Cyclodextrin–Amphiphilic Copolymer Supramolecular Assemblies for the Ocular Delivery of Natamycin

Natamycin is the only drug approved for fungal keratitis treatment, but its low water solubility and low ocular penetration limit its efficacy. The purpose of this study was to overcome these limitations by encapsulating the drug in single or mixed micelles and poly(pseudo)rotaxanes. Soluplus and Pluronic P103 dispersions were prepared in 0.9% NaCl and pH 6.4 buffer, with or without α-cyclodextrin (αCD; 10% w/v), and characterized through particle size, zeta potential, solubilization efficiency, rheological properties, ocular tolerance, in vitro drug diffusion, and ex vivo permeation studies. Soluplus micelles (90–103 nm) and mixed micelles (150–110 nm) were larger than Pluronic P103 ones (16–20 nm), but all showed zeta potentials close to zero. Soluplus, Pluronic P103, and their mixed micelles increased natamycin solubility up to 6.00-fold, 3.27-fold, and 2.77-fold, respectively. Soluplus dispersions and poly(pseudo)rotaxanes exhibited in situ gelling capability, and they transformed into weak gels above 30 °C. All the formulations were non-irritant according to Hen’s Egg Test on the Chorioallantoic Membrane (HET-CAM) assay. Poly(pseudo)rotaxanes facilitated drug accumulation into the cornea and sclera, but led to lower natamycin permeability through the sclera than the corresponding micelles. Poly(pseudo)rotaxanes made from mixed micelles showed intermediate natamycin diffusion coefficients and permeability values between those of Pluronic P103-based and Soluplus-based poly(pseudo)rotaxanes. Therefore, the preparation of mixed micelles may be a useful tool to regulate drug release and enhance ocular permeability.

[1]  C. A. Dreiss,et al.  Pseudo-Polyrotaxanes of Cyclodextrins with Direct and Reverse X-Shaped Block Copolymers: A Kinetic and Structural Study , 2019, Macromolecules.

[2]  A. Concheiro,et al.  Soluplus micelles for acyclovir ocular delivery: Formulation and cornea and sclera permeability , 2018, International journal of pharmaceutics.

[3]  M. Martín-Pastor,et al.  Cyclodextrin-based poly(pseudo)rotaxanes for transdermal delivery of carvedilol. , 2018, Carbohydrate polymers.

[4]  S. Rezaie,et al.  Fungal keratitis: An overview of clinical and laboratory aspects , 2018, Mycoses.

[5]  F. Otero-Espinar,et al.  Ophthalmic Econazole Hydrogels for the Treatment of Fungal Keratitis. , 2018, Journal of pharmaceutical sciences.

[6]  S. Majumdar,et al.  Formulation Development, Optimization, and In Vitro-In Vivo Characterization of Natamycin-Loaded PEGylated Nano-Lipid Carriers for Ocular Applications. , 2018, Journal of pharmaceutical sciences.

[7]  Karthik Yadav Janga,et al.  Ion-sensitive in situ hydrogels of natamycin bilosomes for enhanced and prolonged ocular pharmacotherapy: in vitro permeability, cytotoxicity and in vivo evaluation , 2018, Artificial cells, nanomedicine, and biotechnology.

[8]  M. Martín-Pastor,et al.  Mobility of Water and Polymer Species and Rheological Properties of Supramolecular Polypseudorotaxane Gels Suitable for Bone Regeneration. , 2018, Bioconjugate chemistry.

[9]  Andrew M. Bodratti,et al.  Formulation of Poloxamers for Drug Delivery , 2018, Journal of functional biomaterials.

[10]  J. Rose-Nussbaumer,et al.  Update on the Management of Infectious Keratitis. , 2017, Ophthalmology.

[11]  E. Stefánsson,et al.  Cyclodextrins and topical drug delivery to the anterior and posterior segments of the eye. , 2017, International journal of pharmaceutics.

[12]  S. Majumdar,et al.  Current perspectives on natamycin in ocular fungal infections , 2017 .

[13]  A. Nihad,et al.  Study of Storage Conditions Effect (Light-Heat) on Natamycin Co ntent and Stability in Some Dairy Products (Cheese-Yoghurt) , 2017 .

[14]  Zhenhai Zhang,et al.  Improved solubility and oral bioavailability of apigenin via Soluplus/Pluronic F127 binary mixed micelles system , 2017, Drug development and industrial pharmacy.

[15]  D. Chiappetta,et al.  Polymeric mixed micelles as nanomedicines: Achievements and perspectives. , 2017, European journal of pharmaceutics and biopharmaceutics : official journal of Arbeitsgemeinschaft fur Pharmazeutische Verfahrenstechnik e.V.

[16]  A. Urtti,et al.  Pharmacokinetic aspects of retinal drug delivery , 2017, Progress in Retinal and Eye Research.

[17]  A. Mitra,et al.  Polymeric micelles for ocular drug delivery: From structural frameworks to recent preclinical studies , 2017, Journal of controlled release : official journal of the Controlled Release Society.

[18]  Zhongcheng Ke,et al.  Optimization and evaluation of Oridonin-loaded Soluplus®-Pluronic P105 mixed micelles for oral administration. , 2017, International journal of pharmaceutics.

[19]  P. Santi,et al.  Effect of pH and penetration enhancers on cysteamine stability and trans-corneal transport. , 2016, European journal of pharmaceutics and biopharmaceutics : official journal of Arbeitsgemeinschaft fur Pharmazeutische Verfahrenstechnik e.V.

[20]  A. Concheiro,et al.  α-Lipoic Acid in Soluplus(®) Polymeric Nanomicelles for Ocular Treatment of Diabetes-Associated Corneal Diseases. , 2016, Journal of pharmaceutical sciences.

[21]  D. Chiappetta,et al.  Novel Soluplus(®)-TPGS mixed micelles for encapsulation of paclitaxel with enhanced in vitro cytotoxicity on breast and ovarian cancer cell lines. , 2016, Colloids and surfaces. B, Biointerfaces.

[22]  A. Concheiro,et al.  Poloxamer-hydroxyethyl cellulose-α-cyclodextrin supramolecular gels for sustained release of griseofulvin. , 2016, International journal of pharmaceutics.

[23]  Y. Kawashima,et al.  Antibacterial activities of polymeric poly(DL-lactide-co-glycolide) nanoparticles and Soluplus® micelles against Staphylococcus epidermidis biofilm and their characterization , 2015 .

[24]  R. Knott,et al.  The hen's egg chorioallantoic membrane (HET-CAM) test to predict the ophthalmic irritation potential of a cysteamine-containing gel: Quantification using Photoshop® and ImageJ. , 2015, International journal of pharmaceutics.

[25]  Jing Lin,et al.  Natamycin in the treatment of fungal keratitis: a systematic review and Meta-analysis. , 2015, International journal of ophthalmology.

[26]  Xiang Jin,et al.  Soluplus(®) micelles as a potential drug delivery system for reversal of resistant tumor. , 2015, Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie.

[27]  A. Concheiro,et al.  Polymeric micelles for oral drug administration enabling locoregional and systemic treatments , 2015, Expert opinion on drug delivery.

[28]  P. Shukla,et al.  Corneal targeted nanoparticles for sustained natamycin delivery and their PK/PD indices: an approach to reduce dose and dosing frequency. , 2014, International journal of pharmaceutics.

[29]  Chuanbin Wu,et al.  Enhancing oral bioavailability of quercetin using novel soluplus polymeric micelles , 2014, Nanoscale Research Letters.

[30]  L. Jones,et al.  In vitro drug release of natamycin from β-cyclodextrin and 2-hydroxypropyl-β-cyclodextrin-functionalized contact lens materials , 2014, Journal of biomaterials science. Polymer edition.

[31]  T. Lietman,et al.  Association between in vitro susceptibility to natamycin and voriconazole and clinical outcomes in fungal keratitis. , 2014, Ophthalmology.

[32]  Tom Coenye,et al.  Materials with fungi-bioinspired surface for efficient binding and fungi-sensitive release of antifungal agents. , 2014, Biomacromolecules.

[33]  Kwok Hoe Chan,et al.  New thermogelling poly(ether carbonate urethane)s based on pluronics F127 and poly(polytetrahydrofuran carbonate) , 2014 .

[34]  A. Concheiro,et al.  Syringeable self-assembled cyclodextrin gels for drug delivery. , 2014, Current topics in medicinal chemistry.

[35]  C. Phan,et al.  In Vitro Uptake and Release of Natamycin From Conventional and Silicone Hydrogel Contact Lens Materials , 2013, Eye & contact lens.

[36]  W. Weitschies,et al.  Determination of permeability coefficients of ophthalmic drugs through different layers of porcine, rabbit and bovine eyes. , 2012, European journal of pharmaceutical sciences : official journal of the European Federation for Pharmaceutical Sciences.

[37]  R. Alany,et al.  Conjunctival and corneal tolerability assessment of ocular naltrexone niosomes and their ingredients on the hen's egg chorioallantoic membrane and excised bovine cornea models. , 2012, International journal of pharmaceutics.

[38]  P. Shukla,et al.  Mucoadhesive nanoparticles for prolonged ocular delivery of natamycin: In vitro and pharmacokinetics studies. , 2012, International journal of pharmaceutics.

[39]  R. Kaur,et al.  Voriconazole versus natamycin as primary treatment in fungal corneal ulcers , 2011, Clinical & experimental ophthalmology.

[40]  V. Aswal,et al.  Effect of an amphiphilic diol (Surfynol®) on the micellar characteristics of PEO-PPO-PEO block copolymers in aqueous solutions , 2010 .

[41]  M. Zloh,et al.  Preparation and characterisation of natamycin: gamma-cyclodextrin inclusion complex and its evaluation in vaginal mucoadhesive formulations. , 2008, Journal of pharmaceutical sciences.

[42]  F. Stapleton,et al.  Risk Factors and Causative Organisms in Microbial Keratitis , 2008, Cornea.

[43]  D. Chiappetta,et al.  Poly(ethylene oxide)-poly(propylene oxide) block copolymer micelles as drug delivery agents: improved hydrosolubility, stability and bioavailability of drugs. , 2007, European journal of pharmaceutics and biopharmaceutics : official journal of Arbeitsgemeinschaft fur Pharmazeutische Verfahrenstechnik e.V.

[44]  J. Marcy,et al.  Formation of natamycin:cyclodextrin inclusion complexes and their characterization. , 2003, Journal of agricultural and food chemistry.

[45]  V. Ganapathy,et al.  Molecular evidence and functional expression of P-glycoprotein (MDR1) in human and rabbit cornea and corneal epithelial cell lines. , 2003, Investigative ophthalmology & visual science.

[46]  J. L. Gómez-Amoza,et al.  Microviscosity of hydroxypropylcellulose gels as a basis for prediction of drug diffusion rates. , 1999, International journal of pharmaceutics.

[47]  S. Keipert,et al.  Influence of alpha-cyclodextrin and hydroxyalkylated beta-cyclodextrin derivatives on the in vitro corneal uptake and permeation of aqueous pilocarpine-HCl solutions. , 1997, Journal of pharmaceutical sciences.

[48]  F. Stapleton,et al.  Contact lenses and other risk factors in microbial keratitis , 1991, The Lancet.

[49]  Canary Wharf,et al.  Background review for cyclodextrins used as excipients , 2014 .

[50]  J. Chodosh,et al.  Diagnostic and Therapeutic Considerations in Fungal Keratitis , 2011, International ophthalmology clinics.

[51]  J. Clanton,et al.  Corneal penetration of topical amphotericin B and natamycin. , 1986, Current eye research.