Patent Application
20070292496
The present invention refers to a formulation of liposomal vesicles in aqueous solutions which present similar characteristics to the ones of the lachrymal film. The present invention describes a formulation of liposomes in aqueous vehicles. The aqueous vehicles contain mucin or similar substances to mucin or mucomimetic substances or polymers with mucoadhesive properties. The mentioned formulation, at the temperature of the ocular surface, presents similar characteristics to the ones observed in the precorneal tear film in human eye. This mentioned preparation could be used as a substitute of the natural film and it could be used as medicinal preparation in several ocular pathologies such as dry eye syndrome.
This invention is included in the pharmacy and medicine areas.
It is known that the ocular surface is formed by the epithelium of the conjuctiva, corneal epithelium, the accessory lachrymal glands and the meibomian glands. The previous mentioned surface is covered by a continuous film with a thickness of 10 μm. This film is known as precorneal film or lachrymal film. Until a few years ago, the theoretical structure of the precorneal film, generally accepted, included three types of components (lipid, aqueous-serous and mucinous) which were distributed in three lipid layers: lipid, aqueous and mucinous. (Ibrahim H, Buri P, Gurny R. Pharm Acta Helv 1988, 63:146-53).
Recently studies consider the precorneal film structure constituted by the aqueous proteinaceous and mucinous components combined to form a hydrated gel. This mentioned gel would be covered by a lipid film which components would be mainly produced by the meibomian glands. This lipid would avoid tear evaporation and improve lachrymal film stability. (Pflugfelder S C, Solomon A, Stern M E. Cornea 2000; 19 (5): 644-649. McCulley J P, Shine W. Tr Am Ophth Soc 1997; 95: 79-93).
According to the proposed model, the precorneal tear film would consist on two phases:
Hydrophilic polar phase that is in contact with the aqueous-mucinous layer which is composed by phospholipids (PL), sphingomieline, ceramides and cerebrosides.
Non polar hydrophobic phase that is in contact with the atmosphere and it is composed by non polar lipids as wax esters, cholesterol esters, triglycerides, free fatty acids and hydrocarbons.
Approximately, the fraction of phospholipids represents between 1 to 5% of the whole lipid secretion being the one of higher concentration phosphatidilcholine (PC) in a percentage near to 40% of the whole amount of phospholipids. Others phospholipids as phosphatidilethanolamine are in a percentage of 18%. The rest of phospholipids (10) are between 3 and 9%. Probably, this fraction produces a surface tension decrease of the aqueous phase making easier the precorneal film extensibility during blinking.
The usual treatment of dry eye consists on the symptomatic relief with the application of artificial tears formulations by topical route. A typical composition of these preparations includes polymeric solutions as described in the U.S. Pat. No. 4,973,580 (Babiole) in which the ophthalmic formulation includes hyaluronic acid employing hydrogen peroxide as preservative. There are several descriptions of formulations in which similar components of the lachrymal film are included. An example of this kind of formulation is the one containing lecithin and viscous agents derived from cellulose as collected in U.S. Pat. No. 4,421,748 (Trager). Several patents include the use of phospholipids for dry eye treatment. Emulsions with positive charged phospholipids are described in U.S. Pat. No. 4,804,539 (Guo) (1989) and U.S. Pat. No. 4,818,537 (Guo). In these patents positive charged liposomes are employed and they are suspended in aqueous solutions with high viscosity polymers as hydroxiethylcellulose, methylcellulose, hydroxipropylmethylcellulose and vinilic derivatives as polyvinilpirrolidone, polyvinilalcohol and their mixtures. Emulsions containing phospholipids, non polar oils and emulsifying agents are cited too U.S. Pat. No. 6,656,460 (Benita).
None of these patents includes the use of neutral liposomes or negative charged liposomes able to be destabilised at the precorneal film surface temperature, associated with mucine or mucoahesive substances or substances similar to mucin or mucomimetics substances as the case of the invention described below.
The method of invention here described involves the preparation of a pharmaceutical formulation which acts as a precorneal film substitute. The formulation includes liposomal vesicles of phospholipids as hydrophilic polar phase and non polar lipids. Both PL are incorporated in aqueous solutions that contain mucin or substances with similar properties to mucin or mucomimetic substances or mucoadhesive polymers. The more relevant advantages of this invention consist on the use of phosphatidilcholine which presents a transition temperature lower than the temperature of the corneal surface. Furthermore this formulation includes polymers or mucoadhesive substances and/or mucomimetics substances (mucine or polymers as hyaluronic acid, cellulose derivatives, chondroitin sulphate, chitosan, colominic acid, thiolic derivatives or other similar component).
The components of the formulation and specifically the phospholipids which compose the liposomes allow the formation of a monomolecular insoluble film on the corneal surface after the liposomal vesicles destabilisation. The insoluble film acts avoiding the evaporation of the aqueous phase and diminishing the surface tension of the aqueous phase improving the fast spreading of the film on the corneal surface. The liposomes are prepared with phosphatidilcholine obtained from soy lecithin as mainly component, cholesterol and α-tocopherol. The phosphatidilcholine contains acyl rests of insatured fatty acids that lead a transition temperature of the phospholipid lower than the temperature of the corneal surface. This fact allows the formation of the film over the aqueous phase once the formulation is administered on the corneal surface. In its turn, this film is stabilised by cholesterol because this compound reduces the fluidity of the matrix formed by the polyunsaturated rest of the phosphatidilcholine. Finally, the α-tocopherol assures the chemical stability of double bonds avoiding the possibility of peroxidation.
Liposomes are vehiculized in aqueous solution including an isotonic agent (trehalose, sodium chloride, glucose) in order to obtain an adequate osmolarity for their clinical use. Solutions could be isotonics and hypotonics. Once formed, the liposomes are incorporated to aqueous solutions including one or several substances or polymers with mucoadhesive or mucomimetic characteristics to increase the contact time of the formulation and the components of destabilised liposomes on the corneal surface. Once formed the new film is maintained longer avoiding aqueous evaporation from the corneal surface. The concentrations of this last component will depend on the desired final viscosity in the formulation, its interaction with mucin, surface tension and the rheologic behaviour expected after its administration. Proteins are included too in the formulation to increase the stability of the formed film and to improve their lubricant properties. These proteins are found in the natural tears and they can be α-macroglobuline, lysozime, lipocalin y lactoferrine.
Several components can be added to this formulation. Most of them are components of the natural tear film and they improve the formation characteristics and the time of permanence of the precorneal film and/or act as epithelial forming agents, anti-inflammatory agents and antioxidant agents of the ocular surface, and/or to favour the corneal and conjunctival epithelial differentiation. Among these substances are the following:
Mucoadhesive polymers as hyaluronic acid, cellulose derivatives, chondroitin sulphate, chitosan, colominic acid, thiolic derivatives (or similar components).
Neutral lipids and low polarity lipids as wax, cholesterol esters, triglycerides, free fatty acids and hydrocarbons
Vitamin A.
Ions as Sodium, Potassium, Calcium, Chloride and Bicarbonate.
Vitamin C
Albumine or pre-albumine
Immunoglobulin A (IGA).
Epithelial growth factor: EGF).
Beta transforming growth factor (TGF-β).
Acidic fibroblast growth factor (aFGF).
Basic fibroblast growth factor (bFGF).
Antiproteases as macroglobulin.
Neuronal factors as Substance P e insulin like growth factor.
Antibacterial agents as Immunoglobulin G (Ig G), lysozime y complement.
Long chain fatty acids as gadoleic, palmitic, palmitoleic, estearic, oleic, linoleic, araquidic, linolenic, eicosenic, lignoceric, lactic and miristic.
Hydrophilic lipids as phospholipids, esphingomieline, ceramides and cerebrosides.
The present invention involves the formulation of liposomal vesicles in aqueous solutions which possess lachrymal film properties. The invention is additionally illustrated with the following examples which do not limit the content and the claims included in this patent that are defined for the claims related later.
The liposomal vesicles described in the present invention were prepared according the method described previously by Bangham. To this, phosphatidilcholine, cholesterol and α-tocopherol (in different proportions) were dissolved in chloroform to obtain a final concentration of phosphatidilcholine of 8 mg/ml. The solution, previously satured with nitrogen, was introduced in a rotary evaporator at 30-34° C. with moderate vacuum. After solvent evaporation a thin lipid film was formed on the bottle walls. Once formed the lipid film was hydrated with an aqueous solution containing the isotonic agent, satured with nitrogen, at 37° C. using glass beads that allow the formation of multilamelar vesicles. The final concentration of phosphatidilcholine was adjusted with the isotonic vehicle.
Once prepared, the dispersion was maintained in repose and in dark conditions for two hours. Then, the dispersion was sonicated maintaining the temperature of the product between 5 and 10° C. with ice. The preparation ended with 5 filtrations through a filter of 0.8 μm.
The mucin or mucoadhesive and/or mucomimetic substance was added when the liposomes were diluted to the desired final concentration. Final concentrations of liposomes in the polymeric solutions can be found between 1 mg/ml and 40 mg/ml.
The rest of possible components are added, in function of their physicochemical characteristics, with the isotonic agent or with the mucomimetic substances.
The basic liposomes were prepared with phosphatidilcholine from soybean and cholesterol (8:1) and they were reconstituted with water and hypotonic solutions of sodium chloride. The influence of sonication process on the final size of vesicles was studied by comparing the use of ultrasounds probe for 2.5 minutes and ultrasounds bath for 15 minutes (
Dispersion of liposomes in water, at PC concentration of 20 mg/ml, presented pH values between 6.9 and 7.2. The mean diameters for the different batches prepared with ultrasounds bath were between 392 y 478 nm. In all cases, the percentage of particles higher than 1 μm resulted lower than 2%.
Surface tension measurements were carried out with solutions of different liposomal concentrations, and the data obtained are shown in
Cellular viability assays were carried out with hypotonic solutions of basic liposomes and basic liposomes with vitamin E in macrophages cell culture. Cytotoxicity studies were performed by the mitocohondrial-dependent reduction of the tetrazolium salt 3(4,5-dimethylthiazol-2yl)-2,5-diphenyltetrazolium bromide) to formazan (MTT method) (Mossman T. J Immune Methods 1983, 65:55-63). Peritoneal macrophages were obtained from Swiss male mice. Culture medium was used as negative control and benzalconium chloride (0.005%) as positive control. Solutions were incubated at 37° C. for 1 and 4 hours. The results showed an optimal tolerance for the basic liposomes with and without vitamin E addition. (
) and without (
) vitamin E addition. Samples were incubated at 37° C. for 4 hour. Solutions containing two concentrations of liposomes (20 and 40 mg/ml) were studied. Culture medium was used as negative control and benzalconium chloride (0.005%) as positive control.
) and without (
) vitamin E addition. Samples were incubated at 37° C. for 4 hour. Solutions containing two concentrations of liposomes (20 and 40 mg/ml) were studied. Culture medium was used as negative control and benzalconium chloride (0.005%) as positive control.
This application is based on and claims priority from U.S. Provisional Patent Application No.: 60/796,118 filed on Apr. 28, 2006 in the United States Patent Office, the disclosure of which is incorporated herein in its entirety by reference.
| Number | Date | Country | |
|---|---|---|---|
| 60796118 | Apr 2006 | US |
