Development and assessment of countermeasure formulations for treatment of lung injury induced by chlorine inhalation

Toxicol Appl Pharmacol. 2016 May 1:298:9-18. doi: 10.1016/j.taap.2016.03.001. Epub 2016 Mar 4.

Abstract

Chlorine is a commonly used, reactive compound to which humans can be exposed via accidental or intentional release resulting in acute lung injury. Formulations of rolipram (a phosphodiesterase inhibitor), triptolide (a natural plant product with anti-inflammatory properties), and budesonide (a corticosteroid), either neat or in conjunction with poly(lactic:glycolic acid) (PLGA), were developed for treatment of chlorine-induced acute lung injury by intramuscular injection. Formulations were produced by spray-drying, which generated generally spherical microparticles that were suitable for intramuscular injection. Multiple parameters were varied to produce formulations with a wide range of in vitro release kinetics. Testing of selected formulations in chlorine-exposed mice demonstrated efficacy against key aspects of acute lung injury. The results show the feasibility of developing microencapsulated formulations that could be used to treat chlorine-induced acute lung injury by intramuscular injection, which represents a preferred route of administration in a mass casualty situation.

Keywords: Acute lung injury; Airway hyperreactivity; Microencapsulation; Pulmonary edema.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Acute Lung Injury / chemically induced
  • Acute Lung Injury / prevention & control*
  • Animals
  • Budesonide / administration & dosage
  • Budesonide / blood
  • Budesonide / therapeutic use*
  • Chemistry, Pharmaceutical
  • Chlorine / toxicity*
  • Diterpenes / administration & dosage
  • Diterpenes / blood
  • Diterpenes / therapeutic use*
  • Drug Carriers / chemistry
  • Drug Discovery / methods*
  • Drug Liberation
  • Epoxy Compounds / administration & dosage
  • Epoxy Compounds / blood
  • Epoxy Compounds / therapeutic use
  • Inhalation Exposure / adverse effects*
  • Injections, Intramuscular
  • Male
  • Mice, Inbred Strains
  • Microscopy, Electron, Scanning
  • Phenanthrenes / administration & dosage
  • Phenanthrenes / blood
  • Phenanthrenes / therapeutic use*
  • Rolipram / administration & dosage
  • Rolipram / blood
  • Rolipram / therapeutic use*
  • Surface Properties

Substances

  • Diterpenes
  • Drug Carriers
  • Epoxy Compounds
  • Phenanthrenes
  • triptolide
  • Chlorine
  • Budesonide
  • Rolipram