Beruflich Dokumente
Kultur Dokumente
Abstract
Background: The lung is the primary entry site and target for Mycobacterium tuberculosis; more than 80% of
the cases reported worldwide are of pulmonary tuberculosis. Hence, direct delivery of anti-tubercular drugs to
the lung would be beneficial in reducing both, the dose required, as well as the duration of therapy for
pulmonary tuberculosis. In the present study, microsphere-based dry powder inhalation systems of the antitubercular drugs, rifampicin and rifabutin, were developed and evaluated, with a view to achieve localized and
targeted delivery of these drugs to the lung.
Methods: The drug-loaded chitosan microparticles were prepared by an ionic gelation method, followed by
spray-drying to obtain respirable particles. The microparticles were evaluated for particle size and drug release.
The drug-loaded microparticles were then adsorbed onto an inhalable lactose carrier and characterized for
in vitro lung deposition on an Andersen Cascade Impactor (ACI) followed by in vitro uptake study in U937
human macrophage cell lines. In vivo toxicity of the developed formulations was evaluated using Sprague
Dawley rats.
Results: Both rifampicin and rifabutin-loaded microparticles had MMAD close to 5 lm and FPF values of
21.46% and 29.97%, respectively. In vitro release study in simulated lung fluid pH 7.4 showed sustained release
for 12 hours for rifampicin microparticles and up to 96 hours for rifabutin microparticles, the release being
dependent on both swelling of the polymer and solubility of the drugs in the dissolution medium. In vitro uptake
studies in U937 human macrophage cell line suggested that microparticles were internalized within the macrophages. In vivo acute toxicity study of the microparticles in Sprague Dawley rats revealed no significant
evidence for local adverse effects.
Conclusion: Thus, spray-dried microparticles of the anti-tubercular drugs, rifampicin and rifabutin, could prove
to be an improved, targeted, and efficient system for treatment of tuberculosis.
Key words: chitosan microparticles, dry powder inhaler, Andersen Cascade Impactor (ACI), macrophage uptake
Introduction
1
2
Department of Pharmaceutics, Bombay College of Pharmacy, Kalina, Santacruz (E), Mumbai, India.
Department of Microbiology, Bombay Veterinary College, Parel, Mumbai, India.
PAI ET AL.
The chitosan microparticles were prepared by ionic gelation technique described by Ko et al.(24) and further isolated by spray drying. Briefly, accurately weighed quantities
of the drugs were dissolved in 1% (w/v) chitosan solution
prepared in 0.1 N acetic acid. Different concentrations
(0.5%2% w/v) of TPP solution were added dropwise to the
chitosan-drug solution under high-speed homogenization
(Silverson homogenizer, Sri Ram Industries, India) at
2000 rpm for 15 min. The suspension of chitosanTPPdrug
microparticles was then spray dried (LSD-48 spray dryer,
JISL, India) to obtain TPP cross-linked drug loaded microparticles. The parameters for spray drying are given in
Table 1. Batches with different ratios of chitosan and TPP
were prepared and characterized in order to evaluate its
effect on properties of microparticles.
Preparation of microparticle-based dry powder
inhalation (DPI) system
The microparticles obtained after spray drying were adsorbed onto an inhalable lactose carrier. A blend of a coarser
Values
150C 20C
65C 10C
10 rpm 4 rpm
40% 2%
1.5 kg/m3
23C 1C
and 40% 5% RH
Inlet temperature
Outlet temperature
Feed rate
Aspirator
Atomization pressure
Temperature and humidity
grade lactose (Lactohale 100) and fine grade lactose (Lactohale 300) was prepared in the ratio of 70:30 and used as the
carrier system for the microparticles. Briefly, 400 mg of
drug-loaded microparticles were mixed well with 2000 mg of
pre-formed Lactohale blend. The admixture was then passed
through ASTM (American Society for Testing and Materials) 60 sieve (250 micron) and mixed well again. Samples
were taken from three different locations from the bulk blend
and analyzed for drug content in order to ascertain content
uniformity. The remaining blend was filled into size 3 hard
gelatin capsules (average fill weight: 25 mg/capsule).
Characterization of drug-loaded
chitosan-TPP microparticles
Moisture content. The moisture content of the microparticles was determined by the Karl-Fisher titration method. Accurately weighed quantities of microspheres (100 mg)
were titrated on a Mettler DL40GP Memotitrator using Karl
Fisher reagent. The percent moisture content was determined using the titer reading by the following formula:
PAI ET AL.
Quantity
0.102 gm
5.727 gm
0.298 gm
0.142 gm
0.142 gm
2.604 gm
0.826 gm
0.098 gm
0.368 gm
pH 7.4
q.s 1000 mL
calculated using the slope of the straight line. The experiment was performed in triplicate.
In vitro lung deposition. In vitro lung deposition of drugloaded microparticles, plain drug, and microparticles with
lactose blends was evaluated on an Andersen Cascade Impactor(ACI) (Copley Scientific, U.K) at a flow rate of
28.3 L/min using a Lupihaler device (Lupin, Ltd.). Fine
particle dose (FPD), fine particle fraction (FPF), mass median aerodynamic diameter (MMAD), and geometric standard deviation (GSD) were calculated as per USP using
CITDAS software application (Copley Scientific, U.K). The
experiment was performed in triplicate.
Stability study
In vitro uptake by macrophages was assessed on U937 human macrophage cell lines by the method mentioned by Evora
et al.(26) The RIF2 and RFB3 batches, which showed highest
in vitro lung deposition, were selected for the study. Different
Acute inhalation toxicity evaluation of drug-loaded microparticles of RIF and RFB was carried out by intratracheal
instillation in female Sprague Dawley rats. The protocol followed for the study was approved by an independent animal
ethics committee of Bombay College of Pharmacy (30/04/
2010/CPCSEA/BCP/2010/04). The animals were divided into
seven groups of three animals each as shown in Table 3.
The animals were anesthetized with an intra-peritoneal
injection of 0.2 mL of ketamine hydrochloride. The animal
was harnessed onto the wooden board with the help of
stretch bands. A ventral incision of 0.5 cm was made over
the tracheal region superior to the supraclavicular notch.
The trachea was exposed through the longitudinal incision
along the ventral aspect of the neck. 200 lL of suspension of
microparticles (containing equivalent amount of 1 mg/mL of
drug) or drug solutions (1 mg/mL) in phosphate buffered
saline (PBS), pH 7.4, were administered intratracheally with
a tuberculin syringe having 27-gauge needles.
Similarly, 200 lL of suspension of blank chitosan microparticles (0.5 % w/v) in PBS, pH 7.4, was administered
to the respective control groups. The skin was then sutured
with a sterile braided surgical silk thread and an antiseptic
ointment (Betadine) was applied over the stitches. The animals were kept upright against a wooden board such that
they remained upright till they regained consciousness.
The animals were then administered 200 lL of amoxicillin
subcutaneously to prevent infection. The dosed animals were
observed daily for any abnormal reactions or mortality for a
period of 14 days. At the end of this period, the animals were
humanely sacrificed by ketamine injection and their lung
tissues were excised and subjected to histopathological examination to assess any bronchiolar epithelial hyperplasia,
wall thickening, edema or accumulation of eosinophils,
neutrophils, or mononuclear inflammatory cells.
Results and Discussion
Description
No. of animals
3
3
3
3
3
3
PBS, phosphate buffered saline, pH 7.4; RFB, rifabutin; RIF, rifampicin; *Equivalent to 200 lg of RIF; #Equivalent to 200 lg of RFB.
TPP:
CHT ratio
Yield (%)
Particle size
(mm)
P.I.
Loading
efficiency (%)
Zeta potential
(mv)
Swelling
index (%)
RIF1
RIF2
RIF3
RIF4
RFB1
RFB2
RFB3
RFB4
1:4
1:2
1:1.5
1:1
1:8
1:6
1:4
1:2
30.17
29.52
18.16
9.15
15.61
17.25
20.17
14.37
1.904 0.623
2.407 0.536
2.471 0.481
3.403 0.935
1.146 0.832
1.187 0.393
1.270 0.609
1.769 0.588
0.672 0.063
0.531 0.052
0.368 0.022
0.751 0.083
0.258 0.073
0.283 0.065
0.623 0.086
0.950 0.045
59.35 3.63
56.36 1.93
50.65 2.47
45.51 1.48
89.41 1.83
83.83 3.63
70.77 2.42
69.47 1.57
19.5 1.2
18.6 2.3
24.7 1.9
22.8 1.6
18.1 0.9
21.7 2.6
29.4 3.2
23.2 1.7
1064.7 69.3
758.2 52.6
684.6 47.2
576.3 32.4
1659.1 67.1
1682.9 60.9
1576.5 60.5
1259.5 55.8
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FIG. 1. X-ray diffractograms of (a) RIF, RFB, and their microparticles (RIF1; RFB1);
(b) chitosan (CHT), tripolyphosphate (TPP), and lactohale (LH).
TPP. The results were as expected, since chitosan is a cationic polymer owing to the protonated NH3 groups
present in an acidic medium and thus shows an inherent
positive charge.(16) However, even after interaction with
anionic TPP, chitosan retained its cationic nature.
X-ray diffraction (XRD). The X-ray diffractograms of
free drugs and drug loaded microparticles are shown in
Figure 1a. No sharp peaks, prominent for RIF, were observed in XRD spectra of RIF-loaded microparticles (RIF1),
indicating that the drug was completely embedded within
the polymer matrix and not adhering to the surface of the
particles. RFB was obtained as an amorphous powder, thus
the results for free RFB and RFB-loaded microparticles
(RFB2) are consistent with the nature of RFB.
Two diffused peaks were observed at 2h values of 10 and
20 in both RIF and RFB-loaded microparticles. This pattern was similar to the XRD pattern of chitosan.(16) Thus,
chitosan was found to retain its partial crystalline nature
even after the spray drying process. The sharp peaks observed in the XRD pattern of TPP (Fig. 1b) were not seen in
the XRD patterns of RIF as well as RFB-loaded microparticles, indicating absence of any residual TPP.
Differential scanning calorimetry (DSC). The thermogram of RIF showed an endotherm having an onset at
186.49C and reaching a peak value at 197.75C, corresponding to its melting point, immediately followed by an
exotherm corresponding to the recrystallization of the melt.
The thermogram of RFB showed an endotherm having an
onset at 137.63C and reaching a peak at 143.06C. The
peaks corresponding to the endotherms of RIF and RFB
were not observed in the thermograms of the drug-loaded
FIG. 2.
free
drugs
and
selected
batches
of
drug
loaded
PAI ET AL.
FIG. 3. SEM images of (a) RIF and (b) RFB in free form showing irregularly shaped and
non-uniform particles.
microparticles (RIF2 and RFB3) were visualized using an
EVO LS10 (Ziess, Germany) scanning electron microscope.
The surface morphology of the spray-dried microparticles is
important as it gives valuable information about the particulate nature of spray dried products. The properties of
materials may change after the spray drying, leading to
formation of agglomerates, skin-forming particles, crystalline structures, hollow or porous particles.(36)
Also, flow properties, release profile, and swelling behavior can depend on the nature of matrix or surface of the
polymeric microparticles that can be ascertained using
SEM.(40,42) The surface morphology of particles can also
affect their deposition into the lungs. Particles that are
spherical and have smooth surfaces have good aerodynamic
properties and thus deposit deep into the lungs. However,
irregularly shaped particles with rough surfaces deposit in
FIG. 4. SEM images of (a) RIF microparticles and (b) RFB microparticles showing
differences in surface characteristics.
the upper regions of the respiratory tract by impaction due to
their poor aerodynamic properties.(43)
The SEM images of the free drugs are shown in Figure 3.
RIF appears as distinct rod shaped, non-uniform crystals of
size ranging from 10100 lm, whereas RFB appears as fine
agglomerated particles with un-uniform particle sizes. Such
a morphology and particle size is not suitable for the lung
delivery. This further justifies the need to incorporate these
10
PAI ET AL.
FIG. 5. SEM images of DPI blend of (a) RIF and (b) RFB-loaded microparticles adsorbed onto the lactohale carrier particles.
The concentration of TPP was seen to have an effect on
the surface morphology of spray-dried chitosan microparticles. Lower concentrations of TPP resulted in formation
of irregularly shaped microparticles with smooth surfaces,
whereas higher concentrations of TPP resulted in formation of distinctly spherical particles having rough surfaces.(24) This can be seen from the SEM images of the
11
FIG. 6. Release profile of (a) RIF and (b) RFB-loaded microparticles in SLF, pH 7.4,
showing sustained release as compared to free RIF and RFB. (All values are expressed as
mean SD; n = 3)
loaded microparticles, which may have resulted in formation of denser structure as observed from the images
(Fig. 4).
The SEM images of DPI blends of drug loaded microparticles are as shown in Figure 5. The drug-loaded microparticles are seen adhering to the larger particles of the
carrier system indicating formation of a homogenous blend
for DPI.
12
PAI ET AL.
Interpretation
RIF1
RIF2
RIF3
RIF4
RFB2
RFB3
RFB4
0.16
0.36
0.25
0.1
0.52
0.67
0.89
Fickian diffusion
Fickian diffusion
Fickian diffusion
Fickian diffusion
Non-Fickian diffusion
Non-Fickian diffusion
Non-Fickian diffusion
13
FIG. 7. Parameters of lung deposition study of free drugs and their microparticles on
ACI with respect to MMAD, GSD, and FPF. All values are expressed as mean SD; n = 3,
FPF, fine particle fraction; GSD, geometric standard deviation; MMAD, mass median
aerodynamic diameter.
Condition
Appearance
0M
1M
R.T
40 C/75% RH
R.T
40 C/75% RH
R.T
40 C/75% RH
No change
No change
No change
Darkening
No change
Darkening
1.43 0.90
2.37 0.97
3.63 1.41
6.49 1.92
7.00 1.82
6.68 1.91
7.95 2.18
2.41 0.88
2.47 0.67
2.42 0.95
2.35 0.87
3.64 1.26
2.43 0.91
4.11 1.05
50.65 2.47
47.76 2.66
46.42 1.71
49.21 1.56
48.95 2.79
46.14 2.22
45.12 2.03
2M
3M
FPF, fine particle fraction; GSD, geometric standard deviation; M, month; MMAD, mass median aerodynamic diameter; RH, relative
humidity; RT, room temperature.
All values are expressed as mean SD; n = 3.
14
PAI ET AL.
Table 7. Results of ACI Deposition Study of RIF2 Microparticles at RT and 40 C/75% RH
Time
Condition
MMAD (mm)
GSD (%)
FPF (%)
0M
1M
R.T
40 C/75% RH
R.T
40 C/75% RH
R.T
40 C/75% RH
5.73 0.41
5.45 0.26
5.98 0.45
5.83 0.29
6.87 0.48
5.99 0.18
7.37 0.36
1.6 0.04
1.51 0.04
1.64 0.08
1.73 0.04
1.83 0.05
1.76 0.05
1.96 0.03
21.46 1.36
24.24 1.77
20.01 1.84
20.58 1.51
17.49 1.18
20.10 1.08
15.78 1.02
2M
3M
FPF, fine particle fraction; GSD, geometric standard deviation; M, month; MMAD, mass median aerodynamic diameter; RT, room
temperature; RH, relative humidity.
All values are expressed as mean SD; n = 3.
Administration of free RIF and RFB to the rats by intratracheal instillation produced severe peribronchiolar infiltration of the inflammatory cells accompanied with hyperplasia
of BALT (bronchus associated lymphoid tissue) and interalveolar septal thickening, evident of severe toxicity. The inflammatory cells were also present in bronchiolar and alveolar
lumen (Fig. 8c and 8d).
The causative agent for tuberculosis, Mycobacterium tuberculosis, is known to reside in the alveolar macrophages
and remain dormant for years. Alveolar macrophages are
reported to internalize microparticles when administered
to the lungs. Particles within the size range of 13 lm are
efficiently internalized, whereas particles less than 1 lm and
larger than 10 lm escape internalization by alveolar macrophages.(46) Thus, size is an important parameter for microparticles meant for targeting Mycobacterium tuberculosis
within alveolar macrophages. Many authors have reported
internalization of microparticles by alveolar macrophages(4749)
and their visualization by fluorescence microscopy or staining
techniques.(50)
FIG. 8. Photomicrographs of lungs of rats showing histopathological changes after administration of (a) PBS, pH 7.4; (b) blank chitosan microparticles; (c) RIF; (d) RFB; (e)
RIF microparticles; (f) RFB microparticles. B, bronchiole; BL, bronchiolar lumen; HPB,
hyperplasia of BALT; PBI, peribronchiolar infiltration; STI: interalveolar septal thickening
and infiltration;
Batch
RIF2
RFB3
Conc.
(ppm)
Conc.
internalized
(ppm)
Estimated number
of particles
internalized
1
5
10
20
1
5
10
20
0.10 0.02
0.24 0.13
1.37 0.31
9.45 0.96
0.40 0.06
1.83 0.14
3.46 0.26
13.43 0.37
1.45 105
3.65 105
2.08 106
1.43 107
4.75 106
2.16 107
4.08 107
1.58 108
15
Conclusion
The spray-drying method was efficient in producing microparticles suitable for lung delivery with good aerodynamic characteristics that were evident by their deposition on
the later stages of the ACI. The chitosan-based microparticles containing anti-tubercular drugs are apparently nontoxic
to the lung tissues within the scope of studies described;
however, repeated-dose inhalation toxicology studies of
these formulations will be needed to better assess their longterm safety. The microparticles are also taken up by alveolar
macrophages, thus enabling targeting of the Mycobacterium
tuberculosis residing within the macrophages.
Microparticles of the anti-tubercular drugs, RIF and RFB,
prepared by a spray-drying technique, have a good potential
for direct delivery to the lungs, when formulated as dry
powder for inhalation (DPI) and can possibly provide the advantages of lower doses and shorter treatment times compared
FIG. 9. In vitro macrophage uptake of RIF and RFB microparticles. All values are
expressed as mean SD; n = 3.
16
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16.
17.
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