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研究生: 黃資惠
TzuHui, HUANG
論文名稱: 可定位投遞藥物兩階段控制釋放微針陣列應用於黑色素沈澱之治療
Localized Two Steps Controlled Released Microneedle Patch for Transdermal Drug Delivery
指導教授: 傅建中
宋信文
口試委員: 林頌然
學位類別: 碩士
Master
系所名稱: 工學院 - 奈米工程與微系統研究所
Institute of NanoEngineering and MicroSystems
論文出版年: 2013
畢業學年度: 101
語文別: 中文
論文頁數: 41
中文關鍵詞: 微針黑色素沈澱經皮傳輸
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  • 經皮藥物投遞系統 (transdermal delivery systems)是一種具備良好控制性、無疼痛感,且可專一性的投藥至皮膚組織的技術。本研究之目標是建立一個可針對特定深度的組織投藥且兩階段釋放之微針陣列,而本實驗利用黑色素沈澱之動物模型來研究微針陣列之療效。
    黑色素沈澱是一種相當常見的皮膚症狀,特別是亞洲人、非洲人與南美洲人等。現今臨床治療上,有許多化學合成或者天然的藥物可治療黑色素沈澱,無論是單一配方或者是使用多種藥物的複方治療,皆有不同程度的療效與副作用。其中,治療黑色素沈澱之「三合一美白藥膏」,在許多的臨床實驗皆已證實其療效與安全性,然而,高達 87.5% 的使用者在治療過程中同時也會出現程度不等的副作用如患部脫皮、紅腫等現象。
    為改善傳統三合一美白藥膏的療效,本研究提出兩階段給藥微針系統,針對黑色素沈澱的患部,施以兩階段溶解的微針貼片。第一階段快速溶解的微針針頭,將作用於黑色素細胞所在的基底層,抑制黑色素的生成;第二階段則是採緩慢溶解材料,將抑制發炎之類固醇置於微針底座部份,使其在角質層中緩慢溶解,達到緩釋給藥的效果。
    本研究織成果顯示了已成功製備兩階段給藥微針系統,可將特定藥物成功定位於微針陣列之針尖,並於體外實驗中觀察到兩階段釋放之現象。本研究亦進行了動物實驗,證實了兩階段給藥微針系統確有治療黑色素沈澱之效果。而本系統所俱備的定位、兩階段投藥的優勢,預期也能在其他黑色素細胞相關病變(如黑色素瘤等)有臨床應用的潛力。


    Hyperpigmentation is a hypermelanosis occurring in all skin types and results from the overproduction of melanin or an irregular dispersion of pigment after cutaneous inflammation. Patients with hyperpigmentation can have a significant psychosocial impact on skin-of-color patients, including Asian.
    There are a variety of medications and procedures added to photoprotection cream that can safely and effectively treat hyperpigmentation. A fixed triple combination cream, containing 4% Hydroquinone (HQ), 0.05% Tretinoin (Vit. A acid), and 0.01% fluocinolone acetonide (steroids), called Tri-Luma from Galderma Laboratories (Fort Worth, TX), offer maximal efficacy for clinical trial. HQ and Vit. A Acid can inhibit the formation of melanin by inhibiting the tyrosinase in melanocytes in the bottom of epidermis layer. Fluocinolone acetone, the steroids can eliminate the irritation caused by hydroquinone or tretinoin. However, clinical study showed that over 87.5% of patients were noted to have side-effects with cream treatment because of the Hydroquinone cytotoxicity and slow degradation.
    In this study, we proposed a new design of microneedles patch with different height for different skin layer to treat hyperpigmentation. For the deeper melanocyte in the bottom of epidermis layer, longer microneedle in the center of patch served as a fast released carrier loaded active ingredient HQ and Vit. A Acid for drug localization and fast metabolism to decrease HQ cytotoxicity. The shorter microneedle contained fluocinolone acetonide to dissolve gently in the keratinocytes layer to eliminate the irritation.
    In vitro and in vivo study showed the feasibility of hyperpigmentation treatment. This approach could be a potential technology enabling direct transcutaneous delivery in clinical applications.

    中文摘要 ................................................................................................................................... I Abstract ..................................................................................................................................... II 目錄 ......................................................................................................................................... III 圖目錄 ...................................................................................................................................... V 第一章 緒論 .............................................................................................................................. 1 第一節 經皮給藥系統 ....................................................................................................................... 1 第二節 生醫相容藥物載體 ............................................................................................................... 3 第三節 微針貼片相關文獻探討 ....................................................................................................... 5 第四節 微針貼片之應用 ................................................................................................................... 8 第五節 黑色素細胞與相關疾病 ..................................................................................................... 10 第六節 黑色素沈澱的治療 ............................................................................................................. 12 第七節 研究目的 ............................................................................................................................ 15 第二章 研究方法 .................................................................................................................... 18 第一節 SU-8 微針結構製程步驟與光學模擬 .............................................................................. 18 第二節 利用雙乳化方式製備 PLGA -NaHCO3 藥物載體微粒 ................................................... 20 第三節 利用兩次灌注方式製作兩段材料高分子微針陣列 ......................................................... 22 第四節 兩階段高分子微針陣列體外釋放 (in vitro) .................................................................... 23 第五節 兩階段高分子微針陣列壓應力測試 ................................................................................. 23 第六節 兩階段高分子微針陣列體外穿刺實驗 ............................................................................. 24 第七節 高分子微針陣列活體兩階段釋放實驗 ............................................................................. 24 第八節 兩階段高分子微針貼片治療黑色素沈澱動物實驗 ......................................................... 24 第三章 研究結果 .................................................................................................................... 26 第一節 SU-8 微針結構 .................................................................................................................. 26 第二節 利用雙乳化方式製備 PLGA -NaHCO3 藥物載體微粒 .................................................. 27 第三節 利用兩次灌注方式製作兩段材料高分子微針陣列 ......................................................... 27 第四節 兩階段高分子微針陣列體外釋放 (in vitro) .................................................................... 29 IV 第五節 兩階段高分子微針陣列壓應力測試 ................................................................................. 30 第六節 兩階段高分子微針貼片體外穿刺實驗 ............................................................................. 31 第七節 微針貼片治療黑色素沈澱動物實驗與效果評估 ............................................................. 34 第四章 結論 ............................................................................................................................ 37 參考書目 ................................................................................................................................. 38

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