Enhanced tissue distribution of ritonavir-loaded nanostructured lipid carriers-recommending its dose reduction

© 2023. Controlled Release Society..

Human immunodeficiency virus (HIV) mainly attacks lymphocytes of the human immune system. The untreated infection leads to acquired immune deficiency syndrome (AIDS). Ritonavir (RTV) belongs to protease inhibitors (PIs), the crucial contributors of the combination therapy used in the treatment of HIV that is called highly active antiretroviral therapy (HAART). Formulations targeting the lymphatic system (LS) play a key role in delivering and maintaining therapeutic drug concentrations in HIV reservoirs. In our previous study, we developed RTV-loaded nanostructured lipid carriers (NLCs), which contain the natural antioxidant alpha-tocopherol (AT). In the current study, the cytotoxicity of the formulation was studied in HepG2, MEK293, and H9C2 cell lines. The formulation efficacy to reach the LS was evaluated through a cycloheximide-injected chylomicron flow blockade model in Wistar rats. Biodistribution and toxicity studies were conducted in rodents to understand drug distribution patterns in various organs and to establish the safety profile of the optimized formulation (RTV-NLCs). From the MTT assay, it was found that the cell viability of the formulation is comparable with the pure drug (RTV-API). More than 2.5-folds difference in AUC was observed in animals treated with RTV-NLCs with and without cycloheximide injection. Biodistribution studies revealed higher drug exposure in the lymphoidal organs with the RTV-NLCs. No significant increase in serum biomarkers for hepatotoxicity was observed in rats dosed with the RTV-NLCs. The current study reveals the lymphatic uptake of the RTV-NLCs and their safety in rodents. As the tissue distribution of RTV-NLCs is high, hence re-adjusting the RTV-NLCs dose to get the response equivalent to RTV-API may be more beneficial with respect to its safety and efficacy.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

2023

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:14

Enthalten in:

Drug delivery and translational research - 14(2023), 1 vom: 01. Jan., Seite 116-130

Sprache:

Englisch

Beteiligte Personen:

Jitta, Srinivas Reddy [VerfasserIn]
Salwa [VerfasserIn]
Bhaskaran, Navya Ajitkumar [VerfasserIn]
Marques, Shirleen Miriam [VerfasserIn]
Kumar, Lalit [VerfasserIn]
Cheruku, Sri Pragnya [VerfasserIn]
Rao, Vanishree [VerfasserIn]
Sharma, Pravesh [VerfasserIn]
Kulkarni, Onkar Prakash [VerfasserIn]

Links:

Volltext

Themen:

98600C0908
Cycloheximide
Drug Carriers
HIV
Hepatotoxicity
Journal Article
Lipids
Lymphatic targeting
Nanostructured lipid carriers
O3J8G9O825
Ritonavir
Tissue distribution

Anmerkungen:

Date Completed 25.12.2023

Date Revised 25.12.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1007/s13346-023-01386-9

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM359041248