Amikacin-containing self-emulsifying delivery systems via pulmonary administration for treatment of bacterial infections of cystic fibrosis patients

Nanomedicine (Lond). 2018 Apr 1;13(7):717-732. doi: 10.2217/nnm-2017-0307. Epub 2018 Feb 28.

Abstract

Aim: The aim of the study was to develop self-emulsifying delivery systems (SEDDS) exhibiting improved permeation rate for pulmonary delivery of amikacin for treatment of cystic fibrosis (CF) patients.

Materials & methods: Solubility of amikacin in lipids was improved by hydrophobic ion pairing with sodium myristyl sulfate. The complex was loaded into SEDDS. Drug-release studies were performed and the permeation properties of SEDDS through human CF mucus were examined.

Results: A total of 10% complex could be loaded into SEDDS. SEDDS exhibited sustained release. Up to twofold more amounts of amikacin permeated through the CF mucus compared with reference.

Conclusion: The developed SEDDS with amikacin may be a promising tool for the treatment of certain bacterial infections of CF patients.

Keywords: CF mucus permeation; SEDDS; amikacin; cystic fibrosis; hydrophobic ion pairing; self-emulsifying delivery systems.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Amikacin / administration & dosage*
  • Amikacin / chemistry
  • Amikacin / pharmacokinetics
  • Bacterial Infections / complications
  • Bacterial Infections / drug therapy*
  • Bacterial Infections / microbiology
  • Cystic Fibrosis / complications
  • Cystic Fibrosis / drug therapy*
  • Cystic Fibrosis / microbiology
  • Drug Delivery Systems*
  • Drug Liberation
  • Emulsions / administration & dosage
  • Emulsions / chemistry
  • Humans
  • Hydrophobic and Hydrophilic Interactions / drug effects
  • Lipids / administration & dosage
  • Lipids / chemistry
  • Mucus / drug effects
  • Mucus / microbiology
  • Permeability / drug effects
  • Pseudomonas aeruginosa / drug effects
  • Pseudomonas aeruginosa / pathogenicity
  • Respiratory Therapy

Substances

  • Emulsions
  • Lipids
  • Amikacin