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Angiopep-2 modified PE-PEG based polymeric micelles for amphotericin B delivery targeted to the brain
Kun Shao1, Rongqin Huang, Jianfeng Li
1Department of Pharmaceutics, School of Pharmacy, Fudan University, 826 Zhangheng Road, Shanghai 201203, PR China.
Abstract:
Amphotericin B (AmB) is a poorly water soluble antibiotic and is used to treat fungal infections of the central nervous system (CNS). However, AmB shows poor penetration into the CNS. Angiopep-2, the ligand of low-density lipoprotein receptor-related protein (LRP) present on the BBB, exhibits higher transcytosis capacity and parenchymal accumulation, which allowed us to consider the selectivity of it for receptor-mediated drug targeting to the brain. With this in mind, we prepared angiopep-2 modified PE-PEG based micellar drug delivery system loaded with the antifungal drug AmB to evaluate the efficiency of AmB accumulating into the brain. PE-PEG based micelles as nano-scaled drug carriers were investigated by incorporating AmB with high drug entrapping efficiency, improving solubilization of AmB and reducing its toxicity to mammalian cells. The AmB-incorporated angiopep-2 modified micelles showed highest efficiency in penetrating across the blood-brain barrier (BBB) than unmodified micelles and Fungizone (deoxycholate amphotericin B) in vitro and in vivo. Meanwhile, contrary to the free Rho 123, the enhancement of Rho 123-incorporated angiopep-2 modified micelles across the BBB can be explained by angiopep-2 modified polymeric micelles that have a potential to overcome the activity of efflux proteins expressed on the BBB such as P-glycoprotein. In conclusion, angiopep-2 modified polymeric micelles could be developed as a novel drug delivery system for brain targeting.
Insights
Angiopep-2 modified nanoparticles effectively deliver the antifungal Amphotericin B across the blood-brain barrier (BBB), enhancing treatment for fungal infections of the central nervous system (CNS). This novel drug delivery system improves brain penetration and reduces toxicity.
Area of Science:
- Neuroscience
- Pharmacology
- Biotechnology
Background:
- Amphotericin B (AmB) is a crucial antifungal agent for central nervous system (CNS) infections but exhibits poor blood-brain barrier (BBB) penetration.
- Targeting the low-density lipoprotein receptor-related protein (LRP) on the BBB with ligands like Angiopep-2 offers a strategy for enhanced brain drug delivery.
Purpose of the Study:
- To develop and evaluate an Angiopep-2 modified PE-PEG micellar drug delivery system for improved brain targeting of Amphotericin B.
- To assess the efficiency of this system in enhancing AmB accumulation within the brain and its ability to cross the BBB.
Main Methods:
- Preparation of PE-PEG based micelles encapsulating Amphotericin B.
- Modification of micelles with Angiopep-2 ligand to target LRP on the BBB.
- In vitro and in vivo evaluation of micelle-mediated drug transport across the BBB.
- Assessment of Angiopep-2 micelles' ability to overcome efflux proteins like P-glycoprotein.
Main Results:
- Angiopep-2 modified micelles demonstrated superior in vitro and in vivo efficiency in penetrating the BBB compared to unmodified micelles and Fungizone.
- The drug delivery system showed high drug entrapment efficiency, improved AmB solubilization, and reduced mammalian cell toxicity.
- Angiopep-2 modified micelles enhanced the transport of encapsulated substances (e.g., Rho 123) across the BBB, potentially overcoming efflux pump activity.
Conclusions:
- Angiopep-2 modified polymeric micelles represent a promising novel drug delivery system for targeting the brain.
- This approach can significantly improve the delivery of antifungal drugs like Amphotericin B to the CNS for treating infections.
- The strategy holds potential for overcoming biological barriers like the BBB and efflux proteins for effective brain drug delivery.
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