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Alginate-C18 conjugate nanoparticles loaded in tripolyphosphate-crosslinked chitosan-oleic acid conjugatecoated calcium alginate beads as oral insulin carrier Mulham Alfatama, Lee Yong Lim, and Tin Wui Wong Mol. Pharmaceutics, Just Accepted Manuscript • DOI: 10.1021/acs.molpharmaceut.8b00391 • Publication Date (Web): 11 Jul 2018 Downloaded from http://pubs.acs.org on July 13, 2018
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Molecular Pharmaceutics
1
Alginate-C18 conjugate nanoparticles loaded in tripolyphosphate-crosslinked
2
chitosan-oleic acid conjugate-coated calcium alginate beads as oral insulin
3
carrier
4
Mulham Alfatama,a,b Lee Yong Lim,c Tin Wui Wonga,b
5
a
6
b
7
Universiti Teknologi MARA Selangor, Puncak Alam, 42300, Selangor, Malaysia.
8
c
9
University of Western Australia, 35 Stirling Highway, Crawley WA 6009, Australia.
Non-Destructive Biomedical and Pharmaceutical Research Centre, iPROMISE Particle Design Research Group, Faculty of Pharmacy
Pharmacy, Centre for Optimisation of Medicines, School of Allied Health, The
10 11
Running title: Alginate nanoparticles-in-beads as oral insulin carrier
12 13
*Corresponding
author.
Tel.:
+60
3
32584691.
E-mail
14
[email protected],
[email protected] (T.W. Wong).
addresses:
15 16
Abstract. Simple alginate, alginate-stearic acid and alginate-C18 conjugate
17
nanoparticles, and tripolyphosphate-crosslinked chitosan-oleic acid conjugate-coated
18
calcium alginate beads as the vehicle of nanoparticles were designed. Their size, zeta
19
potential, morphology, drug load, drug release, matrix molecular characteristics,
20
mucus penetration, HT-29 cell line cytotoxicity and intracellular trafficking, in vivo
21
blood glucose lowering and insulin delivery profiles were characterized. Alginate-C18
22
conjugate nanoparticles were non-toxic. Among all nanoparticles variants, they had
23
reduced size and zeta potential thus enhancing particulate mucus penetration and
24
intracellular trafficking. Their insulin reabsorption tendency was minimized as
25
alginate active COOH/COO- sites were preoccupied with C18. Their loading into
26
coated beads was translated to reduced drug release in simulated gastric phase with
27
nanoparticles being released in the intestinal phase. The combination dosage form
28
increased the blood glucose lowering extent of insulin, and blood insulin level instead
29
of nanoparticles or beads alone. Nanoparticles in beads represented a viable approach
30
in oral insulin delivery.
31 32
Keywords: Alginate; Beads; Chitosan; Insulin; Nanoparticles; Oral 1 ACS Paragon Plus Environment
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1 2
Introduction
3 4
Diabetes mellitus is an endocrine disorder in which the process of
5
carbohydrate metabolism is disturbed due to deficiency in insulin secretion, insulin
6
resistance or both.1-2 Often, the diabetic patients require insulin injections to maintain
7
normal blood glucose levels and minimize long-term medical complications, such as
8
organ degeneration.3 Injections are invasive, and the deterioration in quality of life
9
caused by the dermal trauma and pain of daily insulin injections frequently leads to
10
poor patient compliance.4-5 For this reason, there has been intense research over the
11
past few decades in the development of non-injectable insulin therapy.6-7 The peroral
12
route has emerged as an attractive non-invasive route for insulin administration as it
13
mimicks the physiological fate of endogenous insulin, which may provide for a better
14
glucose homeostasis.8-10
15
Delivery of insulin by the oral route is, however, associated with significant
16
challenges, namely insulin degradation by the gastrointestinal (GI) enzymes, and the
17
presence of insulin absorption barrier ascribed to epithelial mucosa, mucus lining and
18
tight junction.11-12 To overcome the absorption barrier, nanocarriers have been
19
advocated to promote mucoadhesion and prolongation of GI residence time to allow
20
for the transmucosal penetration of carrier and/or insulin.6,13-17 Nonetheless, the use of
21
nanocarriers as oral insulin delivery systems has translated to low insulin
22
bioavailability due to rapid premature release and enzymatic digestion of the insulin
23
load.18-19
24
Alginate is a polysaccharide derived from the brown seaweeds, such as
25
Laminaria spp., Ascophyllum spp., and Sargassum spp..20 It is an unbranched
26
copolymer consisting of alternating blocks of 1-4 linked α-L-guluronic acid (G-block)
27
and β-D-mannuronic acid (M-block) residues. As a pH-responsive polymer, alginate
28
dissolves at near neutral and alkaline pH but exists as water-insoluble alginic acid at
29
low pH. Dissolved alginate is capable of forming a gel through Na+/Ca2+ exchange
30
and the formation of ionic crosslinks with the Ca2+ via its carboxylate moiety. Calcium
31
alginate-insulin nanoparticles have been developed,15,21 and the administration of
32
these nanoparticles by gastric gavage is found to successfully reduce the blood
33
glucose level of diabetic rats. Besides providing insulin systemically, the nanoparticles
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Molecular Pharmaceutics
1
may also reduce intestinal glucose absorption via alginate-glucose interaction in the
2
intestinal lumen.
3
Previous studies have suggested that the alginate gel is characterized by a high
4
level of porosity and rapid drug release profiles.22-23 Thus, the successful application
5
of alginate-insulin nanoparticles via gastric gavage may not necessarily translate to an
6
equivalent therapeutic outcome had the nanoparticles been administered perorally. On
7
this note, the present investigation aimed to microencapsulate the alginate-insulin
8
nanoparticles into alginate beads coated with an oleic acid-conjugated chitosan layer.
9
The purpose of introducing the coated bead as a vehicle for the alginate-insulin
10
nanoparticles is multiple-fold. Firstly, the beads may serve to better protect the insulin
11
from premature release into the gastric medium. Secondly, the alginate upon
12
ionization and dissolution in the intestinal medium is mucoadhesive and may further
13
prolong the intestinal residence time of the nanoparticles. Lastly, the beads can
14
provide additional alginate material for the binding of intestinal glucose thus further
15
reducing glucose absorption into the blood stream. The summative effect was deemed
16
to lead to a more definitive reduced hyperglycemia. The chitosan-oleic acid conjugate
17
was used as the coating material instead of chitosan. The chitosan is soluble in acidic
18
medium and is prone to dissolve in the gastric milieu. Its coacervation with the
19
alginate matrix of beads may be lost upon oral administration. Grafting of
20
hydrophobic oleic acid onto chitosan is envisaged to reduce the dissolution propensity
21
of chitosan, and promote its interaction with alginate as a water-insoluble coacervate.
22
Alginate is known to interact with insulin to form insoluble complexes15 that
23
then lowers insulin bioavailability. In utilising alginate not only in the nanocarrier but
24
also in the supportive bead structure, there was a risk of excessive alginate
25
complexation that would negate the anti-diabetic action of the insulin load. To manage
26
the complexation reaction, this study designed three variants of alginate
27
nanoparticulate carriers for the insulin load: simple alginate nanoparticles, alginate-
28
stearic acid nanoparticles and alginate-C18 nanoparticles. Stearic acid is a saturated
29
fatty acid with a C18 chain length, and it was physically embedded within the alginate
30
matrix to prepare the alginate-stearic acid nanoparticles. Alginate-C18 nanoparticles,
31
on the other hand, were prepared using alginate covalently grafted with C18 aliphatic
32
chains. In both types of nanoparticles, the hydrophobization of alginate was
33
hypothesised to enable a polymer-drug interaction that conferred delayed insulin
34
release characteristics without curtailing insulin bioavailability. The present study 3 ACS Paragon Plus Environment
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1
aims to investigate and identify the potential nanoparticles in beads as oral insulin
2
carrier.
3 4
2. Experimental section
5 6
Materials. Bovine insulin (Sigma Aldrich, USA) was employed as the drug of
7
interest. Guluronic acid-rich sodium alginate (molecular weight = 4.8 × 106 ± 1.8 ×105
8
Da, nominal viscosity = 300 mPa.s, mannuronate/guluronate ratio = 0.59; Manugel®
9
DMB, ISP, USA), chitosan (molecular weight = 1.5 × 106 Da, degree of deacetylation
10
= 86 %; Zhejiang Aoxing Co. Ltd., China), stearic acid (Hesego Industry Sdn Bhd,
11
Malaysia), 1-bromooctadecane (Sigma Aldrich, China) and oleic acid (Merck,
12
Germany) were used as received. Acetonitrile (Merck, Germany), trifluoroacetic acid
13
(BDH, UK), and ultrapure water processed at 18 MΩ were utilized to prepare the
14
mobile phase for high performance liquid chromatographic (HPLC) analysis.
15
Streptozotocin (Sigma Aldrich, USA) was employed for induction of diabetes in rats,
16
while ketamine hydrochloride and xylazine hydrochloride (Troy Laboratories,
17
Australia) were used as anaesthetic agents in the animal study. All other materials
18
were of analytical grade. Distilled water (ELGA, UK) was used throughout.
19 20
Synthesis
of
alginate-C18
conjugate.
Alginate-C18
conjugate
was
21
synthesised using the protocol described by Valle, & Romeo (1990).24 Briefly, sodium
22
alginate (2% w/w in water, 100 ml) was transformed into alginic acid by adjusting the
23
solution pH to 2.5 using 0.3 M hydrochloric acid (HCl). After stirring for 12 h at 250
24
rpm and 25°C, the gel suspension was soaked in absolute ethanol (50 ml), stirred for 5
25
min and filtered. The alginic acid (1 g) was dissolved in 15 ml of tetrabutylammonium
26
hydroxide (TBA; Sigma-Aldrich, Switzerland), and lyophilized (Eyela, Japan). The
27
lyophilized TBA-alginate (1 g) was dissolved in 100 ml of dimethylsulfoxide
28
overnight, then reacted for 24 h with 1-bromoctadecane (0.2850 g) under continuous
29
magnetic stirring at 250 rpm and 25ºC. Sodium chloride (96 ml, 2.5 M in water) was
30
added to transform the alginate-C18 into a salt. A strong gel was formed by adding 30
31
ml of 70 % ethanol, and after agitation for 15 min at 250 rpm, the alginate-C18 gel
32
was washed in two separate runs with 250 ml of 70 % ethanol and 50 ml of acetone.
33
The gel was dried in a hot air oven at 25°C for 24 h followed by drying under silica
34
gel in a desiccator.25 4 ACS Paragon Plus Environment
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Molecular Pharmaceutics
1 2
Synthesis of fluorescein isothiocyanate (FITC)-conjugated alginates.
3
Alginate-based 1,3-diaminopropane conjugates were prepared by activating 100 g of
4
1% w/w alginate or alginate-C18 conjugate in the presence of 80 mg of 1-ethyl-3-(3-
5
dimethylaminopropyl) carbodiimide (EDC) and 60 mg of N-hydroxysuccinimide
6
(NHS)26 at 250 rpm at 25ºC for 4 h. 1,3-diaminopropane at 1 ml was slowly added and
7
the reaction allowed to proceed for 24 h. The resultant product was isolated by
8
precipitation with 100 ml acetone, washed with 100 ml ethanol, dried in the fumehood
9
over 2 h, and further dried in the oven at 40°C for 24 h.
10
The
alginate-1,3-diaminopropane
or
alginate-C18-1,3-diaminopropane
11
conjugate (500 mg in 100 ml of water) was reacted with FITC (5 mg in 25 ml of
12
methanol) at 1000 rpm over 24 h in the dark at 25ºC. The FITC-conjugated alginates
13
were precipitated by adding 300 ml of acetone, then recovered by centrifugation at
14
3400 rpm for 5 min at 25°C. The products were purified by dialysis (molecular weight
15
cut-off: 1000 Da; 6 Spectra/Por, Spectrum Laboratories, USA) against water for 24 h
16
in the dark, and freeze dried in the dark. Samples were stored under silica gel in a
17
desiccator.
18 19
Synthesis of chitosan-oleic acid conjugate. Oleic acid was covalently
20
conjugated to chitosan via an amide linkage through an EDC-mediated reaction.27
21
Chitosan (1 g), dissolved in 100 ml of 1%v/v acetic acid and further diluted with 100
22
ml of methanol (Merck, Germany), was mixed with oleic acid (0.7 g) followed by
23
dropwise addition of 15 ml of EDC (0.07 g/l in methanol) under continuous magnetic
24
stirring at 250 rpm at 25ºC. After 24 h of reaction, the chitosan-oleic acid product was
25
precipitated by transferring the reaction mixture into 200 ml of 7:3 v/v methanol:25 %
26
aqueous ammonia (Merck, Germany). The chitosan-oleic acid was collected by
27
filtration, washed sequentially with 50 ml each of methanol, diethyl ether (Merck,
28
India) and distilled water, and dried in the oven at 40°C for 48 h.
29 30
Preparation of nanoparticles. Three types of insulin-loaded alginate
31
nanoparticles were prepared and they were abbreviated as simple alginate
32
nanoparticles (AN), alginate-stearic acid nanoparticles (ASAN), and alginate-C18
33
nanoparticles (AC18N). AN and AC18N were prepared by first dropwise addition of
34
insulin (5 mg dissolved in 40 ml of 0.01 M HCl) to an alginate solution (100 mg of 5 ACS Paragon Plus Environment
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1
sodium alginate or sodium alginate-C18 conjugate in 60 ml of 0.01 M NaOH) under
2
continuous magnetic stirring at 1000 rpm at 25°C. The pH of the mixture was 4-4.5.
3
To prepare the ASAN, stearic acid (10 mg in 10 ml ethanol) was first dispersed into
4
the alginate solution prior to the addition of insulin through magnetic stirring at 500
5
rpm. The resultant mixtures, under continuous magnetic stirring, were subsequently
6
spray dried (TwinNanoSpray, UiTM, Malaysia) under the following operating
7
parameters: inlet temperature = 60°C, outlet temperature = 23 ± 2°C, solution feed
8
rate = 4 ml/min, concurrent air flow rate = 2-2.5 m/s, atomizing air pressure = 6 bar.
9
The spray dried powders were retrieved into 10-ml amber diagnostic vials and stored
10
at 25°C under silica gel in a desiccator.
11 12
Preparation of nanoparticles-loaded beads. Insulin-loaded nanoparticles
13
(70.8 mg) were dispersed into a sodium alginate solution (10 g, 2.5 %w/w in water) by
14
magnetic stirring for 10 min at 250 rpm. The dispersion was processed into beads by
15
means of an encapsulator equipped with a vibrating nozzle device (Nisco,
16
Switzerland) using the following processing parameters: dispersion flow rate = 0.5
17
ml/min, nozzle vibrational frequency = 6 KHz, coaxial nozzle with internal diameters
18
of 600 µm and 400 µm respectively, processing temperature = 25ºC. Droplets of
19
dispersion extruded from the encapsulator were crosslinked in 50 ml of 4 %w/w
20
calcium acetate solution under continuous magnetic stirring at 750 rpm. The distance
21
between the vibrating nozzle and the surface of the crosslinking solution was fixed at
22
25 cm. The crosslinking reaction was continued under stirring for 10 min after the
23
addition of the last drop of dispersion. The formed beads were harvested, washed
24
thrice with 15 ml of distilled water and oven-dried (Memmert, Germany) at 40°C over
25
24 h.
26
To coat the beads, a 0.5 %w/w chitosan-oleic acid conjugate in 0.5 %v/v acetic
27
acid was prepared and its pH was adjusted to 5.5 with 2 M HCl or NaOH, to promote
28
the coacervation of alginate (pKa = 3.65) with chitosan (pKa = 6.2-7) at the interface
29
of the alginate beads. Sodium tripolyphosphate, at 1 %w/w expressed with respect to
30
the weight of alginate, was added into the nanoparticulate dispersion. Ten ml of
31
nanoparticulate dispersion and 1.8 ml of chitosan-oleic acid conjugate solution were
32
introduced concurrently at 0.5 ml/min and 0.09 ml/min respectively to the nozzle head
33
of the encapsulator. The nanoparticulate dispersion emerged from the nozzle
34
simultaneously with the chitosan-oleic acid conjugate solution, which enabled the 6 ACS Paragon Plus Environment
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Molecular Pharmaceutics
1
coacervation of chitosan-alginate to occur at the bead interface before the beads fell
2
into the calcium acetate solution (50 ml, 4 %w/w). Further consolidation of bead
3
matrix and coating occurred when the tripolyphosphate ions crosslinked with chitosan,
4
and the calcium ions reacted with alginate when the coated beads were stirred in the
5
calcium acetate solution for a further 10 min. The coated beads were processed using
6
the same conditions as the uncoated beads unless otherwise stated.
7
Nuclear magnetic resonance (NMR) spectroscopy. High resolution 1H-
8
NMR spectra of alginate, 1-bromooctadecane and alginate-C18 conjugate, as well as,
9
chitosan, oleic acid and chitosan-oleic acid conjugate were recorded using the
10
UltrashieldPlus 500 nuclear magnetic resonance spectrometer (Bruker, Germany) at
11
25ºC. Prior to 1H-NMR analysis, the alginate and alginate-C18 conjugate were
12
subjected to partial acid hydrolysis in order to obtain well resolved signals. Briefly,
13
0.1 g of sample dissolved in 100 ml of water was adjusted to pH 5.6 by adding 0.1 M
14
HCl, and the solution was heated at 100°C for 1 h, reduced to pH 3.8 and heated at
15
100°C for another 30 min. The solution was cooled to room temperature, neutralized
16
to pH 7-8 with 0.1 M sodium hydroxide (NaOH) and freeze-dried. The dried sample
17
(10 mg) was dissolved in 0.5 ml deuterium oxide (D2O).28 Chitosan and chitosan-oleic
18
acid conjugate were dissolved at 1 %w/w in deuterated water acidified with HCl to pH
19
4.0.29 The solutions were frozen and thawed in three repeated cycles to exchange the
20
labile proton of chitosan and oleic acid with deuterium. 1-bromooctadecane and oleic
21
acid were dissolved in deuterated DMSO (Merck, Germany). Triplicates were
22
conducted.
23 24
Fourier transform infrared (FTIR) spectroscopy. Two mg of sample
25
together with 78 mg of potassium bromide (FTIR grade, Aldrich, Germany) were
26
compressed into a disc for FTIR analysis at a resolution of 4 cm−1 over a wavenumber
27
region of 450-4000 cm−1 (Spectrum RX1 FTIR system, Perkin Elmer, USA). The
28
characteristic peaks of IR transmission spectra were recorded. At least triplicates were
29
carried out for each batch of sample and the results averaged.
30 31
Particle size and zeta potential. The particle size and zeta potential of
32
nanoparticles dispersed in 96 % ethanol through brief sonication (30 s) were measured
33
by means of photon correlation spectroscopy technique (Malvern Zetasizer Nano ZS
34
90, Malvern Instruments Ltd., UK) at 25°C in quartz cell and zeta potential cell 7 ACS Paragon Plus Environment
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1
respectively at a detection angle of 90°. Triplicates experiments were conducted and
2
the results averaged.
3 4
Surface morphology. The morphology of nanoparticles was examined using
5
transmission electron microscopy (Tecnai G2 20S TWIN, FEI, The Netherland). A
6
drop of nanoparticles dispersed in acetone (Fisher Scientific, UK) was placed on a
7
carbon-coated copper grid of 200 mesh, and allowed to dry at 25°C prior to
8
microscopic viewing at a voltage of 200 kV. Representative sections were
9
photographed.
10 11
Insulin
content
and
encapsulation
efficiency.
The
insulin-loaded
12
nanoparticles were dispersed in 0.01 M HCl (10 mg in 10 ml) by magnetic stirring for
13
1 h at 1000 rpm and 25°C, and then centrifuged (Ultracentrifuge Optima LE-80K,
14
Beckman Coulter, USA) at 40,000 rpm for 7 h at 4°C.30 The supernatant was filtered
15
(polyvinylidene fluoride (PVDF) membrane filter, 0.45 µm; Durapore®, Millipore
16
Corporation, Ireland) and its insulin content was analyzed by HPLC technique. The
17
insulin content was expressed as a percentage of the weight of nanoparticles. The
18
insulin encapsulation efficiency was defined as the percentage of insulin encapsulated
19
in the nanoparticles with reference to the initial amount of insulin feed. At least
20
triplicates experiments were conducted and the results averaged.
21 22
Insulin release from nanoparticles. Nanoparticles (5 mg) were added to
23
tubes containing 5 ml of HCl/KCl buffer pH 1.2 or phosphate buffer pH 6.8, and the
24
dissolution experiments were conducted under sink conditions at 37 ± 0.2°C at 50
25
strokes/min in a shaker water bath (Memmert, Germany). At specified intervals of 30
26
min, 1 h and 2 h in simulated gastric medium (pH 1.2 buffer), and 4 h and 6 h in
27
simulated intestinal medium (pH 6.8 buffer), triplicate dissolution tubes were removed
28
and a 0.4 ml aliquot was sampled from each tube. Simulated intestinal samples were
29
acidified with 1 ml of 0.01 M HCl. All aliquots were filtered through 0.45 µm PVDF
30
membrane and assayed for insulin content by HPLC. Insulin release was calculated as
31
a percent of the total insulin load in the weighed amount of nanoparticles.
32 33
HPLC assay of insulin. Insulin was analysed by HPLC assay (Agilent 1200,
34
Agilent Technologies Inc., USA) at 25°C using an Agilent Zorbax SB-C18 reversed8 ACS Paragon Plus Environment
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Molecular Pharmaceutics
1
phase column (4.6 × 250 mm; pore size 300 nm). The mobile phase consisted of (A)
2
0.03% trifluoroacetic acid in 90% H2O and 10% acetonitrile and (B) 0.03%
3
trifluoroacetic acid in 10% H2O and 90% acetonitrile. Analysis was conducted in
4
gradient mode using a mobile phase of 20:80 v/v A:B for 5 min, followed by run at
5
80:20 volume ratio of these mobile phase components for 10 min. The flow rate was
6
0.5 ml/min and the injection volume was 20 µL. Detection wavelength, stop time and
7
post time were set at 215 nm, 17.5 min and 3 min, respectively.
8
Differential scanning calorimetry (DSC). DSC thermograms (Pyris 6 DSC,
9
Perkin Elmer, USA) were obtained by crimping 3 mg of a solid sample in a standard
10
aluminium pan and heating the pan from 30 to 380°C at 10°C/min under a constant
11
purging of nitrogen at 40 ml/min. The characteristic peak temperature and enthalpy
12
values of endotherm and exotherm were recorded. At least triplicates were carried out
13
for each sample and the results averaged.
14 15
Bead size. Bead size was determined using a digital vernier caliper (Mitutoyo,
16
Japan). The length and breadth were measured of each bead and the mean of these two
17
dimensions calculated as the bead diameter. Ten beads were randomly selected for
18
measurement of the mean bead diameter of each batch.
19 20
Bead shape. The sphericity factor (SF) and aspect ratio (AR) were used to
21
estimate the roundness of the beads.31 The SF was calculated according to equation
22
(1):
23
SF = (dmax - dmin)/(dmax + dmin)
(1)
24
where dmax and dmin represented the maximum (length) and minimum (breadth)
25
diameters of the bead respectively. The SF value varied from 0 for a completely
26
symmetrical bead around its centre to approaching a unit value for an unshapely bead.
27
The AR was defined as the quotient of maximum diameter to minimum diameter of
28
beads as shown in equation (2):
29
AR = dmax/dmin
(2)
30
The AR value was 1 for a symmetrical bead and it increased as the bead became
31
elongated. Both SF and AR were characterized using a random sample of at least 15
32
beads for each batch prepared. 9 ACS Paragon Plus Environment
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1 2
Bead swelling, erosion and water uptake. Ten beads of each formulation had
3
their individual length and width measured using the digital caliper and their
4
respective weight characterized.32 Each bead was then placed in 5 ml of pH 1.2 buffer
5
to simulate gastric conditions and shaken at 50 rpm and 37°C for 2 h. The weight and
6
size of each wet bead were subsequently measured after removing its surface
7
moisture, achieved by rolling the bead gently over a dry petri dish till there was no
8
sign of moisture left in its immediate trial on the dish surface. The bead was then
9
oven-dried at 40ºC for 24 h and subsequently equilibrated to a constant weight by
10 11 12 13 14
storing in a desiccator at 25ºC. The swelling (SI), erosion (EI) and water uptake (WUI) indices of each bead were defined as: SI = (St- Si)/Si . 100%
(3)
where Si = initial dry bead diameter and St = wet bead diameter at time, t.
15 16 17
EI = Wi-Wt(d)/Wi . 100%
(4)
where Wi = initial dry bead weight and Wt(d) = dry weight of bead collected at t.
18 19 20
WUI = Wt-Wt(d)/Wt(d) . 100%
(5)
where Wt = wet weight of bead at t.
21 22
Insulin release from nanoparticles-loaded beads. The drug release profiles
23
of nanoparticles-loaded beads (25 mg of beads containing 5.52 mg nanoparticles with
24
0.1 mg insulin) transiting from acidic gastric milieu (2 h) to near-neutral intestinal
25
medium (4 h) were evaluated. This study utilized 3.5 ml of 0.1 M HCl to simulate
26
gastric fluid followed by its adjustment to pH 6.8 to simulate intestinal fluid through
27
adding 1.5 mL of 0.2 M of a tribasic sodium phosphate solution that had been
28
previously equilibrated to 37 ± 0.2°C. Aliquots (0.4 ml) were withdrawn at specified
29
intervals of 1 h and 2 h in simulated gastric medium, and 3 h and 6 h in simulated
30
intestinal medium. Simulated intestinal samples were acidified with 1 ml of 0.01 M
31
HCl. The aliquot was filtered through 0.45 µm PVDF membrane and had its insulin
32
content analyzed by HPLC. Fresh batches of beads were introduced into the test media
33
for sampling at each and every interval. The percentage of insulin release was
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Molecular Pharmaceutics
1
calculated with respect to the total drug content in the beads. The drug content in the
2
beads was evaluated by incubating 100 mg of beads at 1000 rpm for 4 h at 25ºC in
3
phosphate buffer pH 6.8, followed by ultracentrifugation (Ultracentrifuge Optima LE-
4
80K, Beckman Coulter, USA) at 40,000 rpm for 1 h at 4ºC, and acidifying the
5
supernatant for HPLC analysis. Triplicates were conducted for each batch of beads
6
and the results averaged. When required, the aliquots obtained from the drug release
7
media were filtered using 0.45 µm PVDF membrane to remove the alginate bead gel
8
mass. The filtrates were subjected to particle size analysis to elucidate the status of
9
nanoparticle release from the alginate beads. In addition, beads were recovered at
10
dissolution intervals of 0 min, 120 min and 180 min, oven-dried at 40ºC for 48 h, and
11
analysed using FTIR and DSC techniques when necessary.
12 13
Cell Culture. HT-29 colon cancer cells purchased from the American Type
14
Culture Collection (ATCC, USA) were cultured in Eagle’s minimum essential
15
medium (MEM) (Sigma Aldrich, Germany), supplemented with 10 % fetal bovine
16
serum, 1.5 g/l sodium bicarbonate and 1% penicillin/streptomycin solution, at 37°C
17
under 5 % carbon dioxide and relative humidity of 95% (CO2CELL 170 incubator,
18
MMM, Germany).
19 20
Cytotoxicity of nanoparticles. The cytotoxicity of insulin-loaded ASAN and
21
insulin-loaded AC18N was evaluated in vitro with HT-29 cells using the MTT
22
assay.33-34 HT-29 cells (passage 6) were plated onto 96 well plates (Nunc, Denmark)
23
at a density of 5 × 104 cells/well and allowed to attach overnight in the incubator.
24
Following the removal of MEM, the cells were incubated with nanoparticle samples
25
(10 mg in 0.5 ml of phosphate buffer saline, pH 7.4 (PBS)) for 24 h. The cells were
26
then washed and incubated with 20 µl of 3-(4,5-dimethylthiazol-2-thiazolyl)-2,5-
27
diphenyl-2H-tetrazolium bromide (MTT; Sigma Aldrich, Germany; 5 mg/ml in PBS)
28
for 4 h in the absence of light. The supernatant was carefully discarded. The
29
intracellular blue formazan crystals were solubilized in 150 µl DMSO and quantified
30
at 570 nm by means of a microplate reader (Sunrise TECAN, Austria). The cell
31
viability was defined as absorbance ratio of treated sample to that of control (sample
32
obtained of cells incubated with MEM), expressed in percentage. The percent cell
33
death (CD) was calculated using the following equation:
34 11 ACS Paragon Plus Environment
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Page 12 of 43
1
CD = [(absorbance of control-absorbance of treated cell line) / absorbance of control]
2
× 100
3
At least six replicates were conducted and the results averaged.
(6)
4 5
Cellular uptake. The cellular internalization profiles of FITC-labelled insulin-
6
loaded nanoparticles prepared with alginate-stearic acid and alginate-C18 conjugate
7
were visualized and quantified by laser scanning confocal electron microscope (Leica,
8
Germany). HT-29 cells (passage 6) were cultured at a density of 1 × 105
9
cells/fluoroDish and incubated until 70 to 80 % confluence. The culture medium was
10
discarded and the cells were washed twice with pre-warmed PBS before they were
11
incubated for 1 h at 37°C with FITC-labelled nanoparticles (1 ml, 2 mg/ml in PBS).
12
The test samples were aspirated and cells were washed twice with pre-warmed PBS
13
before cell imaging.
14
Laser scanning confocal electron microscope software (Advanced fluorescence
15
2.2.1 build 4842, Leica, Germany) was used to quantify the cellular uptake of
16
nanoparticles. Briefly, a cell of interest was selected using a polygon drawing tool. A
17
region next to the cell that had no fluorescence was similarly selected as the
18
background. The same process was repeated in the field of view. At least 6 images
19
from three different experiments were analyzed. Within each image, 5 to 10 random
20
regions of interest were selected. The total cell fluorescence (TCF) was calculated
21
using the following equation:
22 23
TCF=integrated density-(area of selected cell × mean fluorescence of background) (7)
24 25 26
In the same study, the endocytic pathways of nanoparticles were examined
27
through introducing and incubating the HT-29 cells (5000 cells/fluoro-dish with 80 %
28
confluence) with 1 ml of pharmacological membrane entry inhibitors. Seven µg/ml
29
chlorpromazine (Calbiochem, USA) were used to inhibit the formation of clathrin
30
vesicles,35-36 200 µM genistein (Calbiochem, USA) to inhibit caveolae pinching,36-37
31
500 nM Wortmannin (Calbiochem, USA) to inhibit phosphatidylinositol 3-kinase
32
(macropinocytosis)35,38 and 25 µg/ml nystatin (Calbiochem, USA) to interact with
33
cholesterol (lipid rafts)39 for 1 h at 37oC. The inhibitor solutions were then removed 12 ACS Paragon Plus Environment
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Molecular Pharmaceutics
1
and the PBS pH 7.4 suspension of nanoparticles (1 mg/ml) was added and further
2
incubated for 1 h at 37oC. The cells were then washed twice with pre-warmed PBS pH
3
7.4 and subjected to confocal microscopy analysis.
4 5
In vivo characterization. Healthy male Sprague dawley rats (Lafam, UiTM,
6
Malaysia), aged 3 months and weighing 200 to 250 g, were acclimatized for 7 days in
7
individual housing under 12 h light/dark cycle with deionized water and standard
8
pelletized food (Gold Coin Enterprise, Malaysia) given ad libitum. The ambient
9
temperature was set at 25 ± 2°C with relative humidity maintained at 55 ± 5 %. All
10
experiments were conducted in accordance to the university ethics regulations
11
adapting the international guidelines (OECD Environment, Health and Safety) on the
12
conduct of animal experimentation.
13 14
Mucus penetration. FITC-labelled nanoparticles were prepared by covalently
15
conjugating the FITC to the alginate backbone following by nanospray drying of a
16
solution of the FITC-alginate. Rats (n = 3) were fasted for 12 h prior to sacrificed by
17
cervical dislocation technique. The duodenum was isolated and excised longitudinally
18
to obtain a tissue segment of 1 cm in length and width. The tissue segment was placed
19
in a glass petri dish with the luminal surfaces of epithelium facing upwards. An
20
accurately weighed 0.2 mg sample of FITC-labelled nanoparticles was dispersed in 20
21
µL water and transferred onto the tissue epithelium by means of an electronic
22
micropipette to cover an area of approximately 1 cm2. After 30 min, the tissue
23
segment was sectioned at 90° to the epithelial surface using a cryostat (CM1850 UV-
24
1-1, Leica, Germany). The tissue segment was sealed to prevent moisture losses by
25
placing a cover slide over the sample. Images of epithelium level were captured using
26
a confocal electron microscope (Leica, Germany). The mucus layers were identified
27
as a zone less dense than that of adventitia with rich blood supplies. The fluorescence
28
intensity of penetrating nanoparticles embedded in the mucus layer of epithelium was
29
computed by laser scanning confocal electron microscope software (Advanced
30
fluorescence 2.2.1 build 4842, Leica, Germany).
31 32
Blood glucose and insulin. Diabetes was induced in the rats by a single
33
intraperitoneal injection of 60 mg/kg streptozotocin in isotonic saline solution. Two
34
weeks following the streptozotocin administration, rats with fasted blood glucose 13 ACS Paragon Plus Environment
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1
levels in the range of 13.89 to 16.67 mmol/L were used for experiments. The diabetic
2
rats were randomly divided into seven groups (n = 6/group). Control groups consisted
3
of rats given 1 ml of saline solution orally (negative control), blank AC18N orally,
4
blank AC18N embedded in tripolyphosphate-crosslinked chitosan-oleic acid
5
conjugate-coated calcium alginate beads (CCAB) orally, or 0.036 mg/kg (equivalent
6
to 1 IU/kg) of insulin solution by subcutaneous injection (positive control; 0.3 ml).
7
Treatment groups comprised of rats administered with 0.54 mg/kg (equivalent to 15
8
IU/kg) of insulin in the form of oral insulin solution (1 ml), insulin-loaded AC18N
9
orally, or insulin-loaded AC18N embedded in CCAB orally. Nanoparticles and beads
10
were administered in the form of a hard gelatin capsule with reduced volume (length =
11
8.16 mm instead of 22.94 mm) for ease of swallowing.40 All rats were fasted for 12 h
12
prior experiments.
13
The rats were anesthetized by means of ketamine-xylazine intraperitoneal
14
injection (15 mg ketamine/200g rat and 2 mg xylazine/200 g rat) for the collection of
15
blood samples (200 µl) from the retroorbital plexus at specified time intervals. The
16
blood glucose level was determined using a glucometer (Ascensia Elite, Bayer
17
Corporation, Belgium), and the changes in blood glucose level were expressed as a
18
percent relative to the baseline blood glucose concentration at 0 h. To determine the
19
plasma insulin concentration, the 24-h blood samples were collected and allowed to
20
clot with sera obtained by centrifugation of the samples at 4100 rpm for 20 min at
21
25°C. Serum samples were preserved at -20°C until further analysis using the insulin
22
enzyme immunoassay kit (A05105-96 WELLS; SPI-BIO, France). Insulin
23
concentrations were measured at 405 nm using a plate reader (Gen 5 microplate
24
reader, BioTek, USA).
25 26
Statistics. The results are expressed as mean and standard deviation. Pearson
27
correlation, Student’s t-test and analysis of variance (ANOVA)/post hoc analysis by
28
Tukey HSD were carried out using SPSS software 16.0. Statistical significance was
29
denoted by p < 0.05 unless otherwise stated.
30 31
Results and discussion
32 33
Synthesis of alginate-C18 conjugate. The alginate-C18 conjugate was
34
synthesised with the aim to introduce a hydrophobic hydrocarbon segment to the 14 ACS Paragon Plus Environment
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Molecular Pharmaceutics
1
hydrophilic polymeric backbone. Figure 1 shows the schematic diagram of
2
conjugation reaction, and the FTIR and NMR spectra of alginate, 1-bromooctadecane
3
and alginate-C18 conjugate. Successful conjugation of alginate with C18 was
4
indicated by the appearance of new FTIR bands at 1739.8 ± 1.8 cm-1, ascribing to the
5
formation of ester bond between alginate and 1-bromooctadecane, and 2923.3 ± 0.4
6
cm-1 and 2854.8 ± 1.8 cm-1 attributable to the availability of the C18 hydrocarbon
7
chain. The FTIR spectrum of alginate was characterized by bands at 1417.7 ± 0.5 cm-1
8
and 1613.4 ± 1.0 cm-1 ascribing to C=O moiety,41 and 3442.3 ± 2.4 cm-1 in association
9
with its O-H functional group.42 The conjugation of alginate with C18 led to reduced
10
wavenumber values of these peaks possibly due to an increase in intramolecular
11
interaction propensity between the adjacent C=O and O-H moieties.43
12
NMR analysis of alginate, 1-bromooctadecane and alginate-C18 conjugate
13
showed that the alginate was characterized by chemical shifts at 4.9, 4.3 and 4 ppm
14
attributable to the H1, H5 and H3 moieties of guluronic acid, respectively (Figure 1).44
15
The formation of alginate-C18 conjugate was indicated by appearance of peaks in the
16
chemical shift range of 0.8-2.6 ppm attributable to the CH3 and CH2 groups in the C18
17
chain.45
18
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1 2
Figure 1. Schematic diagram of alginate-C18 conjugation reaction, and FTIR and
3
NMR profiles of (a) alginate, (b) 1-bromooctadecane and (c) alginate-C18 conjugate.
4 5
Preparation of insulin-loaded nanoparticles. Insulin-loaded nanoparticles
6
prepared using alginate, alginate-stearic acid, and alginate-C18 conjugate were
7
fabricated by nanospray drying technology. These nanoparticles were all spherical in
8
shape (Table 1), but the ASAN were larger in size than the AN and AC18N (Table 1).
9
The incorporation of the low bulk density stearic acid (0.84 g/ml)46 could have
10
expanded the size of the nanoparticles. Conversely, the conjugation of C18 did not
11
affect the size of the alginate nanoparticles. The insulin encapsulation efficiency and
12
insulin content of ASAN were higher than those of AN and AC18N (Table 1;
13
ANOVA: p < 0.05). It was conferred by deterred insulin leaching due to hydrophobic
14
effect of stearic acid that was freely dispersed instead of confined to specific segments
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Molecular Pharmaceutics
1
of alginate chains in these nanoparticles.
2
Nanoparticles of the polyanionic alginate were, as expected, negatively
3
charged due to the availability of free surface COO- moieties (Table 1). Processing of
4
alginate through physical blending with stearic acid or conjugating with C18 followed
5
by nanospray drying translated to the formation of nanoparticles with reduced zeta
6
potentials, particularly for the AC18N (Student’s-t-test: AN vs ASAN: p = 0.02; AN
7
vs AC18N: p = 0.00; Table 1). C18 conjugation occurred at the COO- sites in the
8
alginate, and the depletion of COO- groups was reflected in the significantly lower
9
zeta potential values of the AC18N. These nanoparticles were envisaged to experience
10
the lowest level of inter-molecular electrostatic repulsion between the polymer chains,
11
which would further explain why these nanoparticles were smaller in size compared
12
with the ASAN, despite the incorporation of the C18 hydrocarbon chains into both
13
types of nanoparticles.
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Page 18 of 43
Table 1 Formulation and physicochemical characteristics of insulin-loaded AN, ASAN and AC18N. Formulation
Physicochemical characteristics
Nanoparticle
Alginate
Stearic
Alginate-
Insulin
Particle size
type
(mg)
acid
C18
(mg)
(nm)
(mg)
conjugate
PDI
Zeta
Drug
Drug
TEM image
potential
content
encapsulation
(magnification ˃ 1000 ×)
(mV)
(%)
efficiency
(mg)
Insulin-loaded
100
___
___
(%)
5
AN
Insulin-loaded
100
10
___
5
ASAN
Insulin-loaded AC18N
___
___
100
5
513.00 ±
0.54 ±
-45.17 ±
3.70
44.38 ±
19.00
0.02
2.38
±0.15
1.40
618.87 ±
0.33 ±
-40.13
6.44 ±
76.69 ±
6.57
0.04
±1.56
0.92
10.92
522.50 ±
0.74 ±
-35.67 ±
3.77 ±
44.87 ±
66.47
0.18
0.70
0.13
1.55
18
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Molecular Pharmaceutics
1
Drug release profiles from nanoparticles.
In vitro drug release study
2
showed undetectable levels of insulin release from the AN even after 6 h of incubation
3
in the dissolution medium. The alginate has a pKa value of 3.65,47 while the
4
amphoteric insulin molecule has an isoelectric point of 5.3.48 The nanoparticles were
5
prepared by mixing the negatively charged alginate (dissolved in NaOH) with the
6
positively charged insulin (dissolved in HCl). Complex formation with the alginate
7
would prevent the insulin from being released from the formed matrix.49 This was
8
supported by DSC analysis of alginate, insulin and insulin-loaded AN. The
9
nanoparticles were characterized by an endotherm of lower peak temperature and
10
higher melting enthalpy (419.1±107.7 J/g) than those of alginate (132.2 ± 7.0 J/g) and
11
insulin (136.2 ± 41.4 J/g) (Figure 2). The introduction of insulin into the alginate
12
matrix could mutually reduce the strength of physicochemical interaction of the
13
individual chemical species. It conferred a higher extent of inter-species interaction
14
between the alginate and the insulin through dispersion of insulin in the alginate
15
matrix. FTIR spectrum of the insulin-loaded AN also exhibited a shift to reduced
16
wavenumber at 3081.3 ± 11.9 cm-1 which might be attributable to alginate-insulin
17
interaction via O-H and/or N-H moieties (Figure 2). Based on its in vitro insulin
18
release profile, the insulin-loaded AN were not subjected to further evaluation in the
19
cell-based and in vivo experiments.
20
Addition of stearic acid to the alginate nanoparticles resulted in a prompt
21
release of insulin within the first hour of dissolution experiment (Figure 3).
22
Prolongation of the dissolution time to 2 h tend to lead to a decline in fraction of
23
insulin released (Student’s t-test: 1 h vs 2 h: p = 0.07). A similar observation was
24
noted when the drug release study was conducted in the simulated intestinal medium
25
(Figure 3; Student’s t-test: 4 h vs 6 h: p = 0.01). The stearic acid was available as free
26
molecules in the nanoparticles, as evidenced by the existence of an endotherm
27
ascribable to the fatty acid at 54.9 ± 0.1ºC in the DSC thermogram of the
28
nanoparticles (Figure 2). Similarly, FTIR spectrum for the nanoparticles showed
29
transmission bands at 2919.8 ± 0.2 cm-1 and 2851.4 ± 0.3 cm-1 that were characteristic
30
of the C-H moiety of stearic acid (Figure 2). The dispersion of the hydrophobic stearic
31
acid in the solid hydrophilic alginate matrix could induce immiscible zone formation
32
as a result of physical incompatibility between the two domains.50 The stearic acid
33
also appeared to disrupt the polymer-polymer, drug-drug and polymer-drug
34
interactions in the nanoparticles. DSC thermogram of the insulin-loaded ASAN 19 ACS Paragon Plus Environment
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Page 20 of 43
1
showed a broad endotherm with lower peak temperature at 121.7 ± 6.7ºC compared
2
with the corresponding endotherm of the insulin-loaded AN (Figure 2). The
3
wavenumbers of FTIR peaks corresponding to O-H/N-H moiety (3436.7 ± 2.9 cm-1)
4
and C=O moiety (1621.3 ± 0.9 cm-1) for the ASAN were higher than those for the AN
5
(Figure 2). The combined effects of immiscible zone formation and disruption of
6
alginate-insulin interactions would promote insulin release from the ASAN. With
7
time, the released insulin might be re-adsorbed onto the alginate domain of the
8
nanoparticles via interaction between the O-H, C=O and/or N-H moieties of the
9
polymer and drug. The availability of free insulin in the dissolution media was thus
10
decreased.
11
The drug release propensity of the AC18N, despite their smaller size and
12
therefore larger specific surface area available for drug dissolution, was lower than
13
that of ASAN (Figure 3; Table 1). Pearson correlation analysis of drug release profiles
14
of AN, ASAN and AC18N indicated that both drug content and drug encapsulation
15
efficiency could have partially accounted for the said observation (r = 0.63 – 0.86).
16
The conjugation of alginate with C18 could bring about the formation of a relatively
17
compact nanoparticulate matrix structure possibly due to amphiphilic character
18
enhancement than nanoparticles prepared with alginate physically mixed with stearic
19
acid. The level of interaction between the alginate-C18 conjugate and insulin via O-
20
H/N-H and C=O moieties was higher than that between alginate-stearic acid and
21
insulin. This was indicated by FTIR analysis where the AC18N were characterized by
22
peaks with lower wavenumbers at 3429.2 ± 8.4 cm-1 (O-H/N-H) and 1615.5 ± 0.4 cm-1
23
(C=O) (Figure 2). These nanoparticles also exhibited
24
temperatures, at 150.2 ± 4.8ºC and 154.1 ± 5.7ºC, than the ASAN (Figure 2). Further,
25
the conjugated hydrocarbon chain was expected to undergo a lower degree of leaching
26
than the freely dispersed stearic acid within the nanoparticles. It was more readily
27
available to act as a hydrophobic domain in retarding drug dissolution thereby
28
reducing drug release from the matrix. The released insulin did not appear to be re-
29
adsorbed onto the AC18N matrix with prolonged dissolution in simulated intestinal
30
medium at pH 6.8 (Figure 3). Attachment of the C18 meant the AC18N had a low
31
quantum of COO- moiety, which could have partially prevented the dissolved insulin
32
from readsorption onto the alginate nanoparticles.
33 34 20 ACS Paragon Plus Environment
higher melting peak
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1 2
Figure 2. DSC and FTIR profiles of (a) insulin, (b) alginate, (c) stearic acid, (d)
3
insulin-loaded AN, (e) insulin-loaded ASAN and (f) insulin-loaded AC18N. T/°C,
4
∆H/J/g.
5 6
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Molecular Pharmaceutics
1 2 3
Figure 3. Drug release profiles of insulin-loaded (a) ASAN and (b) AC18N in
4
simulated gastric medium pH 1.2 and simulated intestinal medium pH 6.8.
5 6
Cytotoxicity, mucus penetration and intracellular trafficking. In vitro
7
cytotoxicity, as well as the capacity for mucus penetration and intracellular trafficking
8
of the ASAN and AC18N were evaluated. These nanoparticles were envisaged to act
9
as carriers to transfer the insulin load transmucosally into the systemic circulation.
10
Their ability to penetrate the intestinal mucus to reach the intestinal epithelium and 23 ACS Paragon Plus Environment
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1
undergo transepithelial uptake are therefore important factors influencing their
2
efficacy in vivo.
3
MTT assays indicated that both the insulin-loaded ASAN and insulin-loaded
4
AC18N were characterized by low levels of cytotoxicity (Figure 4a). The viability of
5
HT-29 cells was not affected by the nanoparticles (ANOVA, p > 0.05). The mucus
6
penetration capacity of AC18N appeared to be higher (Student’s-t-test: p = 0.06) than
7
that of ASAN (Figure 4b). The AC18N were characterized by a lower magnitude of
8
negative charges at the particulate surfaces. Being smaller in size and having a lower
9
level of negative surface charges (Student’s-t-test: size, p < 0.05; zeta potential, p