Polymeric Drug Delivery I - American Chemical Society

disintegrant and a binder in granulation. (16) In vivo, HPC .... of approximately 5 x 104 cells in 100 juL of cell culture medium per well. The cells ...
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Chapter 5

Synthesis and Evaluation of HydrophobicallyModified Polysaccharides as Oral Delivery Vehicles for Poorly Water-Soluble Drugs 1

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Mira F. Francis , Mariella Piredda , Mariana Cristea , and Françoise M. Winnik * Downloaded by UNIV LAVAL on April 23, 2016 | http://pubs.acs.org Publication Date: February 16, 2006 | doi: 10.1021/bk-2006-0923.ch005

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Faculty of Pharmacy, University of Montreal, C.P. 6128 Succ. Centre-ville, Montreal, Quebec H3C 3J7, Canada Department of Chemistry, University of Montreal, C.P. 6128 Succ. Centre-ville, Montreal, Quebec H3C 3J7, Canada "Petru Poni" Institute of Molecular Chemistry, Iasi 6600, Romania *Corresponding author: [email protected] 2

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Novel polysaccharide-based micelles were prepared to exploit their potential towards solubilizing poorly water-soluble drugs in order to improve their oral bioavailability. Hydrophobically­ -modified (HM) dextran (DEX) and hydroxypropylcellulose (HPC) copolymers were synthesized. Cyclosporine A (CsA) was selected as a model drug. In aqueous solution, HM-DEX and HM-HPC form polymeric micelles with low onset of micellization. The CsA incorporation in HM-polysaccharide micelles was significantly higher than in corresponding un­ modified polysaccharides. The polymeric micelles exhibited no significant cytotoxicity towards Caco-2 cells at concen­ trations up to 10 g/L. The apical to basal permeability of CsA across Caco-2 cells increased significantly, when loaded in polymeric micelles, compared to free CsA.

© 2006 American Chemical Society

Svenson; Polymeric Drug Delivery I ACS Symposium Series; American Chemical Society: Washington, DC, 2006.

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Introduction Oral drug treatment is by far the preferred administration route as it is convenient to patients, reduces administration costs, and facilitates the use of more chronic treatment regimens. However, low oral bioavailability, which is related to the rate and extent to which a drug is absorbed into the systemic circulation, has limited the development of treatments by the oral route. Important factors affecting the oral bioavailability of drugs are their structural instability in the gastrointestinal fluids, low aqueous solubility, sluggish dissolution, affinity of the drug for the intestinal and liver cytochrome P450 metabolizing enzymes, and the multidrug efflux pump P-glycoprotein, which serves to protect the bodyfromxenotoxins. (1) Among various strategies investigated for oral delivery of poorly watersoluble drugs, such as nanosuspensions (2), microemulsions (3), and liposomes (4), the use of polymers as active agents in drug formulations has gained much attention. Polymers have long been a part of drug formulations as passive ingredients, but it is only recently that they have been endowed with specific functions in order to facilitate or target the delivery of drugs. This approach exploits the high diversity of polymers in terms of structure and functionalities that enable conjugation of various pilot molecules. (5) Among the different polymer-based drug delivery systems, "polymeric micelles" represent a promis­ ing delivery vehicle for poorly water-soluble pharmaceutical active ingredients. (6) Polymeric micelles form spontaneously when amphiphilic polymers, containing both hydrophilic and hydrophobic fragments, are dissolved in water. (7,8) They consist of a hydrophobic core, created upon assembly of the hydrophobic residues, stabilized by a corona of highly hydrated hydrophilic polymeric chains. (9) Unlike surfactant micelles, polymeric micelles are thermodynamically stable and form even under extremely dilute conditions. Hydrophobically-modified (HM) polysaccharides are known to form poly­ meric micelles in water. Their size, stability, and colloidal properties depend on their chemical composition, the number of saccharide units, and the architecture of the polymer. (10,11) While a number of fundamental studies of HMpolysaccharides have been reported, their use as nanometric carriers of poorly water-soluble drugs has been largely overlooked. We recently initiated a study of polysaccharide-based micelles as oral drug delivery vehicles and review here the key features of this investigation. (12,13) Two polysaccharides, dextran (DEX) and hydroxypropylcellulose (HPC), were selected as starting materials, since they are known to present no toxicity upon oral ingestion. (14) Dextran (DEX), a mostly linear polymer of glucose with a(l-6)-glycosidic linkages has been used in medicine as a plasma substitute. (15) Hydroxypropylcellulose (HPC) is an excipient in many oral solid dosage forms, in which it acts as a disintegrant and a binder in granulation. (16) In vivo, HPC tends to undergo

Svenson; Polymeric Drug Delivery I ACS Symposium Series; American Chemical Society: Washington, DC, 2006.

57 intimate contact with the absorbing intestinal membrane, thus facilitating drug transport into the systemic circulation. (17)

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H2n+lQ

H iC—{^^f 2n+

fy \

n

C

V^ nH2n+1

(B) pCH CHCH 2

y 3

k P

I OH

^

OCH CHCH 2

'

3

OCH2CHCH3 I / A

\/ n 2n+1 C

H

Figure 1. Chemical structures of (A) DEX-g-POE -C copolymer where y = 10, n = 16or 18; and (B) HPC-g-POE -C copolymer where y = 10 or 20, n = 16 or 18. y

y

n

n

Cyclosporine A (CsA) was selected as a model drug. It is given to patients as immunosuppressive agent to prevent graft rejection in various organ transplantations. It is a neutral cyclic undecapeptide with seven A^-methylated amide linkages. Four intramolecular hydrogen bonds contribute to the extremely low water solubility (23 jig/mL at 20°C) of cyclosporine A. The absorption of CsA through the intestinal mucosa is plagued with many inherent difficulties, not only as a consequence of the minute CsA solubility in water, but also due to the

Svenson; Polymeric Drug Delivery I ACS Symposium Series; American Chemical Society: Washington, DC, 2006.

58 presence of several metabolizing enzymes, such as cytochrome P-450 and of the multidrug transporter P-glycoprotein (P-gp) present in the small intestine. (18) We present here the miceilar properties of HM-DEX and HM-HPC (Figure 1) in water, either alone or in the presence of CsA. We assess the permeability of CsA trapped within polymeric micelles, through model intestinal cells monolayers in order to gain insight into the absorption of the micelle-entrapped drug from the gastrointestinal tract into the blood stream.

Materials and Methods

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Materials HM-polysaccharides were prepared as described previously. (19,20) The level of POE-Q, grafting was determined by H-NMR spectroscopy (Bruker ARX-400 400 MHz spectrometer) measurements carried out with solutions of the polymers in DMSO-rf . ]

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Miceilar Properties of HM-DEX and HM-HPC in Water The critical association concentration (CAC) of the polymeric micelles in water was estimated by a steady-state fluorescence spectroscopy assay (SPEX Industries Fluorolog 212 spectrometer equipped with a GRAMS/32 data analysis system), using pyrene as a probe. Pyrene partitions preferentially into the hydrophobic core of the micelles. It undergoes spectral changes as a result of changes in the micropolarity it experiences upon diffusion from bulk water (hydrophilic environment) into the micelle core (hydrophobic environment). (21) To carry out the measurements, polymer solutions of increasing concentration in pyrene-saturated water ([Py] ~7 x 10" M) were prepared and equilibrated over­ night prior to spectroscopic analysis. The CAC was obtained from plots of the changes in the vibronic fine structure of the pyrene emission by monitoring the changes in the ratio of the intensities Ii and I of the [0,0] and [0,2] bands, respectively, as a function of polymer concentration (Figure 4). (22) The hydrodynamic diameter of the micelles was determined by dynamic laser light scattering (DLS) at 25°C, at a scattering angle of 90°. 7

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Physical Loading of CsA in HM-DEX and HM-HPC Polymeric Micelles The polymer was dissolved in deionized water while CsA was dissolved in ethanol. Subsequently, different mixtures of polymer with varying CsA initial concentrations (2.5-40% w/w) were prepared by mixing the two solutions. Following 48 h of dialysis, each solution was filtered to remove free CsA and the filtrate was freeze-dried yielding a white powder which easily redispersed in water forming a clear solution (Figure 2).

Svenson; Polymeric Drug Delivery I ACS Symposium Series; American Chemical Society: Washington, DC, 2006.

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Figure 2. Schematic representation of drug loading in polymeric micelles using the dialysis method.

High Performance Liquid Chromatography (HPLC) Analysis CsA was extracted from freeze-dried micelles with acetonitrile (ACN). This treatment yielded suspensions which were sonicated for 10 min then agitated for 8 h. They were then filtered and the filtrate was assayed by HPLC using a symmetry® octadecylsilane Cjg column. (23) Drug loading (DL) was calculated using Eq. 1: DL(%)=100(^ /^ ) C

(1)

M

where W is the weight of CsA loaded in micelles and W is the weight of micelles before extraction. c

M

Cell Culture The human colon adenocarcinoma cells, Caco-2, were routinely maintained in Dulbecco's modified Eagle medium, supplemented with 10% (v/v) heatinactivated fetal bovine serum, 1% (v/v) non-essential amino acids and 1% (v/v) penicillin-streptomycin antibiotics solution. Cells were allowed to grow in a monolayer culture at 37 °C, 5% C 0 and 90% relative humidity. 2

Svenson; Polymeric Drug Delivery I ACS Symposium Series; American Chemical Society: Washington, DC, 2006.

60 Cytotoxicity Assay Caco-2 cells were seeded in triplicate in 96-well culture plates at a density of approximately 5 x 10 cells in 100 juL of cell culture medium per well. The cells were cultured for 48 h at 37 °C in a humidified atmosphere of 5% C 0 in air. Thereafter, Caco-2 cells were exposed to increasing concentrations (0-10 g/L) of DEX, HPC, POE-C , DEX-g-POE-C„ or HPC-g-POE-C„ for 24 h. Cell viability was then evaluated using the MTT colorimetric assay. The assay is based on the reduction of MTT by mitochondria in viable cells to water insoluble formazan crystals. The absorbance was measured with a multiwellscanning spectrophotometer (PowerWave; Biotek Instruments) at 570 nm. 4

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CsA Transport Study CsA transport across Caco-2 cells was evaluated. Briefly, cells were grown in Transwell dishes until a tight monolayer was formed as measured by transepithelial electrical resistance (TEER). The integrity of the monolayers following the transport experiments was similarly evaluated. Free or micelleloaded CsA was added at a final concentration of 1 pM to the apical compart­ ments and aliquots were withdrawn from the basal chamber at predetermined time points. After sample withdrawal, an equivalent volume of the transport medium (Hank's buffered salt solution) was added to the receiving compartment to keep the receiver fluid volume constant. Pluronic P85® was added as a Pglycoprotein inhibitor to the apical compartment. Caco-2 monolayers were then solubilized in 1% Triton X-100, and aliquots were taken for determining protein content using the Pierce BCA method.

Results and Discussion Synthesis of the Polymers The HM-polysaccharides were synthesized via ether formation between a tosylated POE-C„ (commercially available under the Brij® trade name) and hydroxyl groups of the corresponding polysaccharide. As the polymers and POE-C have similar solubility characteristics, the coupling can be carried out in homogeneous solution. Under these conditions, high levels of hydrophobic modification can be achieved and the distribution of alkyl chains along the poly­ mer chain tends to be random rather than "blocky". A series of polymers was obtained, by varying parameters, such as (i) the composition and molecular weight of the hydrophilic chain, i.e. DEX of different molecular weights (10,000 and 40,000 Da or approx. 62 and 247 glucose units per chain, for DEX 10 and DEX40, respectively) or HPC (ca 80,000 Da); (ii) the level of grafting, i.e. the w

Svenson; Polymeric Drug Delivery I ACS Symposium Series; American Chemical Society: Washington, DC, 2006.

61 number of hydrophobic substituents linked to the chain; and (iii) the size of the hydrophobic group (hexadecyl or octadecyl) (Table 1). (12,13)

Table I. Characteristics of DEX-g-POE -C and HPC-g-POE -C copolymers with various compositions. y

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Polymer composition DEX10-g-(POE) -C DEX10-g-(POE) -C DEX40-g-(POE) -C DEX10-g-(POE) -C HPC-g-(POE) -C HPC-g-(POE) -C HPC-g-(POE) -C 20

10

16

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18

10

I6

I0

16

l8

10

16

y

n

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GraftedPOE-C* (mol %)

G4C* (mg/L)

Mean diameter (nm ± SD)

3.0 3.9 3.5 7.0 3.9 3.1 4.7

7.5 ±3.4 12.5 ± 2.5 18.0 ±2.0 6.5 ± 3.5 15.0 ±5.0 22.0 ± 6.0 17.0 ±3.0

18±2 21 ± 1 30± 1 9±3 78 ± 1 83 ± 2 80±1

16

20

n

determined by 'H-NMR measurement; determined by change in ratio of pyrene fluorescence with log polymer concentration (25 °C, water); Determined by DLS measurements with a scattering angle of 90° (25 °C, water). c

The composition of the polymers was established from the ^ - N M R spectra of polymer solutions in DMSO-d based, in the case of DEX-g-POE-C , on the integral of the signal due to the terminal methyl protons of the POE-C„ groups (8 -0.85 ppm) and the integral of the signal due to the anomeric protons of dextran (5 -4.7 ppm) (Figure 3). 6

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Svenson; Polymeric Drug Delivery I ACS Symposium Series; American Chemical Society: Washington, DC, 2006.

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Anomeric proton a

5.0