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当归、川芎挥发油静脉给药微乳研究及体内评价
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摘要
挥发油是中药中常见的有效部位,不仅含量较高,药理作用也非常明确,在抗心脑血管疾病、抗肿瘤、抗病毒等方面发挥了重要作用。但是因为中药挥发油在水中的溶解度太小,静脉给药制剂的开发一直是药剂学的难题。本文中选用当归、川芎组方后经水蒸气蒸馏法提取的挥发油作为模型药,研究能够静脉给药用O/W型微乳,并对其理化性质、体内分布和药物动力学进行了研究。
     微乳(Microemulsion,ME)作为静脉给药载体研究已经成为药剂学领域一个新的热点。与乳剂、脂质体和胶团溶液等相比,微乳具有热力学稳定,可热压灭菌,也可微膜滤过;粘度低,注射时不引起疼痛;粒径低于血红细胞的直径;药物能缓慢释放,延长药效并具有靶向作用等特点,是一种有广泛前景的药物载体。但是由于微乳的制备过程中采用了大量的乳化剂和助乳化剂,对人体有潜在的毒副作用,成为限制其应用的最大障碍。因此在选用高效低毒乳化剂和助乳化剂的基础上,通过伪三元相图法研究微乳的形成条件,通过优化工艺,寻找用最少的乳化剂和助乳化剂制备微乳的新方法,并能够避免注入体内被血液稀释而导致的微乳相转变和微乳粒径变大等现象的发生。
     藁本内酯是当归和川芎挥发油中共同含有的指标性成分,含量较高,药效显著,但是在室温条件下很容易被降解,极其不稳定,因此在进行研究前,首先采用硅胶柱层析方法经过二次洗脱制备其对照品,并用IR、UV、NMR、MS光谱对其结构进行鉴定,确认为Z-藁本内酯,纯度大于98%,并以此建立了高效液相色谱方法用于藁本内酯的含量测定。
     在进行处方研究之前,先对水溶液中导致藁本内酯不稳定的各方面因素进行了探讨,明确光照是导致藁本内酯降解的最主要因素,需要严格避光保存,另外,贮存温度、载体系统的组成、pH值和稳定剂的加入等均能在不同程度上影响藁本内酯的降解速度。同时,对不同载体系统中藁本内酯的降解趋势进行拟合,发现其符合Weibull概率分布。实验发现,能够使藁本内酯充分稳定的载体系统中含有20%的1,2-丙二醇和0.30%的稳定剂S,溶剂系统的pH值调至5.8,并向溶液和容器中通入惰性气体,整个操作过程和贮存时需要严格避光。经典恒温法加速实验和Arrhenius方程推算藁本内酯在上述载体系统中室温条件下放置的贮存期(T_(90))为1.77年,室温留样观察为1.75年,二者基本一致,为含有藁本内酯的液体制剂的开发提供参考。
     本课题中研究的模型药物是当归、川芎经水蒸气蒸馏法提取得到的挥发油,其中碳链长度在10~12之间的内酯类成分占60%以上,本身就可以做为微乳的油相,避免了另外加入其它油相引起的潜在的毒性,同时预实验也证明,加入大豆油等其他的油相成分必须同时增加乳化剂和助乳化剂的使用量,这必将进一步增加制剂的刺激性和毒性。
     本课题在文献报道能够静脉注射的四种乳化剂(磷脂、泊洛沙姆188、Cremophor EL35和Solutol HS15)中通过绘制伪三元相图进行乳化剂的选择,结果发现Solutol HS15所制备微乳的状态最佳,而且其能够提高微乳的稳定性,延长药物在血液循环中的时间,有利于本制剂的开发。助乳化剂确定为无水乙醇,且乳化剂与助乳化剂的质量比锁定为1:1,可以防止液晶态和凝胶相的形成,而且所得微乳的粘度较小,适合于注射给药。
     综合微乳处方研究的伪三元相图中得到的信息,确定微乳处方中乳化剂/助乳化剂与挥发油的比例保持在7:3时,所制备的微乳区域可延伸到水相的顶点,即可用水大量稀释而不会发生微乳相转变。
     本课题在研究过程中,考察了改变微乳中的含水量时,相应样本的粘度、电导率、折光率的变化,并对其相转变过程进行了初步探讨,确定出乳化剂和助乳化剂含量不变情况下,增溶最大量挥发油的组成点,并确定微乳经过大量稀释后粒径不会变大。外界温度的变化对微乳区域的形状有一定的影响,但是在伪三元相图中存在着相同一部分区域,可以认为该区域内受外界温度变化的影响不明显,操作过程中可以忽略其变化以简化过程。而以生理盐水替代双蒸水所制备得到的伪三元相图并没有区别,证明增加离子性添加物并不会影响微乳的形成。透射电镜显示,所制备的微乳为球形的粒子,平均粒径在110nm左右,经过生理盐水稀释后,粒径明显减小。
     采用HPLC方法测定微乳中藁本内酯的含量,并以藁本内酯含量、粒径、电导率、折光率、粘度为指标对微乳的理化稳定性进行考察,加速及长期留样6个月,当归、川芎挥发油微乳基本稳定。
     Bliss法计算当归、川芎挥发油微乳小鼠尾静脉注射单次给药的半数致死量(LD_(50))为321.04mg/kg,95%置信区间为239.44~430.45mg/kg。
     建立了2倍体积的乙腈蛋白沉淀法处理血浆和生物组织样品,对当归、川芎挥发油微乳在家兔体内的药物动力学和小鼠体内组织分布进行了考察,方法学考察符合体内药物分析的要求。通过家兔耳缘静脉注射当归、川芎挥发油微乳和1,2-丙二醇溶液,发现微乳给药后,在家兔体内分布符合二室模型,t_(1/2α)为1.37min,t_(1/2β)为10.48min,AUC为28051.56ng min/ml;而当归、川芎挥发油的1,2-丙二醇溶液注射给药后很快消除,4min后检测不到药物。藁本内酯在小鼠体内的组织分布考察表明,当归、川芎挥发油的1,2-丙二醇溶液给药后藁本内酯很快从血浆中消除,血浆内测到的藁本内酯的最高浓度仅为微乳得到的1/6左右,其药时曲线下的面积(AUC)仅为75.09μg.min/g,而微乳的AUC为946.71μg.min/g,而藁本内酯主要浓集于肾脏。说明微乳给药后藁本内酯在血浆内的循环时间明显延长,AUC显著增大,而且体内各个组织器官中分布较为均匀,没有发生器官浓集现象。藁本内酯在小鼠血浆中分布符合二室模型,与家兔体内结果基本一致。
     当归、川芎挥发油静脉注射给药后藁本内酯在家兔和小鼠血浆内的药物动力学研究表明,虽然以微乳为载体能较大程度上提高其在血浆内的滞留时间,但其半衰期仍较短,难以维持有效治疗浓度,因此提示,在临床上可以将微乳用生理盐水稀释到适当的浓度后采用静脉滴注的形式给药,有利于发挥药效并减少刺激性。
Volatile oil is one of the common parts in Traditional Chinese Medicines with great contents and noticeable pharmacological effects, which is used extensively in some diseases such as cardio-cerebrovascular, tumor and virus aspects. However, because of poor solubility for most volatile oil, studies about its praeparatum through veins have great difficulties. In this study, the volatile oil extracted by steaming distillation from Danggui and Chuanxiong was chosen as model drug to develop an O/W microemulsion vehicle for intravenous administration, what is more, the physical and chemical properties, pharmacokinetics in rabbits and distribution in mice were investigated, too.
     Microemulsion has become one of the hot subjects of applied study for intravenous administration in pharmaceutics domains. Comparing to emulsion, liposome and micellar solution, drug delivery system of microemulsion offers considerable potential predominance as follows: it is a thermodynamically stable, isotropic transparent or semitransparent system, so it can pass through micropore filter, stand autoclave sterilization; the viscosity of microemulsion is rather low, which would lessen much pain during injection; the particle diameters of microemulsion are usually less than the that of red blood cells; the drugs entrapped in microemulsion will be released slowly, at the same time, it maybe has some targeting effects. However, the large amount of surfactant and cosurfactant in composition of microemulsion is the main barrier which blocks its more application in intravenous administration. Therefore, after selecting high effective and low toxic surfactant and cosurfactant, the forming condition of microemulsion can be optimized by pseudo-ternary phase diagrams to obtain a formula with less surfactant and cosurfactant and more volatile oil. At the same time, the microemulsion prepared should prevent phase transition when it is diluted by blood after injection.
     Z-ligustilide is the primary ingredient both in volatile oil of Danggui and Chuanxiong. But its extreme instability at room temperature restricts its application in pharmacy. In this study, before pharmaceutical experiments, the standard substance of Z-ligustilide was separated by gel silica column chromatography through elution twice, and its purity was more than 98% by HPLC. The structure was identified by IR, NMR, MS and UV methods to be Z-ligustilide.
     As mentioned before, Z-ligustilide is rather instable, and illumination is the major factor which induced its degradation. Other factors, which could affect its stability in aqueous solutions including pH value, composition of solvents, kinds and amounts of stabilizer, etc al, were detailedly investigated by accelerating experiments. The results indicated that the most suitable vehicle for Z-ligustilide included 20% 1, 2-propanediol and 0.30% stabilizer S, and its pH value was adjusted to 5.8. The degradation trend of Z-ligustilide was fitted according with Weibull probability distribution, and its shelf-life(T_(90)) was 1.77 years through Arrhenius equation by classical thermal methods, which was accordant to the facts.
     As the model drug in this study was volatile oil from Traditional Chinese Medicines, in which the lactone with carbon chain between 10~12 was more than 60%, it may serve as the oil phase of microemulsion per se, which could avoid the toxicity of other oils. Meanwhile, experimental results presented that, the addition of other oils such as soybean oil needs more surfactant and cosurfactant to form microemulsion, thus could increase the potential danger of preparations.
     Four surfactants including phospholipids, Poloxamer 188, Cremophor EL 35 and Solutol HS 15, which could be adopted by intravenous injection as reported were considered by pseudo-ternary phase diagrams, and results showed that Solutol HS 15 was more suitable to prepare microemulsion, furthermore, the microemulsion containing Solutol HS 15 could improve its stability and prolong existing time in blood circulation, which was more favorable for this preparation. The cosurfactant was ethanol and the mass weight ratio of surfactant to cosurfactant was fixed at 1:1, which could prevent appearance of liquid crystal and gels. The viscosity of microemulsion prepared is low enough for injection.
     According to all the information obtained form pseudo-ternary diagrams, the weight ratio of surfactant/cosurfactant to volatile oil was maintained as 7:3, thus, the O/W microemulsion domain could extended to the culminated point of water phase in diagrams, which suggested that the microemulsion would not occur phase inversion even was diluted by large amount of mediums.
     During study, the viscosity, electric conductivity, refractivity and particle diameters of samples containing different amount of water were reviewed respectively, and according to these results, the phase transition process was approached initially. When the amount of surfactant and cosurfactant was fixed, the composition with maximum volatile oil was determined. Moreover, the particle diameters would not enlarge when it was diluted. The surrounding temperatures would affect the shape and size of O/W microemulsion in diagrams to a certain degree, however, there existed some common domains under different temperatures, which could be predicated to be less influenced by temperature, and this could simplify the preparation process. The O/W microemulsion domain had no change when the distilled was substituted by normal saline, which proved ionic addictives would not affect the formation of microemulsions. The photo under transmission electron microscope displayed the microemulsion drops as spherical particles with average diameter of 110nm, and dilution by normal saline or water would reduce its diameters.
     The content of Z-ligustilide in microemulsion was determined by HPLC. The stability of microemulsion was investigated by viscosity, electric conductivity, refractivity, particle diameters and content of Z-ligustilide and results of accelerating testing(40℃) and room temperature showed it was basically stable during 6 months.
     Through single intravenous injection to mice, the median lethal dosage(LD50) of microemulsion was 321.04mg/kg, and the 95% confidence interval was 239.44~430.45mg/kg treated by Bliss procedure.
     There were few reports about the in vivo study about Z-ligustilide in volatile oil of Danggui and Chuanxiong. A protein precipitation method using 2 times of acetonitrile was developed to treat the samples of plasma and biological tissues, and the pharmacokinetics of Z-ligustilide in rabbits and tissue distribution in mice were investigated by intravenous injection. The distribution of Z-ligustilide in microemulsion was fitted a two-compartment model in rabbits, and t_(1/2α) and t_(1/2β) was 1.37min and 10.48min, respectively, and the area under curves(AUC) was 28051.56 ng min/ml. However, when the volatile was administrated as 1, 2-propanediol solution, no drug could be detected after 4min. The results of tissue distribution in mice showed that AUC of microemulsion in plasma was 12 times more than that of solution, and the distribution of Z-ligustilide in every tissue was uniform. However, the concentration of Z-ligustilide in plasma was only sixth to that of microemulsion soon after the volatile oil solution was injected; other drugs were found mostly enriched in kidney. The distribution of Z-ligustilide in mice plasma was fitted a two-compartment model, which was accordant to that in rabbits.
     As the basis of pharmacokinetics of Z-ligustilide both in rabbits and mice after the volatile oil microemulsion was administrated by intravenous injection, it was found that, although the existence of Z-ligustilide in plasma had been greatly improved, it would be eliminated from plasma quickly. This fact meant that it was difficult for Z-ligustilide to remain an effective concentration. Thus, the volatile oil microemulsion was recommended to be administrated by intravenous infusion after it was diluted to certain concentration, and this method might profit the pharmacodynamic action and reduce its stimulation.
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