Bhabani Sankar Satapathya,
Biswajit Mukherjee*a,
Rinku Baishyab,
Mita Chatterjee Debnath†
b,
Niladri Shekhar Deya and
Ruma Majia
aDepartment of Pharmaceutical Technology, Jadavpur University, Kolkata-700032, West Bengal, India. E-mail: biswajit55@yahoo.com; Fax: +91-33-24146677; Tel: +91-33-24572588
bInfectious and Immunology Division, CSIR-Indian Institute of Chemical Biology, Kolkata-700032, India
First published on 30th August 2016
Successful treatment of brain cancer remains a formidable challenge in neuroscience research due to sub-therapeutic permeation of conventional chemotherapeutics across the blood–brain barrier (BBB). By optimizing various conditions and process parameters, we developed a phospholipid based nanosize carrier (NL) encapsulating docetaxel (DTX) and investigated its BBB crossing potential, both qualitatively and quantitatively, in vivo. The optimized NLs had a nanosize below 100 nm, smooth surface with intact lamellarity, 7.8% drug loading and a sustained drug release profile in vitro. Pharmacokinetic and biodistribution data showed an enhanced residence time of the drug in blood and efficient permeation of the drug from the DTX loaded NL through the BBB, as compared to free DTX. The technetium-99m labeled NL effectively crossed the BBB and accumulated in the brain tissue in a time dependant manner compared to technetium-99m labeled DTX. NL may provide a promising platform for an improved management of brain cancer.
Docetaxel (DTX), an important member of taxanes, exhibits notable anticancer efficacy against various cancers.4 Though DTX structurally resemblances with paclitaxel (PTX), but it is almost twice more effective as inhibitor of microtubule depolymerization than PTX.5 However, its use in the treatment of glioma is highly limited due to its low BBB permeation capacity.6 Most of the available commercial formulations of DTX are unable to cross BBB efficiently, and are also accompanied with several side effects such as allergic reactions, nephro-toxicity, neuro-toxicity, low white blood cell count, cumulative fluid retention etc.7,8 In recent years, numbers of alternative sub-micron novel delivery systems have been reported for delivery of DTX to brain cells.6 However, reports on the clear evidence of increased BBB permeation and sustainability of DTX within the brain by in vivo imaging technique are still scarce. As a result an optimized delivery system of DTX for clinical application in glioma therapy is yet to be well-established.
In order to fill up this gap, the study was intended to develop and characterize a phospholipid based 1,2-distearoyl-sn-glycero-3-phosphotidylethanolamine (DSPE) incorporated nanostructured delivery system of DTX for enhanced brain delivery of the drug. Seeing the abundant presence of DSPE in the white mater of brain, and other nervous tissues, where it constitutes almost 45% of all phospholipids, it is assumed that the presence of DSPE would further drive the formulation to the brain tissue. Here we have investigated both qualitatively and quantitatively the potential of our developed formulation to cross BBB in vivo. Various critical formulation and process parameters were optimized in order to keep the size of the final formulation within 100 nm along with the satisfactory physicochemical properties. We wanted to see whether the experimental formulation carrying DTX was able to permeate through BBB sufficiently and lead to sustained drug release in the brain as compared to free drug. Thus, the overall aim was to develop an optimized method of preparation of a biocompatible drug nanocarrier with a reasonable drug payload for efficient BBB permeation, sustained drug release in brain cells with an improved blood residence time and better efficacy for brain cancer treatment.
:
female ratio 1
:
1), weighing 20–25 g were used. For biodistribution and gamma scintigraphy imaging studies, male Sprague–Dawley rats weighing 250–300 g were used. The animals were purchased from Indian Institute of Chemical Biology, Kolkata, West Bengal. Animals were kept in polypropylene cages and housed in the university animal house at 25 ± 1 °C and 55% relative humidity environment with normal day and night cycle. Animals were fed standard diet and drinking water ad libitum. All the experimental procedures were reviewed and approved by the Animal Ethics Committee (AEC), Jadavpur University, Kolkata and the guidelines of AEC were followed throughout the study. The animals were acclimatized to the animal house environment at least for 2 weeks before beginning of the experiments.
000 rpm for one hour. The product was collected, stored overnight at −20 °C for pre-cooling followed by lyophilization (laboratory lyophilizer; IIC Industrial Corporation, Kolkata, India) for 12 h. For the development of NLs with DSPE, weighed amount of DSPE was taken along with DTX, SLE, CHL, and BHT in a 250 ml round bottom flask and were dissolved in chloroform.9 All other procedures remained same as described previously.
| Formulation code | SLE : CHL : DSPE ratio (w/w) |
Drug : lipid ratio (w/w) |
% yield | Practical % drug loadinga | % drug loading efficiencya |
|---|---|---|---|---|---|
| a Data show mean ± SD (n = 3).b Abbreviations: DNL, docetaxel loaded NLs; DNL-PE, docetaxel loaded DSPE incorporated NLs. | |||||
| DNL-1 | 75 : 50 : 0 |
1 : 8 |
51.5 | 6.7 ± 0.1 | 63.8 ± 1.2 |
| DNL-2 | 125 : 50 : 0 |
1 : 8 |
67.3 | 8.4 ± 1.3 | 82.3 ± 2.1 |
| DNL-PE | 125 : 50 : 7 |
1 : 9 |
68.2 | 7.8.± 0.4 | 78.7 ± 0.8 |
:
1 ratio was prepared and 50 μl of this stock was dissolved in the organic phase (chloroform) during the first step of preparation.10 The rest of the procedure was same as mentioned above.
:
3), vortexed and centrifuged at 12
000 rpm for 15 min. The absorbance of supernatant was measured at 229.9 nm using UV/VIS spectrophotometer (Beckman, Fullerton, CA, USA).9 The percentage drug loading and the drug loading efficiency were calculated using the following formula.| Drug loading (%) = (amount of DTX in NL/amount of NL obtained) × 100 |
| Drug loading efficiency (%) = (practical drug loading/theoretical drug loading) × 100. |
:
female ratio 1
:
1) (body weight 20–25 g). The animals were divided into three groups each containing 6 animals. In group I, animals were administered DTX suspension intravenously (10 mg kg−1 body weight). Animals of the second group received DNL-PE, injected intravenously with a quantity containing DTX equivalent to 10 mg kg−1. Animals of the third group were untreated (control) animals. For plasma pharmacokinetic study, at a predetermined time interval of post i.v. dose, blood samples were withdrawn by heart puncture and stored in heparinized tubes. The blood samples were immediately centrifuged using cold centrifuge (HERMLE Labortechnik GmbH, Wehingen, Germany) at 5000 rpm for 10 min and the plasma was stored at −70 °C until further analysis.12For studying drug pharmacokinetics in brain, the animals were sacrificed at 0.5, 1, 3, 6, 9 and 24 h post i.v. dose. Brains were removed, weighed, and homogenized in PBS, pH 7.4. The homogenates were stored at −70 °C until further analysis.
A LCMS/MS technique was used to determine the drug concentration in plasma and brain samples. In short, for LCMS/MS analysis, the plasma and brain samples were first mixed with about three volume of methyl-tert-butyl ether, vortexed and centrifuged to extract DTX. The supernatant in each case was collected. The organic solvent was evaporated to dryness at 40 °C under a steam of nitrogen. Before analysis, the dry samples were reconstituted with 100 μl of mobile phase. About 50 μl of internal standard solution (containing PTX 1 μg ml−1) was added in each sample before analysis and 20 μl sample was injected into the LCMS/MS column (Agilent 6410, Triple Quad MS-MS, Agilent, USA). Different pharmacokinetic parameters i.e. area under the curve (AUC), area under the first moment curve (AUMC), total body clearance (Clt), volume of distribution (Vd), mean residence time (MRT) etc. were determined using non-compartmental PK Solver software (JiangSu Province, China, Version 2.0).
:
40
:
0.05 v/v/v, respectively) at a flow rate of 0.4 ml min−1. The analyte was monitored using mass spectrometer equipped with a double quadruple and an electrospray ionization interface, operated in a positive mode (ESI+). The analysis was carried out at 40 °C with a sample injection volume of 20 μl.
O stretching) and from 1067 cm−1 to 1058 cm−1 (amine) showed the involvement of CHL and SLE in physical interactions. In case of DSPE, shifting of characteristic peaks were observed from 1210 cm−1 (for acids) and 1000 cm−1 (amines, C–N medium stretching vibration) which might be due to the formation of weak hydrogen bond between amino group of DSPE and OH group of CHL. Additionally, formation of weak H-bond between the amino group of SLE and OH-group of CHL might also take place. Further, some other physical interactions such as van der Waals force of attraction or dipole–dipole interaction etc. might also exist among SLE, CHL and DSPE molecules. These interactions could be responsible for the development of NL structure. When the lyophilized NLs (loaded with drug/without drug) were compared, no peak of drug was detected. This suggests that the drug was encapsulated completely and no free drug was available on the surface of the formulation.
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| Fig. 2 Particle size distributions of selected docetaxel-loaded nanosize lipid carriers (A) DNL-1 (B) DNL-2; and (C) docetaxel-DSPE loaded nanosize lipid carriers (DNL-PE). | ||
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| Fig. 3 FESEM photographs of experimental formulations, taken from different portions of samples (A and B for DNL-1, C and D for DNL-2, E and F for DNL-PE). | ||
| Formulations | Weight% | Atomic% | ||||
|---|---|---|---|---|---|---|
| CK | OK | PK | CK | OK | PK | |
| a Abbreviations: DNL, docetaxel loaded NLs; DNL-PE, docetaxel loaded DSPE incorporated NLs; CK, carbon counts; OK, oxygen counts; PK, phosphorous counts. | ||||||
| DNL-2 | 47.59 | 39.67 | 12.74 | 57.82 | 36.18 | 6.00 |
| DNL-PE | 40.96 | 41.92 | 17.11 | 51.80 | 39.80 | 8.39 |
| Kinetic model | DNL-PE | DNL-2 |
|---|---|---|
| a Abbreviations: DNL, docetaxel loaded NLs; DNL-PE, docetaxel loaded DSPE incorporated NLs. | ||
| Zero order kinetics | y = 2.520x + 7.536, R2 = 0.866 | y = 2.387x + 3.658, R2 = 0.900 |
| First order kinetics | y = −0.016x + 1.978, R2 = 0.933 | y = −0.014x + 1.994, R2 = 0.928 |
| Koresmeyer–Peppas | y = 0.942x + 0.634, R2 = 0.978 | y = 1.111x + 0.376, R2 = 0.978 |
| Higuchi | y = 14.91x − 10.65, R2 = 0.964 | y = 13.87x − 12.99, R2 = 0.953 |
| Hixson–Crowell kinetics | y = −0.051x + 4.547, R2 = 0.913 | y = −0.046x + 4.606, R2 = 0.913 |
| Formulations/free drug | Time | Heart | Blood | Liver | Lung | Spleen | Muscle | Intestine | Stomach | Kidney | Brain | Brain/blood |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| a Data are expressed in % mean of injected dose (ID) per gram of organ/tissue ± SD (n = 5). | ||||||||||||
| DNL-PE | 0.5 h | 0.03 ± 0.01 | 2.10 ± 0.32 | 22.10 ± 3.22 | 4.56 ± 1.10 | 4.93 ± 0.19 | 0.01 ± 0.00 | 1.24 ± 0.31 | 1.21 ± 0.30 | 0.02 ± 0.00 | 0.83 ± 0.21 | 0.39 |
| 2 h | 0.14 ± 0.03 | 1.73 ± 0.45 | 35.17 ± 3.11 | 2.99 ± 0.21 | 2.76 ± 0.45 | 0.03 ± 0.00 | 2.46 ± 0.22 | 1.30 ± 0.32 | 0.09 ± 0.03 | 1.27 ± 0.32 | 0.73 | |
| 4 h | 0.11 ± 0.02 | 1.51 ± 0.33 | 37.24 ± 4.21 | 2.89 ± 1.01 | 2.56 ± 0.43 | 0.05 ± 0.01 | 2.67 ± 0.77 | 2.56 ± 0.65 | 0.11 ± 0.03 | 1.79 ± 0.05 | 1.18 | |
| 8 h | 0.10 ± 0.02 | 1.21 ± 0.32 | 38.65 ± 4.78 | 1.34 ± 0.5 | 1.89 ± 0.31 | 0.09 ± 0.01 | 4.65 ± 1.11 | 5.67 ± 2.11 | 0.16 ± 0.08 | 1.37 ± 0.55 | 1.13 | |
| DNL-2 | 0.5 h | 0.02 ± 0.01 | 1.42 ± 0.07 | 26.23 ± 5.11 | 3.46 ± 0.08 | 3.35 ± 1.02 | 0.09 ± 0.05 | 2.01 ± 0.08 | 1.81 ± 0.20 | 0.06 ± 0.01 | 0.31 ± 0.04 | 0.21 |
| 2 h | 0.18 ± 0.11 | 0.95 ± 0.01 | 33.90 ± 2.44 | 2.08 ± 0.12 | 2.85 ± 0.04 | 0.14 ± 0.02 | 2.88 ± 0.69 | 2.39 ± 0.03 | 0.22 ± 1.13 | 0.56 ± 1.05 | 0.58 | |
| 4 h | 0.13 ± 0.03 | 0.71 ± 0.09 | 38.21 ± 4.55 | 1.65 ± 1.33 | 2.01 ± 0.33 | 0.12 ± 0.22 | 3.26 ± 1.02 | 3.55 ± 0.07 | 0.18 ± 0.07 | 0.78 ± 0.06 | 1.09 | |
| 8 h | 0.01 ± 0.02 | 0.25 ± 0.12 | 32.52 ± 2.11 | 0.81 ± 0.41 | 1.51 ± 0.02 | 0.04 ± 0.01 | 4.95 ± 0.09 | 7.01 ± 0.33 | 0.09 ± 0.11 | 0.13 ± 0.08 | 0.52 | |
| Free DTX | 0.5 h | 0.21 ± 0.01 | 0.61 ± 0.22 | 30.11 ± 3.12 | 1.22 ± 0.45 | 1.54 ± 0.67 | 0.11 ± 0.02 | 1.02 ± 0.33 | 4.20 ± 1.11 | 0.17 ± 0.05 | 0.09 ± 0.02 | 0.14 |
| 2 h | 0.12 ± 0.03 | 0.41 ± 0.21 | 41.21 ± 4.42 | 2.31 ± 1.11 | 2.22 ± 0.43 | 0.12 ± 0.08 | 2.56 ± 0.21 | 6.52 ± 1.21 | 0.21 ± 0.21 | 0.10 ± 0.06 | 0.24 | |
| 4 h | 0.10 ± 0.00 | 0.32 ± 0.05 | 40.19 ± 4.21 | 2.67 ± 0.67 | 2.37 ± 0.78 | 0.11 ± 0.06 | 3.66 ± 1.11 | 8.54 ± 2.11 | 0.12 ± 0.00 | 0.09 ± 0.02 | 0.28 | |
| 8 h | 0.08 ± 0.01 | 0.19 ± 0.02 | 30.32 ± 5.32 | 2.78 ± 0.78 | 2.35 ± 0.76 | 0.10 ± 0.00 | 6.54 ± 1.02 | 12.45 ± 2.34 | 0.12 ± 0.00 | 0.04 ± 0.00 | 0.21 | |
658.2 ± 1138.4 ng ml−1 h−1 and 6948.3 ± 121.2 ng ml−1 h−1 for DNL-PE and free drug suspension, respectively. Following i.v. administration, the MRT was 3.6 ± 0.3 h; with DTX suspension where as it was 5.7 ± 0.1 h with DNL-PE (Table 6). About 2.5 time enhancement in AUMC0–∞ was also observed in DNL-PE treated animals as compared to the animals treated with DTX suspension. The data overall suggest improved pharmacokinetic parameters of DNL-PE as compared to the free drug suspension.
| Pharmacokinetic parameters | Plasmaa | Braina | ||
|---|---|---|---|---|
| DNL-PE | DTX | DNL-PE | DTX | |
| a Data show mean ± SD (n = 5).b Abbreviations: AUC, area under the plasma concentration time curve; AUMC, area under the first moment curve; MRT, mean residence time; t1/2, plasma half life; Clt, total body clearance; Vd, apparent volume of distribution. | ||||
| AUC0–∞ (ng h ml−1) | 12 658.2 ± 1138.4 |
6948.3 ± 121.2 | 10 739.3 ± 2331.6 |
2907.9 ± 116.3 |
| AUMC0–∞ (ng h2 m−1) | 74 421.4 ± 231.4 |
26 169.1 ± 3321.6 |
128 584.2 ± 2113.3 |
34 502.1 ± 332.6 |
| MRT0–∞ (h) | 5.7 ± 0.1 | 3.6 ± 0.3 | 11.7 ± 2.7 | 4.1 ± 0.3 |
| Clt (L h−1) | 0.003 ± 0.011 | 0.005 ± 0.012 | 0.003 ± 0.022 | 0.15 ± 0.43 |
| Vd (L) | 0.02 ± 0.02 | 0.01 ± 0.51 | 0.04 ± 0.12 | 0.15 ± 0.18 |
739.3 ± 2331.6 ng h ml−1) was reasonably higher than that from DTX suspension (2907.9 ± 116.3 ng h ml−1). A significant difference in AUMC0–∞ (128
584.2 ± 2113.3 ng h2 ml−1 for DNL-PE vs. 34
502.1 ± 332.6 ng h2 ml−1 for DTX suspension) and Clt (0.15 ± 0.43 l h−1 for DNL-PE vs. 0.003 ± 0.022 l h−1 for DTX suspension) values were also observed for DNL-PE and DTX suspension (Table 6). The MRT0–t for DNL-PE (11.7 ± 2.7 h) increased almost three times as compared to the free drug suspension (4.1 ± 0.3 h), signifying higher residence of the formulation in brain tissue. After i.v. administration, the drug concentration for free DTX suspension decreased rapidly and at 12 h it was found almost non-detectable (the lowest limit of detection of the LCMS/MS used, <5.00 ng ml−1), whereas the same was detectable even after 24 h in case of DNL-PE, suggesting sustained drug release property of the formulation in the brain tissue.Drug loading, surface morphology, average size (Z-average), PDI of the NLs varied with the changes in the quantity of their contents and in different process parameters, such as speed and duration of hydration, hydration temperature, duration of sonication, speed and duration of centrifugation, etc. We have first optimized the formulation parameters. We chose a fixed drug–polymer ratio of 1
:
9 (w/w) and CHL–SLE ratio of 1
:
2.5 (w/w) for the desired physicochemical properties. Initially, we found that with an increase in phospholipid concentration (at a fixed drug amount), percentage of drug loading increased. However, at a ratio of mixing by weight above 1
:
3 of CHL
:
SLE, the morphology of NLs was damaged. Clearly, CHL is responsible for stabilizing the NLs structure. When we decreased CHL and SLE ratio below 1
:
1 (w/w), the drug loading decreased significantly, though the structure was well formed as evidenced by FESEM. Similarly, above 1
:
9 drug–lipid ratio, an enhancement in the amount of drug did not increase drug loading. This suggests that the drug quantity and its loading efficiency are not proportional to each other. In the present study, duration of sonication was also optimized. Ultra-sonication for 1 h in bath type sonicator resulted in NLs of very small size (below 100 nm). However, sonication for more than 1 h produced larger NLs (as observed by FESEM) with a decreased drug loading (data not shown). Alternatively, less sonication time yielded less homogenous vesicles with variable sizes. During hour long sonication in a bath type sonicator, the larger size NLs might have broken to smaller size NLs. After sonication, a reasonable standing period of 2 h is important (as we have seen in our process) before refrigeration. This parameter is not often considered critical in many reports.15,16 However, we have found that sonication followed by refrigeration without a sufficient period of standing led to a breakage of NLs structure. Variation in centrifugation speed and duration of centrifugation has been reported to vary the size and PDI of nanoformulations.16,17 Optimization of speed of centrifugation and duration of centrifugation are important to form NL structures. In our work, we have optimized the centrifugation speed of 16
000 rpm for 1 h to get NLs. Thus, we chose a fixed ratio of 1
:
9 drug–lipid, 1
:
2.5 (w/w) ratio of CHL
:
SLE along with 1 h hydration at 130 rpm at 60 °C, 1 h sonication (bath type sonicator), 2 h standing period before freezing and 1 h centrifugation at 16
000 rpm as the optimized parameters for balancing the loading of drug and controlling the size of formulations below 100 nm. Again, based on size distribution, and the maximum drug loading obtained, DNL-2 was selected for further study.
A reasonable DTX loading of 7.8 ± 0.6% with 78.8 ± 0.5% drug loading efficiency was observed for DNL-PE. The percentage drug loading and loading efficiency for DNL-PE were slightly less than that of DNL-2, which again may be attributed to the presence of DSPE in the formulation.
FESEM photographs show that the experimental formulations had smooth surface. DNL-PE showed homogenous distribution pattern without the presence of any lumps or agglomerates in the lyophilized sample.
In our study we have adopted three different methods, DLS, FESEM and Cryo-TEM in order to precisely understand size and distribution of experimental NLs both in the lyophilized and hydrated states. Sizes of lyophilized samples observed using FESEM were smaller than those detected by DLS. The difference in size may be because of the DLS method which measures the hydrodynamic diameter of NLs in aqueous suspension. NLs might swell and increase in size during the sample preparation in double distilled (distilled twice) water. A similar observation has been reported.18,19 Size analysis data show that the average size (Z-average) of DNL-PE was well below 100 nm. Further, PDI values obtained suggest a narrow size distribution of the experimental NLs.
The smaller is the size of the drug nanocarriers, the easier is to keep them suspended in a liquid. Larger drug carriers precipitate out more easily than the smaller drug carriers or nanosize drug carriers, as the precipitation phenomenon is governed by Stokes' law.20 Further, a surface charge more negative than −30 mV or more positive than +30 mV is generally considered critical to form stable suspensions.9,21 In the present work, DNL-PE had nanosize (Z-average, 82.1 nm) with negative surface charge (−60.7 mV), which predicts its prolonged stability in a suspended form. Further, in our body, positively charged drug carriers are eliminated more quickly than the negative charge drug carriers, claiming more blood residence time of the experimental formulations.22
A proportional variation in weight% and atomic% of various elements (C, O, and P) was observed in DNL-PE as compared to DNL-2. The data suggest the presence of DSPE in the NLs varied the weight% and atomic% of the elements measured in the experimental formulation DNL-PE.
Cryo-TEM analysis is now becoming an essential tool for the evaluation of lipid based nano constructs. Due to their delicate nature, the lipid based membrane structures are more prone to get damaged under high vacuum in case of normal TEM (freeze fractured TEM). The Cryo-TEM analysis allows for direct imaging of nanosize lipid based membrane structures in their native state at a very low temperature condition. In our study, the experimental NLs were found to be mostly unilamellar including a very few bilamellar structures (<0.05%) below 100 nm size range. The formed NLs were spherical, with intact lamellarity and without any perforations on their membrane, justifying good and stable formation of structure. This may be attributed to the optimization of the manufacturing parameters of NLs done in our study.
In vitro drug release data for DNL-PE show that the drug released in a sustained manner from the formulations. A relatively higher cumulative amount of drug released from DNL-PE than DNL-2. Presence of DSPE might assist comparatively easier DTX diffusion by modifying drug diffusion pathways through the lipid carrier membrane. The kinetic data show that drug release from DNL-PE might follow complex mechanisms of diffusion as well as erosion from the experimental NLs as the data was best fitted to Korsmeyer–Peppas kinetic model.16
Effective delivery of drug to brain is often a herculean task for the formulation scientists. Most of the trials in recent years have failed to demonstrate a remarkable efficiency of drug to cross BBB.23 Many studies have been reported about the improved brain delivery of DTX through lipid-based nanocarriers (e.g. liposome or solid lipid nanoparticles).6,24 Li, et al.24 has reported an increased brain delivery of DTX through glucose modified liposomes by using C6 glioma cell line as the in vitro model. Venishetty et al.6 investigated the brain uptake of DTX along with ketoconazole loaded in folate-grafted solid lipid nanoparticles in brain endothelial cells (bEnd.3). Both of the studies also reported in vivo brain pharmacokinetic data to show the brain uptake of DTX loaded lipid nanocarriers in comparison to the free drug. However, the present study is predominantly different from the other such reports. In this study DSPE incorporated phospholipid vesicular nanocarrier has shown its incredible potential of BBB permeation as documented by in vivo gamma scintigraphy imaging method. In our study, we have used three different techniques such as confocal microscopy of brain tissue, gamma scintigraphy imaging as well as evaluation of brain pharmacokinetic profile of the drug by LCMS/MS method to provide a concrete evidence of BBB crossing potential of the experimental NL (DNL-PE), which has not been reported before for any lipid based nanocarriers carrying DTX. DNL-PE is stable at its nanosize and was able to release the drug in a sustained manner. Further, better residence time in blood as well as in brain tissue as compared to the free drug has made this nanomedicine unique for its future clinical application. In our case, we have tried to provide enough evidence both qualitatively and quantitatively to confirm that the experimental DNL-PE was able to penetrate through BBB sufficiently and accumulated in the brain tissue for a longer period of time.
The confocal images of brain tissue showed extensive distribution of FITC labeled NLs throughout the organ. The NLs accumulated more in the granular portions of brain tissue than the agranular portions. The fluorescence intensity from the DNL-PE treated brain tissue was quite higher than that of the DNL-2 treated tissue for both 3 h and 5 h, supporting higher brain penetrability of the optimized DSPE-formulation over the non-DSPE ones. Further, in the picture, the normal brain architecture was found to remain unaltered, signifying absence of any severe detrimental effect of the formulation to normal brain cells within the experimental time period.
Gamma scintigraphy provides direct information on the localization of radiolabeled materials in the body. In the study, we used this imaging technique to provide a concrete evidence of BBB permeation potential of DNL-PE/DNL-2 with respect to the free drug suspension. The imaging was done at 3 h and 5 h post i.v. injection of 99mTc labeled NLs and 99mTc labeled free drug in different groups of rats. Both the radiolabeled NLs and the radiolabeled free drug were found to distribute in all the vital organs in the body, though the maximum radioactivity signal was observed in liver. Substantial radioactivity signal from the brain of rats treated with radiolabeled DNL-PE was clearly visible at 3 h. The signal was persisted at 5 h also, signifying longer retention of 99mTc labeled DNL-PE in the brain tissue. However, very weak signals were exhibited in the brains of animal treated 99mTc labeled DNL-2 and free drug at 3 h (at 5 h, no radioactivity signal was detected for them). The images proved a successful BBB permeation of 99mTc labeled DNL-PE into the brain. By dint of the tiny size, high lipophilic nature and higher retention in blood, 99mTc labeled DNL-PE could permeate through BBB. The cell membrane-mimicking property of the phospholipid carrier might further help it retaining in the brain tissue to release the drug for a prolonged period of time.
Biodistribution study of the radiolabeled 99mTc labeled DNL-PE, 99mTc labeled DNL-2 and 99mTc labeled free DTX was carried out with the help of a well-type gamma scintillation counter to evaluate complete distribution pattern of radiolabeled complex inside the body of the experimental rats. Radiolabeled DNL-PE, DNL-2 and free drug were found to distribute into the tissues within 0.5 h. DNL-PE showed higher residence time in blood as compared to free drug. Highest amount of drug uptake was seen in liver for both DNL-PE and free drug, suggesting their hepatic clearance from the body. The radiolabeled complexes were also found to be distributed in other macrophage rich organs such as spleen and lungs. Accumulation of 99mTc labeled NLs and free drug in brain was in the order of 99mTc labeled DNL-PE > 99mTc labeled DNL-2 > 99mTc labeled free drug at all the time points of the investigation. Unlike 99mTc labeled DNL-PE, the brain/blood biodistribution ratio of radiolabeled free drug was continuously less, supporting once again low brain permeating nature of the free drug. Significant drug accumulation in kidneys from DNL-PE/free drug indicates predominant renal excretion of them with a slower excretion of DNL-PE than the free drug.
The plasma and brain kinetic parameters of DTX in animals treated with DNL-PE showed a higher value of AUC, AUMC, Vd and a lower rate of clearance in comparison to free drug suspension. The plasma drug concentration after 24 h was significantly (p ≤ 0.05) higher for DNL-PE (98.35 ng ml−1) whereas the same was non-detectable in case of free drug suspension. Cmax of the free drug was 3833.4 ng ml−1 at 1 h. Due to their much smaller size (<100 nm), the NLs might be able to escape from the macrophages and remained in the circulation for a prolonged period of time. The enhanced blood circulation property further helped NLs (DNL-PE) to get sufficient time to cross BBB and accumulate in brain tissue.
Concentration of DTX in brain was much higher for DNL-PE than for free drug suspension at all the time points of the study. For DNL-PE, DTX concentration increased from 0.5 h to 3 h after which it decreased in a controlled manner up to 24 h. Free drug suspension showed much lower drug kinetic profile (significantly lower AUC0–∞, AUMC0–∞, MRT) justifying inability of the drug to cross BBB efficiently. The optimized in vitro properties such as nanosize and high lipophilicity of DNL-PE may be responsible for BBB crossing. Further, a sustained release of the drug from the NLs might be responsible to maintain a higher drug concentration in brain, which overall led to its enhanced brain pharmacokinetic profiles.
| AUC | Area under the curve |
| AUMC | Area under the first moment curve |
| BBB | Blood–brain barrier |
| BHT | Butylated hydroxyl toluene |
| CHL | Cholesterol |
| cm | Centimeter |
| Cmax | Peak plasma concentration |
| Clt | Total body clearance |
| DIC | Differential interference contrast |
| DLS | Dynamic light scattering |
| DTX | Docetaxel |
| DNL | Docetaxel loaded nanosize phospholipid-based carrier |
| DSPE | 1,2-distearoyl-sn-glycero-3-phosphotidylethanolamine |
| DNL-PE | Docetaxel loaded DSPE incorporated nanosize phospholipid-based carrier |
| FTIR | Fourier transform infrared spectroscopy |
| FESEM | Field emission scanning electron microscopy |
| FITC | Fluorescein isothiocyanate |
| g | Gram |
| h | Hour |
| ID | Injected dose |
| L | Liter |
| LC/MS | Liquid chromatography/mass spectroscopy |
| min | Minutes |
| mg | Milligram |
| mg kg−1 | Milligram per kilogram |
| MRT | Mean residence time |
| ml | Milliliter |
| NL | Nanosize phospholipid-based carrier |
| NLs | Nanosize phospholipid-based carriers |
| nm | Nanometer |
| PDI | Polydispersity index |
| PTX | Paclitaxel |
| TEM | Transmission electron microscopy |
| t1/2 | Half life |
| Vd | Apparent volume of distribution |
Footnote |
| † Mita Chatterjee Debnath has contributed significantly and has equal authorship in this paper. |
| This journal is © The Royal Society of Chemistry 2016 |