Unveiling the potential of intranasal delivery of renin-angiotensin system drugs: Insights on the pharmacokinetics of irbesartan.

IF 5.3 2区 医学 Q1 PHARMACOLOGY & PHARMACY
Filipa Gouveia, Andreia Carona, Mariana Lacerda, Joana Bicker, Antoni Camins, M Teresa Cruz, Miren Ettcheto, Amílcar Falcão, Ana Fortuna
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Abstract

The therapeutic interest of renin-angiotensin system (RAS) drugs for the treatment of neuroinflammation has been recently acknowledged. Nevertheless, most RAS drugs display limited passage across the blood-brain barrier (BBB). Therefore, this study investigated the potential of intranasal (IN) delivery of six RAS drugs to circumvent the BBB and attain the brain, envisioning its future use in central nervous system (CNS) neuroinflammatory diseases, such as Alzheimer's disease (AD). Captopril, enalaprilat, irbesartan, lisinopril, losartan and valsartan were firstly screened based on their impact on the viability of nasal, lung, and neuronal cell lines and their apparent permeability (Papp) across porcine olfactory mucosa. Irbesartan, identified as the one with the best safety and permeability balance, was selected for pharmacokinetic characterization following single and multidose IN administration to CD-1 mice. The results were compared to those obtained by intravenous (IV) injection to assess direct nose-to-brain drug delivery. Olfactory toxicity and anxiety were also evaluated after multidose IN treatment. Irbesartan IN administration significantly enhanced brain targeting, with a 3-fold increase in the maximum concentration (Cmax) and a 2.5-fold increase in the area under the curve (AUCt) in the brain compared to IV route. The drug exhibited a tmax of 15 min post-IN administration and achieved a brain targeting efficiency of 239.56%, with a significant direct transport percentage of 58.26%. Multidose administration indicated no systemic or tissue accumulation, with accumulation ratio (Rac) values below 1.0, and no significant olfactory toxicity. Overall, the study highlights the potential of IN delivery of irbesartan as a promising strategy to improve brain targeting and therapeutic outcomes in CNS diseases such as AD, providing an effective approach to bypass BBB limitations.

揭示肾素-血管紧张素系统药物鼻内给药的潜力:对厄贝沙坦药代动力学的见解。
肾素-血管紧张素系统(RAS)药物治疗神经炎症的疗效最近已得到认可。然而,大多数 RAS 药物通过血脑屏障(BBB)的能力有限。因此,本研究调查了六种 RAS 药物鼻内给药绕过血脑屏障进入大脑的潜力,并设想了其未来在阿尔茨海默病(AD)等中枢神经系统(CNS)神经炎症疾病中的应用。首先根据卡托普利、依那普利拉、厄贝沙坦、利辛普利、洛沙坦和缬沙坦对鼻腔、肺部和神经细胞系活力的影响以及它们在猪嗅觉粘膜上的表观渗透性(Papp)进行了筛选。厄贝沙坦被认为是安全性和渗透性平衡最好的药物,被选中对 CD-1 小鼠进行单剂量和多剂量 IN 给药后进行药代动力学表征。结果与静脉注射(IV)获得的结果进行了比较,以评估鼻脑直接给药。此外,还对多剂量 IN 治疗后的嗅觉毒性和焦虑进行了评估。与静脉注射途径相比,厄贝沙坦IN给药显著增强了脑靶向性,脑内最大浓度(Cmax)增加了3倍,曲线下面积(AUCt)增加了2.5倍。该药物在静脉给药后 15 分钟达到 tmax,脑靶向效率为 239.56%,直接转运率高达 58.26%。多剂量给药表明没有全身或组织蓄积,蓄积比(Rac)值低于 1.0,也没有明显的嗅觉毒性。总之,该研究强调了IN递送厄贝沙坦的潜力,认为它是改善中枢神经系统疾病(如注意力缺失症)的脑靶向性和治疗效果的一种有前途的策略,为绕过BBB限制提供了一种有效的方法。
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来源期刊
Biochemical pharmacology
Biochemical pharmacology 医学-药学
CiteScore
10.30
自引率
1.70%
发文量
420
审稿时长
17 days
期刊介绍: Biochemical Pharmacology publishes original research findings, Commentaries and review articles related to the elucidation of cellular and tissue function(s) at the biochemical and molecular levels, the modification of cellular phenotype(s) by genetic, transcriptional/translational or drug/compound-induced modifications, as well as the pharmacodynamics and pharmacokinetics of xenobiotics and drugs, the latter including both small molecules and biologics. The journal''s target audience includes scientists engaged in the identification and study of the mechanisms of action of xenobiotics, biologics and drugs and in the drug discovery and development process. All areas of cellular biology and cellular, tissue/organ and whole animal pharmacology fall within the scope of the journal. Drug classes covered include anti-infectives, anti-inflammatory agents, chemotherapeutics, cardiovascular, endocrinological, immunological, metabolic, neurological and psychiatric drugs, as well as research on drug metabolism and kinetics. While medicinal chemistry is a topic of complimentary interest, manuscripts in this area must contain sufficient biological data to characterize pharmacologically the compounds reported. Submissions describing work focused predominately on chemical synthesis and molecular modeling will not be considered for review. While particular emphasis is placed on reporting the results of molecular and biochemical studies, research involving the use of tissue and animal models of human pathophysiology and toxicology is of interest to the extent that it helps define drug mechanisms of action, safety and efficacy.
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