Inhaled pyrazinamide proliposome for targeting alveolar macrophages

Wipaporn Rojanarat1, Titpawan Nakpheng, Ekawat Thawithong

  • 1Department of Pharmaceutical Technology, Faculty of Pharmaceutical Sciences, Prince of Songkla University, Hat Yai, Songkhla, Thailand.

Drug Delivery
|September 19, 2012
PubMed
Abstract

Insights

Pyrazinamide (PZA)-proliposomes were developed as an aerosol powder for treating lung infections. This novel drug delivery system showed low toxicity and potential for pulmonary tuberculosis treatment.

Area of Science:

  • Pharmaceutical Sciences
  • Drug Delivery Systems
  • Pulmonary Medicine

Background:

  • Tuberculosis remains a significant global health challenge, necessitating innovative treatment strategies.
  • Targeted delivery of anti-tubercular drugs to infected alveolar macrophages (AMs) can enhance efficacy and reduce systemic toxicity.
  • Pyrazinamide (PZA) is a crucial first-line anti-tubercular drug, but its delivery to the lungs can be challenging.

Purpose of the Study:

  • To develop pyrazinamide (PZA)-proliposomes in a dry powder aerosol form for targeted delivery to AMs.
  • To characterize the physicochemical properties and aerosolization performance of the PZA-proliposomes.
  • To evaluate the in vitro and in vivo toxicity of the PZA-proliposomes.

Main Methods:

  • PZA-proliposomes were prepared using a spray-drying method with pyrazinamide, soybean phosphatidylcholine, cholesterol, and porous mannitol.
  • Physicochemical properties were assessed using cascade impaction, X-ray diffraction, differential scanning calorimetry, and infrared spectroscopy.
  • In vitro cytotoxicity assays on respiratory cell lines (Calu-3, A549, NR8383) and immunological response assessments in AMs were performed. In vivo toxicity studies in rats were also conducted.

Main Results:

  • Successfully prepared PZA-proliposomes with PZA encapsulation efficiencies ranging from 26-45%.
  • Aerosolization studies showed mass median aerodynamic diameters of 4.26-4.39 µm, with fine particle fractions of 20-30% at 60 l/min.
  • PZA-proliposomes exhibited reduced toxicity to respiratory cells and did not induce significant inflammatory responses in AMs. No renal or liver toxicity was observed in rats.

Conclusions:

  • PZA-proliposomes are successfully prepared and demonstrate favorable aerosolization properties.
  • The developed PZA-proliposomes show a promising safety profile with low cytotoxicity and minimal immunogenicity.
  • PZA-proliposomes represent a potential advanced drug delivery system for the effective treatment of pulmonary tuberculosis.

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