Sustained delivery of triamcinolone acetonide from a thermosensitive microemulsion gel system for the treatment of sensorineural hearing loss

Intratympanic administration for the delivery of steroids has been extensively studied but limited because of low permeability of the drug through the row window membrane. Here, to effectively deliver poorly soluble triamcinolone acetonide (TA), microemulsions (ME) were prepared from Capmul MCM (oil), Cremophor RH40 (surfactant), and tetraglycol (cosurfactant) based on solubility studies, emulsifying ability test, and pseudoternary phase diagrams. Microemulsion gel (MEG) was prepared by mixing TA-ME with a poloxamer hydrogel base. The physicochemical properties of ME and MEG formulations were characterized, and the toxicity and oto-protective effectiveness were evaluated in vitro and in vivo. The ME-3 formulation showed a small droplet size (16.5 ± 0.2 nm), narrow PDI (0.067 ± 0.041), and enhanced TA solubility (2619.7 ± 57.6 μg/g). The optimized MEG demonstrated temperature-dependent gelation with a gelation time of 208 ± 10 sec at 37 °C. Slow degradation of the gel matrix sustained release of TA from MEG compared to the ME formulation. Both TA-ME and TA-MEG were found to be nontoxic to NIH3T3 cells at the test concentrations (0 to 5 µg/mL), and biocompatible after intratympanic administration to mice. The incorporation of ME into thermosensitive hydrogels prolonged retention of TA at the site of administration until 6 days. As a consequence, the enhanced drug absorption into the cochlea in TA-MEG group (approximately 2 times higher than other groups) protected hair cells, spiral ganglion neurons, and stria vascular cells from cisplatin-induced damage. Therefore, this injectable TA-loaded MEG is an effective and safe vehicle for the sustained delivery of triamcinolone acetonide into the inner ear.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:30

Enthalten in:

Drug delivery - 30(2023), 1 vom: 03. Dez., Seite 2242003

Sprache:

Englisch

Beteiligte Personen:

Nguyen, Thu Nhan [VerfasserIn]
Yoo, So-Yeol [VerfasserIn]
Tangchang, Warisraporn [VerfasserIn]
Lee, Jae-Young [VerfasserIn]
Son, Hwa-Young [VerfasserIn]
Park, Jeong-Sook [VerfasserIn]

Links:

Volltext

Themen:

Emulsions
F446C597KA
Hydrogels
Intratympanic delivery
Journal Article
Surface-Active Agents
Thermosensitive microemulsion gel
Triamcinolone Acetonide
Triamcinolone acetonide

Anmerkungen:

Date Completed 07.08.2023

Date Revised 09.08.2023

published: Print

Citation Status MEDLINE

doi:

10.1080/10717544.2023.2242003

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM360375863