β-Cyclodextrin and Its Derivatives Based Drug Delivery

 

Tapan Kumar Giri*,  Manish Desmukh, Animesh Jaiswal and Dulal Krishna Tripathi

Rungta College of Pharmaceutical Sciences and Research, Kohka Road, Kurud, Bhilai-491024, India.

 

 

ABSTRACT:

Cyclodextrins were first described by Villiers in 1891.  Schrodinger laid the foundation of the cyclodextrin chemistry in 1903 – 1911 and identified both a and b cyclodextrin. In the 1930 s, Freudenberg identified γ -cyclodextrin and suggested that larger cyclodextrins could exist. Cyclodextrins are cyclic oligosaccharides which have recently been recognized as useful pharmaceutical excipients. The molecular structure of these glucose derivatives, which approximates a truncated cone or torus, generates a hydrophilic exterior surface and a nonpolar cavity interior. As such, cyclodextrins can interact with appropriately sized molecules to result in the formation of inclusion complexes. These non covalent complexes offer a variety of physico-chemical advantages over the unmanipulated drugs including the possibility for increased water solubility and solution stability. The purpose of this review is to discuss and summarize some of the interesting findings and applications of b-cyclodextrins and its derivatives in different areas of drug delivery, particularly in protein and peptide drug delivery and gene delivery. The article highlights important cyclodextrin applications in the design of various novel delivery systems like liposome’s, microspheres and nanoparticles.

 

KEYWORDS: Complexation, solubility, colon specific, protein and peptide, gene delivery

 

INTRODUCTION:

Cyclodextrins are cyclic oligosaccharides with a hydrophilic outer surface and a lipophilic cavity in the center. They are able to form water soluble drug / cyclodextrin inclusion complexes of lipophilic water insoluble drugs. Although cyclodextrins are frequently regarded as a new group of pharmacentical excipients, they have been known for over 100 years1. The foundations of cyclodextrin chemistry were laid down in the first part of this century2, 3 and the first patents on cycldentrins and their complex was registered in 19534. However, until 1970 only small amounts of cyclodextrins could be produced and high production costs prevented their widespread usage in pharmacentical formulations.

 

Among the various cyclodextrins used, b - cyclodextrin (b-CD) has been widely used in the early stages of pharmaceutical applications because of its ready availability and cavity size suitable for the widest range of drugs. But the low aqueous solubility and nephrotoxicity limited the use of b-CD especially in parenteral drug delivery5. Recently, various kinds of cyclodextrin derivatives such as hydrophilic, hydrophobic and ionic derivatives have been developed to extend physico- chemical properties and inclusion capacity of natural cyclodextrins6-13. Hydrophilic cyclodextrins can modify the release rate of poorly water soluble drugs, which can be used for the enhancement of drug absorption across biological barriers, serving a potent drug carrier in the immediate release formulations. Amorphous cyclodextrins such as 2- hydroxypropyl - b - CD (HP-b - CD) are useful for inhibition of polymorphic transition and crystallization rates of  poorly water soluble drugs during storage, which can consequently maintain the higher  dissolution characteristics and oral bioavaolosiclity of the  drugs14-21.

 

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The delayed release formulation can be obtained by the use of enteric type cyclodextrins such as O – carboxymethyl – O –ethyl- b  cyclodentrin and their derivatives in different areas of drug delivery, particularly in parenteral,oral,ophthalmic, nasal, dermal, rectal, sublingual, pulmonary and other novel drug delivery systems are explained in detail.

 

CHARACTERISTICS OF β-CYCLODEXTRIN DERIVATIVES:

Among the compounds, hydrophilic cyclodextrins such as HP-β-CD, SBE-  b - CD, and branched b-CD have received special attention, because their toxicity is very low and aqueous solubility is very high, promising a parenteral use22-27. The glucuronylglucosyl - b - CD (GUG - b - CD) is a new entry of branched CD, which contains a carboxyl group in the branched maltosyl residue28. In fact, the hemolytic activity of GUG - b - CD on rabbit erythrocytes is lower than that b- CD. Table 1 Contains the pharmaceutically useful b- CD derivatives classified in to hydrophilic,hydrophobic and ionic derivatives.29-32

 

b-CYCLODEXTRIN EFFECTS ON IMPORTANT DRUG PROPERTIES IN FORMULATION:

1. Effect on drug solubility and dissolution:

The cydodextrin has been playing a very important role in formulation of poorly water soluble drugs by improving the apparent durg solubility and dissolution through inclusion complexation or solid dispersion. Out of various commercially available CDs, methylated CDs with a relatively low molar substitution appear to be the most powerful solubilizers. Reduction of drug crystallinity on complaxation or solid dispersion with CDs also contributes to the CD increased apparent drug solubility and dissolution rate33, 34. CDs, as a result of their ability to form in situ inclusion complaxes in dissolution medium, can enhance drug dissolution even when there is no complexation in the solid state35. SBE -b-CD was shown to be an excellent solubilizer for several drugs and was more effective than b - CD but not –as effective as DM- b-CD36.

 

2. Effect on drug bioavailability:

The cyclodextrin enhances the bioavailability of insoluble drugs by increasing its drug solubility, dissolution and drug permeability. This is achieved by making the drug available at the surface of the biological barrier, e.g., skin, mucosa, or the eye cornea, from where it partitions into the membrane without   disturbing the lipid layers of the barriers. At low RM- b-CD concentrations, when hydrocortisone was in suspension, increasing the CD concentration increased the drug flux. At higher CD concentrations, when the drug was in solution, increasing the CD concentration decreased the flux37. It was found that addition of polymers can further enhance the drug permeability from aqueous CD solutions. Carboxy methyl cellulose (CMC) enhanced triclosan bioavailability from toothpastes containing b- CD by forming a drug /CD/ CMC complex with improved substantivity38. CDs increased the bioavailability of lipophilic itraconazole from both an oral solution and an intravenous formulation by improving the drug solubility and absorption39.

 

3. Effect on drug safety:

Cyclodextrins have been used to ameliorate the irritation caused by drugs40. The increased drug efficacy and potency, caused by cyelodextrian increased drug solubility, may reduce drug toxicity by mixing the drug effective at lower doses. The studies shows that the b - CD enhanced antiviral activity of ganeclelovir on human cytomegalo virus clinical strains and the resultant increase in the drug potency has reduced the drug toxicity41. Inclusion complexation with HP-b- CD reduced the side effects of 2 ethyl- haxyl-P-dimethyl aminobenzoate (auvfilter) by limiting the interaction of the UV filter with skin42. In a study with patients, piroxicam / b - CD inclusion complex showed better tolerance with lower incidence and severity of gastrointestinal side effects compared with the fine drug43.

 

4. Effect on drug stability:

Cyclodextrins can improve the stability of several labile drugs against dehydration, hydrolysis, oxidation and photodecomposition and thus increase the shelf life of drugs. By providing a molecular shield, CD complaxation encapsulates labile drug molecules at the molecular level and thus insulates them against various degradation processes.  SBE - b-CD showed greater stability enhancement of many chemically unstable drugs than other CD36.

 

H-b-CD significantly reduced the photo degradation of 2 – ethyl hexyls p-dimethyl aminobenzoate in solution than in emulsion vehicle42, CDs improved the photostability of trimeprazine (when the solution pH is reduced)44 and promethazine45. Table 2 summarizes the different drugs that are marketed as β –cyclodextrene complexes.

 

β–CYCLODEXTRIN APPLICATION IN DRUG DELIVERY:

1. COLON SPECIFIC DRUG DELIVERY:

Colon targeting is essentially classified as a delayed release with fairly long lag time, because the time required reaching the colon after oral administration is expected to be about 8 hours in man. When a cyclodextrin complex is orally applied, it readily dissociates in the gastrointestinal fluid, depending on the magnitude of the stability constant. This indicates that cyclodextrin complex is not suitable for colon specific delivery as the drug is released, because of the dilution and competitive inclusion effects, before it reaches the colon. One of the advantages of the cyclodextrin drug conjugate is that it can survive passage through stomach and small intestine, but the drug release will be triggered by enzymatic degradation of cyclodextrines in the colon. Cyclodextrin conjugates of nonsteroidal anti –inflammatory drug, biphenylylacetic acid (BPAA)46-48 and ketoprofen49, a short – chain fatty acid, n – butylic acid50 and a steroidal drug, prednisolone51-54, anticipating new  candidates for colon – specific delivery prodrugs. The drug molecules were selectively conjugated on to the primary or secondary hydroxyl groups of cyclodextrins through an ester or an amide – linkage, respectively, and their physicochemical properties and drug release behavior in various solutions were investigated. The anti – inflammatory effect of BPAA system was evaluated using the model of carrageenam induced acute edema in  rat paw. In the case of BPAA / b-CD complex, a rapid anti inflammatory response was observed, compared to drug alone, because the drug was mainly absorbed from the small intestine after a fast dissolution of the complex. Complexation of triamcinolone actonide (TA) with b-CD improved the sphericity of microcrystalline cellulose (MCC) - b - CD-TA spherical pellets (5:90:5) prepared by extrusion and spheronization for colon targeting. TA complication with the CD also facilitated the application of coating resistant to gastric and small intestinal media and maintained the pellet integrity in dissolution medium with no premature bursting of coatings on granule swelling55.

 

2. DERMAL DRUG DELIVERY:

Cyclodextrins have a significant safety margin in dermal application and can be used to optimize the transdermal delivery of drugs intended either for local or systemic use. They also improves the solubility and stability of drugs in the topical preparations, enhances the transdermal absorption of drugs, sustains the drug release from the vehicle and avoids undesirable side effects associated with dermally applied drugs. The main barrier for dermal drug absorption through the skin is the outer most layer stratum corneum. Penetration enhancers like alcohols, fatty acids etc. are used to decrease its barrier properties. The cyclodextrins enhance drug delivery through aqueous diffusion barrier but not through lipophlic barriers like stratum corneum. Diffusion rate of ketoprofen from its b  - CD and HP – B – CD inclusion complexes was in the order of carbopol gel > oil / water emulsion > fatty ointment56. Hydrophilic cyclodextrins improve the release rate of lipophilic drugs from hydrophilic aqueous vehicle. Hydrophilic CDs markedly increased the in vitro release rate of corticosteroid from aqueous base but retard the same from non aqueous bases. Complexation with b  , DM - b  and HP-b  -CDs increased the release of 4- biphenyl acetic acid from hydrophilic ointment. b  and HP - b   - CDs significantly enhanced the anti-inflammatory effects of indomethacin  in hydroxyethyl  cellulose hydrogels in healthy volunteers57. Hydrophilic b and HP - b  - CDs enhanced the release of hydrocortisone from oil / water cream and hydro-gel but retarded the same from petrolatum vehicle or water/oil cream58. Complexation with cyclodextrins was suggested to be a rational way to improve physicochemical properties of drugs for transdermal delivery.  b  and HP - b  - CDs increased the skin permeability of dexamithasone and also improved its stability in skin by protecting it against skin metabolism59. HP - b  - CDs increased the amount of piroxicam transported through skin but pretreatment of skin with the CD showed no effect on drug retention in skin. Hence the cyclodextrin effect on the drug’s skin permeability was reported to be due to increased drug concentration in gel and not due to enhancement of drug iontophoretic flux60. Hydrophobic cyclodextrins can modulate drug release from vehicles. Nitroglycerin compilation with DE- b  - CD accelerated the drug release rate from ointments but the same with  b - CD retarted the drug release. Hence a combination of the drug complex with DE-β-CD and b-CD was suggested to obtain sustained release percutaneous preparations of the drug61.

 

3. RELEASE CONTROL OF WATER SOLUBLE DRUGS:

Cyclodextrins , due to their ability either to complex drugs or to act as functional carrier materials in pharmaceutical formulations, can serve as potential candidates for efficient and precise delivery of required amounts of drugs to targeted site for a necessary period of time . b - CD derivatives are classified as hydrophilic, hydrophobic and ionizable derivatives. The hydrophilic derivatives improve the aqueous solubility and dissolution rate of poorly soluble drugs, while the hydrophobic derivatives retard the dissolution rate of water soluble drugs from vehicles. Hence hydrophilic and hydrophobic cydodextrin derivatives are used in immediate and prolonged release type formulation respectively. Among the alkylated CDs , DE- b and TE-b-CDs were the first used slow release carriers and their hydrophobic complexes with diltiazem62 and isosoride  dinitrate63 provided slow drug release on oral administration in dogs. Quaglia et al64 reported that CDs can be used to modulate drug delivery from swellable systems, eg, b - CD significantly affected the delivery of nicardipine from swellable crosslinked  polyethylene glycol matrix by  decreasing  effective diffusivity through the matrix. Directly compressed  tablets containing prednisolone with SBE -b - CD and polymer physical mixture  showed more enhanced drug release than the control (with lactose instead of CD) due to formation of an in situ drug : CD complex in the gel layer65. To maintain a prolonged efficacy of nifedipine, some extent of initial burst before slow release is necessary to provide more balanced oral bio availability. On the basis of these goals, suitable formulation of double – layer tablets containing fast – release portion and slow release portion was surveyed66. In the fast release portion amorphous nifedipine power prepared by spray – drying with HP - b-CD and small amounts of non ionic surfactant HCO – 60 were employed to attain an initial rapid dissolution and to prevent the crystal growth during the storage. In the slow – release portion, hydroxy propylcellulose (HPC) with different viscosity grades were employed to provide an appropriate sustained release of  poorly water – soluble drug from the viscous matrices. The double layer tablet consisting of HP - b - CD with 3 % HCO – 60/ (HPC – low; HPC medium) in a weight ratio 1 / (1.5 : 1.5) was selected as an appropriate modified release formulation because it elicited almost comparable retarding effects with superior oral bio availability compared with those of a commercially available slow release nifedipine product66.

 

4. PARENTERAL DRUG DELIVERY:

Cyclodextrin derivatives such as amorphous HP - b and SBE - b- CD have been widely investigated for parenteral use  on account of their high aqueous solubility and minimal toxicity, HP - b - CD with much higher aqueous solubility allows potential administration of various drugs with no significant toxicity problems and hence is more often used in parenteral formulations. Kurkov et al67 evaluated in vitro the competitive binding of drugs between human serum albumin (HSA) and HP - b - CD in isotonic pH 7.4 phosphate buffer solution at ambient temperature. Protein binding of drugs that are both strongly protein bound and have high affinity to HP - b - CD is most likely to be affected by parentaly administered HP-β-CD. Weekly protein bound drugs and drugs with low affinity towards HP - b - CD are insensitive to the cyclodextrin presence regardless their lipophilic properties.

 


Table 1: List of b- cyclodextrin derivatives

Category

Cyclodextrin

Characteristics

Use

Hydrophilic derivatives

 

Methylated

-b - CD

DM- b -CD

TM -b -CD

Soluble in cold water and in organic solvents. Surface active, hemolytic.

Oral, dermal, mucosal

Hydroxyalkylated

b -CD

2-HE - b-CD

2-HP-b-CD

3-HP-b-CD

2,3 –DHP -b -CD

Amorphous mixture with different degrees of substitution  , highly water soluble (>50%), low toxicity.

Oral , dermal, Mucsal, parented (intravenous )

Branched  b-CD

G1-b-CD

G2- b-CD

Gll G -b-CD

Highly water soluble (>50%), low toxicity.

 

Oral, mucosal, parental  (intravenous)

 

Hydrophobic derivatives

 

 

Alkylated b-CD

DE-b-CD

TE- b-CD

Poorly water soluble  in organic solvents, surface active.

Oral , parentual (subcutaneous)

 (slow release )

Acylated  b-CD

TA- b -CD

TV -b -CD

Poorly water soluble, soluble in organic solvents, film formation.

Oral , dermal (slow release)

Ionizable derivatives

 

CME -b- CD

b- CD-Sulphate

SBE-β-CD

β –CD-phosphate

pKa = 3 to 4, soluble at  pH> 4, pKa>1, water soluble

Oral , dermal mucosal (delayed release)

Abbreviations : DM , 2,6 –di –O-methyl ; TM, per –O-methyl ; DMA, acetylated DM -b-CD; 2 HE, 2-hydroxyethyl ; 2HP, 2 hydroxy propyle ; 3HP , 3 hydroxy propyl;  2,3 –DHP, 2,3 dihydroxy propyl ; G1 , glycosyl ; G2, maltosyl ; Gll G, Glucuronyl  -glucosyl; DE, 2,6 – di –O-ethyl ; TE, per –O-ethyl;  CME,O- Carboxymethyl –o –ethyl ; TA , Per –o-acityl ; TV, per-O-Valeryl;  SBE, sulfobutyl ether ;  a)Mucosal : nasal , sublingual, ophthalmic, pulmonary,  rectal, vaginal , etc.

 

 


Applications of cyclodextrins in pareteral delivery are solubilization of drugs, reduction of drug irritation at the site of administration, and stabilization of drugs unstable in the aqueous environment. Singla et al discussed the use of cyclodextrins to enhance the solubility and stability of paclitaxel  in formulations and  mentioned that the approach needs further research to overcome the serious limitations of CD – based formulations68. An IM dosage form of ziprasidone merylate with targeted concentration of 20 to 40 mg / ml was developed by inclusion complexation of the drug with SBE - b - CD69 . Formation of a stable, water soluble dexamethasone complex with sugar branched b - CD, suggested the potential of these cyclodextrine as excellent carriers in steroidal injectable formulations70. Pun et al71  prepared transferring – modified nanoparticles containing DNAzymes (short catalytic single – stored DNA molecules) for tumor targeting as well as their bio distribution  using various methods of administration in the mouse. Linear, b - CD based polymers are complexes with DNAzyme molecules to form sub – 50 nm particles termed “polyplexes”. The transferring – polyplexes containing fluorescently labeled DNAzyme molecules are administered to tumor – bearing nude mice and their bio distribution and clearance kineties are monitored using a fluorescence imaging system. Four methods of administration are studied; intraperitoneal bolus and subcutaneous injections. Intravenous and intraperitoneal bolus injection result in the highest fluorescent signal at the tumor site.

 

5. OCULAR DRUG DELIVERY:

The possible advantages in ocular use of cyclodextrins are the increase in solubility, stability and avoidance of incompatibilities of drugs such as irritation and discomfort. One of the prerequisites for a new vehicle to be used in ophthalmic preparations is that it is non irritating to the ocular surface, because irritation causes reflex tearing and blinking, which results in a fast washout of the instilled drug. Hydrophilic cyclodextrines, especially 2HP-β and SBE-β-CDs, are shown to be nontoxic to the eye and are well tolerated in aqueous eye drop formulations.

 

Wu et al 72 prepared and evaluated carbapol/HPMC based in situ gelling ophthalmic system for puerarin. The effect of HP-β-CD on the aqueous solubility and in vitro corneal permeation of puerarin was investigated. The puerarin solubility increased linearly and proportionally to the HP-β-CD concentration and 5% (w/v) HP-β-CD enhanced its ocular permeability significantly.  Wang et al73 studied bioavailability and anti cataract effects of a topical ocular drug delivery system containing disulfirum(DSF) and HP-β-CD on selenite treated rats. The formation of DSF/ HP-β-CD inclusion and the addition of HPMC, as a penetration enhancer, played very important roles in increasing the ocular bioavailability of DSF. DSF eye drops , with a formulation of 1.26% (w/v) DSF/ HP-β-CD inclusion, 0.01%(w/v)HPMC, 0.005%(w/v) benzalkonium  chloride and 0.9%(w/v)sodium chloride, inhibited the onset of selenite induced cataracts effectively. Formulation with HP-β-CD, with and without HPMC, improved the bioavailability and mydriatic response of tropicamide by enhancing the drug’s ocular permeability, but reduced the ocular drug irritation probably by maintaining the pH in physiologic range74. HP-β-CD also enhance the permeability and miotic response of pilocarpine nitrate without damaging the rabbit corneal tissue75.


Table 2: b cydodextrin  containing pharmaceutical products

Cyclodextrin

Drug

Trade name

Dosage Form

b - cyclodentrin

Benexate Hcl

Lonmiel

Capsule

Cephalosporin

Meiact

Tablet

Dexamethasone

Glymesason

Ointment

Diphenhydramin Hcl

Stada – travel

Chewing tablet

Iodine

Mena Gargle

Solution

Nicotine

Nicogum

Sublingual tablet

Nimesulide

Nimedex

Tablet

Nitroghycerine

Nitropen

Sublingul tablet

Omeprazol

Omebeta

Tablet

2-Hydroxypropyl-b-cyclodentrin

Cisapride

Propulsid

Suppository

 

Itralonazole

Sporanox

Oral and IV solutions

 

Mitomycin

Mitozytrex

IV infusion

Methylated b- cyclodextrin

Chloramphenicol

Clorocil

Eye drop solution

 

17 b-estradiol

Aerodiol

Nasal spray

Sulfobutylether b- cyclodentrin

Voriconazole

Vfend

IV solution

 

Ziprasidone mesylate

Zeldox

IM solution

 


6. NASAL DRUG DELIVERY:

In order to enter systemic circulation the drug has to dissolve in the aqueous nasal fluids. In nasal formulations, cyclodextrines are normally used to increase the aqueous solubility of lipophillic drugs. Cho et al76 developed an intranasal delivery system of fexofenadine hydrochloride(FXD,HCl), a new formulation using poloxamer 407/ HP-β-CD based thermoreversible gels with chitosan to enhance permeation and solubility. After intranasal permeation of P407/ HP-β-CD based thermoreversible gels containing 0.1% and 0.3% of chitosan in rabbits at 0.5mg/kg dose, plasma concentration of FXD HCl were significantly higher than those of nasal solutions (P<0.05). In particular, the bioavailability of the optimized thermoreversible gel containing 0.3% chitosan was about 18 fold higher than that of the solution type. Rathnam et al77 investigated the nasal absorption of progesterone from carbapol based nasal gels in rabbits. The potential use of β-CD as nasal absorption enhancer by simple addition, as a physical mixture and as a complex with progesterone was investigated. Cyclodextrin complex promotes the nasal asorption of progestrone from carbapol gels as compared with gels where the cyclodextrin is added by simple addition and gels which do not contain cyclodextrin . Midazolam was absorbed rapidly when administered as an aqueous nasal spray (pH 4.3) containing SBE-β-CD (14%w/v), HPMC (0.1%w/v), and other additives78. Cyclodextrines can also be used to reduce the nasal toxicity of other enhancers without affecting their absorption enhancing property. β-CD or DM-β-CD reduced the serious nasal toxicity of sodium deoxycholate by inhibiting the leucine aminopeptidase activity in nasal mucosa without affecting the absorption enhancing property of the bile salt for insulin79.

 

Jug et al80 developed a cyclodextrin based nasal delivery system for lorazepam. The in vitro dissolution studies demonstrated that the microparticles containing the lorazepam inclusion complex displayed 1.8-2.5 times faster drug release compared with those containing free lorazepam.

 

7. RECTAL DRUG DELIVERY:

The release of drug from suppository bases is one of the important factors in the rectal absorption of the drugs, since the rectal fluid is small in volume and viscous compared to gastro intestinal fluid. Drug release from the suppository base is important in rectal absorption because of the high viscosity of rectal fluids. The effect of cyclodextrins on rectal drug absorption can be influenced by partition coefficient of the drug and its CD complex, magnitude of the complex stability constant, and nature of suppository base.

 

In general, hydrophilic cyclodextrins enhances the release of poorly water soluble drugs from oleaginous suppository bases because of the lesser interaction of the complexes with the vehicles. The complexation of lipophillic drugs with hydrophilic cycldextrins make them insoluble in hydrophobic vehicles, the complex existing as well-dispersed fine particles in the vehicles. Rectal absorption of flurbiprofen and biphenyl acetic acid was improved DM-β-CD and HP-β-CD, respectively. Cyclodextrins may not affect drug release if the drug/CD complex dissociates in the vehicle itself. For example, although the dissociation rate of ethyl 4-phenylyl acetate (EBA) was highest from the DM-β-CD complex, only the HP-β-CD complex enhanced EBA release from the oleaginous suppository base because of lower dissolution of the HP-β-CD complex in the vehicle.

 

8. PEPTIDE AND PROTEIN DELIVERY:

Advances in biotechnology have allowed the economical and large scale production of therapeutically important peptide and protein drugs to be used to combat poorly controlled diseases. The rapid progress in molecular biology however has not been matched by the progress in the formulation and development of delivery systems for such next generation drugs. Many attempts have addressed these problems by chemical modifications or by co-administration of adjuncts to eliminate undesirable properties of peptide and protein drugs such as chemical and enzymatic instability, poor absorption through biological membranes, rapid plasma clearance, and immunogenicity. Cyclodextrins, because of their bioadaptibility in pharmaceutical use and ability to interact with cellular membranes, can act as potential carriers for the delivery of proteins, peptides, and oligonucleotide drugs.

 

Schulze et al81developed lipid based implants for proteins by twin screw extrusion as a manufacturing strategy. Using lipid blends of low and high melting lipids, extrusion could be performed at moderate temperatures. In addition to the lipids, the implant systems contained 10% rh-interferon alpha-2a (2 FN-alpha) co-lyophilized with HP-β-CD, and 10% or 20% PEG, respectively. Interestingly, extrudates with a smaller diameter revealed a continuous release profile with a burst, lags and linear release phase lasting over 13 to 26 days.

 

Chen et al82 investigated the use of chitosan in combination with the ionic additives sulfobutyl-ether-7-beta-cyclodextrin (SB-CD) or SB-CD/dextran sulfate(SB-CD/DS) mixture in comparision with chitosan: DS in the formulation of nanoparticles incorporating the hexapeptide dalagin. The use of either DS or SB-CD/DS mixture produced chitosan nanoparticles with small particle size high dalagin entrapment efficiency, enhanced peptide stability, and sustained release characterstics. Sajeesh et al83 developed an oral insulin delivery system based on HP-β-CD-insulin complex encapsulated polymethacrylic acid-chitosan-polyether nanoparticles. Cyclodextrin complexed insulin encapsulated mucoadhesive nanoparticles appear to be a good candidate for oral insulin delivery.

 

DM-β-CD (5%) enhanced the intranasal calcitonin absorption in rats and rabbits. In rabbits the intranasal absorption was comparable to intravenous or subcutaneous calcitonin absorption. In rabbits, a nasal spray of liquid and powder formulation of glucagons containing DM-β-CD provided improved bioavailability (78%) of glucagons compared with their subcutaneous administration. The absolute bioavailability of insulin in rats was also increased to ~100% on nasal administration with DM-β-CD (3-5%)84. β-CD or DM-β-CD reduce the serious nasal toxicity of sodium deoxycholate (a bile salt) by inhibiting the leucine aminopeptidase activity in the nasal mucosa without affecting the absorption enhancing property of the bile salt for insulin79. β-CD improved insulin loading of alginate microspheres prepared by an emulsion based process. The process was suggested to be useful in the development of oral insulin from optimized microsphers was found to take place from the GI region85.

 

9. GENE DELIVERY:

Gene therapy requires carriers that can efficiently and safely transfer the gene into the nucleus of the desired cells. There are two categories of gene therapy vectors, i.e., viral vectors and non viral vectors. The non viral vectors have many advantages over viral vectors, such as easy of manufacture, safety, low immunogenicity, and molecular attachment of targeting ligand86. However the problem is that the efficiency of non viral vector mediated gene transfer to the cell is markedly low compared to the viral vectors.

 

Bellocq et al87prepared new synthetic biocompatible materials that deliver a protein to cultured cells via the use of an adenoviral delivery vector. The synthetic construct consist of a linear, β-CD containing polymer and an ademantane-based cross linking polymer. When the two polymers are combined, they create an extended network by the formation of inclusion complexes between the cyclodextrins and adamantanes. Fibroblast imposed to these construct show proliferation rates and migration patterns similar to those obtained with collagen. Gene delivery (green fluorescent protein) to fibroblasts via the inclusion of adenoviral vectors in the synthetic construct is equivalent to levels observed with collagen. Pun et al88 prepared CD-IPEI and CD-bPEI by grafting linear and branched poly (ethyleneimines), IPEI and bPEI, with β-CD. The cyclodextrin containing polycations, when combined with adamantine- poly (ethylene glycol) (AD-PEG) conjugates, form particle that are stable at physiological salt concentrations. Tail vein injections into mice of 120 microgram of plasmid DNA formulated with CD-IPEI and AD-PEG do not reveal observable toxicities, and both nucleic acid accumulation and expression are observed in liver. Neutral and amphiphilic as well as cationic CDs have been used for synthesis of novel gene delivery vectors. Neutral CDs like β, DMβ, and HP-β-CDs were reported to increase DNA cellular uptake by increasing its permeability. The increased DNA permeability was reported to be a result of interaction of the CDs with membrane components such as cholesterol but not due to their complexing ability for DNA. Cationic polyamino CDs, because of their polycationic polyanionic interaction with mononeucleotides, neutralized the multiple changes on DNA and thus made DNA compact into a particle of suitable size for cellular internalization.

 

10. LIPOSOMES DELIVERY:

The main purpose of liposomal drug delivery is to combine the advantages of cyclodextrin such as increased drug solubility with the advantages of liposome such as drug targeting. Liposomes entrap hydrophilic drugs in the aqueous phase and hydrophobic drugs in the lipid bilayers and retain drugs enroute to their destination. Bragagni et al89studied the effect of complexation with HP-β-CD anesthetic efficacy of liposomal formulation of prilocaine. Cyclodextrin complexation not only allowed an efficient encapsulation of prilocaine base in the aqueous vesicle core, but also increased the anesthetic effect duration and reduced the initial lag time, in comparison with the corresponding formulations containing respectively, free prilocaine in the lipophilic phase or prilocaine hydrochloride in the aqueous vesicle core. The technique of double loading was the most effective, giving rise to the shortest onset time and longest duration of anesthetic effect. Chakraborty et al90 evaluated therapeutic and hemolytic effects of liposomal preparation derived from prolipasome entrappig inclusion complex of amphotericin B (Am B) with the chemically modified β-CD. The liposomal Am B-HPβCD and      Am B-SBβCD found to be 6 times less toxic than free Am B or conventional liposomal Am B. Experimental findings indicate that infected animals treated with Am B entrapped inclusion complexes significantly reduced CFU values (fungal counts), where as infected with conventional liposome or free Am B showed insignificant reduction in CFU. Liposomal entrapment can also alter the pharmaceutics of inclusion complexes. Liposomal entrapment drastically reduced the urinary loss of HP-β-CD/ drug complexes but augmented the uptake of the complexes by liver and spleen, where after liposomal disintegration in tissues, drugs were metabolized at rates dependent on the stability of the complexes91,92. Selection of CD can also have significant effect on the amount of drug associated with vesicles than β-CD. However, HP-β-CD, as  a result of its ability to get entrapped in high amounts in the vesicles, also showed a higher velocity of destabilizing effect on vesicles than β-CD93. Complexation with CDs can improve the stability of liposomes, eg most stable liposomal formulations of metronidazole and verapamil were obtained by direct spray drying of lipid, drug and HP- β-CD mixture94.

11. MICROSPHERE DELIVERY SYSTEMS:

The role of cyclodextrins in microsphere preparation was first studied by Loftsson95. Nifedipine release from chitosan microsphere was showed down a complexation with HP- β-CD inspite of the improved drug loading efficiency. Since it is highly unlikely for CD molecules to diffuse out of the microspheres, even with a low stability constant, the complex must first release the free drug that can permeate out of the microspheres. Hence the observed slow nifedipine release from the microspheres was reported to be due to lesser drug availability from the complex and also due to formation of hydrophilic chitosan/ CD matrix layer around the lipophilic drug that further decreases the drug matrix permeability96. Maestrelli et al97 prepared microspheres for colonic delivery of ketoprofen- HP- β-CD complex. Permeation studies showed an increased permeation of the drug formulated as microspheres, particularly marked when it was used as complex, thus revealing an enhancing power of both cyclodextrin and chitosan with a synergistic effect in improving drug permeation. Study of in vivo release behavior of β-CD from β-CD/ polyacrylic acid (PAA) microspheres, prepared by a water/ oil solvent evaporation technique, indicated a high encapsulating efficiency (99%) with potential covalent binding of the CD98.

 

12. NANOPARTICLES DELIVERY SYSTEMS:

Nanoparticles are considered more stable than liposomal delivery systems. Nanoparticles are stable systems suitable to provide targeted drug delivery and to enhance the efficacy and bioavailability of poorly soluble drugs. However the safety and efficacy of nanoparticles are limited by their very low drug loading and limited entrapment efficiency that may lead to excessive administration of polymeric material. Cyclodextrins are used for this reason to improve water solubility and sometimes the hydrolytic or photolytic stability of drugs for better loading properties. Drug/ cyclodextrin complexes act to solubilize or stabilize active ingredients within the nanoparticles, resulting in increased drug concentration in the polymerization medium and increased hydrophobic sites in the nanosphere structure when large amount of CD are associated to the nanoparticles. Addition of steroid drugs, hydrocortisone (HC), and progesterone (PN) as β-CD or HP- β-CD complexes maintained the sizes of solid lipid nanoparticles (SLN) below 100 nm with the steroids dispersed in an amorphous state . Cyclodextrin complexation increased the incorporation of the more hydrophilic drug, HC than PN but provided lower release of both the drugs from SLN compared with the release from SLN containing the free drugs. It was suggested that the process of incorporating drugs partly in free form and partly in the complexed form may be used to modulate release kinetics of drugs from SLN99.

 

CONCLUSION:

Cyclodextrins, as a result of their complexation ability and other versatile characteristics, are containing to have different applications in different areas of drug delivery and pharmaceutical industry. In the beginning cyclodextrins were used to enhance water solubility and chemical stability of drugs and these functionalities were related to their ability to form drug/cyclodextrin inclusion complexes. However, in recent year’s cyclodextrin have been shown to participate in various types of non-inclusion complexes with, for example, organic salts and water soluble polymers. Moreover, the most desirable attribute for the drug carrier is its ability to deliver a drug to a targeted site. The conjugates of a drug with cyclodextrins can be a versatile means if constructing a new class of novel drug delivery systems like liposome, microsphere, peptide delivery and gene delivery.

 

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Received on 21.12.2010

Accepted on 25.12.2010        

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Research Journal of Pharmaceutical Dosage Forms and Technology. 2(6): Nov.-Dec. 2010, 361-369