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Pharmacy Practice Adeel Ahmad With References
Pharmacy Practice Adeel Ahmad With References
Pharmacy Practice Adeel Ahmad With References
Abstract
Objective : Brain malignancies continue to present a challenging prognosis,
primarily due to their distinct characteristics that impose limitations on aggressive
multimodal therapeutic strategies. Achieving optimal intratumoral drug delivery is a
key objective in brain tumor therapeutic approaches, aiming to attain effective
concentrations while mitigating systemic undesired toxicity. The development of
various passive and active drug delivery carriers has enabled enhanced control over
drug distribution, metabolism, and elimination post parenteral administration. This
review will delineate the general attributes and assess the effectiveness of Solid
Lipid Nanoparticles (SLN) as carriers for diverse drugs in experimental brain
malignant tumor therapy.
Methods : SLN carrying various types of antineoplastic agents, including
conventional cytotoxic drugs like doxorubicin and paclitaxel, the prodrug
Cholesteryl butyrate, and antisense oligonucleotides targeting anti-VEGF, have
undergone testing in experimental animal models of cerebral gliomas.
Conclusion : Solid Lipid Nanoparticles (SLN) have exhibited notable success in
facilitating the transportation of diverse cytotoxic and gene therapeutic agents
across the Blood-Brain Barrier (BBB). The Blood-Brain Barrier typically poses a
significant challenge for the delivery of therapeutic agents to the brain due to its
selective permeability. However, SLNs have proven their efficacy in overcoming this
barrier.
Inroduction
Brain tumors encompass a diverse group of neoplasms that originate within the
brain or its surrounding structures. These tumors can be classified as either benign
or malignant, with the latter category posing a more significant threat due to their
aggressive nature. The challenges associated with the treatment of brain tumors
are multifaceted and contribute to the often poor prognosis associated with these
conditions. One primary challenge lies in the intricate and sensitive nature of the
brain itself. The brain is a highly organized and vital organ, making surgical
interventions complex and often limited by the potential for damage to healthy
neural tissue. Additionally, the Blood-Brain Barrier (BBB), a protective barrier that
regulates the passage of substances from the bloodstream into the brain, can
impede the delivery of therapeutic agents. Furthermore, the heterogeneity of brain
tumors adds complexity to treatment strategies. Different types of brain tumors
exhibit varied molecular profiles and responses to treatment, necessitating
personalized and targeted therapeutic approaches. The infiltrative nature of certain
tumors, such as gliomas, makes complete surgical removal challenging,
contributing to the likelihood of tumor recurrence.[1-3].
Solid Lipid Nanoparticles (SLNs) serve as a carrier system for poorly water-soluble
drugs and cosmetic active substances. Nanoparticles, colloidal particles within the
size range of 10 to 1000 nm, are incorporated from both synthetic and natural
polymers. These nanoparticles are adept at enhancing drug delivery, utilizing
tailored carriers to reduce toxicity associated with drug formulations.[4]
Solid Lipid Nanoparticles (SLNs) stand out as a promising solution in drug delivery,
particularly for challenging applications like brain tumor therapy. Composed of
biocompatible lipids in a solid state, SLNs offer stability, versatility, and efficient
drug transport. Their nanoscale size enables them to overcome the Blood-Brain
Barrier, enhancing drug delivery to the brain. Tailorable for controlled release, SLNs
show great potential in optimizing therapeutic outcomes with minimized side
effects. In summary, SLNs present a cutting-edge platform for drug delivery, holding
promise for targeted and effective treatments in brain tumor therapy.[5]
The capacity of a specific substance to traverse the Blood-Brain Barrier (BBB) and
gain entry into the brain is contingent upon various factors:
These include:
1.Enhanced retention in the brain–blood capillaries, with an adsorption on to
the capillary walls, resulting in a high concentration gradient across the BBB.
2. Opening of tight junctions due to the presence of nanoparticles.
3. Transcytosis of nanoparticles through the endothelium.
2. Opening of tight junctions due to the presence of nanoparticles.
3. Transcytosis of nanoparticles through the endothelium.
Furthermore, coating of these polymeric nanoparticles with polysorbate has
been reported to improve the brain bioavailability [15,35]. Some of the proposed
mechanisms by which the polysorbate coating is effective, include.
1.Surfactant Effects: Polysorbate's surfactant properties leading to the
solubilization of endothelial cell membrane lipids and membrane fluidization.
2. Facilitated Endocytosis: Improved interaction with Blood-Brain Barrier (BBB)
endothelial cells, promoting endocytosis of polymeric nanoparticles.
3. Efflux System Inhibition: Notably targeting P-glycoprotein (P-gp) to inhibit efflux
mechanisms.
Figure 1: table 1
The RES-mediated detection and clearance process by the liver involves Mononuclear
Phagocyte System (MPS) cells. Opsonins, including complement proteins,
apolipoproteins, fibronectin, and Immunoglobulins (Igs), interact with specific
membrane receptors on monocytes and tissue macrophages, leading to recognition and
phagocytosis. Hydrophobic surfaces generally promote protein adsorption, and negative
surfaces activate the complement system and coagulation factors.
Shielding the hydrophobic character of nanoparticles is crucial for stearic stabilization.
This shielding creates a dense conformational cloud, reducing opsonization and
phagocytosis, as well as uptake by neutrophilic granulocytes. Consequently, this process
increases blood circulation time, enhancing bioavailability . Coating with polyethylene
glycol (PEG), a polymer of hydrophilic nature showed promising results. PEG has high
hydrophilicity, chain flexibility, electrical neutrality and lack of functional groups,
preventing it from interacting unnecessarily with the biological components. It has been
suggested that the PEG's with a molecular weight between 2000 to 5000 are necessary
to suppress plasma protein adsorption; further it has been observed that the thicker the
coat, the slower the clearance, and hence a better protection against liver uptake .
Enlarging the molecule/particle slows down kidney ultrafiltration and, thereby allowing
better accumulation into the brain and other permeable tissues by the passive enhanced
permeation and retention mechanism. It also provides protein shielding which reduces
proteolysis within the serum and tissues, and hinders immune surveillance of surface
epitopes. Pegylation improves the pharmacokinetic profile of molecules by reducing
opsonization, phagocytosis and clearance by the liver and reticulaoendothelial system.
Other hydrophilic molecules which have been tried are Brij 78, Poloxamer F68 and Brij
68. Cavalli et al. found that parenteral administration of nanoparticles of paclitaxel was
more bioavailable than an i.v. injection of the plain drug ., polysorbates are investigated
to have the highest potential to deliver the solid lipid nanoparticles to the brain[38].
Utilizing Ligands: Ligands or homing devices that specifically bind to surface epitopes
or receptors on the target sites can be coupled to the surface of long-circulating carriers.
Certain cancer cells overexpress receptors such as folic acid, LDL, and peptide receptors.
Attaching suitable ligands for these receptors onto nanoparticles enhances their
selectivity [63,64].
Allen et al. hypothesized that the presence of specific ligands on nanoparticles could
increase their retention at the BBB, leading to a higher nanoparticle concentration at the
BBB surface. However, they encountered challenges, including insufficient ligand coating
and a preference for ligand binding to blood thiamine transporters [].
Thole et al. reported improved interaction with brain endothelial cells and higher
intracellular accumulation of stearically stabilized colloidal particles coupled to
cationized albumin compared to bovine serum albumin [66]. Intact antibodies have also
been used as highly specific targeting agents, acting as Trojan horses for delivering
nanoparticles across the BBB. Peptidomimetic antibodies binding to BBB transcytosis
receptors are proposed for brain-targeted pegylated immunonanoparticles [38].
The use of nanoparticulate drug carriers combined with novel targeting principles, such
as "differential protein adsorption (Path Finder Technology)," has been explored. This
technology exploits blood proteins adsorbing onto the carriers' surface for targeting,
with Apolipoprotein E being a targeting moiety for delivering particles to the BBB
endothelials. These approaches could potentially enhance the brain targeting of SLNs
[2].
Figure 2: Fig. 1. Uncoated SLNs, SLN coated with hydrophilic polymers like polysorbates, SLN coated with
both hydrophilic polymer (like P.E.G.) and a specificuptake linker monoclonal antibodies/thiamine/glucose.
Available SLNs in general circulation immediately after oral administration. SLNs left after 1stmetabolism.
SLNs left after encounter with another RES organ “spleen”. Final S.L.N's made available to the CNS after
passing BBB. This figure shows the fate ofdifferent types of SLNs after oral administration. The SLN can bypass
the RES removal because of their small particle size, moreover their RES detection could befurther decreased
by providing a hydrophilic coat e.g. polysorbates, PEG, Poloxamer F 68, Brig 78. This will result in an
increased circulation time and thus higherchances to be taken up by the target organ. The nanoparticles
statistically keep on circulating until the hydrophilic coating is dissolved; when they are either removedby the
liver or are taken up by the target organ. The hydrophilic coating prevents their interaction with the blood
plasma proteins (opsonins) and thus with themembranes of macrophages. The binding of SLNs to the target site
e.g. the brain can be improved by placing certain ligands e.g. thiamine on to their surface, thesethiamine
ligands could bind to the thiamine receptors and gain access to the brain by receptor mediated transcytosis
Methods of preparation of solid lipid nanoparticles[39-42]
Types of HPH:
Techniques:
Ultrasonication: Involves the use of a probe sonicator or bath sonicator. This method
contributes to the reduction of shear stress, aiding in the achievement of smaller particle
sizes. However, potential drawbacks include the risk of metal contamination and physical
instability over time.
Combined Approach:
- The combination of ultrasonication and high-speed homogenization proves
beneficial for obtaining optimal particle sizes while mitigating shear stress. However,
it's essential to be mindful of potential challenges such as metal contamination and
physical instability, especially particle growth during storage.
The particles with average diameters of 30-100 nm can be obtained by this technique.
Voidance of heat during the preparation is the most important advantage of this technique.
In this technique lipid is, are generally dissolved in the organic phase in water bath at50
°C and used an acidic aqueous phase in order to adjust the zeta potential to form
coacervation of SLN, and then easy separation by centrifugation. The SLN
suspension was quickly produced. The entire dispersed system can then be
centrifuged and re- suspended in distilled water.
The process unfolds by dispersing the hot microemulsion into cold water (2-3°C)
under continuous stirring. The volume ratios between the hot microemulsion and cold
water typically range from 1:25 to 1:50. Crucially, the composition of the
microemulsion significantly influences the dilution process. Existing literature
suggests that the microemulsion already contains the droplet structure, obviating the
need for additional energy to achieve submicron particle sizes.
Gasco's approach draws parallels with Fessi's method, which involved producing
polymer particles by diluting polymer solutions in water. De Labouret et al. highlighted
the critical role of the velocity of distribution processes in determining particle size.
Notably, nanoparticles were successfully produced using solvents that rapidly distributed
into the aqueous phase (like acetone), while larger particle sizes resulted from more
lipophilic solvents.[41]
7. Precipitation technique
This innovative method for Solid Lipid Nanoparticle (SLN) preparation offers several
advantages compared to other production techniques. Notably, it avoids the use of
pharmacologically acceptable organic solvents, making it a more environmentally
friendly option. The process is characterized by easy handling and rapid production,
eliminating the need for technically sophisticated equipment.
The present study investigates a new process for the preparation of SLN using a
membrane contactor, to allow large scale production. A schematic drawing of the process
is shown in Fig. 3. The lipid phase is pressed, at a temperature above the melting point of
the lipid, through the membrane pores allowing the formation of small droplets. The
aqueous phase circulates inside the membrane module, and sweeps away the droplets
forming at the pore outlets. SLN are formed by the following cooling of the preparation
to room temperature. The influence of process parameters (aqueous phase and lipid phase
temperatures, aqueous phase cross-flow velocity and lipid phase pressure, membrane
pore size) on the SLN size and on the lipid phase flux is investigated. Also, vitamin E
loaded SLN are prepared, and their stability is demonstrated .
Sterlisation
Lyophilisation
Lyophilization is a promising way to increase the chemical and physical stability over
extended periods of time. Lyophilization had been required to achieve long term
stability for a product containing hydrolysable drugs or a suitable product for per -oral
administration. Transformation into the solid state would prevent the Oswald ripening
and avoid hydrolytic reactions. In case of freeze drying of the product, all the lipid
matrices used, form larger solid lipid nanoparticles with a wider size distribution due to
presence of aggregates between the nanoparticles. The conditions of the freeze drying
process and the removal of water promote the aggregation among SLNs. An adequate
amount of cryoprotectant can protect the aggregation of solid lipid nanoparticles during
the freeze drying process .
Spray drying
In vitro and ex vivo methods for the assessment of drug release from SLN .
A large number of drugs including very hydrophilic molecules have been postulated to
be incorporated into SLN.
Various methods used to study the in vitro release of the drug are:
• Side by side diffusion cells with artificial or biological membrane20.
• Dialysis bag diffusion technique.
• Reverse dialysis bag technique .
• Agitation followed by ultracentrifugation or centrifugal ultra filtration.
Dialysis tubing
In vitro drug release could be achieved using dialysis tubing. The solid lipid nanoparticle
dispersion is placed in pre - washed dialysis tubing which can be hermetically sealed.
The dialysis sac then dialyzed against a suitable dissolution medium at room
temperature; the samples are withdrawn from the dissolution medium at suitable
intervals, centrifuged and analyzed for the drug content using a suitable analytical
method.
Reverse dialysis
In this technique a number of small dialysis sacs containing 1 mL of dissolution
medium are placed in SLN dispersion. The SLN’s are then displaced into the medium.
Ex Vivo Model for Assessing Antitumor Drug Permeability Across the Blood-
Brain Barrier (BBB):[48]
Tissue Source:
- Obtain fresh rodent brain tissue.
- Ensure ethical compliance.
Drug Application:
- Apply antitumor drugs to brain tissue slices.
- Maintain physiological conditions.
Permeability Measurement:
- Calculate permeability coefficients.
- Assess drug penetration kinetics.
-Data Interpretation:
- Analyze data for permeability characteristics.
- Consider drug properties and tissue factors.
-Optimization:
- Adjust parameters for improved relevance.
- Optimize drug concentration and exposure time.
Actual Study:
Assessing the BBB permeability of [Antitumor Drug X] in rodent brain tissue slices
to understand its potential for treating brain tumors.[48]
Particle Size:
Particle size analysis is crucial for assessing the efficacy and stability of Solid Lipid
Nanoparticles (SLNs). Techniques such as Dynamic Light Scattering (DLS) are
commonly employed for determining the average size and size distribution of SLNs in
a colloidal suspension. DLS measures the Brownian motion of particles in a solution,
providing information on their hydrodynamic diameter[37].
Molecular Weight:
The molecular weight of SLNs can be determined through various methods, and Gel
Permeation Chromatography (GPC) is frequently used in this context. GPC separates
and analyzes particles based on their size and molecular weight, offering insights into the
distribution of molecular sizes within the SLN formulation.[43]
Surface element analysis is essential for understanding the composition and chemistry of
the outer layer of SLNs. Techniques like X-ray Photoelectron Spectroscopy (XPS) can
be employed to analyze the elemental composition of the SLN surface. XPS provides
information on the elements present on the nanoparticle surface and their respective
concentrations.[44]
Density:
Density, a critical parameter for SLN characterization, can be determined using
techniques like the Archimedes' principle. Archimedes' principle involves measuring the
buoyant force experienced by SLNs immersed in a fluid, allowing for the calculation of
their density. This information contributes to a comprehensive understanding of the SLN
formulation.[46]
Molecular Analysis:
For molecular analysis of SLNs, techniques such as Nuclear Magnetic Resonance (NMR)
spectroscopy can be employed. NMR provides insights into the molecular structure,
allowing researchers to verify the composition of lipid components within the
nanoparticles. This analysis aids in confirming the integrity of the lipid matrix
and assessing any potential interactions or modifications.
Conclusions:
Solid Lipid Nanoparticles (SLNs) present a promising and innovative approach for
delivering molecules to the brain, potentially addressing challenges related to solubility,
permeability, and toxicity of certain drug molecules. This method offers advantages over
conventional invasive brain drug delivery approaches. The high physical stability of
SLNs adds to their appeal.
Unlike polymeric micro or nanoparticles, which face limitations due to cytotoxicity and
lack of large-scale production methods, SLNs utilize solid lipids known from oral drug
delivery. The simplicity and cost-effectiveness of large-scale production using techniques
like high-pressure homogenization or microemulsion contribute to the widespread
adoption of SLNs by the pharmaceutical industry, as seen with companies like Skye
Pharma and Vector Pharma AG.
SLNs accommodate both lipophilic and hydrophilic molecules, supporting various
administration routes, making them a versatile delivery system. This technology is
expected to revolutionize drug delivery, encompassing analgesics, antitubercular,
anticancer, antiaging, antianxiety, neuroleptics, antibiotics, and antiviral agents into
the brain.
Although our understanding of the molecular biology and genomics of the Blood-Brain
Barrier (BBB) is evolving, there's a need to complete the knowledge base on carrier
and receptor-mediated transport systems at the BBB. This information is crucial for
developing targeted brain drug delivery strategies. Formulating neuroactive drugs into
SLNs is anticipated to enhance their pharmacokinetic profiles, allowing for increased
concentrations in the brain. Further modifications like pegylation may be necessary to
optimize CNS delivery of therapeutics. The continuous exploration of these
advancements is vital for the future of effective brain drug delivery.
References