TW202103684A - Nano eye drops and manufacturing method thereof - Google Patents

Nano eye drops and manufacturing method thereof Download PDF

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TW202103684A
TW202103684A TW108124929A TW108124929A TW202103684A TW 202103684 A TW202103684 A TW 202103684A TW 108124929 A TW108124929 A TW 108124929A TW 108124929 A TW108124929 A TW 108124929A TW 202103684 A TW202103684 A TW 202103684A
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eye drops
nano
mixture
ethanol
manufacturing
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TWI756547B (en
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鄭珮妏
陳瑛瑛
曾清俊
顏峰霖
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高雄榮民總醫院
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Abstract

The present invention relates to nano eye drops and manufacturing method thereof. The method includes the steps of: mixing monosodium glucose co-transporter inhibitor (e.g., dapagliflozin) with hydroxypropyl-[beta]-cyclodextrin and polyvinylpyrrolidone to form a mixture, wherein a weight ratio of the monosodium glucose is between 0.8 and 1.2, a weight ratio of the hydroxypropyl-[beta]-cyclodextrin is between 16 and 24, and a weight ratio of the polyvinylpyrrolidone is between 16 and 24, and wherein the powder of the above three components has a particle diameter of between 100 nm and 1000 nm; adding the mixture in ethanol and stirring to evenly dissolve the mixture in ethanol, and then removing the ethanol to obtain a uniformly-mixed powder; and dissolving the uniformly-mixed powder in eye drop excipient to form the nano eye drops. The nano eye drops of the present invention are effective for treating ocular cataract diseases caused by diabetes.

Description

奈米眼藥水及其製造方法Nano eye drops and its manufacturing method

本發明係有關於一種奈米眼藥水及其製造方法,特別是指將用於治療糖尿病之鈉葡萄糖協同轉運蛋白抑製劑(例如達格列嗪, Dapagliflozin)製成奈米眼藥水之發明,以治療糖尿病引起之眼部白內障疾病。The present invention relates to a nano-eye drops and a manufacturing method thereof, and particularly refers to the invention of preparing sodium-glucose cotransporter inhibitors (such as dapagliflozin, Dapagliflozin) for the treatment of diabetes into nano-eye drops, with Treatment of ocular cataracts caused by diabetes.

二十一世紀出現了幾種新的抗糖尿病藥物,一種是鈉葡萄糖協同轉運蛋白(SGLT)-2抑製劑,其中達格列嗪(Dapagliflozin)是這類新療法中的第一個,用於治療2型糖尿病患者。達格列嗪(Dapagliflozin)通過抑制腎臟中的轉運蛋白SGLT2,減少腎臟葡萄糖重吸收,使尿糖排泄和血糖水平降低,達到治療2型糖尿病的效果。Several new anti-diabetic drugs have appeared in the 21st century. One is sodium-glucose cotransporter (SGLT)-2 inhibitors, among which dapagliflozin (Dapagliflozin) is the first of these new therapies. Treat patients with type 2 diabetes. Dapagliflozin (Dapagliflozin) inhibits the transporter SGLT2 in the kidney, reduces kidney glucose reabsorption, reduces urine sugar excretion and blood sugar levels, and achieves the effect of treating type 2 diabetes.

另外,糖尿病等代謝疾病會引起白內障已被證實,而全球失明人口數的50%是由白內障所導致,近年來的相關研究更發現代謝性疾病的患者發生白內障的年齡層有下降的趨勢。In addition, it has been proven that diabetes and other metabolic diseases can cause cataracts, and 50% of the global blind population is caused by cataracts. In recent years, relevant studies have found that the age group of metabolic disease patients with cataracts has a downward trend.

基於上述問題,本發明擬將鈉葡萄糖協同轉運蛋白抑製劑製作為眼藥水,使鈉葡萄糖協同轉運蛋白抑製劑直接作用於眼部減少眼睛對糖份的吸收,可降低糖化血色素,以治療糖尿病引起之白內障。Based on the above problems, the present invention intends to make sodium-glucose cotransporter inhibitor into eye drops, so that the sodium-glucose cotransporter inhibitor can directly act on the eyes to reduce the absorption of sugar by the eye, and can reduce glycosylated hemoglobin to treat diabetes. Of cataracts.

爰此,本發明提出一種奈米眼藥水製造方法,包括下列步驟:In this regard, the present invention proposes a method for manufacturing nano-eye drops, which includes the following steps:

取重量份介於0.8至1.2之間的一鈉葡萄糖協同轉運蛋白抑製劑,重量份介於16至24之間的一羥丙基-β-環糊精,及重量份介於16至24之間的一聚乙烯基吡咯烷酮,將三者混合成一混合物,其中上述各成分之粉末粒徑介於100奈米至1000奈米之間。將該混合物溶於一乙醇中,攪拌使其均勻溶解,之後去除該乙醇以獲得一均勻混合粉末。將該均勻混合粉末溶於一眼藥水賦形劑,成為一奈米眼藥水。Take the monosodium glucose cotransporter inhibitor between 0.8 and 1.2 parts by weight, the monohydroxypropyl-β-cyclodextrin between 16 and 24 parts by weight, and the weight between 16 and 24 parts A polyvinyl pyrrolidone between the three, the three are mixed into a mixture, wherein the powder particle size of the above-mentioned components is between 100 nanometers and 1,000 nanometers. The mixture is dissolved in ethanol, stirred to make it uniformly dissolved, and then the ethanol is removed to obtain a uniformly mixed powder. The uniformly mixed powder is dissolved in an eye drop excipient to become a nano eye drop.

進一步,該鈉葡萄糖協同轉運蛋白抑製劑為達格列嗪(Dapagliflozin)。Further, the sodium-glucose cotransporter inhibitor is dapagliflozin.

進一步,該達格列嗪(Dapagliflozin)、該羥丙基-β-環糊精及該聚乙烯基吡咯烷酮的混合重量比例為1:20:20。Further, the mixing weight ratio of the dapagliflozin, the hydroxypropyl-β-cyclodextrin and the polyvinylpyrrolidone is 1:20:20.

進一步,該達格列嗪(Dapagliflozin)、該羥丙基-β-環糊精及該聚乙烯基吡咯烷酮的粉末粒徑為小於200奈米。Furthermore, the powder particle size of the dapagliflozin, the hydroxypropyl-β-cyclodextrin and the polyvinylpyrrolidone is less than 200 nanometers.

進一步,該混合物溶於該乙醇時,以磁石進行攪拌。Furthermore, when the mixture is dissolved in the ethanol, it is stirred with a magnet.

進一步,該眼藥水賦形劑包含一親水性載體。Furthermore, the eye drops excipient contains a hydrophilic carrier.

本發明再提出一種奈米眼藥水,該奈米眼藥水係使用前述之奈米眼藥水之製造方法所製成。The present invention further proposes a nano eye drop, which is made by using the aforementioned nano eye drop manufacturing method.

根據上述技術特徵可達成以下功效:According to the above technical features, the following effects can be achieved:

1.本發明的奈米眼藥水可以將鈉葡萄糖協同轉運蛋白抑製劑直接作用於眼部減少眼睛對糖份的吸收,可降低糖化血色素,以治療糖尿病引起之白內障的效果。1. The nano-eye drops of the present invention can directly act on the eyes of the sodium glucose cotransporter inhibitor to reduce the absorption of sugar by the eyes, and can reduce glycosylated hemoglobin to treat cataracts caused by diabetes.

2.將鈉葡萄糖協同轉運蛋白抑製劑、羥丙基-β-環糊精及聚乙烯基吡咯烷酮混合溶於乙醇中並以磁石攪拌,可以獲得均勻混合粉末,可使其均勻分散於眼藥水中。2. The sodium glucose cotransporter inhibitor, hydroxypropyl-β-cyclodextrin and polyvinylpyrrolidone are mixed and dissolved in ethanol and stirred with a magnet to obtain a uniformly mixed powder, which can be uniformly dispersed in eye drops .

3.將鈉葡萄糖協同轉運蛋白抑製劑、羥丙基-β-環糊精及聚乙烯基吡咯烷酮以奈米粉末混合,可以增加眼部的吸收效果,藉以獲得更佳的治療功效。3. Mixing sodium-glucose cotransporter inhibitor, hydroxypropyl-β-cyclodextrin and polyvinylpyrrolidone with nano-powder can increase the absorption effect of the eye to obtain better therapeutic effect.

綜合上述技術特徵,本發明之奈米眼藥水及其製造方法的主要功效將可於下述實施例清楚呈現。Based on the above technical features, the main effects of the nano-eye drops and the manufacturing method of the present invention will be clearly demonstrated in the following examples.

參閱第一圖所示,本實施例之奈米眼藥水製造方法包括:Referring to the first figure, the manufacturing method of nano eye drops in this embodiment includes:

取重量份介於0.8至1.2之間的一鈉葡萄糖協同轉運蛋白抑製劑,重量份介於16至24之間的一羥丙基-β-環糊精,及重量份介於16至24之間的一聚乙烯基吡咯烷酮,將三者混合成一混合物,其中上述各成分之粉末粒徑介於100奈米至1000奈米之間。在本實施例中,該鈉葡萄糖協同轉運蛋白抑製劑使用達格列嗪(Dapagliflozin),且該達格列嗪(Dapagliflozin)、該羥丙基-β-環糊精及該聚乙烯基吡咯烷酮的混合重量比例為1:20:20,而本實施例上述各成分的粉末粒徑使用小於200奈米。Take the monosodium glucose cotransporter inhibitor between 0.8 and 1.2 parts by weight, the monohydroxypropyl-β-cyclodextrin between 16 and 24 parts by weight, and the weight between 16 and 24 parts A polyvinylpyrrolidone between the three, the three are mixed into a mixture, wherein the powder particle size of the above-mentioned components is between 100 nanometers and 1000 nanometers. In this embodiment, the sodium glucose cotransporter inhibitor uses dapagliflozin, and the dapagliflozin, the hydroxypropyl-β-cyclodextrin and the polyvinylpyrrolidone The mixing weight ratio is 1:20:20, and the powder particle size of the above-mentioned components in this embodiment is less than 200 nanometers.

將該混合物溶於一乙醇中,攪拌使其均勻溶解,之後去除該乙醇以獲得一均勻混合粉末。具體而言,該混合物溶於該乙醇時,放入磁石,並在轉速1200rpm下攪拌1小時後,再將上述液體以減壓濃縮機抽乾成粉狀。而溶於乙醇,以及以該磁石攪拌均有助於各成分粉末均勻混合。The mixture is dissolved in ethanol, stirred to make it uniformly dissolved, and then the ethanol is removed to obtain a uniformly mixed powder. Specifically, when the mixture is dissolved in the ethanol, a magnet is placed, and after stirring at a rotation speed of 1200 rpm for 1 hour, the above-mentioned liquid is drained by a vacuum concentrator into a powder form. The dissolving in ethanol and stirring with the magnet help to mix the powders of the ingredients uniformly.

再將該均勻混合粉末溶於一眼藥水賦形劑,成為一奈米眼藥水,而該眼藥水賦形劑包括習知眼藥水的成分。其中,該眼藥水賦形劑進一步包含一親水性載體,以利於眼部吸收。The uniformly mixed powder is dissolved in an eye drop excipient to form a nano eye drop, and the eye drop excipient includes the components of the conventional eye drop. Wherein, the eye drops excipient further includes a hydrophilic carrier to facilitate eye absorption.

以6週齡雄性Sprague-Dawley(SD)大鼠(300±15 g)進行實驗,該大鼠購自國家實驗動物中心,並安置在高雄榮民總醫院的動物房內。此外,飼養在高雄榮民總醫院動物室內的大鼠在無特定病原體(SPF)室中進食。 SPF設施旨在將囓齒動物保持在沒有致病和/或能夠干擾研究目標的某些傳染性生物的環境中。將大鼠保持在光控室(12小時光照/ 12小時黑暗循環)中的單獨籠中,溫度保持在23℃至24℃之間。給大鼠餵食正常的大鼠飼料(Purina; St.Louis,MO)和自由飲水。The experiment was performed with 6-week-old male Sprague-Dawley (SD) rats (300±15 g), which were purchased from the National Laboratory Animal Center and placed in the animal room of the Kaohsiung Veterans General Hospital. In addition, rats raised in the animal room of Kaohsiung Veterans General Hospital ate in the SPF room. SPF facilities are designed to keep rodents in an environment free of certain infectious organisms that are disease-causing and/or capable of interfering with research targets. The rats are kept in individual cages in a light control room (12 hours light/12 hours dark cycle), and the temperature is maintained between 23°C and 24°C. The rats were fed normal rat feed (Purina; St. Louis, MO) and free drinking water.

Streptozotocin(STZ)為一種 glucosamine 衍生物,由 Streptomyces acromogenes 分離所得之毒素,具有破壞胰臟蘭氏小島β-cell 作用,可作為誘發糖尿病藥劑之一。該動物模式是由 Ohno 等人(1998)提出, 此動物模式之優點為,此動物保留靈長類演化過程之特性,因此其特性 與人類之差距較小,且誘發方式簡單,誘發率在雄性動物可高達 100%。此動物模式有助於糖尿病第二型-胰島素依賴型 (IDDM) 及他其類型糖尿病之研究。因此本實驗以 STZ 誘導大鼠(SD rats)之動物模式,以單一劑量 65 mg/kg 腹腔注射(ip)大鼠,經 2 天後,檢測空腹(non fasted)之血糖值濃度≥ 200 mg/dl 則屬於誘導糖尿病成功的動物模式。為了提申動物福祉,每周一次腹腔注射胰島素(1 IU/kg),使動物維持舒適的生活狀態。每兩周檢測一次糖化血色數(HBA1c)與使用裂隙燈檢測大鼠眼睛白內障程度。待大鼠白內障程度經眼科醫師評估達到1級霧化程度,給予前述奈米眼藥水(Dapagliflozin)治療。Streptozotocin (STZ) is a glucosamine derivative, a toxin isolated from Streptomyces acromogenes. It has the effect of destroying the β-cell of the islets of the pancreas. It can be used as one of the drugs for inducing diabetes. This animal model was proposed by Ohno et al. (1998). The advantage of this animal model is that this animal retains the characteristics of the evolutionary process of primates, so its characteristics are smaller than that of humans, and the induction method is simple. The induction rate is lower in males. Animals can be as high as 100%. This animal model is helpful for the study of diabetes type II-insulin-dependent (IDDM) and other types of diabetes. Therefore, this experiment used the animal model of STZ-induced rats (SD rats), with a single dose of 65 mg/kg intraperitoneally (ip) rats, after 2 days, the fasting (non fasted) blood glucose concentration ≥ 200 mg/ dl is an animal model that successfully induces diabetes. In order to improve the welfare of animals, insulin (1 IU/kg) is injected into the intraperitoneal cavity once a week to keep the animals in a comfortable living condition. The glycated blood color number (HBA1c) and the slit lamp were used to detect the degree of cataract in the rat eyes every two weeks. When the degree of cataract in the rat reached the level of aerosolization as assessed by the ophthalmologist, the aforementioned nano-eye drops (Dapagliflozin) were given treatment.

參閱第二圖及第三圖所示,糖化血色素(HbA1c)的檢測是提供臨床醫師評估糖尿病患血糖控制的標準,與調整藥物或改變治療方向一個簡單而實用的方法。HbA1c正常非糖尿病為3.5-5.5%,糖尿病控制良好者,值約6.5%,而現在一般是希望能控制在7%以下,如果超過8% 則為警戒值。在第二圖中顯示,經過本發明之奈米眼藥水治療的白內障大鼠,其糖化血色素(HbA1c)明顯較未經過治療的白內障大鼠降低,且治療時間越久,其糖化血色素(HbA1c)降低的程度越明顯。在第三圖中則顯示,治療與未治療之白內障大鼠,其體重沒有顯著差異,代表治療未產生重大的副作用。As shown in the second and third figures, the detection of glycosylated hemoglobin (HbA1c) is a simple and practical method for clinicians to evaluate the blood sugar control of diabetic patients, and to adjust drugs or change the direction of treatment. Normal non-diabetic HbA1c is 3.5-5.5%, and those with well-controlled diabetes have a value of about 6.5%. Now it is generally hoped to be controlled below 7%, and if it exceeds 8%, it is a warning value. In the second figure, it is shown that the glycated hemoglobin (HbA1c) of cataract rats treated with the nano-eye drops of the present invention is significantly lower than that of untreated cataract rats, and the longer the treatment time, the lower the glycated hemoglobin (HbA1c) The more obvious the degree. The third figure shows that there is no significant difference in body weight between treated and untreated cataract rats, which means that the treatment did not produce significant side effects.

參閱第四圖所示,從實驗開始至結束10周的時間當中,我們每兩週使用裂隙燈檢查STZ注射後白內障的發展,並予白內障程度為一級混濁程度時給予藥物治療。觀察發現,不予治療的白內障大鼠在第四周時白內障程度達到一級,預計給藥治療的白內障大鼠則是在第五周時白內障指數達到一級,因此在第五周時開始滴眼藥做治療。結果發現,給藥治療一周的白內障大鼠與未治療的白內障大鼠相比,白內障指數並無明顯差異。但隨著時間增長,未治療的白內障大鼠在8至10周時,白內障指數為2至3級,而給藥治療的白內障大鼠,其白內障指數為1至2級。因此可知,利用本發明之奈米眼藥水治療糖尿病引起之白內障可以顯著的減緩白內障惡化程度。As shown in the fourth figure, during the 10 weeks from the beginning of the experiment to the end, we used a slit lamp to check the development of cataract after STZ injection every two weeks, and gave medication when the degree of cataract was the first degree of turbidity. Observation found that untreated cataract rats reached the first level in the fourth week, and the cataract rats that were expected to be treated would reach the first level in the fifth week, so the eye drops were started at the fifth week. Do treatment. The results showed that there was no significant difference in the cataract index between the cataract rats treated for one week and the untreated cataract rats. However, as time goes by, the cataract index of untreated cataract rats is 2 to 3 at 8 to 10 weeks, while the cataract index of cataract rats treated with administration is 1 to 2. Therefore, it can be seen that the use of the nano-eye drops of the present invention to treat cataracts caused by diabetes can significantly slow down the deterioration of cataracts.

綜合上述實施例之說明,當可充分瞭解本發明之操作、使用及本發明產生之功效,惟以上所述實施例僅係為本發明之較佳實施例,當不能以此限定本發明實施之範圍,即依本發明申請專利範圍及發明說明內容所作簡單的等效變化與修飾,皆屬本發明涵蓋之範圍內。Based on the description of the above embodiments, when one can fully understand the operation and use of the present invention and the effects of the present invention, but the above embodiments are only the preferred embodiments of the present invention, and the implementation of the present invention cannot be limited by this. The scope, that is, simple equivalent changes and modifications made according to the scope of the patent application of the present invention and the description of the invention, are all within the scope of the present invention.

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[第一圖]係為本發明製造方法的流程圖。[The first figure] is a flowchart of the manufacturing method of the present invention.

[第二圖]係為本發明實施例中,未治療之白內障小鼠及以本發明之眼藥水進行治療之白內障小鼠,其眼部之糖化血色素之值隨時間變化的長條圖。[The second graph] is a bar graph showing changes in the value of glycated hemoglobin in the eyes of untreated cataract mice and cataract mice treated with the eye drops of the present invention in the examples of the present invention.

[第三圖]係為本發明實施例中,未治療之白內障小鼠及以本發明之眼藥水進行治療之白內障小鼠,其體重隨時間變化的長條圖。[The third figure] is a bar graph showing the weight changes of untreated cataract mice and cataract mice treated with the eye drops of the present invention in the examples of the present invention.

[第四圖]係為本發明實施例中,未治療之白內障小鼠及以本發明之眼藥水進行治療之白內障小鼠,其白內障指數隨時間變化的長條圖。[Fourth graph] is a bar graph showing changes in cataract index of untreated cataract mice and cataract mice treated with the eye drops of the present invention in the examples of the present invention.

Claims (7)

一種奈米眼藥水之製造方法,包括下列步驟: 取重量份介於0.8至1.2之間的一鈉葡萄糖協同轉運蛋白抑製劑,重量份介於16至24之間的一羥丙基-β-環糊精,及重量份介於16至24之間的一聚乙烯基吡咯烷酮,將三者混合成一混合物,其中上述各成分之粉末粒徑介於100奈米至1000奈米之間;將該混合物溶於一乙醇中,攪拌使其均勻溶解,之後去除該乙醇以獲得一均勻混合粉末; 將該均勻混合粉末溶於一眼藥水賦形劑,成為一奈米眼藥水。A method for manufacturing nano eye drops, including the following steps: Take the monosodium glucose cotransporter inhibitor between 0.8 and 1.2 parts by weight, the monohydroxypropyl-β-cyclodextrin between 16 and 24 parts by weight, and the weight between 16 and 24 parts A polyvinylpyrrolidone between the three, the three are mixed into a mixture, wherein the powder particle size of the above-mentioned ingredients is between 100 nm and 1000 nm; the mixture is dissolved in ethanol and stirred to make it uniformly dissolved. Then remove the ethanol to obtain a uniformly mixed powder; The uniformly mixed powder is dissolved in an eye drop excipient to become a nano eye drop. 如申請專利範圍第1項所述之奈米眼藥水之製造方法,其中,該鈉葡萄糖協同轉運蛋白抑製劑為達格列嗪。According to the method for manufacturing nano-eye drops described in item 1 of the scope of patent application, the sodium-glucose cotransporter inhibitor is dapagliflozin. 如申請專利範圍第2項所述之奈米眼藥水之製造方法,其中,該達格列嗪、該羥丙基-β-環糊精及該聚乙烯基吡咯烷酮的混合重量比例為1:20:20。The method for manufacturing nano-eye drops as described in item 2 of the scope of patent application, wherein the mixing weight ratio of the dapagliflozin, the hydroxypropyl-β-cyclodextrin and the polyvinylpyrrolidone is 1:20 :20. 如申請專利範圍第2項所述之奈米眼藥水之製造方法,其中,該達格列嗪、該羥丙基-β-環糊精及該聚乙烯基吡咯烷酮的粉末粒徑為小於200奈米。The method for manufacturing nano-eye drops as described in item 2 of the scope of patent application, wherein the powder particle size of the dapagliflozin, the hydroxypropyl-β-cyclodextrin and the polyvinylpyrrolidone is less than 200 nanometers Meter. 如申請專利範圍第1項所述之奈米眼藥水之製造方法,其中,該混合物溶於該乙醇時,以磁石進行攪拌。According to the method for producing nano-eye drops described in item 1 of the scope of patent application, when the mixture is dissolved in the ethanol, the mixture is stirred with a magnet. 如申請專利範圍第1項所述之奈米眼藥水之製造方法,其中,該眼藥水賦形劑包含一親水性載體。According to the method for manufacturing nano-eye drops described in item 1 of the scope of patent application, the eye drops excipient includes a hydrophilic carrier. 一種奈米眼藥水,係使用如申請專利範圍第1項至第6項任一項所述之奈米眼藥水之製造方法所製成。A nano eye drop is made by using the method for manufacturing nano eye drop as described in any one of items 1 to 6 of the scope of patent application.
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