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請用此 Handle URI 來引用此文件: http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/81824
完整後設資料紀錄
DC 欄位值語言
dc.contributor.advisor陳進庭(Chin Tin Chen)
dc.contributor.authorLing-Jei Mengen
dc.contributor.author孟令潔zh_TW
dc.date.accessioned2022-11-25T03:04:26Z-
dc.date.available2024-07-27
dc.date.copyright2021-08-18
dc.date.issued2021
dc.date.submitted2021-07-29
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dc.identifier.urihttp://tdr.lib.ntu.edu.tw/jspui/handle/123456789/81824-
dc.description.abstract" 白色念珠菌 (Candida albicans) 為念珠菌屬中的一種微生物,是人體內常見的伺機性病原菌之一。有研究指出白色念珠菌所造成的死亡率大約是四成,目前主要的治療方法為使用抗真菌劑治療。而作為念珠病感染的局部第一線用藥克霉唑 (Clotrimazole, CTZ) 是唑類抗真菌藥物中的一種,屬於親脂性藥物,溶解度的問題限制了其在抗真菌治療的應用。CTZ在目前市售產品及文獻中,主要是藉由能承載親脂性藥物的遞送載體,如:油膏 (ointment) 或是乳膏 (cream) 等。這些較為油膩的製劑容易造成患者產生不適感,或是因所添加之賦形劑 (excipient) 產生過敏反應等。本研究藉由實驗室先前發展的脂質載體來進行CTZ的劑型改良。實驗結果發現改良的新劑型不僅於嚴苛環境下仍保持良好的穩定性外,其藥物最大承載量甚至可比市售產品高出10倍。此外,將CTZ新劑型與CTZ loaded DMSO相比,也可發現新劑型的最小抑菌濃度MIC50能降低4倍。接著,於紙錠擴散法實驗結果得知,新劑型不論是作用於白色念珠菌、熱帶念珠菌或是兩者之抗藥性菌株上,皆具有比市售乳膏產品更好的抑菌效果,顯示了CTZ新劑型具有多元的應用價值。而在生物膜形成的試驗中,也發現了CTZ新劑型不僅能降低白色念珠菌生物膜生成的能力,於高濃度之下也能破壞較為完整的生物膜結構。綜合上述,本研究發現CTZ新劑型在各項抑菌試驗中皆表現優異,具有良好的發展潛力。"zh_TW
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dc.description.tableofcontents致謝 .....i 中文摘要 .....ii Abstract .....iii 目錄 .....iv 圖目錄 .....ix 表目錄 .....xi 第一章、緒論 .....1 1.1 人類與微生物 .....1 1.1.1微生物感染 .....1 1.2 念珠菌屬 .....2 1.2.1 白色念珠菌 .....2 1.3 生物膜 .....3 1.3.1 生物膜的發展過程 .....3 1.3.2 生物膜的抗藥性機制 .....4 1.4 抗真菌藥物 .....6 1.4.1 抗真菌藥物的種類 .....6 1.4.2 克霉唑 .....7 1.5 局部製劑 .....8 1.5.1 脂質載體 .....8 第二章、研究動機與目的 .....10 第三章、實驗架構 .....12 第四章、材料與方法 .....13 4.1 菌種來源、保存與活化 .....13 4.1.1 菌種來源 .....13 4.1.2 菌種保存 .....13 4.1.3 菌種活化 .....13 4.2 實驗材料與儀器 .....14 4.2.1 材料與藥品 .....14 4.2.2 儀器 .....15 4.3 實驗方法 .....16 4.3.1 Clotrimazole分析方法 .....16 4.3.1.1 檢量線配製 .....16 4.3.1.2 標準曲線與藥量分析 .....16 4.3.2 Clotrimazole溶解度試驗 .....16 4.3.3 繪製三相圖 .....17 4.3.4 實驗藥品配製 .....17 4.3.4.1 Clotrimazole脂質載體 .....17 4.3.4.2 脂質載體配製 .....17 4.3.4.3 Clotrimazole二甲基亞碸原液 .....17 4.3.5 懸浮菌體培養 .....18 4.3.6 最小抑菌濃度測試 .....18 4.3.6.1 藥物最小抑菌濃度判讀標準 .....18 4.3.7 紙錠擴散法 .....19 4.3.7.1 藥物抑菌圈判讀標準 .....19 4.3.8 生物膜形成能力 .....19 4.3.9 特性分析 .....20 4.3.10 穩定性評估 .....20 4.3.10.1 長期外觀觀察 .....20 4.3.10.2 離心試驗 .....21 4.3.10.3 凍融循環 / 冷熱循環 .....21 4.3.10.4 藥物降解試驗 .....21 4.3.11 黏稠度試驗 .....21 4.3.11.1 添加聚合物 .....21 4.3.11.2 配製Clotrimazole液晶製劑 .....22 4.3.12 Clotrimazole液晶製劑之初步穩定性觀察及比例篩選 .....22 4.3.13 統計方法 .....22 第五章、實驗結果 .....23 5.1 發展Clotrimazole loaded LSF. .....23 5.1.1 篩選油相、界面活性劑以及助溶劑的依據 .....23 5.1.2 建立CTZ loaded LSF之三相圖 .....24 5.1.3 篩選CTZ loaded LSF之最佳比例 .....24 5.2 建立CTZ之藥物分析方法 .....25 5.3 探討CTZ loaded LSF35之抗菌效果 .....25 5.3.1 比較CTZ loaded LSF35與CTZ loaded DMSO 對白色念珠菌之MIC50差異 .....25 5.3.2 探討CTZ loaded LSF35組成對白色念珠菌之抑菌效果 .....26 5.3.2.1 探討CTZ loaded LSF35組成中兩兩賦形劑對白色念珠菌之抑菌效果 .....26 5.3.2.2 探討CTZ loaded LSF35組成中單一賦形劑對白色念珠菌之抑菌效果 .....26 5.3.2.3 探討Tween 80對白色念珠菌之抑菌效果 .....27 5.3.3 探討CTZ loaded LSF35與市售產品Mycosten®對白色念珠菌之抑菌圈效果 .....27 5.3.4 探討CTZ loaded LSF35與市售產品Mycosten®對抗藥性色念珠菌之抑菌圈效果 .....28 5.3.5 探討CTZ loaded LSF35與市售產品Mycosten®對熱帶念珠菌之抑菌圈效果 .....29 5.3.6 探討CTZ loaded LSF35與市售產品Mycosten®對抗藥性熱帶念珠菌之抑菌圈效果 .....29 5.3.7 探討CTZ loaded LSF35針對白色念珠菌生成之生物膜影響 .....30 5.3.7.1 探討CTZ loaded LSF35是否具有抑制白色念珠菌生成生物膜的能力 .....30 5.3.7.2 探討CTZ loaded LSF35是否能破壞白色念珠菌生成之生物膜 .....30 5.4 探討CTZ loaded LSF35於RPMI 1640培養液及人工腸液中之特性分析 .....30 5.5 探討CTZ loaded LSF35之安定性 .....31 5.5.1 一般性試驗評估CTZ loaded LSF35的穩定性 .....31 5.5.2 加速性試驗評估CTZ loaded LSF35的穩定性 .....31 5.5.3 探討CTZ loaded LSF35之藥物降解情形 .....32 5.6 探討於室溫下6個月後之CTZ loaded LSF35對野生株及抗藥性白色念珠菌的抑菌效果 .....32 5.7 探討CTZ loaded LSF35對白色念珠菌是否具有劑量依賴性 .....33 5.8 調整CTZ loaded LSF35之黏稠度 .....33 5.8.1 探討聚合物是否影響CTZ loaded LSF35之穩定性 .....33 5.8.2 配製CTZ loaded liquid crystal .....34 5.9 探討CTZ loaded liquid crystal之黏稠度與穩定性 .....34 5.10 探討CTZ loaded liquid crystal對白色念珠菌之抑菌效果 .....35 5.11 探討CTZ loaded liquid crystal-1對白色念珠菌、熱帶念珠菌及其抗藥性菌株之抑菌效果 .....35 5.12 探討於室溫下3個月後之CTZ loaded liquid crystal-1對野生株及抗藥性白色念珠菌的抑菌效果 .....36 第六章、討論. .....37 6.1 CTZ loaded LSF35配方探討 .....37 6.2 CTZ loaded LSF35對白色念珠菌之抗菌效果 .....38 6.3 CTZ loaded LSF35對白色念珠菌生物膜的抗菌效果探討 .....39 6.4 比較CTZ loaded LSF35及市售產品Mycosten®之抗菌效果 .....40 6.5 CTZ loaded LSF35與聚合物間不互溶的可能因素 .....40 6.6 CTZ loaded liquid crystal配方探討 .....41 6.7 比較CTZ loaded liquid crystal-1與CTZ loaded LSF35之抗菌效果 .....43 6.8 置於室溫3個月下之CTZ loaded liquid crystal-1抗菌效果 .....43 第七章、結論與未來研究方向 .....44 圖 .....45 表 .....71 參考文獻 .....76 附錄 .....84
dc.language.isozh-TW
dc.subject克霉唑zh_TW
dc.subject生物膜zh_TW
dc.subject白色念珠菌zh_TW
dc.subjectCandida albicansen
dc.subjectBiofilmen
dc.subjectClotrimazoleen
dc.title探討承載克霉唑之脂質載體對局部白色念珠菌感染的抗真菌效果zh_TW
dc.titleEvaluation of the antifungal efficacy of Clotrimazole loaded lipid based formulation against topical Candida albicans infectionen
dc.date.schoolyear109-2
dc.description.degree碩士
dc.contributor.oralexamcommittee吳亘承(Hsin-Tsai Liu),謝堅銘(Chih-Yang Tseng)
dc.subject.keyword白色念珠菌,克霉唑,生物膜,zh_TW
dc.subject.keywordCandida albicans,Clotrimazole,Biofilm,en
dc.relation.page93
dc.identifier.doi10.6342/NTU202101847
dc.rights.note同意授權(全球公開)
dc.date.accepted2021-07-30
dc.contributor.author-college生命科學院zh_TW
dc.contributor.author-dept生化科技學系zh_TW
dc.date.embargo-lift2024-07-27-
顯示於系所單位:生化科技學系

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