Recent Advancements in Drug Delivery of Sinomenine, A Disease-Modifying Anti-Rheumatic Drug

Sinomenine (SIN) is a benzyltetrahydroisoquinoline-type alkaloid isolated from the dried plant root and stem of <i>Sinomenium acutum</i> (Thumb.) Rehd.et Wils, which shows potent anti-inflammatory and analgesic effects. As a transforming disease-modifying anti-rheumatic drug, SIN has bee...

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Main Authors: Xin Chen, Chengcheng Lu, Yanwen Duan, Yong Huang
Format: Article
Language:English
Published: MDPI AG 2022-12-01
Series:Pharmaceutics
Subjects:
Online Access:https://www.mdpi.com/1999-4923/14/12/2820
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author Xin Chen
Chengcheng Lu
Yanwen Duan
Yong Huang
author_facet Xin Chen
Chengcheng Lu
Yanwen Duan
Yong Huang
author_sort Xin Chen
collection DOAJ
description Sinomenine (SIN) is a benzyltetrahydroisoquinoline-type alkaloid isolated from the dried plant root and stem of <i>Sinomenium acutum</i> (Thumb.) Rehd.et Wils, which shows potent anti-inflammatory and analgesic effects. As a transforming disease-modifying anti-rheumatic drug, SIN has been used to treat rheumatoid arthritis over twenty-five years in China. In recent years, SIN is also in development for use against other disorders, including colitis, pain, traumatic brain injury, and uveitis. However, its commercial hydrochloride (SIN-HCl) shows low oral bioavailability and certain allergic reactions in patients, due to the release of histamine. Therefore, a large number of pharmaceutical strategies have been explored to address these liabilities, such as prolonging release behaviors, enhancing skin permeation and adsorption for transdermal delivery, targeted SIN delivery using new material or conjugates, and co-amorphous technology. This review discusses these different delivery strategies and approaches employed to overcome the limitations of SIN for its efficient delivery, in order to achieve improved bioavailability and reduced side effects. The potential advantages and limitations of SIN delivery strategies are elaborated along with discussions of potential future SIN drug development strategies.
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spelling doaj.art-d5d1de00894d4bc9b573c17c1e6dbd8b2023-11-24T17:22:35ZengMDPI AGPharmaceutics1999-49232022-12-011412282010.3390/pharmaceutics14122820Recent Advancements in Drug Delivery of Sinomenine, A Disease-Modifying Anti-Rheumatic DrugXin Chen0Chengcheng Lu1Yanwen Duan2Yong Huang3Xiangya International Academy of Translational Medicine, Central South University, Changsha 410013, ChinaXiangya International Academy of Translational Medicine, Central South University, Changsha 410013, ChinaXiangya International Academy of Translational Medicine, Central South University, Changsha 410013, ChinaXiangya International Academy of Translational Medicine, Central South University, Changsha 410013, ChinaSinomenine (SIN) is a benzyltetrahydroisoquinoline-type alkaloid isolated from the dried plant root and stem of <i>Sinomenium acutum</i> (Thumb.) Rehd.et Wils, which shows potent anti-inflammatory and analgesic effects. As a transforming disease-modifying anti-rheumatic drug, SIN has been used to treat rheumatoid arthritis over twenty-five years in China. In recent years, SIN is also in development for use against other disorders, including colitis, pain, traumatic brain injury, and uveitis. However, its commercial hydrochloride (SIN-HCl) shows low oral bioavailability and certain allergic reactions in patients, due to the release of histamine. Therefore, a large number of pharmaceutical strategies have been explored to address these liabilities, such as prolonging release behaviors, enhancing skin permeation and adsorption for transdermal delivery, targeted SIN delivery using new material or conjugates, and co-amorphous technology. This review discusses these different delivery strategies and approaches employed to overcome the limitations of SIN for its efficient delivery, in order to achieve improved bioavailability and reduced side effects. The potential advantages and limitations of SIN delivery strategies are elaborated along with discussions of potential future SIN drug development strategies.https://www.mdpi.com/1999-4923/14/12/2820rheumatoid arthritissinomeninehalf-lifeside effectdrug deliverydrug release behaviors
spellingShingle Xin Chen
Chengcheng Lu
Yanwen Duan
Yong Huang
Recent Advancements in Drug Delivery of Sinomenine, A Disease-Modifying Anti-Rheumatic Drug
Pharmaceutics
rheumatoid arthritis
sinomenine
half-life
side effect
drug delivery
drug release behaviors
title Recent Advancements in Drug Delivery of Sinomenine, A Disease-Modifying Anti-Rheumatic Drug
title_full Recent Advancements in Drug Delivery of Sinomenine, A Disease-Modifying Anti-Rheumatic Drug
title_fullStr Recent Advancements in Drug Delivery of Sinomenine, A Disease-Modifying Anti-Rheumatic Drug
title_full_unstemmed Recent Advancements in Drug Delivery of Sinomenine, A Disease-Modifying Anti-Rheumatic Drug
title_short Recent Advancements in Drug Delivery of Sinomenine, A Disease-Modifying Anti-Rheumatic Drug
title_sort recent advancements in drug delivery of sinomenine a disease modifying anti rheumatic drug
topic rheumatoid arthritis
sinomenine
half-life
side effect
drug delivery
drug release behaviors
url https://www.mdpi.com/1999-4923/14/12/2820
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AT yanwenduan recentadvancementsindrugdeliveryofsinomenineadiseasemodifyingantirheumaticdrug
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