ABSTRACT
Purpose
To assess the potential of polymeric nanoparticles (NPs) to affect the genital distribution and local and systemic pharmacokinetics (PK) of the anti-HIV microbicide drug candidate dapivirine after vaginal delivery.
Methods
Dapivirine-loaded, poly(ethylene oxide)-coated poly(epsilon-caprolactone) (PEO-PCL) NPs were prepared by a nanoprecipitation method. Genital distribution of NPs and their ability to modify the PK of dapivirine up to 24 h was assessed after vaginal instillation in a female mouse model. Also, the safety of NPs upon daily administration for 14 days was assessed by histological analysis and chemokine/cytokine content in vaginal lavages.
Results
PEO-PCL NPs (180–200 nm) were rapidly eliminated after administration but able to distribute throughout the vagina and lower uterus, and capable of tackling mucus and penetrate the epithelial lining. Nanocarriers modified the PK of dapivirine, with higher drug levels being recovered from vaginal lavages and vaginal/lower uterine tissues as compared to a drug suspension. Systemic drug exposure was reduced when NPs were used. Also, NPs were shown safe upon administration for 14 days.
Conclusions
Dapivirine-loaded PEO-PCL NPs were able to provide likely favorable genital drug levels, thus attesting the potential value of using this vaginal drug delivery nanosystem in the context of HIV prophylaxis.
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Abbreviations
- λz :
-
Apparent terminal elimination rate constant
- AE%:
-
Association efficiency
- AUC0.25-24h :
-
Area under the concentration-time curve between 15 min and 24 h
- C max :
-
Maximum observed concentration
- DL%:
-
Drug loading
- EC50 :
-
Half maximal effective concentration
- F rel :
-
Relative bioavailability
- IL:
-
Interleukin
- KC:
-
Keratinocyte-derived chemokine
- MIP-1α:
-
Macrophage inflammatory protein
- MPPs:
-
Mucus-penetrating particles
- N-9:
-
Nonoxynol-9
- NPs:
-
Nanoparticles
- PBS:
-
Phosphate buffered saline
- PCL:
-
Poly(ε-caprolactone)
- PD:
-
Pharmacodynamics
- PdI:
-
Polydispersity index
- PEG:
-
Poly(ethylene glycol)
- PEO:
-
Poly(ethylene oxide)
- PK:
-
Pharmacokinetics
- PLGA:
-
Poly(D,L-lactide-co-glycolide)
- PPO:
-
Poly(propylene oxide)
- PrEP:
-
Pre-exposure prophylaxis
- rhod-123-PCL:
-
Rhodamine-123-labeled poly(ε-caprolactone)
- s.d.:
-
Standard deviation
- s.e.m.:
-
Standard error of the mean
- t 1/2β :
-
Terminal elimination half-life
- t max :
-
C max time
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ACKNOWLEDGMENTS AND DISCLOSURES
José das Neves gratefully acknowledges Fundação para a Ciência e a Tecnologia (FCT), Portugal for financial support (grant SFRH/BD/43393/2008). This work was supported by a grant from FCT (VIH/SAU/0021/2011). The authors would like to express their gratitude to Catarina Ferreira (University of Beira Interior, Covilhã, Portugal) for histology slides preparation. Dapivirine was kindly provided by IPM. Dapivirine was originally developed by Tibotec Pharmaceuticals and licensed to IPM.
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ESM 1
Detailed information on (1) sectioning of the mouse female genital tract, (2) methods used for tissue processing for fluorescence microscopy, and (3) validation parameters of the HPLC-UV method used is available. Also, methods and results for the 14-day toxicity assessment of dapivirine-loaded NPs and alcian blue staining of mucus present at the vaginal mucosa after washing are included. (DOCX 6593 kb)
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das Neves, J., Araújo, F., Andrade, F. et al. Biodistribution and Pharmacokinetics of Dapivirine-Loaded Nanoparticles after Vaginal Delivery in Mice. Pharm Res 31, 1834–1845 (2014). https://doi.org/10.1007/s11095-013-1287-x
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DOI: https://doi.org/10.1007/s11095-013-1287-x