血压平喷雾剂中主要活性成分的鼻黏膜吸收特性研究
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摘要
血压平喷雾剂由夏枯草、菊花、赤芍、辛夷、肉桂、川芎、当归、薄荷组方制备而成,用于治疗高血压。在前期实验和临床研究中发现,血压平喷雾剂3g/次(生药量)就能发挥良好的降压效果,而产生良好降压效应的原因是什么?一方面可能是由于鼻腔独特的生理构造,不仅可避免口服给药的首过效应,而且通过鼻腔与脑部之间通路,药物还可绕过血脑屏障;另一方面可能是由于血压平复方中多种化学成分间的相互影响,改变了有效成分的ADME过程。
     对于鼻腔给药存在的优势是已经被证实的。为了对后一种推测进行论证,本课题首先从吸收的角度入手,采用大鼠在体鼻腔循环灌流法研究血压平复方中主要的活性成分鼻黏膜吸收的情况,旨在确定血压平喷雾剂中主要活性成分的鼻黏膜吸收特征,为血压平喷雾剂的剂型选择及辅料的筛选提供理论依据。
     本文通过对复方中各味药的化学成分及药理作用的文献综述,确定血压平复方中与降压密切相关的成分,分别为芍药苷、丹皮酚、肉桂酸、绿原酸、阿魏酸,并建立了这五个成分的HPLC含量测定方法。
     本文选用大鼠在体鼻腔循环灌流法研究活性成分的鼻黏膜吸收情况,由于目前常用的食管插管方法实验操作难度大、成功率低的弊端,故将食管插管改为气管插管。并通过三种模型药物(滴通鼻炎水、呋麻滴鼻液、血压平喷雾剂)对改进后的鼻腔在体循环灌流法进行可行性验证,确定改进后试验方法的可行性。
     在改进的鼻腔在体循环灌流法的基础上,对各主要活性成分的鼻腔吸收特征进行研究,包括渗透压、pH值、流速、给药体积、给药浓度。从而确定最佳的实验条件为流速1.8mL/min,给药体积为10mL,丹皮酚、肉桂酸、绿原酸、阿魏酸的鼻黏膜吸收均为被动扩散且吸收良好。同时发现芍药苷的吸收状况不太理想,但其在复方中吸收良好。
     针对芍药苷吸收差的现象,本文研究了丹皮酚、肉桂酸、绿原酸、阿魏酸配伍对芍药苷吸收的影响,以及挥发油对其吸收的作用。结果表明,混合物对芍药苷的鼻黏膜吸收有一定的促进作用,但与制剂中的吸收还有一定差距。在加入挥发油后,吸收得到了进一步的改善。
     在制剂中辅料的加入会对药物的吸收产生影响,为此本文对加入辅料后芍药苷的鼻黏膜吸收情况进行了考察。结果表明壳聚糖和羟丙基.β.环糊精的吸收促进作用最强,可以作为血压平喷雾剂的药剂辅料。
XueYaPing spray is used to cure hypertension, which is composed of Spica prunellae, Flos chrysanthemi, Radix paeoniae rubre, Flos magnoliae, Cortex cinnamomi, Rhizoma chuanxiong, Radix angelicae sinensis and Herba menthae. In the earlier experiment and clinical research, we find that the concentration of xueyaping spray which can exert therapeutic effects is only 3g/time. What is the reason for the good therapeutic effect? On the one hand maybe the special structure of the nasal is not only avoid of first pass effect, but also the medicine can bypass the blood brain barrier though the pathway between brain and nasal. On the other hand, the interaction of the complex components of xueyaping prescription maybe changes the ADME process of these active components.
     The advantage of Nasal drug delivery is confirmed. In order to demonstrate the second idea, the subject beginning with the absorption of the nasal membrane, study the situation of the absorption by in situ nasal recirculation method in xueyaping prescription. The goal is to confirm the absorptive characteristics of the main active components. So that it can supply theoretical evidences for the selection of dosage form and excipients.
     To review the study on chemical constituents and pHarmacological activities of this prescription, we confirm these active components closely related to decrease blood pressure. They are chlorogenic acid, Ferulic Acid, peoniflorin and Cinnamic acid. This article establishes a HPLC method for the determination of these components in XueYaPing spray.
     The absorption of active components in the nasal membrane is evaluated by nasal circulatory perfusion test in vivo in this article. However, this method has many deficiencies:the intubation in esopHageal is very difficult, and the successful rate is very low. so we decide to intubate in tracheal, and then we use three model medicine(Ditong biyan shui, Fuma dibiye, Xueyaping spray) to verify weather this new improved circulatory perfusion is feasible.
     Based on the improved nasal circulatory perfusion method, we study the absorption of the main active componets in nasal, including osmotic pressure, pH, flow rate, volume and concentration of administration. Finally, the optimum parameters are as follows:flow rate is 1.8mL/min, the volume is 10mL, the nasal absorption of chlorogenic acid, Ferulic Acid, Peoniflorin, Paeonol and Cinnamic acid is passive transport, and the absorption is good. Meanwhile we find that the absorption of single Peoniflorin is not so ideal, but in the Xueyaping prescription the result shows good absorption.
     Accroding to the poor absorption of Peoniflorin, we study weather the volatile oil and the mixture compatibility of chlorogenic acid, Ferulic Acid, Paeonol and Cinnamic acid have an influence on the absorption of Peoniflorin. The results show that the mixture has a certain promoting influence on the absorption, but it still has a certain distance compared with the spray. This situation is better improved when the volatile oil is added to the mixture.
     Also we find that the excipients which are added to the spray have an influence on the absorption of the medicine. So we choose Peoniflorin has a poor absorption to investigate the excipients. The results show that chitosan and HP-P-CD have a strong promoting influence on the absorption, and they can be used to the spray as supplementary agents.
引文
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