新型薄荷醇酯类衍生物经皮促透作用评价及其促透机理的初步研究
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摘要
L-薄荷醇(MT)具有促透作用强、毒性低、刺激性小、对亲水性和亲脂性药物均有促透作用等优点,但MT易挥发,高浓度时味辛且具有一定的皮肤刺激性。为了提高MT的促透作用,降低挥发性、气味及刺激性,本论文设计合成新型薄荷醇酯类衍生物,并对该类化合物的经皮促透作用进行了系统的研究。
     将MT与饱和直链脂肪酸(乙酸、丙酸、丁酸、戊酸、己酸、庚酸、辛酸、壬酸、癸酸、十二酸、十四酸、十六酸、十八酸)及药用辅料有机酸(油酸、乳酸、水杨酸、肉桂酸)以酯键连接,合成了十七种薄荷醇酯类衍生物,并合成了文献报道促透能力较优的薄荷乙基醚(MET)作为参比促进剂。利用~1H-NMR、MS确证了目标产物的结构。对合成的薄荷醇酯类衍生物的基本化学特征参数进行计算,包括溶解度参数(SP)、油/水分配系数(K_(O/W))以及极化率(PLB)。
     分别选定不同K_(O/W)值和酸碱性的模型药物包括利多卡因(LD,碱性)、硝酸异山梨酯(ISDN,中性)、酮洛芬(KP,酸性)和具有较大K_(O/W)的吲哚美辛(IM)及较小K_(O/W)的5—氟脲嘧啶(5-FU),以大鼠皮肤为透过屏障采用水平双室扩散池,供给池一侧以肉豆蔻酸异丙酯(IPM)为溶剂,接收池一侧以PBS为接收液评价薄荷醇酯类衍生物的促透作用,结果表明:药物在IPM中的通透系数与药物和介质溶解度参数的差值正相关,且药物的稳态流量与其熔点成反比;直链饱和脂肪酸薄荷醇酯疏水链的长度对其促透作用有显著影响,对于亲水性药物5-FU而言,碳链长度与促透作用呈抛物线关系,长度为C14时促透效果最佳;而对于亲脂性药物当碳链长度为C6~C10时促透作用最强。乳酸薄荷醇酯(M-LA)可使高水溶性药物(5-FU、LD)的累积透过量(Q)显著增加,累积透过量的促透比值(ER_Q)分别为3.74及4.19;肉桂酸薄荷醇(M-CA)对不同K_(O/W)值的模型药物均无促透作用;水杨酸薄荷醇酯(M-SA)及油酸薄荷醇酯(M-OA)对低水溶性药物ISDN、KP、IM的促透作用显著强于高水溶性药物;除LD外四种模型药物的logK_(O/W)值与辅料酸薄荷醇酯通透系数的促透比(ER_P)间均呈抛物线关系{M-LA:r=0.989,(P=0.144);M-CA:r=0.965,(P=0.216);M-SA:r=0.786,(P=0.630):M-OA:r=0.996,(P=0.088)}。
     以双氯芬酸(DA)为模型药物引入烷胺或烷醇胺(二乙胺、乙醇胺、二乙醇胺、三乙醇胺及N-羟乙基哌啶)制备双氯芬酸有机胺盐,并以DSC及FT-IR确证目标产物的形成,考察离子对存在时对薄荷醇酯类衍生物的促透作用的影响。DA与二乙胺(DETA)形成离子对可以改变DA的脂溶性从而显著增加其经皮透过量,其ER_Q值为为4.51;但结构中含有羟基的烷醇胺阳离子对DA的经皮透过均有抑制作用;M-TET对双氯芬酸二乙胺(D-DETA)有着最为显著的促透作用,M-TET与二乙胺的联合应用可使DA的累积透过量与对照组相比增加9.74倍。
     以托特罗定(TOL)为模型药物寻找在压敏胶分散型(DIA)贴剂中有显著促透作用的薄荷醇酯,结果表明,M-OA在IPM溶液及DIA贴剂中均有显著促透作用;大鼠单剂量尾静脉注射酒石酸TOL溶液,经DAS(?)2.0计算后该药—时曲线符合双隔室模型(r=0.993),TOL的中央室分布容积(V_d)及总清除率(CL)分别为3.57 L/kg和0.51L/h,药物代谢较快,6 h后血药浓度低于检测限。
     进行TOL贴剂的大鼠体内药动学实验,比较含有M-OA与MT及无促进剂贴剂在大鼠体内的稳态血药浓度(C_(SS))的差异并考察促进剂对药物在皮肤内储库作用的影响,并以贴剂体外稳态流量及静脉注射的CL值预测体内稳态血药浓度(C_(SS)~P)。经皮给药三种TOL贴剂后采用DAS(?)2.0以非隔室模型计算TOL的药动学参数,M-OA组的C_(max)、C_(SS)、AUC_(0-24)以及AUC_(0-∞)均显著高于MT组及无促进剂组(P<0.05);MT组及无促进剂组的C_(max)、T_(max)、AUC_(0-24)间无显著性差异(P>0.05),但二者的AUC_(0-∞)间有显著性差异(P<0.05)。停止给药后,三组贴剂TOL的血药浓度迅速消除,但消除速度均显著低于静脉注射(P<0.01);无促进剂组的消除速度常数明显大于M-OA及MT组(P<0.05),表明应用促进剂后可增强皮肤对TOL的储库作用。实验中测得无促进剂组、MT组及M-OA组贴剂的大鼠C_(SS)值分别为0.89、0.84、1.47μg/mL;计算得到的对应的0~24 h的C_(SS)~P尸值分别为0.95、1.04和1.44μg/mL,实测值与预测值非常接近表明TOL贴剂具有良好的体内外相关性,体外评价可以在一定程度上代替体内评价用于TOL经皮给药系统开发研究。采用SPSS(?)相关分析的结果表明,当以M-OA及MT作为促进剂时,TOL在IPM中的Q_8与贴剂中的Q_8、贴剂的体外Q_(48)与大鼠体内的AUC_(0-48)间有良好的促透相关性,相关系数分别为0.941及0.993。
     应用扫描电镜(SEM)及衰减全反射红外(ATR-FTIR)技术,以猪耳背皮肤为模型初步探讨M-OA的促透作用机理。SEM观察经M-OA处理的皮肤发现,M-OA可抽提角质层中的脂质,造成皮表光滑度下降且皮肤表面角质间距离增大;ATR-FTIR结果显示,v_SCH_2及v_(as)CH_2均向高波数移动,分别从2849.5 cm~(-1)及2919.4 cm~(-1)移动到2851.1 cm~(-1)及2920.9 cm~(-1);角蛋白的酰胺吸收峰Ⅱ带从1540.6 cm~(-1)向低波数位移到1539.1 cm~(-1)。M-OA促进药物经皮吸收的机理推测有以下两个方面的作用。1)M-OA可提取皮肤表面角质层中的脂质;2)可增加角质层中酰胺及亚甲基的自由度。
L-menthol(MT) may offer advantages over many enhancers because of its high enhancing activity,low toxicity and irritancy,high promoting activity both on lipophilic and hydrophilic drugs.However,its low melting point,pungent flavor and irritancy at high concentration restricts its application in clinical situations.In this study,l-menthol was selected as a lead compound to synthesize new types of O-acylmenthol derivatives as candidates for percutaneous absorption enhancers which presumably could overcome above defects of MT.
     To develop more effective compounds as penetration enhancers,two types of O-acylmenthol derivatives were synthesized,one type was synthesized by MT and saturated fatty acid,including acetic acid,propanoic acid,butyric acid,pentanoic acid,hexanoic acid, heptanoic acid,octanoic acid,nonylic acid,decanoic acid,dodecanic acid,tetradeconic acid, palmitic acid and stearic acid;the other type of O-acylmenthol was synthesized by MT and pharmaceutical excipient acids(lactic acid,cinnamic acid,salicylic acid and oleic acid), O-ethylmenthol(MET) was also synthesized as a reference penetration enhancer.The structures of final products were confirmed by ~1HNMR and MS.The physicochemical parameters of the O-acylmenthol derivatives such as solubilty parameter(SP),n-octanol/water partition coefficient(K_(O/W)) and polarizability(PLB) were calculated by MARVIN(?) or by the approaches of Hoftyzer/Van Krevelen.
     Their promoting activity on the percutaneous absorption of five penetrants having different physicochemical properties,5-fluorouracil(5-FU,base),isosorbide dinitrate(ISDN, neutrality),lidocaine(LD,base),ketoprofen(KP,acid),indomethacin(IM,acid),which were selected based on their lipophilicity represented by logK_(O/W),were tested in vitro across full thickness rat skin with each of the evaluated drugs in isopropyl myristate(IPM) solution,the PBS buffer solutions were added in the receive side.In the case of the IPM as vehicle,we can conclude that for drugs of a similar size,the greater the difference in the SP values between drug and solvent,the larger the permeation coefficients(P) that can be obtained from the vehicle,interestingly,a reverse relationship between the melting point and flux was observed in IPM solution.The structure-activity relationships of O-acylmenthol derivatives synthesized by MT and saturated fatty acids as percutaneous absorption enhancers are summarized as follows:Tail chain length(C2-C18) has important effects on the enhancing activity,C6-C10 seems to be favorable for lipophilic drugs.A parabolic relationship between the carbon chain length of O-acylmenthol and skin permeation enhancement has been observed for hydrophilic drug(5-FU),2-isopropyl-5-methylcyclohexyl tetradecanoate(M-TET) with C14 alkyl chain is most effective.
     2-isopropyl-5-methylcyclohexyl 2-hydroxypanoate(M-LA) provided the highest increase of accumulation of 5-FU(3.74-fold) and LD(4.19-fold) in the receptor phase while 2-isopropyl-5-methylcyclohexyl cinnamate(M-CA) was ineffective for most of the drugs; Both 2-isopropyl-5-methylcyclohexyl 2-hydroxybenzoate(M-SA)and (E)-2-isopropyl-5-methylcyclohexyl octadec-9-enoate(M-OA) had better promoting effects on the drugs with low water-solubility.The four O-acylmenthol enhancers produced parabolic relationship between the lipophilicity(log K_(O/W)) of the model drugs(5-FU,ISDN,KP,IM) and their enhancement ratio of the permeation coefficient(ER_P),indicating that the lipophilicity of the penetrants has significant effect on the permeation results,r = 0.989,(P = 0.144) for M-LA,r = 0.965,(P = 0.216) for M-CA,r = 0.786,(P = 0.630) for M-SA,and r = 0.996,(P = 0.088) for M-OA.
     We selected alkylamine or alkanolamines(diethylamine,ethanolamine,diethanolamine, triethanolamine and N-(hydroxylethyl) piperidine) to react with diclofenac acid(DA) to prepare DA salts,differential scanning calorimetry(DSC) and fourier transform infrared spectroscopy(FT-IR) analyses have been used to identify the formation of DA salts.We investigated the effects of five organic amines upon the penetration of DA by O-acylmenthol in the solutions of IPM.A 4.51-fold increase in the accumulative amount of DA was observed by ion-pair formation with diethylamine for the improvement of lipophilicity,however,the alkanolamines with hydroxyl groups had negative effects on the transdermal delivery of diclofenac.M-TET was effective on the penetration of diclofenac diethylamine(D-DETA), also,it is exciting to note that combined use of diethylamine with M-TET produced a 9.74-fold increase in accumulation amount(Q) of diclofenac compared with DA in IPM.
     Tolterodine(TOL) was selected as a model drug to screen the most promising enhancer among O-acylmenthol derivatives which were applied in the dug in adhesive(DIA) patches. The in vitro permeation studies indicated that M-OA was the most promising enhancer both in IPM solution and DIA patch for transdermal delivery.The pharmacokinetic analysis of the TOL plasma concentration-time profiles after single-dose intravenous bolus administration was carried out by fitting the data to a two-compartment model(r = 0.993).The steady-state volume of distribution(V_d) and clearance(CL) of TOL were 10.93 L/kg and 0.51 L/h, respectively.The concentration of TOL was too low to be detected in rat plasma up to 6 h of sampling.
     The in vivo studies in rats were conducted in order to examine the ability of the TDDS of TOL to provide a steady-state plasma concentration of the drug as well to investigate the effects of enhancers on the skin reservoir and to predict the steady-state plasma concentrations (C_(SS)~P) of TOL from in vivo permeability data.Following topical administration of patches with M-OA,MT as enhancer or without enhancer,pharmacokinetic parameters were analyzed by non-compartment analysis.The pharmacokinetic parameters,including C_(max),C_(SS),AUC_(0-24) and AUC_(0-∞) of M-OA group were significantly larger than those of MT group and Control group (P<0.05);there were no significant difference between C_(max),C_(SS),AUC_(0-24) values of Control and MT group(P>0.05),however,AUC_(0-∞) of MT group was significantly different from that of Control group(P<0.05).The plasma level of TOL declined after the removal of the patches, and it is noteworthy that the TOL of the Control group was eliminated much faster than in the MT group,significant skin reservoir effects were observed,especially for the patches with MT and M-OA as enhancers,as the rate constants for terminal phase after removal of the patches were much smaller than the rate constant for the elimination phase after i.v bolus.
     The observed steady-state plasma concentrations(C_(SS)) of TOL after the application of patches without enhancer(0.89±0.11μg/mL),with MT(0.84±0.14μg/mL) and M-OA (1.47±0.08μg/mL) as enhancers in rats were comparable with the respective predicted C_(SS)~P (0.95,1.04 and 1.44μg/mL) obtained over the period 0 and 24 h from the in vitro permeation data.This indicates that in vitro experiments with rat skin may be used for further transdermal drug delivery studies with TOL.The correlation analysis using the SPSS(?) program indicated there was a good enhancing activity correlation between the Q_8 from IPM and the Q_8 from patches,especially between the Q_(48) from patches in vitro and the AUC_(0-48) in vivo when TOL was in the Control patch or using MT and M-OA as enhancers,the r is 0.941(P<0.05) and 0.993(p<0.05) respectively.
     To investigate the permeation mechanism of M-OA,morphological changes in the stratum corneum(SC) were observed by a scanning electron microscope(SEM),and the stretching vibration peak shifts of C-H and amide were estimated by attenuated total reflectance Fourier transform infared(ATR-FTIR).The wrinkles were increased and numerous concavities were observed on the skin surface,moreover,the intercellular space of the SC in the skin surface was enlarged after M-OA treatment.The ATR-FTIR results revealed that the stretching vibrations of v_SCH_2 andv_(as)CH_2 were shifted from 2849.5 cm~(-1) to 2851.1 cm~(-1) and from 2919.4 cm~(-1) to 2920.9 cm~(-1),respectively.AmideⅡstretching vibrations in the SC lipids were shifted from 1540.6 cm~(-1) to 1539.1 cm~(-1).There might be two reasons responsible for the penetration activity of M-OA,one is M-OA could extract the SC lipids,the other is to disorder the arrangement of lipids and increase the degree of freedom of C-H and amide.
引文
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