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Dening cisplatin incorporation properties in thermosensitive injectable biodegradable hydrogel for sustained delivery and enhanced cytotoxicity Hend Mohamed Abdel-Bar a , Amal Youssef Abdel-Reheem a , Rihab Osman b, *, Gehanne A.S. Awad b , Nahed Mortada b a Department of Pharmaceutics, National Organization of Drug Control and Research, Giza, Egypt b Department of Pharmaceutics and Industrial Pharmacy, Faculty of Pharmacy, Ain Shams University, Cairo, Egypt A R T I C L E I N F O Article history: Received 23 August 2014 Received in revised form 30 October 2014 Accepted 2 November 2014 Available online 6 November 2014 PubChem: Chitosan CID: 2767 Chitosan CID: 71853 b-glycerophosphate CID:2735049 Keywords: Cisplatin Chitosan b-glycerophosphate Thermoreversible hydrogels Controlled drug incorporation A B S T R A C T Injectable thermoreversible chitosan (CS)/b-glycerophosphate (b-GP) hydrogels were developed for prolonged localized delivery of cisplatin (Cis). The effects of formulation variables on the thermoreversible hydrogels preparation as well as the impact of drug incorporation method on Cis release were studied. Antitumor activity of Cis CS/b-GP thermoreversible hydrogels were evaluated against HCT-116 human colorectal cancer cells and MCF-7 human breast cancer cells. Incorporation of Cis to CS solution adjusted at pH 6.2 prior to hydrogel preparation deemed necessary to achieve a sustained release up to 4 days. Cis loaded CS/b-GP thermoreversible hydrogels showed enhanced antitumor activity with about 1.2 fold and 2.05 fold that of Cis solution against HCT-116 cancer cells and MCF- 7 cancer cells respectively. The obtained enhanced antitumor activity elected this delivery system for further in vivo and toxicological investigations. ã 2014 Elsevier B.V. All rights reserved. 1. Introduction Thermoreversible injectable systems have gained attention due to their non-invasiveness, compared to the other localized implantable systems, with the ability to carry therapeutic agents for site specic delivery, prolonged drug action and improved patient compliance (Alexander et al., 2013; Supper et al., 2014). Their ability to deliver chemotherapeutic agents intratumorally or intralesionally has been explored as a potential strategy to maximize anti-tumor effect, reduce systemic toxicity providing a continuous and sustained drug delivery (Kim et al., 2010). Chitosan (CS)/b-glycerophosphate (b-GP) solutions with solgel transition temperature close to 37 C, the physiological body temperature, have found applications in the interstitial delivery of many chemotherapeutic agents (Ruel-Gariepy et al., 2002; Berrada et al., 2005; Kim et al., 2010). Cisplatin (Cis) is used as rst line chemotherapy against various cancers including glioblastomas, metastatic melanomas, peritoneal and pleural mesotheliomas (Boulikas and Vougiouka, 2004). It had also been found to improve the outcome of triple- negative breast cancer therapy (Ozkan et al., 2012). The antitumor properties of Cis are attributed to the kinetics of its chloride ligand displacement reactions (Siddik, 2003; Feng et al., 2007). It interacts with guanine and adenine N7 atoms located in the DNA major groove, leading to DNA bending and interfering with its replication, transcription as well as other nuclear functions, thus, arresting cancer cell proliferation and tumor growth (Cepeda et al., 2007). Despite its clinical success, intravenous Cis administration can lead to nephrotoxicity, bone marrow toxicity, intractable vomiting, peripheral neuropathy, deafness, seizures and blindness (Genc et al., 2014; Wang et al., 2014). Drug resistance during therapy is another important limitation to its use requiring the use of increasing doses (Dzamitika et al., 2006). Locoregional administration of Cis solution via intraperitoneal, transarterial or intratumoral * Corresponding author. Address: Department of Pharmaceutics and Industrial Pharmacy, Faculty of Pharmacy, Ain Shams University. African organization Unity Street, P.O. box 11566, Cairo, Egypt. Tel.: +20 1221022566; fax: +20 224051107. E-mail address: [email protected] (R. Osman). http://dx.doi.org/10.1016/j.ijpharm.2014.11.005 0378-5173/ ã 2014 Elsevier B.V. All rights reserved. International Journal of Pharmaceutics 477 (2014) 623630 Contents lists available at ScienceDirect International Journal of Pharmaceutics journal homepage: www.elsev ier.com/locate /ijpharm
Transcript
Page 1: International Journal of Pharmaceuticsstaff.usc.edu.eg/uploads/7c5f26d76213c659d98c53b2432d3e47.pdf · Mohamed Abdel-Bara, Amal Youssef Abdel-Reheema, Rihab Osmanb,*, Gehanne A.S.

International Journal of Pharmaceutics 477 (2014) 623–630

Defining cisplatin incorporation properties in thermosensitiveinjectable biodegradable hydrogel for sustained delivery and enhancedcytotoxicity

Hend Mohamed Abdel-Bar a, Amal Youssef Abdel-Reheema, Rihab Osman b,*,Gehanne A.S. Awad b, Nahed Mortada b

aDepartment of Pharmaceutics, National Organization of Drug Control and Research, Giza, EgyptbDepartment of Pharmaceutics and Industrial Pharmacy, Faculty of Pharmacy, Ain Shams University, Cairo, Egypt

A R T I C L E I N F O

Article history:Received 23 August 2014Received in revised form 30 October 2014Accepted 2 November 2014Available online 6 November 2014

PubChem:Chitosan CID: 2767Chitosan CID: 71853b-glycerophosphate CID:2735049

Keywords:CisplatinChitosanb-glycerophosphateThermoreversible hydrogelsControlled drug incorporation

A B S T R A C T

Injectable thermoreversible chitosan (CS)/b-glycerophosphate (b-GP) hydrogels were developed forprolonged localized delivery of cisplatin (Cis). The effects of formulation variables on thethermoreversible hydrogels preparation as well as the impact of drug incorporation method on Cisrelease were studied. Antitumor activity of Cis CS/b-GP thermoreversible hydrogels were evaluatedagainst HCT-116 human colorectal cancer cells and MCF-7 human breast cancer cells. Incorporation of Cisto CS solution adjusted at pH 6.2 prior to hydrogel preparation deemed necessary to achieve a sustainedrelease up to 4 days. Cis loaded CS/b-GP thermoreversible hydrogels showed enhanced antitumoractivity with about 1.2 fold and 2.05 fold that of Cis solution against HCT-116 cancer cells and MCF-7 cancer cells respectively. The obtained enhanced antitumor activity elected this delivery system forfurther in vivo and toxicological investigations.

ã 2014 Elsevier B.V. All rights reserved.

Contents lists available at ScienceDirect

International Journal of Pharmaceutics

journal homepage: www.elsev ier .com/locate / i jpharm

1. Introduction

Thermoreversible injectable systems have gained attention dueto their non-invasiveness, compared to the other localizedimplantable systems, with the ability to carry therapeutic agentsfor site specific delivery, prolonged drug action and improvedpatient compliance (Alexander et al., 2013; Supper et al., 2014).Their ability to deliver chemotherapeutic agents intratumorally orintralesionally has been explored as a potential strategy tomaximize anti-tumor effect, reduce systemic toxicity providinga continuous and sustained drug delivery (Kim et al., 2010).Chitosan (CS)/b-glycerophosphate (b-GP) solutions with sol–geltransition temperature close to 37 �C, the physiological bodytemperature, have found applications in the interstitial delivery of

* Corresponding author. Address: Department of Pharmaceutics and IndustrialPharmacy, Faculty of Pharmacy, Ain Shams University. African organization UnityStreet, P.O. box 11566, Cairo, Egypt. Tel.: +20 1221022566; fax: +20 224051107.

E-mail address: [email protected] (R. Osman).

http://dx.doi.org/10.1016/j.ijpharm.2014.11.0050378-5173/ã 2014 Elsevier B.V. All rights reserved.

many chemotherapeutic agents (Ruel-Gariepy et al., 2002; Berradaet al., 2005; Kim et al., 2010).

Cisplatin (Cis) is used as first line chemotherapy againstvarious cancers including glioblastomas, metastatic melanomas,peritoneal and pleural mesotheliomas (Boulikas and Vougiouka,2004). It had also been found to improve the outcome of triple-negative breast cancer therapy (Ozkan et al., 2012). Theantitumor properties of Cis are attributed to the kinetics ofits chloride ligand displacement reactions (Siddik, 2003; Fenget al., 2007). It interacts with guanine and adenine N7 atomslocated in the DNA major groove, leading to DNA bending andinterfering with its replication, transcription as well as othernuclear functions, thus, arresting cancer cell proliferation andtumor growth (Cepeda et al., 2007). Despite its clinical success,intravenous Cis administration can lead to nephrotoxicity, bonemarrow toxicity, intractable vomiting, peripheral neuropathy,deafness, seizures and blindness (Genc et al., 2014; Wang et al.,2014). Drug resistance during therapy is another importantlimitation to its use requiring the use of increasing doses(Dzamitika et al., 2006). Locoregional administration of Cissolution via intraperitoneal, transarterial or intratumoral

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624 H.M. Abdel-Bar et al. / International Journal of Pharmaceutics 477 (2014) 623–630

administration is not practical as the drug rapidly passes intothe blood, thus, limiting its retention time at the tumor site(Konishi et al., 2003).

In this work, CS/b-GP was suggested as a platform deliverysystem for the chemotherapeutic agent Cis. Gelation of theformulation post injection, providing high sustained localconcentration of Cis was thought to increase efficacy, reducesystemic toxicity and offer the possibility of less frequent drugadministration. During the study, we focused on the problemsassociated with Cis incorporation in the injectable CS/b-GPhydrogel. The outcomes arising from the use of two methods ofdrug incorporation had been characterized and tailored so as tosolve obstacles hindering drug inclusion in the selected systems.The adjusted system was tested in different human cancer celllines.

2. Materials and methods

2.1. Materials

Cisplatin (Cis): QILU Pharmaceutical Co. Ltd China; chitosan(CS) high molecular weight (HMW): MW 310,000 to >375000 dal-tons, degree of deacetylation (DD) = 78.05%; CS low MW (LMW):MW 50,000–190,000 daltons, DD = 94.2%, b-glycerophosphate(b-GP) disodium salt and glacial acetic acid: Sigma–AldrichCompany, St. Louis USA. Methanol (HPLC grade): Riedel-de HaenGmbh, Germany. All other chemicals and reagents were ofanalytical grade.

2.2. Preparation of thermoreversible Cis CS/b-GP hydrogel

Serial concentrations ranging from 0.1 to 1 g/mL of sterilizedice-cold b-GP solutions in deionized water were added dropwiseto acidified dialyzed and autoclaved CS solution prepared in 0.75%v/v acetic acid (in a volume ratio of 9:1 of CS: b-GP). The solutionswere stirred mechanically at 500 rpm for 15 min in an ice bath andthen their gelation temperatures were determined (Berrada et al.,2005; Diao et al., 2011). To study the effect of sodium chloride(NaCl) on the gel, CS was dissolved in a mixture of 0.75% v/v aceticacid and 0.9% w/v NaCl in a volume ratio of 2:1 and the gel wasprepared as above.

The drug, used in a concentration of 1% w/v of the gel, wasincorporated by either of two methods: Cis was added to CSsolution containing NaCl prior to mixing with b-GP solutions.When required, the pH was adjusted using 1 N sodiumhydroxide (NaOH), and the solutions were then treated asbefore and this was labeled as method I. In method II, Cis wasadded to the ice cold premixed CS/b-GP solutions containingNaCl (Zhou et al., 2008).

2.3. Characterization of Cis CS/b-GP thermoreversible hydrogel

2.3.1. Determination of pHThe pH values of dialyzed CS solution, Cis/CS solutions, plain

hydrogels and Cis hydrogels were measured using a pH meter(Genway Ltd., UK). For plain and Cis loaded CS/b-GP systems,measurement was done in an ice bath to ensure sol state.

2.3.2. Gelation temperature and timeA simple test tube inverting method was employed to

determine the occurrence of sol-to-gel transition using athermostatically controlled water bath (Poly science 9006, USA)and the gelation temperature was measured. The gelation time at37 �C was also recorded (Zhou et al., 2008; Ta et al., 2009).

2.3.3. FT-IRFT-IR spectra of plain CS/b-GP thermoreversible hydrogels

showing gelation temperatures below physiological temperature(37 �C) were obtained at 5 �C (sol-state) and 37 �C (gel-state) usingan FT-IR spectrometer (JASCO 4000, USA) in the range 4000–400 cm�1. Spectra of CS/Cis solutions prepared at different pHvalues ranging from 5.7 to 6.2 with 0.1 increment were alsorecorded. Samples were placed on NaCl film in a liquid cellassembled holder in the IR laser beam.

2.3.4. Scanning electron microscopyFollowing gel formation by incubating the samples in a water

bath at 37 �C, selected plain and Cis loaded thermoreversibleCS/b-GP hydrogels were frozen and freeze dried for 48 h using abench top freeze dryer (BenchTop Manifold, Millrock Technology,Inc., USA). The obtained powders were coated with gold undervacuum, and examined by scanning electron microscope (SEM)(JXA-840A, Japan).

2.3.5. In vitro Cis release studyA modification of a method previously reportedby Bhowmik et al.

(2011) was used. Briefly, 1 mL of Cis loaded thermoreversible CS/b-GP solution was placed in a dialysis membrane (cut-off 1000 Da)and allowed to gel in an incubator at 37 �C. The gel was then placed ina stoppered conical flask containing 50 mL phosphate buffer saline(PBS), pH 7.4, incubated in a thermostatically controlled shaker at50 � 1 strokes/min. At predetermined time intervals for a period of14 days, aliquots of 1 mL were withdrawn from the release mediumand replaced with the same volumeof fresh buffer. The samples wereassayed using HPLC (Agilent 1100, Germany) equipped with G 1311 Aquaternary pump and UV detector (VWD-G1314 A). A reverse phaseC18 column (Thermo1 BDS, 250 � 4.6 mm, 5 m) was used at 25 �C.The wavelength of the UV detector was set at 210 nm and the flowrate of the mobile phase, water:methanol (80:20 v/v), was 1 mL/min.The coefficient of determination (R2) of the drug calibration curve inPBS in the concentration range of 0.5–200 mg/mL, was 0.998 and therespective limits of detection (LOD) and quantification (LOQ) were0.3 and 0.5 mg/mL. The CV% ranged from 1.42 to 12.78% and theaccuracy for Cis determination was within acceptable range (notmore than 6%) with mean% drug recovery of 97.97%.

The release kinetics from the prepared formulae were assessedusing Peppas equation (Peppas, 1985):

Mt

M¼ Ktn (1)

where Mt/M is the fraction of drug that has been released at time t,kis a kinetic constant and n is termed the diffusional exponentrelated to the release mechanism; n equals to 0.5 for diffusional(Fickian) release, 1 for zero-order kinetics and 0.5 < n < 1 foranomalous (non-Fickian) release.

2.4. Determination of Cis–CS solutions viscosities

The viscosities of Cis–CS solutions prepared at different pHvalues ranging from 5.7 to 6.4 were measured at 25 �C using a coneand plate viscometer fitted with spindle 52 (Brookfield DV-IIIultra-programmable cone and plate rheometer controlled withBrookfield Rheocalc operating software, U.S.A.) at 5 rpm.

2.5. Determination of free cisplatin

Each of the prepared Cis–CS solutions was dialyzed against PBSpH 7.4 using a dialysis membrane (cut-off 1000 Da). After 3 days,free Cis was determined in the dialysate using the validated HPLCmethod.

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Fig. 1. FT-IR of CS/b-GP thermoreversible hydrogel (formula F3) at (A) 5 �C and (B)37 �C.

H.M. Abdel-Bar et al. / International Journal of Pharmaceutics 477 (2014) 623–630 625

2.6. In vitro cytotoxicity assessment

In vitro antitumor activities of plain CS/b-GP autogel, Cissolution in normal saline, Cis loaded formulae were evaluatedusing human colorectal carcinoma (HCT-116) and human breastcancer (MCF-7) as follow: Cells were grown as monolayers inRPMI-1640 medium supplemented with 10% heat inactivated fetalcalf serum and 50 mg/mL gentamycin. At 75% confluency, the cellswere seeded (104/well) in 96-well microtiter plates and wereincubated for 24 h at 37 �C in a humidified incubator with 5% CO2

(Thermo Scientific Forma1, Germany). The monolayers werewashed with sterile PBS (0.01 M pH 7.2), treated with 100 ml offresh medium containing serial concentrations (0.16–5 mg/mL) ofthe test samples and then incubated at 37 �C for 24 h. The numberof surviving cells was determined by staining the cells with crystalviolet (Mosmann, 1983; Gangadevi and Muthumary, 2007)followed by cell lysing using 33% glacial acetic acid and theabsorbances were read at 490 nm using a plate reader (SunRise,TECAN, Inc., USA). The absorbance of untreated cells (controlgroup) was considered as 100% proliferation. The percentageviability was calculated using the following equation:

%cell vailabity ¼ 1 � ODtODc

� �� �� 100 (2)

where ODt and ODc are the mean optical density of wells treatedwith the test sample and untreated cells respectively. The 50%inhibitory concentration (IC50) was estimated from graphic plots.

2.7. Statistical analysis

Data are presented as mean of three replicates �SD. Unpairedstudent-t test was used for comparing between two variables andprobability values P value <0.05 was considered significant(Ngoenkam et al., 2010). Release profiles were compared byapplying similarity factor (f2).

f 2 ¼ 50 � logf½1 þ ð1nÞSðRt � TtÞ2��0:5g � 100 (3)

Two dissolution profiles were considered similar when f2 valueis �50 (Shah et al., 1998).

3. Results and discussion

To ascertain the biocompatibility of the autogel system, CS withhigh degree of deacetylation (DD) and minimum amounts of b-GPwere used. Accordingly, the low molecular weight (LMW) CS, withDD = 94.2%, was used as received and the high molecular weight(HMW) CS was deacetylated to yield a DD of 94.08% prior to use(Wan et al., 2003). The method and characterization of theobtained deacetylated CS were presented in a recent paper (Abdel-Bar et al., 2014), see also Supplement Fig. 1S and 2S. CS solutionswere also dialyzed prior to use to remove excess acid andconsequently minimize b-GP amounts (Kim et al., 2010). Table 1shows the effect of CS MW and concentration as well as b-GPconcentration on the gelation temperature. At 1% w/v polymersolution, LMW CS failed to form thermoreversible gels at all testedconcentrations of b-GP up to 50 �C, while HMW CS was able to gelwith several b-GP concentrations, achieving a gelation tempera-ture of less than 37 �C (31.7 �C) at 4% w/v of b-GP. On the otherhand, at 2% w/v CS solution, both CS MWs gelled but with differentb-GP concentrations. At the same CS and b-GP concentrations, thegelation temperature increased significantly (P < 0.05) with theuse of higher CS MW. This stems from the fact that at a higher MW,CS presents more resistance to the change in the originalconformation during the sol–gel process due to an expected

larger hydrodynamic volume. Due to its more compact conforma-tion compared to low MW grade, a higher energy was needed toneutralize the required —NH3

+ of HMW CS groups by b-GP,complicating the sol–gel transition process and leading to highergelation temperature (Chang et al., 2013).

Doubling CS concentration increased the gelation temperaturesignificantly at the same b-GP concentration. Several interactionshad been previously described during the gelation process of CS/b-GP solutions including the loss of electrostatic repulsion,hydrogen bonding and increased hydrophobic interactions (Kimet al., 2010). Increasing CS concentration increased hydrogenbonding density requiring higher energy (high gelation tempera-ture) to breakdown allowing predominance of hydrophobic bondsnecessary for physical network formation.

A significant decrease in gelation temperature was seen byincreasing b-GP concentration using the same CS concentrationand MW. This was probably due to the increase in the phosphategroups, enhancing the neutralization of the protonated CS aminogroups (Chen et al., 1996; Tsaih and Chen, 1999) and reducing bothCS chain charge density and electrostatic repulsion, facilitating gelformation (Chen et al., 1996). Based on the criteria of attaining asuitable gelation temperature at physiological conditions, threeformulae were selected for further studies and labeled as F1, F2 andF3 as shown in Table 1.

3.1. FT-IR characterization of CS/b-GP thermoreversible hydrogel

F3 was chosen as a representative sample to study the changesaccompanying the gelation process using FT-IR. Fig. 1 shows thatincreasing the temperature, from 5 to 37 �C was followed by an

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Table 1Gelation temperatures of plain CS/b-GP gels.

Chitosan characteristics Gelation temperature (�C) at different b-GP concentrations (% w/v)

MW Conc. (% w/v) 1 2 3 4 5LMW 1% No gelation!

2% >50 47.5 � 0.2 40.8 � 0.4 31.7 � 0.1a1 NAb

HMW 1% >50 45.1 � 0.1 31.9 � 0.1a2 NAb NAb

2% >50 >50 >50 43.6 � 0.1 31.4 � 0.2a3

a 1–3 were chosen for further study and labeled as F1–F3 respectively.b NA: not applied as gelation temperature at physiological body temperature was reached at lower b-GP concentration.

626 H.M. Abdel-Bar et al. / International Journal of Pharmaceutics 477 (2014) 623–630

obvious reduction of phosphate groups stretching seen at978 cm�1 due to their protonation (Kim et al., 2010). Peaks at1146–1159 cm�1, appearing at 37 �C in Fig. 1B, could be attributedto the diprotonated phosphate group confirming the protonstransfer to phosphate group during gelation. The intensity ofstretching amide I bonds peaks, obtained in the range 1620–1722 cm�1, decreased detrimentally with increasing temperature,probably due to hydrogen bonding between CS C¼O, —NH groupsand OH groups of b-GP (Kim et al., 2010).

3.2. Effect of sodium chloride

It has been previously shown that Cis is hydrolyzed in aqueousmedium, losing a chloride ion and forming a monohydratedcomplex (Hausheer et al., 1998). It follows that the formedpositively charged aquated Cis cannot be transported easily intocells by diffusion. The presence of Cl� in the medium can preventCis hydrolysis and therefore, addition of NaCl during gelpreparation keeps Cis in its native form (Sedletska et al., 2005;Yan and Gemeinhart, 2005). It is to be noted that significantincrease in gelation temperature (P < 0.05) of formulae F1, F2 andF3 was noticed in presence of NaCl (compare data in Tables 1 and2). According to previous workers, small Cl� ion form diffusedouble layers on CS chains surfaces, limiting CS glycoside bondrotation and increasing chains rigidity needing thus highertemperature for gelation (but still below 37 �C) (Chen et al.,1994; Tsaih and Chen, 1999).

3.3. Effect of drug loading method

Different methods were previously used for drugs incorpo-ration in CS hydrogels (Berrada et al., 2005; Zhou et al., 2008). Inthis work, the applied two methods of preparation were comparedwith regard to pH, gelling and morphological characteristics aswell as Cis release. The method of Cis incorporation (I or II) will bemarked in parentheses following the formula code. Table 2 shows

Table 2Characterization of Cis loaded CS/b-GP hydrogels prepared by two methods.

Formula code pH Gel

PlainF1 6.94 � 0.04 33.F2 6.98 � 0.03 34.F3 6.96 � 0.05 32.9

Cis loaded hydrogel(method I)F1(I) 6.93 � 0.02 36.2F2(I) 6.97 � 0.01 36.6F3(I) 6.99 � 0.01 35.

Cis loaded hydrogel(method II)F1(II) 6.95 � 0.02 33.8F2(II) 6.98 � 0.01 34.4F3(II) 6.99 � 0.01 33.4

that a consistent pH of almost 6.9 was observed with all formulaedenoting that the method of drug incorporation, the variation inconcentrations of b-GP and CS and polymer MW did not affect thefinal pH of the drug loaded hydrogels. Contrastingly, the gelationtemperature and time of all Cis loaded formulae prepared bymethod I increased significantly (P < 0.05) compared to plainformulae, while no significant difference (P > 0.05) could bedetected by adopting method II. The morphological architecturesof different hydrogels investigated by SEM show plain F1 withporous irregular slightly rough surface (Fig. 2). Increased surfaceroughness could be seen with F2 and F3 prepared with higherconcentration and/or MW of CS. Similar observations werepreviously reported (Zhou et al., 2008). No or very few drugcrystals are present in the SEM of the three Cis loaded formulaeprepared by method I. However, obvious drug crystals could bedepicted in the SEM of Cis loaded formulae prepared by method IIindicating the presence of free Cis crystals on the gel surface.

As shown in Fig. 3A, 39.99, 36.39 and 28% of Cis wererespectively released in 12 h from F1(I), F2(I) and F3(I) prepared bymethod I, after which constant releases were maintained giving amaximum of 40.7% after 14 days. The release profiles of F1(I), F2(I)were similar to F3(I) (f2 = 50.09 and 50.47%, respectively) inferringthat CS MW and concentration, have no effect on Cis release. On thecontrary, 100% Cis release was observed after 6, 8, 12 h from F1(II),F2(II) and F3(II) respectively (Fig. 3B) with f2 values of 38.08 and28.08% for F1(II) and F2(II) respectively using F3(II) as reference. Byusing method II, an obvious direct effect of the structure of the gelwas observed. The increase in CS MW increased the viscosity of thesystem inducing a reduction in the number and dimension of waterchannels and therefore caused poor penetration of the dissolutionmedium (El-Kamel, 2002; Varshosaz et al., 2008). Also with the risein CS concentration, the number of CS molecules within the gelstructure increased leading to shorter inter-particle distancehence, greater number of cross-links between neighboringparticles (Bhardwaj and Blanchard, 1996). Concerning the kineticsof Cis release from the selected formulae, the value of n calculated

ation temperature (�C � SD) Gelation time (min � SD)

13 � 0.55 2.73 � 0.2110 � 0.17 3.28 � 0.213 � 0.35 2.63 � 0.15

6 � 0.32 3.63 � 0.256 � 0.32 4.03 � 0.15

76 � 0.45 3.25 � 0.25

3 � 0.30 2.88 � 0.126 � 0.45 3.43 � 0.213 � 0.21 2.71 � 0.2

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Fig. 2. SEM of CS/b-GP thermoreversible hydrogels (A) plain, (B) cisplatin loaded by method I and (C) cisplatin loaded by method II.Scale bar = 100 mm, F1: prepared with 2%LMW-CS, DD 94.2% and 4%b-GP; F2: prepared with 1%HMW-CS, DD: 94.02% and 3%b-GP; F3: prepared with 2%HMW-CS, DD: 94.02%and 5%b-GP.

H.M. Abdel-Bar et al. / International Journal of Pharmaceutics 477 (2014) 623–630 627

from Eq. (1) was found to be almost 0.5 with all formulae,indicating a controlled diffusion release mechanism.

From the obtained results, it is obvious that the main differencebetween the outcomes of the two methods of the gel preparationresided in the order of Cis addition. In method I, Cis was firstlyadmixed with CS prior to b-GP dripping at pH 6.16–6.18, while inmethod II, Cis was added to premixed CS/b-GP solution at pH 6.99.By reviewing the literature, it was found that the amine group ofthe deacetylated units of CS can form complexes with varioustransition metals in solution by forming coordinate covalentbonds. This complexation was manifested by gelation where theviscosity of some metal-CSsolutions increased dramatically as thepH of the solution changes. In general, reports showed that CSbinding capacity was dependent on charge density, temperatureand pH (Abou El-Reash et al., 2011). Being a transition element, Ptin Cis molecule can form an irreversible coordinate complex withCS amino groups (Cafaggi et al., 2007).

Accordingly, we focused on finding out a way to avoid theformation of the suggested coordinate complex between Cis and CSwhile using F3, exhibiting the slowest release profile. To study suchcomplexation possibility in our system, various Cis/CS solutionswith pH ranging from 5.7 to 6.4 with 0.1 increment were studied.The choice of this pH range was based on the fact that the additionof Cis on CS solution (2% w/v, DD 94.08%) reduced the pHsignificantly (P < 0.05) from 6.17 � 0.04 to 5.78 � 0.09 and CSprecipitated from its aqueous solution at pH 6.5, which isapproximately the pKa of its amino groups (Berger et al., 2004).

3.4. The effect of pH on cisplatin–chitosan complexation:

As previously mentioned, the formation of metal-CS coordinateinteractions was found to be associated with change in viscosityattributed to metal ion-induced association (Brack et al., 1997).Accordingly, the viscosity of CS solutions (prepared at different pHvalues) before and after addition of Cis was determined.

As shown in Table 3, the addition of Cis caused a significantincrease (P < 0.05) in the viscosity in the pH range 5.7–6.1.Further increase in the pH, caused a significant reduction in theviscosity to reach its initial value observed before the addition ofCis. The noticed viscosity rise might indicate a cross linkingbetween the protonated CS and Cis. The gelation of metal ion-CSsolution is a combination of various factors including hydrogenbonding, crosslinking reactions with metal ions and changes inelectrostatic repulsion (Brack et al., 1997). Increasing pHdecreased amine protonation significantly with less liabilityfor drug complexation. To support our finding, the amount offree cisplatin in the solution was followed through change in pH.From the data in Table 3, it is evident that the percentage of freeCis increased with pH increase. It is worthy to note that, theamount of Cis released after 3 days from F3(I) (33.3 � 1.47%)corresponded to the amount of free Cis found in the dyalyzate atpH 5.7 (32.80 � 5.02%). The functional free —NH2 groups of CSare considered as active sites for the adsorption of As(V) and Cr(VI) and can undergo a pH-dependent protonation forming—NH3

+ (Abou El-Reash et al., 2011).

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Fig. 3. In vitro release profiles of Cis from different CS/b-GP thermoreversiblehydrogels in PBS (pH 7.4) at 37 �C (A) prepared by method I and (B) prepared bymethod II.

Fig. 4. FT-IR of chitosan and chitosan–cisplatin solutions at different pH values.

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FT-IR technique can be used for the determination of the activesites in chelate formation (Varma et al., 2004). The spectra of pureCS and CS–Cis mixture solutions at pH 6.2 were superimposedconfirming the absence of interactions (Figs. 4 and 3S). A new peakat 515 cm�1 was recorded in the pH range of 5.7 to 6.1 whichaccording to Tabatabaei et al. (2011), indicated the formation of Pt-N bond. As the amino group of CS was the active site of Ciscoordination, its low protonation at pH 6.2 prevented Pt—N bondformation. Considering the previous findings, F3 will be reformu-lated while keeping CS–Cis solution pH at 6.2 prior to addition of0.5 g/mL b-GP to avoid possible interaction between CS and Cis.The new formula was named F3a.

Table 3Variation in viscosities of CS by Cis addition and percent of free cisplatin at differentpH values.

pH Parameter measured

Viscosity(cP) � SD Free cisplatin(%) � SD

Before Cis addition After Cis addition

5.7 581.83 � 32.04 1831.36 � 192.85 32.80 � 5.025.8 554.33 � 47.55 1761.03 � 65.77 36.22 � 2.545.9 525.89 � 52.37 1753.25 � 131.91 37.66 � 3.196 574.03 � 79.31 1413.63 � 77.53 41.60 � 5.636.1 561.40 � 43.90 1389.66 � 209.93 41.66 � 7.966.2 573.38 � 27.05 606.98 � 33.91 90.06 � 2.686.3 588.46 � 24.87 606.25 � 23.17 94.57 � 3.056.4 579.95 � 23.93 593.36 � 17.58 96.54 � 2.43

3.5. Characterization of pH adjusted cisplatin chitosan/b-GPthermoreversible hydrogel

In contrast to the results obtained with F3(I) prepared at pH 5.7,the gelation temperature and time of F3a prepared at pH 6.2 werefound to be non significantly different (P > 0.05) from that of theplain gel. The suggested formed complex in F3(I) had probablydifferent mobility and hydration properties than each of CS and Cisaffecting the reaction of the latter with b-GP. The formation of thecoordinate complex was accompanied with an increase in thegelation temperature. Decreasing CS protonation in case of F3a,rendered the conditions unfavorable for complex formation withno effect on CS/b-GP gelation process.

Inspection of Fig. 3A reveals that F3a CS/b-GP thermoreversiblehydrogel sustained cisplatin release for 96 h where almostcomplete drug release (97.12%) was observed. The value of theparameter n obtained from Eq. (1) was almost 1 indicating acontrolled zero order release mechanism.

3.6. In vitro cytotoxicity assessment

Fig. 5 illustrates the relation between cell viability obtainedafter treatment with different concentrations of F3 plain, F3(I) andF3a in comparison to Cis solution on MCF-7 (human breast cancer)and HCT-116 (human colorectal cancer cells) and the correspond-ing IC50 values were calculated. Plain F3CS/b-GP thermoreversiblehydrogel in the concentration range (0.16–2.5 mg/mL), showedmore than 90% cell viability. It was only at the highestconcentration (5 mg/mL) that a slight, although non-significantdecrease compared to 2.5 mg/mL, was noted. Using MCF-7, theviability did not vary between Cis solution and F3(I) at all testedconcentrations with close IC50 values (IC50 = 4.78 and >5 mg/mL,respectively). However, a decrease in cell viability at HCT-116 wasnoticed for Cis solution compared to F3(I) (IC50 = 4.27 and >5 mg/mL respectively). On the other hand, F3a (IC50 = 2.33 and 3.5 mg/mLfor MCT-7 and HCT-116, respectively), showed higher cytotoxicitythan either Cis solution or F3 (I), with a 1.2 and 2.1 fold increase,respectively.

The lower antitumor activity of F3(I) compared to the free Cis insolution, seen especially with HCT-116, may be attributed to thelower free Cis due to the formation of a complex with CS. Since onlyintact free drug can interact with DNA triggering cell death, a lowertoxicity and higher IC50 were noted (Kowalczuk et al., 2011). CS–Ciscomplexcouldnotbetransducedintothecytosolduetoits increasedmolecular weight. Similar results showed that drug-conjugates hadless cytotoxicity compared to free drug due to the difference incellular uptake depending on molecular weight (Lee et al., 2011).

The superior cytotoxicity of F3a compared to Cis solution couldbe attributed to the presence of CS and its ability to transientlyopen the tight junctions by interaction with a protein kinase Cpathway allowing for the penetration of the released drug(Yeh et al., 2011; Hsu et al., 2012; Rodrigues et al., 2012; Pande

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Fig. 5. Cell viability after exposure to different cisplatin formulations on (A) HCT-116 human colorectal cancer and (B) MCF-7 human breast cancer cells.F3: plain CS-b-GP thermoreversible gel prepared with 2%HMW-CS (DD: 94.02%)and 5%b-GP, F3(I): cisplatin loaded using method I without adjusting the pH ofcisplatin–chitosan solution and F3a: cisplatin loaded using method I after adjustingthe pH of cisplatin–chitosan solution to 6.2.

H.M. Abdel-Bar et al. / International Journal of Pharmaceutics 477 (2014) 623–630 629

and Biyani, 2013). The release of Cis will start after internalizationdue to the presence of lysosyme and N-acetyl–glucosaminidase inthe endosomal/lysosomal vehicles, which means that the geldegradation and drug release could start directly after internaliza-tion by endocytosis (Gonçalves et al., 2010). Therefore cisplatin F3ais expected to provide more intracellular drug concentration thanCis solution and subsequently enhanced antitumor activity.

4. Conclusion

From the conducted work, an injectable CS/b-GP thermorever-sible gel with suitable gelation temperature and time andsustained delivery of Cis was developped. Drug association withthe polymer was found to be pH-dependent and it was found that ithindered efficient sustained drug delivery. By optimizing CSsolution pH, controlling b-GP concentration and CS MW andconcentration, Cis release was complete and sustained for 4 days. Italso showed superior antitumor activity against both breast andcolorectal cancer cells when compared to Cis solution. HoweverCis–CS complex showed a decreased antitumor activity whenmethod I of preparation was adopted.

Appendix A. Supplementary data

Supplementary data associated with this article can be found, inthe online version, at http://dx.doi.org/10.1016/j.ijpharm.2014.11.005.

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