedingredients evaluated by in vito diffusion studies.In:Braun–Falcon O,KortingHC,Maibach HI ends Liposome Dermatics,Berlin:Sprinkle-Verlag,1992:172~181
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7、Brouwstra JA,Hofland HE J,Spies F,et al.Changes in the structure ofthe human stratum coreum induced by liposomes
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13、陈涛等,聚乙烯亚胺单独及与三种抗菌药物联用对白念珠菌的体外抗菌 活性.中国抗生素杂志,2007(032)008
14、桂属华等,苦参碱体外抗真菌活性研究,中药新药与临床药理,2011, 4:382
Claims (7)
1.一种抗真菌的脂微球制剂,其特征在于,主要由以下成分组成:
(1)中药提取物,用量为0.1%-20%,(2)抗真菌药物,用量为0.1%-10%,(3)植物油,用量为5%-30%,(4)抗菌增强剂,用量为0.02%-8%,(5)注射用磷脂0.3%-3%,(6)等渗剂,用量为0.5%-5%(7)抗氧化剂VE,用量为1%。
2.根据权利要求1所述的脂微球制剂,其特征在于,
中药提取物选自:苦参碱、以及土荆皮、白鲜皮、花椒、百部、地肤子、黄柏中的一种或一种以上,
抗真菌药物选自:硝酸咪康唑、益康唑、曲康唑、氟康唑、十一烯酸、十一烯酸锌中的一种或一种以上,
植物油选自:市售注射用大豆油、注射用中链油、红花油、橄榄油、桉树油、薄荷油、玫瑰油、麝香油中的一种或一种以上,
抗菌增强剂选用分子量为2-50ku的聚乙基亚胺,
注射用磷脂选自:市售注射用大豆磷脂、注射用蛋黄卵磷脂、氢化大豆磷脂、氢化蛋黄磷脂中的一种或多种,
等渗剂为甘油。
5.根据权利要求1所述的脂微球制剂,其特征在于,制备成任何可药用剂型。
6.根据权利要求1所述的脂微球制剂,其特征在于,制备成外用制剂,包括:
喷雾剂、乳剂、膏剂、霜剂、贴剂。
7.权利要求1所述的脂微球制剂,其特征在于,包括以下步骤:
取注射用磷脂,抗菌增强剂加入植物油中搅拌加热至45℃约30分钟混匀,然后加入中药提取物,抗真菌药物,维生素E,溶解混匀,另取注射用水,加入等渗剂,在氮气保护的条件下,将上述混合油溶液加入混合水溶液中,经高压均质机均质7-8次,压力为100MPa,至粒径范围在180-300nm,调节pH 7.0-8.0,过滤,分装,通入氮气,密封,115℃灭菌30分钟,灯检合格后,包装。
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