Development and evaluation of thermo-sensitive hydrogel system with nanocomplexes for prolonged subcutaneous delivery of enoxaparin

Development and evaluation of thermo-sensitive hydrogel system with nanocomplexes for prolonged subcutaneous delivery of enoxaparin

Accepted Manuscript Development and evaluation of thermo-sensitive hydrogel system with nanocomplexes for prolonged subcutaneous delivery of enoxapari...

3MB Sizes 0 Downloads 65 Views

Accepted Manuscript Development and evaluation of thermo-sensitive hydrogel system with nanocomplexes for prolonged subcutaneous delivery of enoxaparin Guihua Fang, Jing Zhou, Yu Qian, Jingxin Gou, Xiang Yang, Bo Tang PII:

S1773-2247(18)30735-4

DOI:

10.1016/j.jddst.2018.09.004

Reference:

JDDST 765

To appear in:

Journal of Drug Delivery Science and Technology

Received Date: 6 July 2018 Revised Date:

16 August 2018

Accepted Date: 2 September 2018

Please cite this article as: G. Fang, J. Zhou, Y. Qian, J. Gou, X. Yang, B. Tang, Development and evaluation of thermo-sensitive hydrogel system with nanocomplexes for prolonged subcutaneous delivery of enoxaparin, Journal of Drug Delivery Science and Technology (2018), doi: 10.1016/ j.jddst.2018.09.004. This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

AC C

EP

TE D

M AN U

SC

RI PT

ACCEPTED MANUSCRIPT

ACCEPTED MANUSCRIPT 1

Development and evaluation of thermo-sensitive hydrogel system with

2

nanocomplexes for prolonged subcutaneous delivery of enoxaparin

3 4

Guihua Fang1, Jing Zhou1, Yu Qian1, Jingxin Gou2, Xiang Yang1, Bo Tang*1

5

1

6

226001, China

7

2

8

Shenyang, Liaoning Province, 10016, China

9

*

RI PT

School of Pharmacy, Nantong University, 19 Qixiu Road, Nantong, Jiangsu Province,

10

Tel: +86 - 0513-85051728

11

E-mail: [email protected]

12

M AN U

Corresponding author: Bo Tang (B. Tang)

SC

School of Pharmacy, Shenyang Pharmaceutical University, 103 Wenhua Road,

Abstract

14

Here we report the combination of thermo-sensitive hydrogel systems and

15

nanocomplexes

16

Thermo-sensitive hydrogels were prepared with enoxaparin solution and dispersion of

17

enoxaparin nanocomplexes. Nanocomplexes (NC) were formed by self-assembly of

18

enoxaparin with cationic polymers. Three polymers namely ε-polylysine (Plys),

19

chitosan (CS), polyethylenimine (PEI), were tested. Three nanocomplexes were

20

optimized in terms of different EX/polymer mass ratio, and their size, zeta-potential

21

and morphology were evaluated. Thermo-sensitive hydrogels were examined by

22

gelation temperature, gel dissolution. In vitro EX release study demonstrated that

23

nanocomplexes incorporation into thermo-sensitive hydrogels could prolong the EX

24

release. Overall, nanocomplexes in thermo-sensitive hydrogels is promising delivery

25

systems for prolonged subcutaneous EX delivery.

26

Key words: thermo-sensitive hydrogel; nanocomplexes; subcutaneous delivery;

27

enoxaparin; In vitro release

TE D

13

subcutaneous

delivery of enoxaparin

(EX).

AC C

EP

for prolonged

ACCEPTED MANUSCRIPT 28

1. Introduction Heparin, a highly sulfated natural polysaccharide, has been successfully used in

30

the treatment of deep venous thromboembolism (DVT), venous thrombosis and

31

pulmonary embolism (PE) [1]. However, it has been replaced by low molecular

32

weight heparin (LMWH), such as enoxaparin, due to its severe clinical side effects

33

and short elimination half life [2]. Enoxaparin is obtained by depolymerization of

34

heparin with chemical methods ranging molecular weight from 3.8 kDa to 5 kDa [3].

35

Generally, it is administered by subcutaneous route, and metabolized by liver and

36

kidney with half life of about 4.5 h [4, 5]. Though the dosing frequency of enoxaparin

37

is reduced than heparin, it still required once daily injection or twice daily injection

38

[6]. Therefore, it’s necessary to develop new drug delivery systems to prolong the

39

subcutaneous delivery of enoxaparin.

M AN U

SC

RI PT

29

Injectable depot formulations for long-term controlled drug release can help to

41

reduce the frequency of administration, and lead to a number of successful

42

pharmaceutical products [7]. As one of these injectable depots, in situ hydrogels have

43

attracted an increasing interest for decades owing to its many advantages, including

44

the simplicity of preparation, as well as convenient administration and improved

45

patients compliance. Generally, in situ hydrogels are divided into two classes based

46

on the gelation mechanism: chemically crosslinked in situ hydrogels and physically

47

crosslinked in situ hydrogels [8]. Compared with chemically crosslinked in situ

48

hydrogels, injectable physically crosslinked in situ hydrogels posses many advantages.

49

On one hand, physically crosslinked in situ hydrogels can avoid using small molecule

50

cross-linkers, which is not only detrimental to the tissue but also can destabilize the

51

encapsulated drugs. On the other hand, the gelation time of physically crosslinked in

52

situ hydrogels is much shorter than chemically crosslinked in situ hydrogels, which

53

prevents the flow of polymers to other tissues and inhibits undesired drug leakage [9].

54

Different physical stimulus including temperature [9-12], pH [13, 14], enzymes [15]

55

and light [10] can result in in situ hydrogel formation. Temperature is the most

56

commonly used stimulus in environmentally responsive systems. The change of

57

temperature is not only relatively easy to control, but also easily applicable both in

AC C

EP

TE D

40

ACCEPTED MANUSCRIPT vitro and in vivo. Thermo-sensitive hydrogels, which exist as flowing fluid at low

59

temperature and become a non-flowing gel at body temperature, are formed by a

60

simple phase transition (sol-gel transition) in water without any chemical reaction and

61

the process is reversible [16]. As such, thermo-sensitive hydrogels can serve as an

62

injectable implant and thus a barrier for the release of the loaded drug.

RI PT

58

Pluronic® F127 (F127) or Poloxamer P407 is one of the most widely used for

64

preparation of thermo-sensitive hydrogels for delivery of hydrophilic or hydrophobic

65

drugs. It has been approved by the FDA and considered to be non-toxic. F127

66

hydrogels is studied as topical drug delivery carrier by different administration routes

67

such as subcutaneous [12, 17], intramuscular [18], ocular [19], nasal [20] and rectal

68

[21]. Despite of many application advantages of F127 hydrogels, its subcutaneous

69

longevity is too short, usually less than 3 days [22]. Therefore, the sustained effect of

70

enoxaparin is not quite satisfactory.

M AN U

SC

63

In order to solve the problem, two strategies have recently been applied to

72

prolong the release of drug within subcutaneous injection site. One approach involves

73

the synthesis of novel thermo-sensitive polymers [23]. Yet another approach involves

74

development of particle/hydrogel combination system that entrapment nanoparticles,

75

liposomes, or microspheres in a thermo-sensitive hydrogels [24]. For the synthesis of

76

new polymers, it involves organic solvents, and residual solvents are harmful to the

77

health. For the preparation of particle/hydrogel combination system, we can choose

78

proper method to avoid organic solvents. Polyelectrolyte nanocomplexes are formed

79

by self-assemble of positive- with negative-polyelectrolyte. Enoxaparin possesses

80

high anionic charge, positive polymer can be used to mix with it to form

81

polyelectrolyte nanocomplexes. Such method has the advantage of not necessitating

82

organic solvents during preparation, therefore reducing possible damage to health.

AC C

EP

TE D

71

83

In this study, we considered to combine nanocomplexes and hydrogels for longer

84

sustained drug delivery. Three polymers namely ε-polylysine (Plys), chitosan (CS),

85

polyethylenimine (PEI) were used to prepare the water-soluble nanocomplexes of

86

enoxaparin. The nanocomplexes were mixed with F127 to prepare F127 hydrogels

87

incorporating the nanocomplexes of EX and Plys/CS/PEI. The in vitro EX release

ACCEPTED MANUSCRIPT 88

profile from the hydrogels was examined.

89 90

2. Materials and Methods

91

2.1 Materials Enoxaparin (mean MW 4251 Da) was purchased from Hangzhou Jiuyuan Gene

93

Engineering Co., Ltd. (Hangzhou, China). Chitosan (300 kDa) was purchased from

94

Sinopharm Chemical Reagent Co., Ltd (Shanghai, China) with a degree of

95

deacetylation (DD) of 83.4%, ε-polylysine was purchased from Best-Reagent Co., Ltd.

96

(Chengdu, Sichuan) with 25-30-lysine residues, Polyethylenimine (10 kDa) was

97

purchased from Aladdin (Shanghai, China). Pluronic F127 (BASF, Ludiwigshafen)

98

was purchased from Xi’an Yuelai Medical technology Co., Ltd. (Xi’an, China). All

99

other chemicals were of analytical grade.

M AN U

SC

RI PT

92

100

2.2 Preparation of nanocomplexes

101

2.2.1

Preparation of EX/Plys nanocomplexes

To prepare the nanocomplexes of EX with Plys, the Plys and EX were dissolved in

103

deionized water separately. EX solution (1mg/ml) was added into 2 ml of Plys

104

solution (2mg/ml) dropwise with different mass ratio (1:4; 2:4; 3:4; 4:4; 5:4) under

105

magnetic stirring, and incubated for further 30 min at room temperature.

106

2.2.2

TE D

102

EP

Preparation of EX/CS nanocomplexes

To prepare the nanocomplexes of EX with CS, the CS was dissolved in 1% acetic

108

acid and the EX was dissolved in deionized water. EX solution (1mg/ml) was added

109

into 2 ml of CS solution (2mg/ml) dropwise with different mass ratio (1:4; 2:4; 3:4;

110

4:4; 5:4) under magnetic stirring, and incubated for further 30 min at room

111

temperature.

112

2.2.3

AC C

107

Preparation of EX/PEI nanocomplexes

113

To prepare the nanocomplexes of EX with PEI, the PEI and EX were dissolved in

114

deionized water. EX solution (1mg/ml) was added into 2 ml of PEI solution (1mg/ml)

115

dropwise with different mass ratio (0.5:2; 1:2; 2:2; 3:2; 4:2) under magnetic stirring,

116

and incubated for further 30 min at room temperature.

117

2.3 Physicochemical characterization of nanocomplexes

ACCEPTED MANUSCRIPT 118

The particle size of the prepared nanocomplexes was measured by 90 plus zeta

119

(Brookhaven, USA) with a scattering angle of 90°, and the zeta potential

120

measurements were carried out using the 90 plus zeta by electrophoretic laser doppler

121

anemometry at room temperature. The morphology of nanocomplexes was observed by transmission electron

123

microscope. Samples of nanocomplexes were diluted with deionized water, dropped

124

onto a copper grid and then negatively stained with 2% phosphotungstic acid. The

125

samples were air-dried and examined.

RI PT

122

The encapsulation efficiency (EE) of nanocomplexes was determined by

127

ultrafiltration method. Briefly, the nanocomplexes were placed into an ultrafiltration

128

device with MWCO 100 kDa and then centrifuged at 3000 rpm for 15 min. The

129

concentration of filtration was determined with Azure A colorimetric method. The EX

130

encapsulation efficiency was calculated according to the following equation.

M AN U

SC

126

131 132

2.4 Preparation and optimization of thermo-sensitive F127 hydrogels Formulation containing optimized concentration of F127 was used for further

134

investigation. Thermo-sensitive F127 hydrogels were prepared by cold method.

135

Briefly, for blank F127 hydrogels, the calculated amount of F127 was added to

136

deionized water and maintained at 4 ℃ until homogeneous solution formed. For

137

drug-loaded F127 hydrogels, the deionized water was replaced by EX solution or EX

138

nanocomplex suspension. Optimization of blank F127 hydrogels was done by varying

139

the concentration of F127 and evaluating them for gelation temperature.

140

2.5 Gelation temperature of thermo-sensitive F127 hydrogels

EP

AC C

141

TE D

133

A vial inversion method was employed to determine the gelation temperature of

142

thermo-sensitive F127 hydrogels [25]. In brief, 10 ml of gels was transferred to a vial,

143

immersed in a water bath was increased at 0.5 ℃ for at least 5 minutes from 15 ℃ to

144

50 ℃. The gelation temperature (Tsol-gel) was recorded after the gels would no longer

145

move upon inversing the vials through an angle of 90°.

146

ACCEPTED MANUSCRIPT 147

2.6 Scanning electron microscope (SEM) of thermo-sensitive hydrogels The morphological feature of the four thermo-sensitive hydrogels (EX solution

149

hydrogels, EX/Plys nanocomplexes hydrogels, EX/CS nanocomplexes hydrogels,

150

EX/PEI nanocomplexes hydrogels) were characterized by an SEM (Hitach-S4800,

151

Japan). The samples were frozen at -80 ℃ and lyophilized at -50 ℃ for 48 h. The dry

152

samples were sputtered with gold before observation.

153

2.7 Hydrogel dissolution

RI PT

148

When the F127 hydrogels administered by subcutaneous, they would be

155

contacted with body fluids, such as extracellular fluid, resulting in gel dissolution. In

156

order to simulate the hydrogel dissolution in vivo, phosphate buffer saline (pH 7.4)

157

was used as a release medium. Hydrogel dissolution profiles of F127 hydrogels

158

containing EX solution or EX nanocomplexes were examined using a membraneless

159

model. Briefly, 3 ml each cold formulation was transferred into graduated glass tubes

160

with stopper, and placed in a 37 ℃ water bath until a non-flowing gel was formed.

161

Then, 2 ml of release medium preheated at 37 ℃ and covered the surface of gels. At

162

predetermined time, tubes were gently turned up and down several times, and the

163

remaining volume of gels in tubes was recorded. Meanwhile, 2 ml of release medium

164

was withdrawn from a sample and replaced by an equal volume of the fresh release

165

medium. Hydrogel dissolution volume was defined as the differences in volume of

166

hydrogels between two time points.

167

2.8 In vitro EX release study

EP

TE D

M AN U

SC

154

AC C

In vitro EX release study was conducted as previous described “Hydrogel

168 169

dissolution” experiment. At the given time, 2 ml of release medium was taken out and

170

supplemented with fresh release medium. The amount of EX released from hydrogels

171

was determined according to Azure A colorimetric method. All release experiments

172

were performed as triplicates.

173 174

3

175

3.1

176

Results and discussion Preparation and characterization of nanocomplexes In this study, self-assembled nanocomplexes were prepared by electrostatic

ACCEPTED MANUSCRIPT interaction between the positively charged polymers (polylysine, chitosan,

178

polyethyleneimine) and the negatively charged enoxaparin. The structures of EX, Plys,

179

CS and PEI are shown in Fig.1. This preparation method was green and solvent-free,

180

so it’s quite safe for human use. Table 1 shows size, polydispersity index (PDI) and

181

zeta potential of the nanocomplexes prepared at different mass ratio of EX and three

182

polymers. The particle size of nanocomplexes decreased when the mass ratio of EX

183

and Plys was increased from 1:4 to 3:4, and then increased when the ratio was

184

increased from 3:4 to 5:4. In contrast, for EX/CS nanocomplexes, with an increase in

185

proportion of EX, the particle size was decreased. A similar particle size change was

186

observed for EX/PEI nanocomplexes. Additionally, the zeta potential of three

187

nanocomplexes was decreased with an increase of proportion of EX, which is

188

attributed to the excess presence of negatively charged carboxylic groups and sulfate

189

groups on EX molecules. Furthermore, nanocomplexes with higher EX/polymer mass

190

ratio (EX/Plys ≥ 4:4; EX/CS ≥ 4:4; EX/PEI ≥ 4:2) became unstable and tended to

191

precipitate, which was probably due to the excess EX could not bind polymers tightly

192

at a certain amount of polymers. Meanwhile, in order to prepare stable, homogenous

193

and concentrated nanocomplexes, EX/Plys = 3:4, EX/CS = 3:4, and EX/PEI = 3:2

194

were chosen as optimal mass ratio. Consequently, these nanocomplexes were used to

195

fabricate the thermoreversible hydrogels.

EP

TE D

M AN U

SC

RI PT

177

The three optimal nanocomplexes were visualized by TEM. The TEM images of

197

nanocomplexes are shown in Fig.2, indicating that all nanocomplexes were spherical,

198

and the sizes were similar to the results obtained by dynamic light scattering

199

technique. In addition, the encapsulation efficiency of three optimal nanocomplexes

200

was determined according to ultrafiltration method, and the EE for EX/Plys

201

nanocomplexes, EX/CS nanocomplexes and EX/PEI nanocomplexes was 97.2%,

202

98.5% and 98.2%, respectively, indicating that EX could almost completely bind

203

these positively charged polymers.

204

3.2 Optimization of concentration of F127

AC C

196

205

Gelation temperature is the temperature at which the liquid phase undergoes the

206

transition from solution to gel. Gelation temperature was determined according to the

ACCEPTED MANUSCRIPT above mentioned visual method. Gelation temperatures for plain F127 hydrogels were

208

measured for the concentration range of 15%-24% (F1-F4). As shown in Table 2, it

209

was found that gelation temperature of F127 hydrogels decreased with an increase of

210

concentration of F127. In order to ensure that F127 hydrogels combined the

211

advantages of convenient administration and long-acting drug depot, the prepared

212

F127 hydogels should be liquid state at room temperature (25 ℃) and form semi-solid

213

gels at body temperature (37 ℃). Hence, 21% (w/v) concentration of F127 was

214

selected as for further studies. When drug solutions or nanocomplexes were added

215

into F127 hydrogels (F5-F8), it was found that gelation temperature of formulations

216

did not change, which suggested that incorporation of drug could not cause

217

modification of the process of micellar association of F127 hydrogels.

M AN U

SC

RI PT

207

F127 copolymer blocks based on poly (ethylene oxide) - b - poly (propylene

219

oxide) - poly (ethylene oxide) (PEO-PPO-PEO) sequences. Fig.3 illustrates the

220

establishment of nanocomplexes in hydrogels and mechanism of gelation of F127.

221

Namely, F127 forms micelles above critical micelles concentration (about 1 mg/ml)

222

[26]. Further, below a lower critical solution temperature (< LCST), both ethylene and

223

propylene oxide blocks are hydrated, and PPO is relatively soluble in water. As the

224

temperature increases (> LCST), the polymer solution turns into a gel owing to the

225

micelles packing and entanglements.

226

3.3 Scanning electron microscope (SEM) of thermo-sensitive hydrogels

EP

TE D

218

SEM micrographs of lyophilized hydrogels structure were presented in Fig.4.

228

From the micrographs, we can see that the structures of four thermo-sensitive

229

hydrogels were almost the same, and the inner structures were porous with mesh size

230

of about 1 µm. This probably could be attributed to the same F127 concentration for

231

those hydrogels.

232

3.4 Dissolution of hydrogels

AC C

227

233

In general, F127 hydrogels undergo dissolution in an aqueous environment

234

owing to the water penetration into gel network, leading to unpacking of the F127

235

micelles, polymer hydration and finally hydrogels dissolution. The dissolution

236

profiles of different F127 hydrogels are shown in Fig.5. From the above results, it can

ACCEPTED MANUSCRIPT 237

be concluded that hydrogels with EX solutions and EX nanocomplexes (EX/Plys

238

nanocomplexes, EX/CS nanocomplexes, EX/PEI nanocomplexes) had similar

239

dissolution profiles for the same concentration of F127.

240

3.5 In vitro release of EX Because these hydrogels were intended for subcutaneous administration,

242

membraneless method was utilized to evaluate the in vitro release of EX from F127 in

243

situ hygrogels, which is to be closer to the in vivo condition. Fig. 6 indicates that

244

27.78%, 13.01%, 13.98% and 9.02% of EX were cumulatively released from solution

245

hydrogels, EX/Plys nanocomplex hydrogels, EX/CS nanocomplex hydrogels and

246

EX/PEI nanocomplex hydrogels at 20 h, respectively. In contrast with EX solution

247

hydrogels, there was a prolonged release of EX from the nanocomplexes hydrogels.

248

Approximately 99.37% of the cumulative amount of EX was released from EX

249

solution hydrogels within 144 h. In the case of EX/Plys nanocomplexes hydrogels,

250

EX/CS nanocomplex hydrogels and EX/PEI nanocomplex hydrogels, the percent

251

cumulative release of EX was only about 30.39%, 39.52% and 22.18% within 144 h.

252

From above mentioned results, it can be concluded that EX nanocomplexes could

253

prolong the release of EX from hydrogels.

TE D

M AN U

SC

RI PT

241

Three different release models were used to predict the drug release, and the

255

regression results for the release of EX from hydrogels are shown in Table 3. The in

256

vitro release of EX from solution hydrogels, EX/Plys nanocomplex hydrogels, EX/CS

257

nanocomplex hydrogels and EX/PEI nanocomplex hydrogels corresponds to the

258

Ritger-Peppas model with r values of 0.997, 0.983, 0.994, 0.991. Ritger-Peppas

259

equation has three different meanings. One is in the case of n (release exponent) <

260

0.45, indicating that drug release is diffusion-controlled, namely Fickian diffusion.

261

Yet another is in case of n > 0.89, indicating that drug release is erosion-controlled.

262

Values of n between 0.45 and 0.89 can be considered as an indicator for diffusion-

263

and erosion- controlled dual release mechanism. From the Table 3, it can be

264

concluded that drug released from solution hydrogels or nanocomplex hydrogels was

265

controlled by diffusion and erosion. As we know, erosion is determined by F127

266

hydrogels dissolution, and F127 hydrogels dissolution mainly depends on F127

AC C

EP

254

ACCEPTED MANUSCRIPT concentration. It has been reported that drug diffusion out of the hydrogels mainly

268

depends on the mesh sizes within the hydrogels matrix, but also on hydrodynamic

269

radius of the drug molecules [27]. In our study, the mesh sizes almost were the same

270

(Fig.4) due to the same concentration of F127 and preparation method. The size of EX

271

solution and three nanocomplexes was smaller than 1 µm (hydrogels pore size)

272

Therefore, for EX solution hydrogels, EX could diffuse from hydrogels freely along a

273

concentration gradient. In addition, some EX would release while hydrogels

274

dissolution. For EX nanocomplexes hydrogels, the release process was relatively

275

complicated. Maybe three kind of processes co-exist. First, EX nanocomplexes also

276

could diffuse from pores of hydrogels, and then EX released from nanocomplexes

277

through nanocomplexes dissociation. Second, EX dissociated from nanocomplexes

278

and then released from the hydrogels. Third, EX directly released from hydrogels with

279

hydrogels dissolution. The first two may be the main reason why nanocomplexes

280

prolong the release of EX in hydrogels. Besides, among three nanocomplexes, EX/CS

281

nanocomplexes release rate was relatively faster than other two nanocomplexes.

282

During the course of experiment, the pH of the EX/CS nanocomplexes system was

283

gradually increasing after the addition of the fresh release medium (pH 7.4). Chitosan

284

molecules deprotonated and precipitated, resulting in faster dissociation of

285

nanocomplex and EX release due to chitosan deionization. For EX/Plys

286

nanocomplexes and EX/PEI nanocomplexes, they keep stable in release medium, so

287

EX released from the two groups was relatively slower. Also, EX released from

288

EX/PEI nanocomplexes was the slowest, this probably was due to the strong

289

electrostatic interaction between EX and PEI polymer, which has rather high charge

290

density. From above all, it can be concluded that the combination of thermo-sensitive

291

hydrogels and nanocomplexes could significantly sustain the drug release, and the

292

drug release from nanocomplexes/hydrogels was controlled by hydrogels dissolution

293

and nanocomplexes dissociation.

294

3.6 Correlation between hydrogels dissolution and drug release

AC C

EP

TE D

M AN U

SC

RI PT

267

295

To further investigate whether the difference observed in EX release between

296

solution/hydrogels and nanocomplexes/hydrogels is due to the hydrogels dissolution

ACCEPTED MANUSCRIPT 297

and nanocomplexes dissociation, the correlation between the percentage of EX

298

released and the percentage of hydrogels dissolved was linear fitted. As shown in

299

Fig.7, it can be seen that good linear correlation between them, which indicated that

300

theses

301

Additionally, the linear order was solution (R² =0.9952) > EX/CS nanocomplex (R²

302

=0.9867) > EX/Plys nanocomplex (R² =0.9720) > EX/PEI nanocomplex (R² =0.9636),

303

which

304

dissociation-controlled. Therefore, EX released from nanocomplex/hydrogels is both

305

hydrogels dissolution- and nanocomplexes dissociation-controlled.

primarily

demonstrated

that

hydrogels

EX

306

released

release.

from

nanocomplex

also

4. Conclusion

M AN U

307

dissolution-controlled

SC

further

are

RI PT

formulations

In this study, we developed an EX nanocomplexes/F127 thermo-sensitive

309

hydrogel composite system which possessed the same thermo-sensitive property as

310

blank F127 hydrogels, and achieved prolonged drug release. Three positively-charged

311

polymers were used to prepare EX polyelectrolyte nanocomplexes. In vitro release

312

results indicated that nanocomplexes fabricated by different polymers held different

313

release rates, and PEI polymer could preferably sustain the EX release. In order to

314

clarify how the PEI affected the drug release from the hydrogel systems in detail,

315

different concentration and molecular weight of PEI will be investigated in our study

316

in future.

AC C

317

EP

TE D

308

318

Acknowledgements

319

This work was supported by the Natural Science Fund for Colleges and Universities

320

in Jiangsu Province (No. 17KJB350009) and Natural Science Foundation of Jiangsu

321

Province (No. BK20170445).

322 323

References

324 325 326 327

[1] C.R. Aláez-Versón, E. Lantero, X. Fernàndez-Busquets, Heparin: new life for an old drug, Nanomedicine, 12 (2017) 1727-1744. [2] G. Merli, Anticoagulants in the treatment of deep vein thrombosis, The American Journal of Medicine, 118 (2005) 13-20.

ACCEPTED MANUSCRIPT [3] L. Wang, L. Li, Y. Sun, Y. Tian, Y. Li, C. Li, V.B. Junyaprasert, S. Mao, Exploration of hydrophobic modification degree of chitosan-based nanocomplexes on the oral delivery of enoxaparin, Eur J Pharm Sci, 50 (2013) 263-271. [4] C. F, F. A, C. H, O. ML, L. Y, B. J, T. JJ, Comparison of the pharmacokinetic profiles of three low molecular mass heparins--dalteparin, enoxaparin and nadroparin--administered subcutaneously in healthy volunteers (doses for prevention of thromboembolism), Thrombosis and Haemostasis, 73 (1995) 630-640.

RI PT

[5] S.S. Ibrahim, R. Osman, G.A.S. Awad, N.D. Mortada, A.-S. Geneidi, Polysaccharides-based nanocomplexes for the prolonged delivery of enoxaparin: In-vitro and in-vivo evaluation, International journal of pharmaceutics, 526 (2017) 271-279.

[6] A.K. Choubey, C.P. Dora, T.D. Bhatt, M.S. Gill, S. Suresh, Development and evaluation of (2014) 1-6.

SC

PEGylated Enoxaparin: A novel approach for enhanced anti-Xa activity, Bioorganic Chemistry, 54 [7] S.P. Schwendeman, R.B. Shah, B.A. Bailey, A.S. Schwendeman, Injectable controlled release depots for large molecules, Journal of Controlled Release, 190 (2014) 240-253.

[8] R. Dimatteo, N.J. Darling, T. Segura, In situ forming injectable hydrogels for drug delivery and

M AN U

wound repair, Advanced Drug Delivery Reviews, (2018).

[9] T. Thambi, Y. Li, D.S. Lee, Injectable hydrogels for sustained release of therapeutic agents, Journal of Controlled Release, 267 (2017) 57-66.

[10] C. Wang, G. Zhang, G. Liu, J. Hu, S. Liu, Photo- and thermo-responsive multicompartment hydrogels for synergistic delivery of gemcitabine and doxorubicin, Journal of Controlled Release, 259 (2017) 149-159.

[11] S. Nie, W.L. Hsiao, W. Pan, Z. Yang, Thermoreversible Pluronic F127-based hydrogel containing

TE D

liposomes for the controlled delivery of paclitaxel: in vitro drug release, cell cytotoxicity, and uptake studies, Int J Nanomedicine, 6 (2011) 151-166.

[12] M. Radivojsa Matanovic, I. Grabnar, M. Gosenca, P.A. Grabnar, Prolonged subcutaneous delivery of low molecular weight heparin based on thermoresponsive hydrogels with chitosan nanocomplexes: Design, in vitro evaluation, and cytotoxicity studies, International journal of pharmaceutics, 488 (2015)

EP

127-135.

[13] L. Zhao, L. Zhu, F. Liu, C. Liu, D. Shan, Q. Wang, C. Zhang, J. Li, J. Liu, X. Qu, Z. Yang, pH triggered injectable amphiphilic hydrogel containing doxorubicin and paclitaxel, International journal of pharmaceutics, 410 (2011) 83-91.

AC C

328 329 330 331 332 333 334 335 336 337 338 339 340 341 342 343 344 345 346 347 348 349 350 351 352 353 354 355 356 357 358 359 360 361 362 363 364 365 366 367 368 369 370 371

[14] J. Qu, X. Zhao, P.X. Ma, B. Guo, pH-responsive self-healing injectable hydrogel based on N-carboxyethyl chitosan for hepatocellular carcinoma therapy, Acta Biomaterialia, 58 (2017) 168-180. [15] D. Wlodarczyk, J.P. Méricq, L. Soussan, D. Bouyer, C. Faur, Enzymatic gelation to prepare chitosan gels: Study of gelation kinetics and identification of limiting parameters for controlled gel morphology, International Journal of Biological Macromolecules, 107 (2018) 1175-1183. [16] Y. Chen, Y. Li, W. Shen, K. Li, L. Yu, Q. Chen, J. Ding, Controlled release of liraglutide using thermogelling polymers in treatment of diabetes, Sci Rep, 6 (2016) 31593. [17] Y. Liu, W.-L. Lu, J.-C. Wang, X. Zhang, H. Zhang, X.-Q. Wang, T.-Y. Zhou, Q. Zhang, Controlled delivery of recombinant hirudin based on thermo-sensitive Pluronic® F127 hydrogel for subcutaneous administration: In vitro and in vivo characterization, Journal of Controlled Release, 117 (2007) 387-395. [18] K. Zhang, X. Shi, X. Lin, C. Yao, L. Shen, Y. Feng, Poloxamer-based in situ hydrogels for

ACCEPTED MANUSCRIPT

404 405 406 407 408 409 410 411 412

controlled delivery of hydrophilic macromolecules after intramuscular injection in rats, Drug Deliv, 22 (2015) 375-382. [19] K. Al Khateb, E.K. Ozhmukhametova, M.N. Mussin, S.K. Seilkhanov, T.K. Rakhypbekov, W.M. Lau, V.V. Khutoryanskiy, In situ gelling systems based on Pluronic F127/Pluronic F68 formulations for ocular drug delivery, International journal of pharmaceutics, 502 (2016) 70-79. [20] M.J. Bhandwalkar, A.M. Avachat, Thermoreversible nasal in situ gel of venlafaxine hydrochloride: formulation, characterization, and pharmacodynamic evaluation, AAPS PharmSciTech, 14 (2013)

RI PT

101-110.

[21] Y.G. Seo, D.W. Kim, W.H. Yeo, T. Ramasamy, Y.K. Oh, Y.J. Park, J.A. Kim, D.H. Oh, S.K. Ku, J.K. Kim, C.S. Yong, J.O. Kim, H.G. Choi, Docetaxel-loaded thermosensitive and bioadhesive nanomicelles as a rectal drug delivery system for enhanced chemotherapeutic effect, Pharm Res, 30 (2013) 1860-1870.

SC

[22] Z. Lin, W. Gao, H. Hu, K. Ma, B. He, W. Dai, X. Wang, J. Wang, X. Zhang, Q. Zhang, Novel thermo-sensitive hydrogel system with paclitaxel nanocrystals: High drug-loading, sustained drug release and extended local retention guaranteeing better efficacy and lower toxicity, Journal of Controlled Release, 174 (2014) 161-170.

M AN U

[23] P. Wang, W. Chu, X. Zhuo, Y. Zhang, J. Gou, T. Ren, H. He, T. Yin, X. Tang, Modified PLGA–PEG–PLGA thermosensitive hydrogels with suitable thermosensitivity and properties for use in a drug delivery system, Journal Of Materials Chemistry B, (2017) 1551-1565. [24] M. Pitorre, H. Gondé, C. Haury, M. Messous, J. Poilane, D. Boudaud, E. Kanber, G.A. Rossemond Ndombina, J.-P. Benoit, G. Bastiat, Recent advances in nanocarrier-loaded gels: Which drug delivery technologies against which diseases?, Journal of Controlled Release, 266 (2017) 140-155.

TE D

[25] P. Wang, Q. Wang, T. Ren, H. Gong, J. Gou, Y. Zhang, C. Cai, X. Tang, Effects of Pluronic F127-PEG multi-gel-core on the release profile and pharmacodynamics of Exenatide loaded in PLGA microspheres, Colloids and Surfaces B: Biointerfaces, 147 (2016) 360-367. [26] M.R. Matanović, J. Kristl, P.A. Grabnar, Thermoresponsive polymers: Insights into decisive hydrogel characteristics, mechanisms of gelation, and promising biomedical applications, International

EP

journal of pharmaceutics, 472 (2014) 262-275.

[27] M.R. Matanovic, J. Kristl, P.A. Grabnar, Thermoresponsive polymers: insights into decisive hydrogel characteristics, mechanisms of gelation, and promising biomedical applications, International journal of pharmaceutics, 472 (2014) 262-275.

AC C

372 373 374 375 376 377 378 379 380 381 382 383 384 385 386 387 388 389 390 391 392 393 394 395 396 397 398 399 400 401 402 403

ACCEPTED MANUSCRIPT Table 1 Physicochemical characteristics of nanocomplexes at various EX/polymer mass ratios.

2:4 3:4 4:4 5:4

EX/CS

1:4 2:4 3:4

1:2

3:2

4:2

194.93±3.11

0.109±0.025

32.38±1.67

143.70±4.13

0.143±0.033

184.53±2.64

0.110±0.008

804.36±72.35

0.141±0.104

588.72±19.37

0.218±0.022

59.12±1.95

519.31±1.36

0.241±0.032

57.00±1.28

0.240±0.017

52.76±1.40

0.282±0.035

48.84±1.16

302.27±4.85

0.207±0.038

47.31±2.15

1082.54±40.01

0.377±0.043

7.70±0.77

442.20±79.73

0.325±0.039

4.69±2.75

319.91±6.10

0.172±0.049

-14.59±1.73

146.32±2.23

0.173±0.029

-22.94±0.79

114.11±0.687

0.272±0.007

-38.82±5.13

325.14±12.49

AC C

2:2

39.96±0.30

TE D

0.5:2

0.357±0.056

EP

EX/PEI

1091.06±469.36

386.61±0.60

4:4 5:4

Zeta potential (mV)

RI PT

1:4

Polydispersity index

27.96±2.53

23.43±2.21

-26.91±2.21

SC

EX/Plys

Size (nm)

M AN U

EX/ Polymers mass ratio

SC

RI PT

ACCEPTED MANUSCRIPT

M AN U

Table 2 Results of optimization of concentration of F127. Formulation batch

F1

F2

EX (mg/ml) Polymer (mg/ml) F127(%,w/v) Tsol-gel ( )

0 0 15

0 0 18 37

﹥60

F3

F4

F5*

F6*

F7*

F8*

0 0 21 28

0 0 24 22

0.6 0 21 28

0.6 0.4 21 28

0.6 0.4 21 28

0.6 0.4 21 28

TE D

Tsol-gel, gelation temperature;

*, F5-F8 respectively represents EX solution hydrogels, EX/Plys, EX/CS, EX/PEI nanocomplexes

AC C

EP

hydrogels.

SC

RI PT

ACCEPTED MANUSCRIPT

M AN U

Table 3

Release kinetics of EX solutions, EX/Plys nanocomplexes, EX/CS nanocomplex and EX/PEI nanocomplex hydrogels.

Zero order

First order

Ritger-Peppasa

Q versus t

ln (1 − Q) versus t

lnQ versus lnt

EX solutions hydrogels

y = 0.664x + 9.591

y = -0.664x + 90.409

y = 0.709x + 1.121

EX/Plys nanocomplexes hydrogels

r = 0.985 y = 0.180x + 5.888

r = 0.985 y = -0.180x + 94.113

r = 0.997 y = 0.517x + 0.859

EX/CS nanocomplex hydrogels

r = 0.947 y = 0.236x +6.120

r = 0.947 y = -0.236x + 93.880

r = 0.983 y = 0.540x + 0.947

r = 0.966 y = 0.137x +4.267 r = 0.952

r = 0.966 y = -0.137x + 95.733 r = 0.952

r = 0.994 y = 0.5201x + 0.553 r = 0.991

TE D

Formulation

a

EP

EX/PEI nanocomplex hydrogels

AC C

Ritger-Peppas equation: lnQ = nlnt + lnk, Q is the fractional drug release, n is the release exponent, t is the release time and k is a rate constant.

ACCEPTED MANUSCRIPT Figure captions Fig.1. Structure of (a) enoxaparin, (b) polylysine, (c) chitosan and (d) polyethyleneimine. Fig.2. TEM micrograph of (a) EX/Plys nanocomplexes, (b) EX/CS nanocomplexes

RI PT

and (c) EX/PEI nanocomplexes. Fig.3. Schematic structure of nanocomplex in F127 hydrogels. LCST: low critical solution temperature.

Fig.4. SEM micrograph of (a) EX solution in hydrogels, (b) EX/Plys nanocomplexes

SC

in hydrogels, (c) EX/CS nanocomplexes in hydrogels and (d) EX/PEI nanocomplexes in hydrogels.

(Ph 7.4, 37

M AN U

Fig.5. Dissolution profiles of thermoreversible hydrogels at physiological conditions ). Data are means ±SD of three measurements.

Fig.6. Release profiles of EX from F127 hydrogels (21%). Data are means ±SD of three measurements.

Fig.7. A correlation of cumulative percent of EX released with cumulative percent of

TE D

F127 hydrogels. The line represents a linear regression. (a) EX solution in hydrogels, (b) EX/Plys nanocomplexes in hydrogels, (c) EX/CS nanocomplexes in hydrogels and

AC C

EP

(d) EX/PEI nanocomplexes in hydrogels.

M AN U

SC

RI PT

ACCEPTED MANUSCRIPT

AC C

EP

polyethyleneimine.

TE D

Fig.1. Structure of (a) enoxaparin, (b) polylysine, (c) chitosan and (d)

Fig.2. TEM micrograph of (a) EX/Plys nanocomplexes, (b) EX/CS nanocomplexes and (c) EX/PEI nanocomplexes.

M AN U

SC

RI PT

ACCEPTED MANUSCRIPT

Fig.3. Schematic structure of nanocomplexes in F127 hydrogels. LCST: low critical

AC C

EP

TE D

solution temperature.

Fig.4. SEM micrograph of (a) EX solution in hydrogels, (b) EX/Plys nanocomplexes in hydrogels, (c) EX/CS nanocomplexes in hydrogels and (d) EX/PEI nanocomplexes in hydrogels.

M AN U

SC

RI PT

ACCEPTED MANUSCRIPT

Fig.5. Dissolution profiles of thermoreversible hydrogels at physiological conditions ). Data are means ±SD of three measurements.

AC C

EP

TE D

(Ph 7.4, 37

Fig.6. Release profiles of EX from F127 hydrogels (21%). Data are means ±SD of three measurements.

M AN U

SC

RI PT

ACCEPTED MANUSCRIPT

Fig.7. A correlation of cumulative percent of EX released with cumulative percent of F127 hydrogels. The line represents a linear regression. (a) EX solution in hydrogels,

TE D

(b) EX/Plys nanocomplexes in hydrogels, (c) EX/CS nanocomplexes in hydrogels and

AC C

EP

(d) EX/PEI nanocomplexes in hydrogels.