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Department of Pharmaceutical Technology, Faculty of Pharmacy, Silpakorn University, Nakorn Pathom 73000, Thailand
Pharmaceutical Intelligence Unit Prachote Plengwittaya, Faculty of Pharmacy, Silpakorn University, Nakorn Pathom 73000, Thailand
a r t i c l e
i n f o
Article history:
Received 29 July 2015
Received in revised form 23 September 2015
Accepted 24 September 2015
Available online 8 October 2015
Keywords:
In situ forming gel
Bleached shellac
Antimicrobial
a b s t r a c t
Bleached shellac, a mixture of polyesters made up of sesquiterpenoid acids esteried with hydroxy aliphatic
acids, is a well-known water-insoluble polymer. Owing to its high solubility in N-methyl pyrrolidone (NMP) it
is interesting to apply as a polymer matrix for solvent-exchanged in situ forming gel. The aim of this research
was to study the gel properties, drug release and antimicrobial activities against Staphylococcus aureus,
Escherichia coli, Candida albicans, Streptococcus mutans and Porphyromonas gingivalis of the in situ forming gels
prepared from bleached shellac dissolving in NMP to deliver the antimicrobial agents (doxycycline hyclate, metronidazole and benzyl peroxide) for periodontitis treatment. The solvent exchange between NMP and external
aqueous simulated gingival crevicular uid stimulated the dissolved bleached shellac transforming into the
opaque rigid gel. Increasing the amount of bleached shellac increased the viscosity of the system while still
exhibiting Newtonian ow and increased the work of syringeability whereas prolonging the drug release. The developed systems comprising 5% w/w antimicrobial agent showed antimicrobial activities against all test bacteria.
Thus the solvent exchange-induced in situ forming gels comprising of bleached shellac-antimicrobial drugs exhibited potential use for periodontitis treatment.
2015 Elsevier Ltd. All rights reserved.
1. Introduction
Injectable in situ forming gels are particularly attractive for the delivery of drugs into the periodontal pocket for periodontitis treatment because they are in sol form before administration into the body and
gradually alter to a gel form or solid-like depot [1]. The treatment of
periodontitis by these intra-pocket antibacterial delivery systems is interesting due to the prospects of maintaining effective high levels of
drug in the gingival crevicular uid for a prolonged period of time to
produce the desirable clinical benets [2]. Chitosan gels comprising
metronidazole demonstrated the effectiveness in the periodontitis
treatment [3]. Other various polymeric materials have been used as
polymer in situ forming systems such as chitosan/glucose 1-phosphate
[4], poly(ethylene carbonate) [5], hydroxyethylcellulose and polyvinylpyrrolidone [6], hydroxyethylcellulose and polycarbophil [7], gellan
gum and sodium alginate [8], and HPMC [9,10]. However, for the hydrophilic nature of the abovementioned polymers, the sustainable release
for the antibacterial agents was difcult. Recently, ethyl cellulose more
prolonged the release of antimicrobial drugs when the higher concentration of this polymer was added in the in situ forming gel [11].
Corresponding author.
E-mail addresses: thawatchaienator@gmail.com, tphaechamud011@yahoo.com
(T. Phaechamud).
http://dx.doi.org/10.1016/j.matdes.2015.09.138
0264-1275/ 2015 Elsevier Ltd. All rights reserved.
295
organic solvent with low toxicity, such as 2-pyrrolidone, N-methyl-2pyrrolidone (NMP) or dimethyl sulfoxide (DMSO). The exchange between solvent moving from the system to the outside and diffusion of
aqueous from surrounding environment into the system resulted in
precipitation or solidication of polymer matrix [25]. NMP (Fig. 1
(right)) is used as solvent in this study because it is thermally stable,
biocompatible and can be used as an attractive solubilizer in the pharmaceutical eld [26]. NMP at single oral doses did not lead to an increase either in micronucleated erythrocytes or in structural or
numerical chromosomal aberrations when bone marrow was after
treatment in the micronucleus test or karyotype analysis [27]. NMP
has already been used for in situ forming depots formulation due to
pharmaceutical precedence in approved parenteral products [1,28,29].
Periodontitis resulting from bacterial infection could be used the antibiotics for treatment [30]. Doxycycline hyclate (DH) is one of bacteriostatic antibiotics used for periodontal therapy which its mechanism
of action is the interference of a bacterial protein synthesis [31]. Atrigel
is a commercial injectable periodontal pocket delivery system containing 10% doxycycline hyclate using poly(DL-lactide) as polymer dissolved
in NMP [32]. Metronidazole (MT) is bactericidal against anaerobic bacteria. It has been proposed that MT is intracellularly activated by reduction and the toxic effect of reduced intermediates bind to DNA leading
to loss of helical structure, strand breakage and impairment of DNA
function and it also has been used in the eld of periodontal therapy
[33]. Benzoyl peroxide (BP) consists of two benzoyl peroxide groups
bridged by a peroxide link which it releases the free radical oxygen species capable of oxidizing bacterial proteins [34]. BP in Eudragit RS systems containing peppermint oil has been developed for periodontitis
treatment [35]. The chemical structures of these three antimicrobial
drugs are presented in Fig. 2.
The aim of this study was to prepare the novel in situ gel forming systems of antimicrobial agents for periodontitis treatment. The in situ gel
formulations containing BS, drugs (DH, MT and BP) and solvent
(NMP) were prepared and investigated for their physical properties
and biological action as appearance, pH, viscosity, rheology,
syringeability, gel formation, rate of water diffusion into the gels, degradation and antimicrobial activity against Staphylococcus aureus,
Escherichia coli, Candida albicans, Streptococcus mutans and
Porphyromonas gingivalis.
Fig. 2. Chemical structures of doxycycline hyclate (left), metronidazole (middle) and benzoyl peroxide (right).
296
Table 1
Composition formula of various gel systems containing different drugs (5% w/w).
Amount (% w/w)
Formula
BS-1
BS-2
BS-3
BS-4
BS-5
BS-6
BS-7
BS-8
BS-9
BS-10
BS-11
BS-12
BS
NMP
DH
MT
BP
5
10
15
20
5
10
15
20
5
10
15
20
90
85
80
75
90
85
80
75
90
85
80
75
5
5
5
5
5
5
5
5
5
5
5
5
15%
20%
25%
30%
7.22 0.01
7.02 0.03
6.81 0.02
6.65 0.02
DH
MT
BP
4.16 0.05
4.09 0.01
4.13 0.01
3.93 0.04
7.69 0.04
7.34 0.02
7.06 0.02
6.84 0.01
7.83 0.01
7.70 0.03
7.46 0.01
7.05 0.04
Fig. 3. Flow curve of bleached shellac formula containing 5% w/w DH at (A) 25 C and
(B) 37 C. Open symbols represent the up-curve, and closed symbols represent the
down-curve.
analysis. The area under the resulting curve (AUC) was used to determine the work of expulsion.
37 C
Consistency
index ()
(mean S.D.,
[D/cm2]N s)
Flow
index (N)
(mean S.D.)
Consistency
index ()
(mean S.D.,
[D/cm2]N s)
DH
15%
20%
25%
30%
0.99 0.01
1.02 0.01
1.00 0.02
17.80 5.91
31.77 2.19
181.80 13.99
1.03 0.02
1.02 0.01
1.04 0.01
0.99 0.01
4.98 0.74
13.03 0.15
55.13 2.14
258.30 24.42
MT
15%
20%
25%
30%
0.98 0.01
0.97 0.01
0.96 0.01
33.53 5.15
57.33 7.32
224.57 6.04
0.99 0.02
0.97 0.04
0.98 0.01
0.98 0.05
11.50 1.01
29.00 3.96
97.17 16.74
354.47 26.86
BP
15%
20%
25%
30%
0.99 0.01
0.98 0.02
1.01 0.03
29.57 0.98
58.00 15.00
160.03 10.79
1.01 0.04
1.03 0.03
1.01 0.03
0.99 0.02
9.38 2.89
17.17 1.54
52.97 9.73
181.67 19.99
BS
(% w/w)
Not determined.
297
release proles were tted with different mathematical release equations. Least square tting the experimental dissolution data to the mathematical equations (power law, zero order, rst order and Higuchi's)
was carried out. The high value of coefcient of determination (r2) or
model selection criteria (msc) indicated a superiority of the release prole tting to mathematical equations [38].
3
2.3.6. In vitro drug release studies
In vitro drug release studies were evaluated using both dialysis
membrane method and membrane-less diffusion method as previously
described [11] which the determination of drug release was performed
using a UVvis spectrophotometer at 349, 320 and 275 nm for DH, MT
and BP, respectively. All of the experiments were triplicately done, and
the mean cumulative drug release S.D. were calculated. The data obtained from the in vitro release were analyzed by a nonlinear computer
programme, Scientist for Windows, version 2.1. The cumulative
%weight loss
Fig. 5. In vitro gel formation of BS (1530% w/w) formula containing 5% w/w DH at various times (0, 1, 5 and 30 min).
298
Fig. 6. In vitro gel formation of BS (1530% w/w) formula containing 5% w/w MT at various times (0, 1, 5 and 30 min).
Fig. 7. In vitro gel formation of BS (1530% w/w) formula containing 5% w/w BP at various times (0, 1, 5 and 30 min).
299
Table 4
Effect of polymer amounts in the formula containing different drugs on rate of water diffusion into gels (n = 3).
BS
(% w/w)
15%
20%
25%
30%
At 4 h
At 24 h
At 4 h
At 24 h
At 4 h
At 24 h
0.0049 0.0012
0.0056 0.0012
0.0049 0.0012
0.0049 0.0012
0.0029 0.0005
0.0032 0.0002
0.0025 0.0002
0.0025 0.0004
0.0042 0.0021
0.0035 0.0012
0.0042 0.0021
0.0028 0.0012
0.0032 0.0005
0.0032 0.0002
0.0030 0.0004
0.0030 0.0004
0.0049 0.0012
0.0028 0.0012
0.0042 0.0000
0.0028 0.0012
0.0028 0.0003
0.0025 0.0002
0.0025 0.0002
0.0025 0.0002
300
be easily injected into the periodontal pocket and formed in situ gel immediately which the higher polymer concentrations would quickly precipitate. Hence the lower amount of polymer did not result in the
gelation of the system, while increasing the polymer amount resulted
in the rapid precipitation as previously mentioned [45]. Moreover this
transformation also depended on the hydrophilicity of incorporated
drugs. The more hydrophilic drug as DH the more rapid transformation
was evident than that of hydrophobic drug such as MT and BP, respectively, because the higher wettability promoted the greater penetration
of water molecules to stimulate the solvent exchange and precipitation
of BS. The hydrophilic drug could act as a channeling agent, by rapidly
dissolving and easily diffusing outward, therefore allowing a decrease
in tortuosity and/or an increase in the matrix porosity for water penetration to expose the inner matrix [46]. Thus the transformation was apparently rapid for DH-loaded system.
Table 5
Comparison of degree of goodness-of-t from curve tting of the release proles of DH in
phosphate buffer pH 6.8 using dialysis membrane method (A) and membrane-less method (B) to different release models.
rate with prolongation of drug release [48]. Therefore, the aqueous diffusion and solvent exchange played the important role on drug release.
BS
(% w/w)
First order
r
Higuchi's
msc
Zero order
2
Power law
msc
msc
r2
msc
(A)
15%
20%
25%
30%
0.9552
0.9261
0.9179
0.9244
2.62
2.27
2.25
2.32
0.8798
0.8563
0.9277
0.9745
1.67
1.69
2.23
3.27
0.9245
0.8705
0.9235
0.9289
2.01
1.60
2.17
2.28
0.9953
0.9596
0.9727
0.9861
4.51
2.61
3.23
3.90
(B)
15%
20%
25%
30%
0.9971
0.9956
0.9989
0.9984
5.49
5.05
6.45
6.03
0.9932
0.9851
0.9809
0.9591
4.59
3.81
3.56
2.80
0.9698
0.9711
0.9899
0.9970
3.14
3.18
4.19
5.42
0.9970
0.9943
0.9985
0.9990
5.20
4.63
5.89
6.29
Fig. 9. Effect of BS amount on release of DH using (A) dialysis method and (B) membraneless method (n = 3).
BS (% w/w)
k S.D.
n S.D.
Release mechanism
(A)
15%
20%
25%
30%
0.2821 0.0345
0.1131 0.0148
0.0700 0.0045
0.0507 0.0074
0.15 0.02
0.25 0.02
0.30 0.01
0.34 0.01
Fickian
Fickian
Fickian
Fickian
(B)
15%
20%
25%
30%
0.0062 0.0028
0.0043 0.0010
0.0019 0.0007
0.0007 0.0002
0.59 0.06
0.62 0.03
0.70 0.04
0.82 0.07
Anomalous
Anomalous
Anomalous
Anomalous
Fig. 10. Percentage of weight loss of formula containing different drugs (n = 3).
whereas dialysis method that medium gradually diffused through dialysis membrane. The drug release from the formula decreased with an
increased polymer amount (Fig. 9(B)). Higher polymeric content in
the matrix decreased the release rate of drug because of the increased
tortuosity and decreased porosity [53]. The in situ forming gel comprising ethyl cellulose more prolonged the drug release when the higher
concentration of ethyl cellulose was incorporated [11]. The specic
properties of the network of polymer chains, e.g., the chain length,
their exibility and mobility, their water-uptake and swelling behavior,
extent of plasticization, or potential interactions between polymer and
drug would all potentially affect the diffusion rates in the polymer matrix and the drug release rate [54]. Moreover, the morphology change
during matrix formation could affect the drug release. By comparison
the drug release using membrane-less diffusion was slower than that
from dialysis tube method. The rapid transformation into BS matrix
owing to direct contact with dissolution medium promoted the hard
surrounding shell. This obtained dense surface of matrix resulted in
lowering of the water diffusion as previously described [11,47] and retardation of drug liberation. Moreover, BS was hydrophobic polymer
thus the drug hardly diffused passing this polymer and the sustainable
drug release was achieved.
3.6.2. Analysis of drug release data
The r2 and msc from curve tting to rst order, Higuchi's, zero order,
and power law equations after the release studies using dialysis
301
Fig. 11. Inhibition zone diameter of BS formula containing different drugs against S. aureus, E. coli, C. albicans, S. mutans and P. gingivalis (n = 3).
302
4. Conclusion
DH, MT and BP loaded-BS systems comprising NMP as solvent were
formed into the in situ forming gel in simulated gingival crevicular uid
when the solvent exchange and polymer precipitation were occurred.
Gel formation capacity depended on the BS amount. The more sustainable drug release was achieved as increasing amount of BS. DH, MT and
BP loaded-BS systems effectively inhibited S. aureus, E. coli, S. mutans
and P. gingivalis therefore they exhibited the potential use as localized
delivery systems for periodontitis treatment.
Acknowledgments
This research work was grateful for the Research and Development
Institute, Silpakorn University (Grant No. SURDI 57/01/42). This research work was also facilitated by the Faculty of Pharmacy, Silpakorn
University, Thailand.
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