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.
.
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.
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 glucuronyl
– glucosyl - 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
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.
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.
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.
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.
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.
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.
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 |
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.
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.
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.
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.
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.
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.
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.
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.
1.
Villiers A. Sur la
fermentation de la fécule par l'action
du ferment butyriqué. CR. Hebd
Seances Acad Sci. 1891;
112: 536-538.
2.
Schardinger FZ. Unters Nahf Genussm. 1903; 6: 865-880.
3.
Schardinger FZ. Wien Klin Wochenschr. 1903; 16: 486-474.
4.
Freudenberg K,
Cramer F, Plieninger H. Inclusion compounds of
physiologically active organic compounds. German Patent No. 895, 769, 1953.
5.
Szejtli J. Cyclodextrin in drug
formulations: Part I. Pharm Technol
Int. 1991; 3: 15-23.
6.
Szejtli J. “Cyclodextrin
Technology,” Kluwer, Dordrecht, The
Netherlands, 1988.
7.
Duchêne D. “Cyclodextrins and Their
Industrial Uses,” Editions de Santé, Paris, 1987.
8.
Duchêne D. “New Trends in Cyclodextrins
and Derivatives,” Editions de Santé, Paris, 1991.
9.
Szycher M. “High Performance Biomaterials, A Comprehensive
Guide to Medical and Pharmaceutical Applications,” Technomic
Publishing Co. Inc., Lancaster, PA, 1991.
10. Atwood J L, Davies J E D, MacNicol
D D, Vogtle F.
“Comprehensive Supramolecules Chemistry,” Vol. 3, Pergamon, Oxford, U.K., 1993.
11. Frömming KH., Szejtli
J. “Cyclodextrins in Pharmacy,” Kluwer,
Dordrecht, The Netherlands, 1994.
12. Saenger W. Cyclodextrin Inclusion
Compounds in Research and Industry. Angew Chem Int Ed Engl.1980; 19: 344-362.
13. Uekama K. Pharmaceutical applications of cyclodextrin
complexation. Yakugaku Zasshi.1981; 101: 857-873.
14. Pitha J, Pitha J. Amorphous water-soluble
derivatives of cyclodextrins: nontoxic dissolution
enhancing excipients. J. Pharm. Sci. 1985; 74:
987-990.
15. Müller B W, Brauns U. Solubilization of drugs by modified beta-cyclodextrins .Int J Pharm. 1985;
26: 77-88.
16. Yoshida A, Arima H, Uekama K, Pitha J. Pharmaceutical
evaluation of hydroxyalkyl ethers of β-cyclodextrins. Int J Pharm. 1988;
46: 217-222.
17. Yoshida A, Yamamoto M, Irie
T, Hirayama F, Uekama K. Some pharmaceutical
properties of 3-hydroxypropyl and 2,3-dihydroxypropyl
β-CD, and their solubilizing and stabilizing
abilities. Chem Pharm Bull.
1989; 37: 1059-1063.
18. Brewster M E, Simpkins J W, Hora
M S, Stern W C, Bodor N. The potential use of cyclodextrins in parenteral
formulations. J Parent Sci Technol.1989; 43: 231-240.
19. Uekama K, Ikegami K, Wang Z,
Hirayama F. Inhibitory effect of 2-hydroxypropyl-β-cyclodextrin on
crystal-growth of nifedipine during storage: superior
dissolution and oral bioavailability compared with polyvinylpyrrolidone
K-30. J Pharm Pharmacol.
1992; 44: 73-78.
20. Hirayama F, Usami M, Kimura
K, Uekama K. Crystallization and polymorphic
transition behavior of chloramphemicol palmitate in 2-hydroxypropyl-β-cyclodextrin matrix. Eur J Pharm Biopharm
1997; 5: 23-30.
21. Kimura K, Hirayama F, Arima
H, Uekama K. Nuclear Magnetic Resonance Spectroscopic
Study on Amorphous Solid Complexes of Tolbutamide
with 2-Hydroxypropyl-α and β-Cyclodextrins.
Pharm Res. 1999; 16:1729-1734.
22. Matsubara K, Ando Y, Irie T, Uekama K. Protection afforded by maltosyl-beta-cyclodextrin against alpha-chymotrypsin-catalyzed
hydrolysis of a luteinizing hormone-releasing hormone agonist, buserelin acetate. Pharm Res.
1997; 14: 1401-1405.
23. Tokihiro K, Irie T, Uekama K. Varying effects of cyclodextrin
derivatives on aggregation and thermal behavior of insulin in aqueous solution.
Chem. Pharm. Bull. 1997;45:525-531.
24. Nagase Y, Hirata M, Wada K, Arima
H, Hirayama F, Irie T, Kikuchi M, Uekama
K. Improvement of some pharmaceutical properties of DY-9760e by sulfobutyl ether beta-cyclodextrin.
Int. J. Pharm. 2001; 229: 163-172.
25. Ono N, Hirayama F, Arima H, Uekama K. A moderate interaction of maltosyl-alpha-cyclodextrin with Caco-2 cells in comparison with the
parent cyclodextrin. Biol Pharm Bull. 2001; 24:395-402.
26. Tokihiro K, Arima H, Tajiri S, Irie T, Hirayama F, Uekama K. Improvement of subcutaneous bioavailability of
insulin by sulphobutyl ether beta-cyclodextrin
in rats. J Pharm Pharmacol.
2000; 52: 911-917.
27. Nagase Y, Arima K, Wada K,
Sugawara T, Satoh H, Hirayama F, Uekama K. Inhibitory
Effect of Sulfobutyl Ether β-Cyclodextrin
on DY-9760e-Induced Cellular Damage: In Vitro and In Vivo Studies.J
Pharm Sci. 2003; 92: 2475-2483.
28. Tavornvipas S, Hirayama F, Arima H, Uekama K, Ishiguro T, Oka M, Hamayasu
K, Hashimoto H. 6-O-alpha-(4-O-alpha-D-glucuronyl)-D-glucosyl-beta-cyclodextrin:
solubilizing ability and some cellular effects. Int J Pharm. 2002; 249: 199-209.
29. Uekama K, Hirayama F, Irie T. Cyclodextrin Drug Carrier Systems. Chem. Rev. 1998; 98:
2045-2076.
30. Uekama K. Cyclodextrins in Drug
Delivery System: Preface Drug Delivery Rev. 1999; 36: 1-2.
31. Irie T, Uekama K. Cyclodextrins in Peptide and Protein Delivery. Advn. Drug Delivery Rev. 1999; 36: 101-123.
32. Hirayama F, Uekama K. Cyclodextrin-Based Controlled Drug Release System. Advn Drug Delivery Rev. 1999; 36: 125-146.
33. Londhe V, Nagarsenker M. Comparision between Hydroxypropyl-β-cyclodextrin and polyvinyl pyrrolidine
as carriers for carbamazepine solid dispersions.
Indian J Pharm Sci. 1999;61:237-240.
34. Bettinetti G, Gazzaniga A, Mura P,
Giordano F, Setti M. Thermal behavior and dissolution
properties of naproxen in combinations with chemically modified beta-cyclodextrins. Drug Dev Ind
Pharm.1992;18:39-53.
35. Becket G, Schep LJ, Tan MY.
Improvement of the in vitro dissolution of praziquantal
by complexation with alpha-, beta- and gamma-cyclodextrins.
Int J Pharm. 1999;179:65-71.
36. Ueda H, Ou D, Endo T, Nagase
H, Tomono K, Nagai T. Evaluation of a sulfobutyl ether beta-cyclodextrin
as a solubilizing/stabilizing agent for several
drugs. Drug Dev Ind Pharm. 1998;24:863-867.
37. Loftsson T, Másson M, Stefánsson E. Cyclodextrins as
permeation enhancers.17th Pharmaceutical Technology Conference and Exhibition;
March 24-26, 1997; Dublin, Ireland.
38. Loftsson T, Leeves N, Bjornsdottir B, Duffy L, Masson M. Effect of cyclodextrins and polymers on triclosan
availability and substantivity in toothpastes in
vivo. J Pharm Sci. 1999;88:1254-1258.
39. Willems L, Geest RV, de Beule K. Itraconazole oral
solution and intravenous formulations: a review of pharmacokinetics and pharmacodynamics. J Clin Pharm Ther. 2001;26:159-169.
40. Rajewski RA, Stella VJ. Pharmaceutical applications of
cyclodextrins.2. In vivo drug delivery. J Pharm Sci.
1996;85:1142-1168.
41. Hersey A, Robinson BH, Kelly HC. Mechanism of inclusion
compound formation for binding of organic dyes, ions and surfactants to alpha cyclodextrin studied by kinetic methods based on
competition experiments. J Chem Soc. 1986;
82:1271-1287.
42. Scalia S, Villani S, Casolari A. Inclusion complexation of the sunscreening agent 2–ethyl hexyl–p–dimethyl aminobenzoate with hydroxypropyl-β-cyclodextrin:
effect on photostability. J Pharm
Pharmacol. 1999;51:1367-1374.
43. Serni U. Rheumatic diseases—clinical experience with piroxicambeta- cyclodextrin. Eur J Rheumatol Inflamm. 1993;12:47-54.
44. Lutka A, Koziara J. Interaction of
trimeprazine with cyclodextrins
in aqueous solution. Chem Pharm
Bull (Tokyo). 2000;57:369-374.
45. Lutka A. Investigation of interaction of promethazine
with cyclodextrins in aqueous solution. Acta Pol Pharm. 2002;59:45-51.
46. Hirayama F, Minami K, Uekama
K. In-vitro evaluation of biphenylyl acetic
acid-beta-cyclodextrin conjugates as colon-targeting prodrugs: drug release behaviour
in rat biological media. J Pharm Pharmacol.
1996; 48: 27-31.
47. Uekama K, Minami K, Hirayama F. 6A-O-[(4-biphenylyl)acetyl]-alpha-, -beta-, and -gamma-cyclodextrins
and 6A-deoxy-6A-[[(4-biphenylyl)acetyl]amino]-alpha-, -beta-, and -gamma-cyclodextrins: potential prodrugs
for colon-specific delivery. J Med Chem. 1997; 40: 2755-2761.
48. Minami K, Hirayama F, Uekama
K. Colon-specific drug delivery based on a cyclodextrin
prodrug: release behavior of biphenylylacetic
acid from its cyclodextrin conjugates in rat
intestinal tracts after oral administration. J Pharm
Sci. 1998; 87: 715-720.
49. Kamada M, Hirayama F, Udo K, Yano
H, Arima H, Uekama K. Cyclodextrin conjugate-based controlled release system:
repeated- and prolonged-releases of ketoprofen after
oral administration in rats. J Control Rel. 2002; 82: 407-416.
50. Hirayama F, Ogata T, Yano H, Arima
H, Udo K, Takano M, Uekama
K. Release characteristics of a short-chain fatty acid, n-butyric acid, from
its beta-cyclodextrin ester conjugate in rat
biological media. J Pharm Sci. 2000; 89: 1486-1495.
51. Yano H, Hirayama F, Arima H, Uekama K. Hydrolysis behavior of prednisolone
21-hemisuccinate/beta-cyclodextrin amide conjugate:
involvement of intramolecular catalysis of amide
group in drug release.Chem. Pharm
Bull. 2000; 48: 1125-1128.
52. Yano H, Hirayama F, Arima H, Uekama K. Preparation of prednisolone-appended
alpha-, beta- and gamma-cyclodextrins: substitution
at secondary hydroxyl groups and in vitro hydrolysis behavior. J Pharm Sci. 2001; 90: 493-503.
53. Yano H, Hirayama F, Arima H, Uekama K. Prednisolone-appended
alpha-cyclodextrin: alleviation of systemic adverse
effect of prednisolone after intracolonic
administration in 2,4,6-trinitrobenzenesulfonic
acid-induced colitis rats. J Pharm Sci. 2001;
90:2103-2112.
54. Yano H, Hirayama F, Kamada M,
Arima H, Uekama K. J
Control Rel. 2002;79: 103-112.
55. Lopez MEV, Reyes LN, Igea SA,
Espinar FJO, Mendez JB. Formulation of triamcinolone acetonide pellets
suitable for coating and colon targeting. Int J
Pharm. 1999;79:229-235.
56. Orienti I, Zecchi V, Bernabei S, Sentimenti S, Fini A. Diffusion of ketoprofen
from coprecipitates through a non porous lipidic membrane. Boll Chim Farm.
1989;128:336-343.
57. Uekama K, Hirayama F, Irie T. Cyclodextrin drug carrier systems. Chem
Rev. 1998;98:2045-2076.
58. Loftsson T, Masson M. Cyclodextrins
in topical drug formulations: theory and practice. Int
J Pharm. 2001;225:15-30
59. Lopez RF, Collett JH, Bently MV. Influence of cyclodextrin
complexation on the in vitro permeation and skin metabolism of dexamethasone. Int J Pharm. 2000;200:127-132.
60. Doliwa A, Santoyo S, Ygartua P. Transdermal iontophoresis
and skin retention of piroxicam from gels containing piroxicam: hydroxypropyl- beta-cyclodextrin complexes. Drug Dev Ind
Pharm. 2001;27:751-758.
61. Matsuda H, Arima H. Cyclodextrins in transdermal and rectal delivery. Adv Drug Deliv Rev. 1999;36:81-99.
62. Horiuchi Y, Hirayama F, Uekama K.
Slow-release characteristics of diltiazem from
ethylated β-cyclodextrin complex. J Pharm Sci. 1990;79:128-132.
63. Hirayama F, Hirashima N, Abe
K, Uekama K, Ijitsu T, Ueno
M. Utilization of diethyl-beta-cyclodextrin as a
sustained-release carrier for isosorbide dinitrate. J Pharm Sci. 1988;77:233-236.
64. Quaglia F, Varricchio G, Miro A, La Rotonda MI, Larobina D, Mensitieri G.
Modulation of drug release from hydrogels by using cyclodextrins: the case of nicardipine/
beta-cyclodextrin system in crosslinked
polyethylenglycol. J Control Release. 2001;71:329-337.
65. Rao VM, Haslam JL, Stella VJ.
Controlled and complete release of a model poorly water-soluble drug, prednisolone from hydroxypropyl
methylcellulose matrix tablets using (SBE) (7m)-beta-cyclodextrin
as a solubilizing agent. J Pharm
Sci. 2001;90:807-816.
66. Wang Z, Hirayama F, Uekama K.
In-vivo and in-vitro evaluations of a modified-release oral dosage form of nifedipine by hybridization of hydroxypropyl-beta-cyclodextrin and hydroxypropylcelluloses
in dogs. J Pharm Pharmacol.
1994; 46: 505-507.
67. Kurkov SV, Loftsson T, Messner M, Madden D.
Parenteral delivery of HPβCD:
effects on drug-HSA binding. AAPS PharmSciTech. 2010 ;11(3):1152-8.
68. Singla AK, Garg A, Aggarwal D. Paclitaxel and its
formulations. Int J Pharm. 2002;235:179-192.
69. Kim Y, Oksanen DA, Massefski W, Blake JF, Duffy EM, Chrunyk
B. Inclusion complexation of ziprasidone mesylate with beta-cyclodextrin sulfobutyl ether. J Pharm Sci.
1998;87:1560-1567.
70. Shinoda T, Kagatani S, Maeda A, et
al. Sugar-branched-cyclodextrins as injectable drug carriers in mice. Drug Dev Ind Pharm. 1999;25:1185-1192.
71. Pun SH,
Tack F,
Bellocq NC, Cheng J,
Grubbs BH,
Jensen GS,
Davis ME,
Brewster M,
Janicot M, Janssens B, Floren W, Bakker A.
Targeted delivery of RNA-cleaving DNA enzyme (DNAzyme)
to tumor tissue by transferrin-modified, cyclodextrin-based particles. Cancer Biol Ther. 2004;3(7):641-50.
72. Wu C,
Qi H, Chen W,
Huang C,
Su C,
Li W,
Hou S. Preparation and evaluation of a Carbopol/HPMC-based in situ gelling ophthalmic system for puerarin. Yakugaku Zasshi. 2007 ;127(1):183-91.
73. Wang S,
Li D,
Ito Y,
Nabekura T, Wang S,
Zhang J,
Wu C.
Bioavailability and anticataract effects of a topical
ocular drug delivery system containing disulfiram and
hydroxypropyl-beta-cyclodextrin
on selenite-treated rats. Curr Eye Res.
2004;29(1):51-8.
74. Faucci MT, Mura P. Effect of water-soluble polymers on
naproxen complexation with natural and chemically modified beta-cyclodextrins. Drug Dev Ind
Pharm. 2001;27:909-917.
75. Aktas Y, Unlu N, Orhan M, Irkec M, Hincal AA. Influence of hydroxypropyl
β-cyclodextrin on the corneal permeation of pilocarpine. Drug Dev Ind Pharm.
2003;29:223-230.
76. Cho HJ,
Balakrishnan P, Park EK,
Song KW,
Hong SS,
Jang TY,
Kim KS,
Chung SJ,
Shim CK,
Kim DD.
Poloxamer/cyclodextrin/chitosan-based thermoreversible
gel for intranasal delivery of fexofenadine
hydrochloride. J Pharm
Sci. 2010 Aug 27. [Epub ahead of print]
77. Rathnam G, Narayanan N,
Ilavarasan R. Carbopol-based
gels for nasal delivery of progesterone. AAPS PharmSciTech.
2008;9(4):1078-82.
78. Loftsson T, Gudmundsdottir H, Sigurjonsdottir JF, et al. Cyclodextrin
solubilization of benzodiazepines: formulation of midazolam nasal spray. Int J
Pharm. 2001;212:29-40.
79. Zhang Y, Jiang XG, Yao J. Nasal absorption enhancement
of insulin by sodium deoxycholate in combination with
cyclodextrins. Acta Pharmacol Sin. 2001;22:1051-1056.
80. Jug M,
Bećirević-Laćan M. Development of a cyclodextrin-based nasal delivery system for lorazepam. Drug Dev Ind
Pharm. 2008 ;34(8):817-26.
81. Schulze S,
Winter G.
Lipid extrudates as novel sustained release systems
for pharmaceutical proteins. J Control
Release. 2009 ;134(3):177-85.
82. Chen Y,
Siddalingappa B, Chan PH,
Benson HA.
Development of a chitosan-based nanoparticle
formulation for delivery of a hydrophilic hexapeptide,
dalargin. Biopolymers.
2008;90(5):663-70.
83. Sajeesh S, Sharma CP.
Cyclodextrin-insulin complex encapsulated polymethacrylic acid based nanoparticles
for oral insulin delivery. Int J Pharm.
2006 ;325(1-2):147-54.
84. Merkus FW, Verhoef JC, Marttin E, et al. Cyclodextrins
in nasal drug delivery. Adv Drug Deliv Rev. 1999;36:41-57.
85. Jerry N, Anitha Y, Sharma CP,
Sony P. In vivo absorption studies of insulin from an oral delivery system.
Drug Deliv. 2001;8:19-23.
86. Gonzalez H, Hwang SJ, Davis ME. New class of polymers
for the delivery of macromolecular therapeutics. Biocanj.
Chem. 1999; 10: 1068-1074.
87. Bellocq NC, Kang DW,
Wang X,
Jensen GS,
Pun SH,
Schluep T, Zepeda ML,
Davis ME.
Synthetic biocompatible cyclodextrin-based constructs
for local gene delivery to improve cutaneous wound
healing. Bioconjug Chem.
2004 ;15(6):1201-11.
88. Pun SH,
Bellocq NC, Liu A,
Jensen G,
Machemer T, Quijano E, Schluep T, Wen S, Engler H, Heidel J, Davis ME.
Cyclodextrin-modified polyethylenimine
polymers for gene delivery. Bioconjug Chem.
2004;15(4):831-40.
89. Bragagni M, Maestrelli F, Mennini N, Ghelardini C, Mura P.
Liposomal formulations of prilocaine: effect of
complexation with hydroxypropyl-ß-cyclodextrin
on drug anesthetic efficacy. J Liposome Res. 2010 ;20(4):315-22.
90. Chakraborty KK, Naik SR. Therapeutic and hemolytic evaluation of
in-situ liposomal preparation containing amphotericin
- beta complexed with different chemically modified
beta - cyclodextrins. J Pharm Pharm Sci. 2003 ;6(2):231-7.
91. McCormack B, Gregoriadis G.
Drugs-in-cyclodextrins-in-liposomes:
an approach to controlling the fate of water insoluble drugs in vivo. Int J Pharm. 1998;162:59-69.
92. McCormack B, Gregoriadis G.
Comparative studies of the fate of free and liposome-entrapped hydroxypropyl-/3-cyclodextrin/drug complexes after
intravenous injection into rats: implications in drug delivery. Biochim Biophys Acta. 1996;1291:237-244.
93. Fatouros DG, Hatzidimitriu K,
Antimisiaris SG. Liposomes encapsulating prednisolone- cyclodextrin
complexes: comparision of membrane integrity and drug
release. Eur J Pharm Sci.
2001;13:287-296.
94. Skalko-Basnet N, Pavelic Z, Becirevic-Lacan M. Liposomes
containing drug and cyclodextrin prepared by the
one-step spray-drying method. Drug Dev Ind Pharm.
2000;26:1279-1284.
95. Kang F, Jiang G, Hinderliter
A, Luca PPD, Singh J. Lysozyme stability in primary
emulsion for PLGA microsphere preparation: Effect of recovery methods and
stabilizing excipients. Pharm
Res. 2002; 19: 629-633.
96. Filipovic-Grcic J, Laan MB, Skalko N, Jalsenjak I. Chitosan microspheres of nifedipine
and nifedipine-cyclodextrin inclusion complexes. Int J Pharm. 1996;135:183-190.
97. Maestrelli F, Zerrouk N, Cirri M,
Mennini N, Mura P.
Microspheres for colonic delivery of ketoprofen-hydroxypropyl-beta-cyclodextrin
complex. Eur J Pharm Sci. 2008;34(1):1-11.
98. Bibby DC, Davis NM, Tucker IG. Investigations into the
structure and composition of beta-cyclodextrin/polyacrylic acid microspheres. Int
J Pharm. 1999; 180: 161-168.
99. Cavalli R, Peira E, Caputo O, Gasco MR. Solid lipid nanoparticles
as carriers of hydrocortisone and progesterone complexes with betacyclodextrins. Int J Pharm.
1999;182:59-69
Received
on 21.12.2010
Accepted on 25.12.2010
© A&V Publication all right reserved
Research Journal of Pharmaceutical
Dosage Forms and Technology.
2(6): Nov.-Dec. 2010, 361-369