综述
ENGLISH ABSTRACT
分子印迹水凝胶载药角膜接触镜的研究现状
徐江宁
周通 [综述]
作者及单位信息
·
DOI: 10.3760/cma.j.cn115989-20190430-00204
Research status of molecularly imprinted hydrogel drug-loaded contact lenses
Xu Jiangning
Zhou Tong
Authors Info & Affiliations
Xu Jiangning
Chongqing Medical and Pharmaceutical College, Chongqing 401331, China
Zhou Tong
Chongqing Medical and Pharmaceutical College, Chongqing 401331, China
·
DOI: 10.3760/cma.j.cn115989-20190430-00204
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摘要

传统的眼部药物制剂多为滴眼液或眼膏剂,这些药物制剂在眼表给药时,存在给药效率低、病人依从性差等缺陷。载药角膜接触镜能够克服这些缺陷,因而备受重视。提高载药角膜接触镜的药物装载量以及增强药物的缓释性能,是载药角膜接触镜研究和开发的主要焦点。近年来,以分子印迹水凝胶材料制备的载药角膜接触镜能够显著提高药物装载量和缓释性能,因此被广泛研究。本文就分子印迹水凝胶载药角膜接触镜在传递眼科药物中的应用现状,以及各种因素对药物装载量和缓释性能的影响进行综述。

角膜接触镜;分子印迹技术;水凝胶;药物缓释
ABSTRACT

Traditional ophthalmic pharmaceutical preparations are mostly eye drops or eye ointments, which have the disadvantages of low efficiency and poor patient compliance in application.Drug-loaded contact lenses can overcome these shortcomings and have attracted much attention.Improving drug loading capacity and enhancing sustained-release performance of drug-loaded contact lenses are the main focus of research and development.In recent years, drug-loaded contact lenses made of molecularly imprinted hydrogel can significantly improve drug loading capacity and sustained-release performance, and have been widely studied.The application status of molecularly imprinted hydrogel drug-loaded contact lenses in the delivery of ophthalmic drugs, as well as the effects of various factors on drug loading capacity and sustained-release performance were reviewed in this article.

Contact lenses;Molecular imprinting technology;Hydrogel;Drug release
Zhou Tong, Email: mocdef.3ab61953047ykwz
引用本文

徐江宁,周通. 分子印迹水凝胶载药角膜接触镜的研究现状[J]. 中华实验眼科杂志,2022,40(07):685-689.

DOI:10.3760/cma.j.cn115989-20190430-00204

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目前,眼表面给药是主要的眼部给药途径,其药物剂型主要有滴眼液和眼膏剂。其中,60%以上的眼用制剂为滴眼液 [ 1 , 2 ]。由于眼睛的解剖结构和生理功能(眨眼、泪液稀释、泪液洗脱、鼻泪管引流等),滴眼液的生物利用度不到5% [ 3 , 4 ]。为了达到足够的药物浓度并保持一定的时间,需要高频率点用高浓度药物。然而,高频率的点眼会降低患者的依从性,而且高浓度的药物通过鼻腔和结膜吸收进入体循环,可能会导致严重的不良反应 [ 5 ]。载药角膜接触镜能够克服这些缺陷,有望作为新的眼部给药系统 [ 6 ]。角膜接触镜是一种特殊的眼科医疗器具。载药角膜接触镜,就是利用角膜接触镜作为载体,将特定的药物传递至眼表。
载药角膜接触镜的发展主要依赖于水凝胶角膜接触镜的出现。研究初期,角膜接触镜负载药物的方法是浸泡法,即通过将水凝胶角膜接触镜浸泡在药物溶液中,从而实现对药物的负载,当患者配戴角膜接触镜时,负载的药物就逐渐被释放。这种方法简便易行,并且与滴眼液相比,能够增加药物的生物利用度 [ 7 ]。然而,其载药量较低,药物释放时间短,通常在1~3 h内完成释放,因此并未应用于临床实践中 [ 8 ]。在随后的研究中,提高载药角膜接触镜的药物载量以及延长药物释放时间成为了载药角膜接触镜研究和开发的主要焦点。经过几十年的发展,目前已有多种方法能够显著延长载药角膜接触镜的药物释放时间,包括分子印迹技术(molecular imprinting technique,MIT)、引入维生素E屏障、植入载药的纳米载体等 [ 9 , 10 , 11 , 12 ]。其中,MIT在提高药物装载量、延长药物释放时间以及控制药物释放速度等方面具有明显的优势,并且能够应用于不同种类的药物,因此被认为是提高载药角膜接触镜药物装载量和延长药物释放时间的有前景、通用的方法之一 [ 13 ]。故此,本文就分子印迹水凝胶载药角膜接触镜的研究进展进行综述。
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备注信息
A
周通,Email: mocdef.3ab61953047ykwz
B
所有作者均声明不存在利益冲突
C
重庆市卫计委科研面上项目 (2017MSXM063)
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