Abstract
Purpose. To determine the effect of hylan fluid (HA), a model slow release vehicle on the pharmacokinetic profile and efficacy of interleukin-1 receptor antagonist (IL-lra) in rats with established type II collagen arthritis.
Methods. Female Lewis rats with type II collagen arthritis were treated daily, every other day or every third day with single subcutaneous (sc) injections of IL-lra formulated in HA and the effects on arthritis determined. Results were compared to those obtained with IL-lra in citrate buffered saline with EDTA and polysorbate (CSEP). Sequential blood levels were determined in rats injected sc with IL-lra in CSEP or HA.
Results. Incorporation into HA led to slower release of IL-lra into the bloodstream and maintained therapeutic blood levels of IL-lra for a longer time compared to the IL-lra/CSEP formulation. Single daily sc doses of 100 mg/kg IL-lra in CSEP were ineffective in type II collagen arthritis. By contrast, once per day dosing of 100 mg/kg IL-lra in HA provided 78% inhibition of paw swelling. Every other day dosing with 100 mg/kg IL-lra in HA resulted in 62% inhibition. IL-lra (100 mg/ kg in HA) given every third day provided 19% inhibition of arthritis. Improved efficacy correlated with improved pharmacokinetics.
Conclusions. Administration of IL-lra in the slow release vehicle HA improves pharmacokinetics and efficacy in rat type II collagen arthritis.
Similar content being viewed by others
REFERENCES
S. P. Eisenberg, R. J. Evans, and W. P. Arend. Primary structure and functional expression from complementary DNA of a human interleukin-1 receptor antagonist. Nature. 343:341-5 (1990).
G. V. Campion, M. E. Lebsack, J. Lookabaugh, G. Gordon, M. Catalano, and The IL-1ra arthritis study group. Dose-range and dose-frequency study of recombinant interleukin-1 receptor antagonist in patients with rheumatoid arthritis. Arthritis Rheum. 39:1092-1101 (1996).
D. E. Trentham, A. S. Townes, and A. H. Kang. Autoimmunity to type II collagen: an experimental model of arthritis. J. Exp. Med. 146:857-868 (1977).
K. Terato, R. Hashida, K. Miyamoto, T. Morimoto, Y. Kata, S. Kobayashi, T. Tajima, S. Otake, H. Homi, and Y. Nagai. Histological, immunological, and biochemical studies on type II collagen arthritis in rats. Biomed. Res. 3:495-523 (1982).
T. Maack, V. Johnson, S. T. Kau, J. Figueiredo, and D. Sigulem. Renal filtration, transport, and metabolism of low-molecularweight proteins: a review. Kidneys International 16:251-270 (1979).
N. E. Larsen and E. A. Balazs. Drug delivery systems using hyaluronan and its derivatives. Adv. Drug Delivery Rev. 7:279-293 (1991).
R. Cortivo, P. Brun, A. Rastrelli, and G. Abatangelo. In vitro studies on biocompatibility of hyaluronic acid esters. Biomaterials 2:727-730 (1991).
N. E. Larsen, C. T. Pollak, K. Reiner, E. Leshchiner, and E. A. Balazs. Hylan gel biomaterial: dermal and immunologic compatibility. J. Biomed. Materials Res. 27:1129-1134 (1993).
H. Bothner and D. Wik. Rheology of hyaluronate. Acta Otolaryngol. (Stockholm) Suppl. 442:25-30 (1987).
J. A. Hunt. H. N. Joshi, V. J. Stella, and E. M. Topp. Diffusion and drug release in polymer films prepared from ester derivatives of hyaluronic acid. J. Contr. Rel. 12:159-169 (1990).
L. Illum, N. F. Farraj, A. N. Fisher, I. Gill, M. Miglietta, and L. M. Bendetti. Hyaluronic acid microspheres as a nasal delivery system for insulin. J. Contr. Rel. 29:133-141 (1994).
P. T. Prisell, O. Camber, J. Hiselius, and G. Norstedt. Evaluation of hyaluronan as a vehicle for peptide growth factors. Int. J. Pharm. 85:51-56 (1992).
E. Ghezzo, L. M. Benedetti, M. Rochiva, F. Bivano, and L. Callagaro. Hyaluronic acid derivative microspheres as NGF delivery devices: preparation methods and in vitro release characterization. Int. J. Pharm. 87:21-29 (1992).
J. Meyer, L. Whitcomb, M. Treuheit, and D. Collins. Sustained in vivo activity of recombinant human granulocyte colony stimulating factor (rHG-CSF) incorporated into hyaluronan. J. Contr. Rel. 35:67-72 (1995).
C. A. Dinarello. Biologic basis for interleukin-1 in disease. Blood 87:2095-2147 (1996).
W. P. Arend and J. P. Dayer. Inhibition of the production and effects of interleukin-I and tumor necrosis factor-in rheumatoid arthritis. Arthritis Rheum. 38:151-160 (1995).
J. A. Eastgate, N. C. Wood, F. S. diGiovine, J. A. Symons, F. M. Grinlinton, and G. W. Duff. Correlation of plasma interleukin-I levels with disease activity in rheumatoid arthritis. Lancet. Sept. 24:706-709 (1988).
J. H. Schwab, S. K. Anderle, R. R. Brown, F. G. Dalldorf, and R. C. Thompson. Pro-and anti-inflammatory roles of interleukin-1 in recurrence of bacterial cell wall-induced arthritis in rats. Infection Immunity 59:4436-4442 (1991).
L. A. B. Joosten, M. M. A. Helsen, F. A. J. van de Loo, and W. B. van den Berg. Anticytokine treatment of established type II collagen-induced arthritis in DBA/1 mice. Arthritis Rheum. 39:797-809 (1996).
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Bendele, A., McAbee, T., Woodward, M. et al. Effects of Interleukin-1 Receptor Antagonist in a Slow-Release Hylan Vehicle on Rat Type II Collagen Arthritis. Pharm Res 15, 1557–1561 (1998). https://doi.org/10.1023/A:1011903100188
Issue Date:
DOI: https://doi.org/10.1023/A:1011903100188