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Chitosan Based Mucoadhesive Nanoparticles of Ketoconazole For Bioavailability Enhancement: Formulation, Optimization
Chitosan Based Mucoadhesive Nanoparticles of Ketoconazole For Bioavailability Enhancement: Formulation, Optimization
Research article
TIFAC Centre of Relevance and Excellence in NDDS, Centre of PG Studies and Research, Pharmacy Department,
The M. S. University of Baroda, Fatehgunj, Vadodara, Gujarat, India
Abstract
Purpose: The conventional dosage form of Ketoconazole (KZ) shows poor absorption due to rapid gastric emptying.
Chitosan based mucoadhesive nanoparticles (NPs) of KZ were developed to efficiently release drug at its absorption
window i.e. stomach and the site of action i.e. esophagus.
Method: The NPs were prepared by ionic gelation method. Concentration of polymer, cross-linking agent and ratio of
drug/polymer as well as polymer/cross linking agent were optimized.
For personal use only.
Results: NPs had 69.16 ± 5.91% mucin binding efficiency, particle size of 382.6 ± 2.384 nm, ζ potential of +48.1 mv
and entrapment efficiency of 59.84 ± 1.088%. DSC thermogram indicated absence of any drug polymer interaction.
The drug release was by controlled, non-fickian diffusion mechanism. Ex vivo diffusion studies were performed by
emptying the stomach contents after 2 h to simulate in vivo gastric emptying. The results showed that drug diffusion
from the solution across stomach mucosa stopped after emptying whereas that from the NPs continued upto 5 h.
Hence we could conclude that the NPs must have adhered to the stomach mucosa and thereby would have been
retained at this absorption site even after gastric emptying.
Conclusion: The orally delivered KZ loaded mucoadhesive NPs can be used as an efficient carrier for delivering drug at
its absorption window i.e. the stomach and the site of action i.e. esophagus even after gastric emptying.
Keywords: Chitosan, ionic gelation, ketoconazole, Ex vivo, nanoparticles
Introduction
(HIV/AIDS), acid suppression, esophageal dysmotility,
Candidiasis has emerged as a significant medical prob- gastric surgery and antibiotic use3.
lem associated with indiscriminate long-term use of Systemically active therapy is needed for effective
antibiotics, immunosuppressive and cytotoxic therapies, treatment of Candida esophagitis, for which Azole based
immune-defects and acquired immunodeficiency syn- antifungal agents are drugs of choice. Ketoconazole
drome (AIDS)1. The GI tract is the major site of dissemi- (KZ) is a broad spectrum antifungal agent useful in the
nated candidiasis2. The esophagus is the most common treatment of candidal esophagitis. However, it requires
site of colonization of fungi. Candida esophagitis is most an acidic pH for absorption and its absorption is depen-
common type of infective esophagitis found to occur in dent on gastric acidity and gastric emptying time, lead-
patients with predisposing factors including malignancy, ing to variable bioavailability. Though it is an orally
corticosteroid use, diabetes mellitus, human immuno- active drug, its clinical use is sometimes limited due to
deficiency virus/acquired immunodeficiency syndrome its erratic absorption. Often, the major drawback of the
Address for Correspondence: Krutika Sawant, TIFAC Centre of Relevance and Excellence in NDDS, Centre of PG Studies and Research,
Pharmacy Department, G. H. Patel Pharmacy Building, Donor’s Plaza, The M. S. University of Baroda, Fatehgunj, Vadodara-390002, Gujarat,
India. Tel: +91 265 2434187. Fax: +91 265 2418927. E-mail: dr_krutikasawant@rediffmail.com
(Received 08 September 2011; revised 20 December 2011; accepted 13 February 2012)
540
Orally delivered chitosan nanoparticles of ketoconazole 541
conventional dosage form is that due to rapid gastric Thus it was hypothesized that TPP cross-linked
emptying, the absorption of the drug is poor (Cmax after Chitosan nanoparticles would improve absorption and
a single oral dose of 200 mg is reached within 2 h and is bioavailability of KZ which requires acidic pH for absorp-
3.5 mcg/mL)4. tion and whose conventional dosage form often shows
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Polymeric nanoparticles (NPs) have been extensively poor absorption of drug due to rapid gastric emptying.
researched as drug delivery carriers5. NPs are suitable Also, use of TPP in chitosan NPs may synergize the anti-
carriers to deliver drugs which are unstable in the biolog- fungal activity of Ketoconazole.
ical fluids and cannot readily traffic across the mucosal Therefore, the present study was aimed to develop and
barrier6. Polymeric NPs from biodegradable polymers optimize orally delivered mucoadhesive chitosan nano-
are effective drug carriers because they are expected to particles of KZ which will efficiently release drug at its
be absorbed intact after oral administration7. Oral NPs absorption window i.e. stomach and near its site of action
are drug delivery systems of choice due to enhanced (esophagus). The optimized formulation was character-
bioavailability, mucoadhesion and controlled release of ized for particle size, % drug entrapment, ζ potential,
drugs in GIT8,9. Mucoadhesion has become the area of Differential scanning calorimetry (DSC) and TEM. The
interest of researchers for its potential to optimize local- formulations were evaluated for mucin binding capac-
ized drug delivery, by retaining a dosage form at the ity, drug diffusion study through dialysis membrane and
absorption window in the GIT. However, the significant through rat stomach and obtained data were fitted to
problem with large mucoadhesive solid dosage forms Korsmeyer Peppas model to understand the mechanism
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like tablets is the poor adhesion to the mucosal surfaces of drug release.
due to their large size and the vigorous movement of
the GIT10. Hence, NPs are considered to be much better
Materials and methods
alternative to overcome such problem.
NPs may be used for oral administration of gut- Materials
labile drugs or those with low aqueous solubility11. The KZ was obtained as gift sample from Gufic Bioscience Pvt.
NPs are expected to adhere to the gastric mucosa and Ltd, Mumbai, India. Low molecular weight CS (molecu-
remain in the gastrointestinal tract, while protecting the lar weight less than 60 kDa) (deacetylation value >85%),
entrapped drug from enzymatic degradation, until the viscosity 30–50 cps was acquired from Ample Effect Sdn
release of the loaded drug or their absorption as intact Bhd, Malaysia, and was used without any modification
particles12. Chitosan (CS) has the potential of serving and purification. Sodium Tripolyphosphate was pur-
as an absorption enhancer across intestinal epithelia chased from Loba Chemie, Mumbai, India. Pig Mucin
due to its mucoadhesive and permeability enhancing was acquired from Sigma-Aldrich, St Louis, USA. Glacial
property13. It has biocompatibility, biodegradability, acetic acid, Mannitol and all other chemicals used were
high charge density and non toxicity14. CS NPs loaded of analytical grade.
with insulin showed increased oral bioavailability of
the peptide and prolonged reduction in blood glucose Preparation of NPs
levels by protecting the labile drug from enzymatic deg- The ionic gelation method was used for preparation of
radation in GI tract15. CS is soluble at acidic pH but has KZ loaded CS NPs20. In brief, CS (30 mg) was dissolved
limited solubility at neutral as well as basic pH 16. Hence, in 1% acetic acid solution and hydrated overnight with
it can be used as absorption enhancer for drugs which stirring. KZ (6 mg) was dissolved in the CS solution with
are more soluble in the acidic environment of stomach. stirring. Aqueous solution of TPP (7.5 mL, 1 mg/mL) was
Ionic gelation technique has attracted considerable then added drop wise to the CS solution (10 mL, 3 mg/
attention as this process is organic solvent free, con- mL) under constant stirring on magnetic stirrer (Remi
venient and controllable17. Sodium tripolyphosphate Equipment Pvt. Ltd., Mumbai, India), which led to the
(TPP) is the most extensively used ion cross-linking formation of dispersion of NPs. The nanodispersion
agent due to its non-toxic and multivalent properties18. was then centrifuged at 25,000 rpm for 30 min (3K 30,
A recent study by Palmeira-de Oliveira et al reported Sigma Laboratory Centrifuge, Osterode, Germany) and
that TPP had an inhibitory species dependent and the pellet of the NPs was redispersed in water. The NPs
concentration dependent cytotoxicity against several were lyophilized for 24 h (Lyophillizer, Heto Dry Winner,
Candida spp. Strains19. Allerod, Denmark) using mannitol as cryoprotectant
Characterization of NPs
Particle size Measurement of mucoadhesive force
Size of the CS NPs was measured by dynamic light The mucoadhesive properties of drug loaded CS NPs
scattering using Malvern Zetasizer Nano ZS (Malvern were evaluated by measuring the amount (% weight) of
Instruments, Malvern, Worcestershire, UK). A suitable Pig Mucin (Sigma-Aldrich, St Louis, MO, USA) bound to
amount of NPs was dispersed in distilled water creat- the NPs as per the method reported by Yin et al. (2006)22.
ing a total concentration of 1% w/v. Each sample was In brief, 2 mL of mucin solution (100 µg/mL) was mixed
measured in triplicate and particle size was expressed as with 2 mL NPs suspension, incubated at 37 °C for 30 min
mean diameter ± standard deviation. and centrifuged at 25000 rpm for 30 min (3K 30, Sigma
Laboratory centrifuge, Osterode, Germany). The super-
ζ potential natant was separated and the free mucin content was
ζ potential distribution was measured using a Zetasizer determined by UV spectrophotometry at 251 nm. The %
(Nano ZS, Malvern Instruments, Malvern, Worcestershire, mucin binding efficiency of the NPs was calculated using
UK). Each sample was suitably diluted with filtered dis-
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Institutional Animal Ethics Committee of Pharmacy it should be within the range of 4:1–6:1 to obtain NPs30.
Department. Male albino rats weighing 200–250 g were Hence, these formulation parameters were optimized
fasted overnight, sacrificed by spinal dislocation and on the basis of particle size and PDE and the results are
the stomach was isolated immediately. The stomach shown in Tables 1–3. Various concentrations of CS (2,
contents were emptied and it was cleaned with normal 2.5, 3 and 4 mg/mL) were used. At a fixed weight ratio28
saline. Then the lower ends of the stomach (duodenal of CS/TPP, ionic gelation between CS and TPP is affected
connection) were tied with thread and from the esoph- by concentration of CS, thus affecting the particle size
ageal connection, 2 mL nanoparticulate formulation of the NPs31. With increasing CS concentration, particle
higher CS contents. There are less TPP ions available to across the mucosal membrane.
cross-link the higher content of Chitosan. Particle size
and entrapment efficiency was also dependent on CS/ Differential scanning calorimetry
drug ratio. As CS/drug ratio increased, both, particle size Differential scanning calorimetry (DSC) is an impor-
and entrapment increased due to greater amount of CS tant technique for investigation of thermal properties
available for incorporating the drug. CS/drug ratio of 5:1 of a formulation and provides information about the
provided maximum drug entrapment (59.84 ± 1.088%) physicochemical state of drug in the system. There is no
with moderate particle size (382.6 ± 2.384 nm). Hence, detectable endotherm if the drug is present in a molec-
the batch containing CS/TPP weight ratio of 4:1 and CS/ ular dispersion or solid solution state in the polymeric
Drug ratio of 5:1 was considered as optimized batch (at NPs36. The DSC curves of CS, KZ and drug loaded CS NPs
CS conc. 3 mg/mL and TPP conc. 1 mg/mL). were obtained. It was seen that the DSC thermograms
of drug loaded CS NPs showed a broad endothermic
Characterization of NPs peak at 102.81°C which was due to the glass transition
Particle size, morphology and ζ potential temperature of CS. However, the melting peak of drug
Particle size of the optimized batch was found to was absent in the thermogram of NPs indicating that KZ
be 382.6 ± 2.384 nm. Drug loaded NPs must have an was incorporated in amorphous form in the CS matrix
appropriate particle size along with ζ potential. The in the NPs.
size characteristics have been found to affect the bio-
logical performance of CS NPs33. TEM image showed Measurement of mucoadhesive force
that NPs were spherical in shape without aggregation The mucoadhesive properties of CS NPs were evalu-
(Figure 1). The ζ potential value is important as it can ated by measuring the pig mucin binding efficiency on
influence particle stability as well as mucoadhesivity. the NPs which was found to be 69.16 ± 5.91%. From this
The more positive and negative values of ζ potential value, we expect that the NPs will adhere to the mucosal
tend to stabilize particle suspension to a greater extent membrane in vivo and thereby improve absorption and
as the electrostatic repulsion between particles of like bioavailability of KZ. The high value of binding efficiency
charges prevents the aggregation of particles34. The can be attributed to highly positive ζ potential, the
ζ potential of the drug loaded NPs was found to be bioadhesive nature of CS and the nano size of the NPs.
+48.1 mv indicating physical stability of the system. The Studies on isolated porcine gastric mucosa preparations
high positive ζ was attributed to the positively charged have shown that hydrated CS has a positive charge and
CS (due to protonation of its amino groups in acetic can adhere to negatively charged mucus gel layers. This
acid). ζ potential not only governs the stability of the ability could result in CS containing formulations being
lation showed that sustained release of KZ was obtained the real drug release characteristics through natural
from the NPs (Figure 2) due to the cross-linking between organs and tissues38. Hence, we designed ex vivo diffu-
amino groups of CS and the phosphate ions of TPP29. sion studies aimed at simulating actual in vivo condi-
Sustained drug release from mucoadhesive NPs is impor- tions wherein any ingested substance is subjected to
tant as it would allow for a prolonged residence time at average gastric emptying after 2 h.Thus, the stomach
the absorption window. Thus, 99.63 ± 1.23% of drug was contents were emptied after 2 h of starting the ex vivo
released from the drug solution while 80.36 ± 2.15% of diffusion studies. The data showed that 53.22 ± 2.19% of
drug was released from NPs by the end of 5 h. Although drug was released from plain drug solution at the end
the drug release from plain drug solution was more than of 2 h (Figure 3). However, when the stomach contents
90%, it should be noted that the plain drug formula- were emptied after 2 h, the drug release from plain drug
tion would leave the absorption window (i.e. stomach) solution stopped, indicating its complete removal from
at around 2 h because of gastric emptying and hence the stomach due to emptying. On the other hand, drug
the effective absorption would be much less than the release continued from the NPs formulation even after
observed data. On the other hand, the nanoparticulate emptying the contents after 2 h, with 78.37 ± 2.24% drug
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formulation will remain adhered to the gastric mucosa release at the end of 5 h. It can thus be concluded from
and will release the drug in controlled manner for a pro- this study that the NP formulation will remain adhered
longed period at the absorption window. Hence, we can to the absorption site i.e. stomach for a prolonged
hypothesize that the entire drug from NPs will be avail- period even after gastric emptying of the stomach
able for absorption at the absorption window and there- contents, and thereby improve the absorption and bio-
fore its bioavailability will be enhanced. Moreover, the availability of KZ. The data obtained from ex vivo drug
presence of the drug near its site of action (esophagus) release studies was fitted to Korsmeyer–Peppas model.
for a prolonged time is expected to improve its therapeu- The regression coefficient of the plot of log Mt/M∞ ver-
tic efficacy sus log t for NPs was found to be 0.9901, indicating a
Theoretically, the drug release from NPs may take good model fit. As expected due to the swelling and
place by several mechanisms including surface ero- erodible nature of CS, the nanoparticulate formulation
sion, disintegration, diffusion and desorption38. Hence exhibited a non-fickian diffusion mechanism as the
to understand the exact mechanism of release, the data value of release exponent n was found to be more than
obtained from in vitro drug release studies were fitted to 0.5 (n = 0.8401).
Korsmeyer–Peppas model. The regression coefficient of
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Declaration of interest 22. Yin Y, Chen D, Qiao M, Lu Z, Hu H. (2006). Preparation and
The authors report no conflict of interests. evaluation of lectin-conjugated PLGA nanoparticles for oral
delivery of thymopentin. J Control Release, 116:337–345.
23. Washington N, Washington C, Wilson, CG. (2003). Biological
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