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Encyclopedia of Biomedical Polymers and Polymeric
Biomaterials

ISSN: (Print) (Online) Journal homepage: http://www.tandfonline.com/doi/book/10.1081/E-EBPP

Pharmaceutical Polymers

Narendra Pal Singh Chauhan , Arpit Kumar Pathak , Kumudini Bhanat ,


Rakshit Ameta , Manish Kumar Rawal , Pinki B. Punjabi

To cite this entry: Narendra Pal Singh Chauhan , Arpit Kumar Pathak , Kumudini Bhanat ,
Rakshit Ameta , Manish Kumar Rawal , Pinki B. Punjabi . Pharmaceutical Polymers. In
Encyclopedia of Biomedical Polymers and Polymeric Biomaterials. Taylor and Francis: New
York, Published online: 27 Jan 2016; 5929-5942.

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Pharmaceutical Polymers

Narendra Pal Singh Chauhan


Department of Polymer Science, University College of Science, Mohanlal Sukhadia University, Udaipur, India
Arpit Kumar Pathak
Kumudini Bhanat
Department of Chemistry, University College of Science, Mohanlal Sukhadia University, Udaipur, India
Rakshit Ameta
Department of Chemistry, Pacific College of Basic and Applied Sciences, Pacific Academy of Higher Education and Research
Society (PAHER) University,, Udaipur, India
Manish Kumar Rawal
Department of Chemistry, Vidya Bhawan Rural Institute, Udaipur, India
Pinki B. Punjabi
Department of Chemistry, University College of Science, Mohanlal Sukhadia University, Udaipur, India
Downloaded by [Narendra P. S. Chauhan] at 00:27 14 April 2016

Abstract
Synthetic and natural-based polymers have found their way into the pharmaceutical and biomedical industries,
and their applications are growing at a fast pace. Major applications of polymers in the current pharmaceutical
field are for controlled drug release, which will be discussed in detail in the following sections. In the
biomedical area, polymers are generally used as implants and are expected to perform long-term service.
In general, the desirable polymer properties in pharmaceutical applications are film forming (coating),
thickening (rheology modifier), gelling (controlled release), adhesion (binding), pH-dependent solubility
(controlled release), solubility in organic solvents (taste masking), and barrier properties (protection and
packaging). From the solubility point of view, pharmaceutical polymers can be classified as water-soluble
and water-insoluble (oil soluble or organic soluble). In this entry, many water-soluble biomedical and
pharmaceutical polymers including polyethylene glycol (PEG), polyvinyl alcohol, polyethylene oxide,
polyvinyl pyrrolidone, polyacrylate or polymethacrylate esters, cellulose-based polymers, hydrocolloids,
and many plastics and rubbers will be tabulated and their anionic and cationic functionalities will be
summarized and discussed. This entry will also focus on PEGylation, defined as the covalent attachment of
PEG chains to bioactive substances.

INTRODUCTION Examples of pharmaceutical polymers:

Synthetic and natural-based polymers have found their 1. Vinyl polymers


way into the pharmaceutical and biomedical industries 2. Cellulose ethers
and their applications are growing at a fast pace. The use 3. Polyesters
of polymers for biomedical and pharmaceutical applica- 4. Silicones
tions has gained an enormous impact during the past 5. Polysaccharides and related polymers
6. Miscellaneous polymers
decades. Polymers can be applied in drug delivery
systems, as scaffolds for tissue engineering and repair,
and as novel biomaterials.[1] Polymers are becoming APPLICATION OF BIOMEDICAL
increasingly important in the field of drug delivery. The PHARMACEUTICAL POLYMERS
pharmaceutical applications of polymers range from their
use as binders in tablets to viscosity and flow controlling In a traditional pharmaceutics area, such as tablet manufac-
Pharmaceutical—Plant Oil

agents in liquids, suspensions, and emulsions. Polymers turing, polymers are used as tablet binders to bind the
can be used as film coatings to disguise the unpleasant excipients of the tablet. Advanced pharmaceutical dosage
taste of a drug, to enhance drug stability, and to modify forms utilize polymers for drug protection, taste masking,
drug release characteristics. controlled release of a given drug, targeted delivery,

Encyclopedia of Biomedical Polymers and Polymeric Biomaterials DOI: 10.1081/E-EBPP-120050558


Copyright © 2015 by Taylor & Francis. All rights reserved. 5929
5930 Pharmaceutical Polymers

increase drug bioavailability, and so on and so forth. To one unique properties that are not offered by polymers intended
side from solid dosage forms, polymers have found appli- for general applications. Table 1 provides a list of polymers
cation in liquid dosage forms as rheology modifiers. with their applications in pharmaceutical and biomedical
They are used to control the viscosity of an aqueous solu- industries. In general, the desirable polymer properties in
tion or to stabilize suspensions or even for the granulation pharmaceutical applications are film forming (coating),
step in preparation of solid dosage forms. Major applica- thickening (rheology modifier), gelling (controlled release),
tions of polymers in the current pharmaceutical field are for adhesion (binding), pH-dependent solubility (controlled
controlled drug release, in the biomedical area. Polymers release), solubility in organic solvents (taste masking), and
are generally used as implants and are expected to perform barrier properties (protection and packaging). From the
long-term service. This requires that the polymers have solubility standpoint, pharmaceutical polymers can be

Table 1 Polymers in pharmaceutical and biomedical applications


Name of the Polymer Applications
Water-Soluble Synthetic Polymer
Poly(ethylene oxide) Coagulant, flocculent, swelling agent
Poly(vinyl pyrrolidone) Plasma replacement, tablet granulation
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Poly(vinyl alcohol) Water-soluble packaging, tablet binder, tablet coating


Poly(ethylene glycol) Plasticizer, base for suppositories
Poly(isopropyl acrylamide) and poly(cyclopropyl methacrylamide) Thermogelling acrylamide derivatives, its balance of
hydrogen bonding, and hydrophobic association changes
with temperature
Water-Insoluble Biodegradable Polymers
(Lactide-co-glycolide) polymers For protein delivery
Starch-Based Polymer
Sodium starch glycolate Superdisintegrant for tablets and capsules in oral delivery
Starch Glidant, a diluent in tablets and capsules, a disintegrant in
tablets and capsules, a tablet binder
Plastics and Rubbers
Polycyanoacrylate Biodegradable tissue adhesives in surgery, a drug carrier in
nano- and microparticles
Polychloroprene Septum for injection, plungers for syringes, and valve
components
Polyisobutylene Pressure-sensitive adhesives for transdermal delivery
Silicones Pacifier, therapeutic devices, implants, medical grade adhesive
for transdermal delivery
Polystyrene Petri dishes and containers for cell culture
Poly(methyl methacrylate) Hard contact lenses
Poly(hydroxyethyl methacrylate) Soft contact lenses
Poly(vinyl chloride) Blood bag, hoses, and tubing
Hydrocolloids
Carrageenan Modified release, viscosifier
Chitosan Cosmetics and controlled drug delivery applications,
mucoadhesive dosage forms, rapid release dosage forms
Pectinic acid Drug delivery
Alginic acid Oral and topical pharmaceutical products; thickening and
Pharmaceutical—Plant Oil

suspending agent in a variety of pastes, creams, and gels, as


well as a stabilizing agent for oil-in-water emulsions; binder
and disintegrant
Cellulose-Based Polymers
Hydroxypropyl methyl cellulose Binder for tablet matrix and tablet coating, gelatin alternative
as capsule material
Hydroxyethyl and hydroxypropyl cellulose Soluble in water and in alcohol, tablet coating
Pharmaceutical Polymers 5931

classified as water-soluble and water-insoluble (oil soluble release drug delivery systems. Controlled release formula-
or organic soluble). The cellulose ethers with methyl and tions attempt to alter drug absorption and subsequent drug
hydroxypropyl substitutions are water-soluble, whereas concentration in blood by modifying the drug release rate
ethyl cellulose and a group of cellulose esters such as cel- from the device. Polymer use in controlled release dosage
lulose acetate butyrate or phthalate are organic soluble. is reduced fluctuations in the plasma drug concentration,
Hydrocolloid gums are also used when solubility in water is less side effects, and increased patient compliance. Con-
desirable. The synthetic water-soluble polymers have also trolled release products consist of the active agent and the
found extensive applications in pharmaceutical industries, polymer matrix or membranes that regulate its release.
among them polyethylene glycol (PEG), vinyl alcohol poly- Advances in controlled release technology in recent years
mers, polyethylene oxide (PEO), polyvinyl pyrrolidone, and have been possible as a result of advances in polymer sci-
polyacrylate or polymethacrylate esters containing anionic ence that allow the fabrication of polymers with tailor-
and cationic functionalities are well established (Table 1). made specifications, charge density, such as molecular
size, specific functional groups, hydrophobicity, biocom-
patibility, and degradability. Controlled release dosage
CLASSIFICATION OF BIOMEDICAL
forms refresh old drugs by reducing pharmaceutical short-
PHARMACEUTICAL POLYMERS
comings and improving biopharmaceutical properties of
the drugs. Polymers used in controlled release dosage
Polymers have played important roles in the preparation of
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forms are an alternative to the development of new drugs,


biomedical pharmaceutical products. Their applications
which is extremely costly. The controlled release dosage
range widely from material packaging to fabrication of the
forms are also important in the delivery of newly devel-
most sophisticated drug delivery devices. Of the many
oped protein drugs. Currently, most protein drugs are
materials used in the pharmaceutical formulations, poly-
administered by injection. Although protein drugs have
mers play the most important roles. The use of polymers
delicate bioactivity, its success in treating chronic illness
ranges from the manufacturing of various drug packaging
largely depends on the development of new delivery sys-
materials to the development of dosage forms.
tems for the routine administration other than injection.
Polymers in pharmaceutical applications are classified
The mechanisms of controlled drug delivery can be
into three general categories according to their common uses:
classified into the following five mechanisms: 1) diffusion;
2) dissolution; 3) osmosis; 4) ion-exchange; and 5) poly-
1. Polymers in conventional dosage forms
meric prodrug. In all cases, polymers function as a princi-
2. Polymers in controlled release dosage forms
3. Polymers for drug packaging pal component that controls the transport of drug molecules
and the way this process is utilized in the device determines
From the solubility point of view, pharmaceutical poly- the primary mechanism for each drug delivery system.
mers can be classified into two categories:
Polymers for Drug Packaging
1. Water-soluble polymers
2. Water-insoluble polymers (oil soluble or organic Many polymers are used as packaging materials for phar-
soluble) maceutical products. The properties of the plastic packag-
ing materials, such as gas permeability, flexibility, and
Polymers in Conventional Dosage Forms transparency, are responsible for specific applications.
Flexible packages are made by the use of thin and flexible
Despite the well-known advantages of controlled release polymer films. When they are wrapped around a product,
dosage forms, conventional dosage forms are still more they can easily adapt their shape to conform to the shape of
widely used, probably because they cost less to manufac- the contents. The thin, flexible films are usually produced
ture. More than three-quarters of all drug formulations are from cellulose derivatives, Ppoly(vinyl chloride) (PVC),
made for oral administration. Oral dosage forms such as polyethylene, polypropylene, polyamide (nylon), polysty-
tablets, capsules, and liquids are still most popular. Since rene, polyesters, polycarbonate, poly(vinylidene chloride),
tablet is one of the most widely used dosage forms and its and polyurethanes. These polymeric materials are gener-
preparation requires the incorporation of polymers, we will ally heat sealable and are also capable of being laminated
focus on polymers used in the tableting process. to other materials.[2] A tight package can be prepared by
Pharmaceutical—Plant Oil

wrapping an article with these polymer films followed by a


Polymers Used in Controlled Release Dosage brief heat treatment. Rigid packages such as bottles, boxes,
Forms trays, cups, vials, and various closures are made from
materials of sufficient strength and inflexibility. Widely
One of the most important applications of polymers in used polymers are high-density polyethylene, polypropyl-
modern pharmaceutics is the development of new, advanced ene, polybutene, poly(vinyl chloride), acrylic copolymers,
drug delivery systems, commonly known as controlled polycarbonate, nylon, and polyethylene terephthalate (PET).
5932 Pharmaceutical Polymers

Biodegradable PET is preferred due to environmental con-


cerns, but it is expensive.
The closing or cap of the container is typically made of
polypropylene or polyethylene. The cap is usually lined with
moisture-resistant materials such as low-density polyethyl-
ene, polyvinyl chloride, or poly(vinylidene dichloride).[3]
Polyisoprene, ethylene propylene/dicylopentadiene copoly-
mer, styrene/butadiene copolymer, polybutadiene, silicone
elastomers, and natural rubber are used as polymeric ingre-
dients of the rubber stopper.[4] One of the most important
necessities of any packaging material is that it should not
release any component into the drug product. The prepara-
tion of containers free from any leachable components are
especially important for the containers of ophthalmics, par-
enteral products, and any liquid products. It was shown that Fig. 1 Taste masking.
di(2-ethylhexyl) phthalate was released from the PVC bags
and that caused uncertainty of the taxol solution.[5] United
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States Pharmacopeia/NF offers the protocol of chemical, enhancers. Where these methods fail, more complex
spectral, and water vapor access tests and tolerances for plas- methodologies are adopted. A variety of techniques have
tic containers.[6] Among those, a chemical test is designed to been recognized for taste masking, which include poly-
give a quantitative assessment of the extractable materials in mer coating, inclusion complex formation with cyclo-
both organic solvents and water. When drugs are stored in dextrin, use of ion exchange resins, solubility-limiting
the polymeric containers or in contact with polymer sur- methods, liposome, multiple emulsions, use of anesthetic
faces, the drug loss by adsorption to the polymer surface agents, etc.
should be considered. It was reported that significant por- Methods usually in use for achieving effective taste
tions (ranging from 23% to 55%) of drugs, such as diaze- masking include various physical and chemical methods
pam, isosorbide dinitrate, nitroglycerin, and warfarin that prevent the drug substance from interaction with the
sodium, were lost during the 24 hr storage in PVC bags.[7] taste buds:
Caution should be exercised in the use of polymeric contain-
ers and other devices for the delivery of protein drugs, since 1. Use of flavor enhancers.
proteins readily adsorb and sometimes denature on the 2. Applying polymer coatings: Polymer coating is one of
hydrophobic polymer surface. It was shown that more than the most important methods of taste masking of bitter
90% of tissue necrosis factor was lost when delivered using drugs. It avoids direct contact of the bitter drug with the
a burette mixing set simply due to the adsorption onto the taste buds. The selection of polymer for taste masking
surface of the delivery device.[8] It has been projected that is based on the physiochemical property and compati-
insulin molecules aggregate in the bulk solution as a result bility with the drug.[12,13] A water-soluble polymer such
of adsorption to the container surface and subsequent dena- as a cellulose acetate, cellulose butyrate, hydroxyethyl
turation.[9] Clearly, the loss of protein drugs by adsorption to cellulose is used in taste masking of bitter drug.
the polymeric surface can be significant.[10,11] 3. Complexation with ion exchange resins.
4. Inclusion complex formation with cyclodextrins.
Taste Masking
Rheology Modifiers
Taste is an important factor in the development of dosage
form. Taste masking becomes a requirement for bitter Rheology modifiers commonly referred to as thickeners or
drugs to improve patient agreement especially in the viscosifiers are ever present in most of the products. The
pediatric and old population. Taste-masking technologies use of these additives cut across several process industries
are increasingly paying attention on aggressively bitter including food, pharmaceuticals, cosmetics and personal
tasting drugs like the macrolide antibiotics, non-steroidal care, adhesives, textile, ceramics, paper, detergents, paints,
anti-inflammatory drugs, and penicillin. Taste-masking inks, and coatings, among others. Rheology can be defined
Pharmaceutical—Plant Oil

technologies offer a great scope for invention and patents as “the science or study of how things flow.” Thickeners
(Fig. 1). Undesirable taste is one of the significant formu- come from both natural and synthetic sources. Naturally
lation problems encountered with most drugs. The meth- occurring polymers comprise polysaccharide or amino
ods most commonly involved for achieving taste masking acid building blocks and are generally water-soluble. Com-
include various chemical and physical methods that pre- mon examples are starch, cellulose, alginate, egg yolk,
vent the drug substance from interaction with taste buds. agar, arrowroot, carrageenan, collagen, gelatin, guar gum,
The simplest method for taste masking is to use of flavor pectin, and xanthan gum.
Pharmaceutical Polymers 5933

Barrier Properties permeability. The effect of orientation on the permeability


of polymers is difficult to assess; diffusion in some poly-
Barrier polymers are used for many packaging and protec- mers is unaffected by orientation, and in others increases
tive applications. As barriers, it is a separate system, such or decreases are observed. Cross-linking has been shown
as an article of food or an electronic component, from an in few cases to decrease the diffusion coefficient. Reason-
environment. Barrier polymers’ boundary movement of able prediction can be made of the permeabilities of low
substances is called permeants. The movement can be molecular weight gases such as oxygen, nitrogen, and
through the polymer or, in some cases, merely into the carbon dioxide in many polymers. The diffusion coeffi-
polymer. After crossing the barrier polymer, the permeant cients are not complicated by the shape of the permeant,
moves to the polymer surface, desorbs, and moves away. and the solubility coefficients of each of these molecules
Permeant movement is a physical process that has both a do not vary from polymer to polymer.
thermodynamic and a kinetic component. For polymers
without special surface treatments, the thermodynamic
contribution is in the solution step. The permeant partitions Gelling
between the environment and the polymer are generally
according to thermodynamic rules of solution. The poly- Gels are semisolid vehicles for drug. The gel has been used
mers that are good barriers to permanent gases, especially as a medium for the delivery of drug for both local treat-
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oxygen, have important commercial significance. Vinyli- ment and systematic effect. Gel remains one of the most
dene chloride copolymers are available as resins for extru- popular and important pharmaceutical dosage forms.
sion, latices for coating, and resins for solvent coating. There are many types of gelling agents used in pharmaceu-
Hydrolyzed ethylene–vinyl acetate copolymers, com- tical applications. There are some common gelling agents
monly known as ethylene–vinyl alcohol (EVOH) copoly- are acacia, alginic acid, bentonite, Carbopols (now known
mers, are usually used as extrusion resins, although some as carbomers), carboxymethylcellulose, ethylcellulose
may be used in solvent-coating applications. Copolymers (EC), gelatin, hydroxyethylcellulose, hydroxypropyl cel-
of acrylonitrile are used in extrusion and molding appli- lulose, magnesium aluminum silicate, methylcellulose
cations. Commercially important comonomers for barrier (MC), poloxamers, polyvinyl alcohol (PVA), sodium algi-
applications include styrene and methyl acrylate. Poly- nate, and xanthan gum. Topical gel formulations of diclof-
amide polymers can provide a good-to-moderate barrier- enac sodium were prepared by using Carbopol 934,
to-permeation by permanent gases. Two often-used Carbopol 940, sodium carboxymethylcellulose (NaCMC),
polymers have adequate properties for some applications. and polymer as a gel-forming material that is biocompati-
Poly(ethylene terephthalate) is used to make films and ble and biodegradable. The transdermal and topical deliv-
bottles. PVC is a moderate barrier-to-permanent gas. ery of drugs afford advantages over conventional oral
Plasticized PVC is used as a household wrapping film. In administration. Hydroxypropyl methylcellulose (HPMC)
regard to water–vapor transmission rate (WVTR) values, is one of the most commonly used hydrophilic biodegrad-
those polymers that are good oxygen barriers are often able polymers for developing controlled release formula-
poor water–vapor barriers and vice versa. Polymer mole- tions, because it works as a pH-independent gelling agent.
cules without dipole–dipole interactions, such as polyole- HPMC is a widely accepted pharmaceutical excipient
fins, dissolve very little water and have low WVTR and polymer, because HPMC is available in a wide range of
permeability values. The permeation of flavor, aroma, and molecular weights and the successful control of gel viscos-
solvent molecules in polymers follow the same physics as ity is easily possible.[14] The development of in situ gel sys-
the permeation of small molecules, but with two signifi- tems has received significant attention over the past few
cant differences. For these larger molecules, the diffusion years. In situ gel forming drug delivery systems are in prin-
coefficients are much lower and the solubility coefficients ciple capable of releasing drugs in a sustained manner
are much higher. Furthermore, the large solubility coeffi- maintaining relatively constant plasma profiles. Both natu-
cient can lead to enough sorption of the large molecule so ral and synthetic polymers can be used for the production
that plasticization occurs in the polymer, which can of in situ gels. In situ gelling systems are liquid at room
increase the diffusion coefficient. Generally, vinylidene temperature but undergo gelation when in contact with
chloride copolymers and glassy polymers such as poly- body fluids or change in pH. The formation of gel depends
amides and EVOH are good barriers to flavor and aroma on factors like temperature modulation, pH change, pres-
Pharmaceutical—Plant Oil

permeation, whereas polyolefins are poor barriers. Sev- ence of ions, and ultra violet irradiation from which the
eral physical factors can affect the barrier properties of a drug gets released in a sustained and controlled manner. In
polymer. These include temperature, humidity, orienta- situ gelling systems are liquid at room temperature but
tion, and cross-linking. Typically, the permeability undergo gelation when in contact with body fluids or
increases 5–10% for every increase of 1°C. When a poly- change in pH. Carboxymethyl mungbean starch (CMMS)
mer equilibrates with a humid environment, it absorbs is also investigated as a gelling agent in the topical
water. This can plasticize the polymer and increase the pharmaceutical.[15]
5934 Pharmaceutical Polymers

POLYETHYLENE GLYCOL ● In microbiology, PEG precipitation is used to concentrate


viruses. PEG is also used to induce complete fusion
PEG is a polyether compound with many applications from (mixing of both inner and outer leaflets) in liposomes
industrial manufacturing to medicine. PEG is also known reconstituted in vitro.
as PEO or polyoxyethylene (POE), depending on its ● Gene therapy vectors (such as viruses) can be PEG-
molecular weight. PEGs contain potential toxic impurities, coated to shield them from inactivation by the immune
such as ethylene oxide and 1,4-dioxane. PEGs are nephro- system and to de-target them from organs where they
toxic if applied to damaged skin.[16] may build up and have a toxic effect.[23] The size of the
They are used commercially in numerous applications, PEG polymer has been shown to be important, with
including as surfactants, in foods, in cosmetics, in pharma- larger polymers achieving the best immune protection.
ceutics, in biomedicine, as dispersing agents, as solvents,
● PEG is a component of stable nucleic acid lipid particles
(SNALPs) used to package siRNA for use in vivo.[24,25]
in suppository bases, as tablet excipients, and as laxatives. ● In blood banking, PEG is used as a potentiator to
Some specific groups are lauromacrogols, nonoxynols,
enhance the detection of antigens and antibodies.[26]
octoxynols, poloxamers, macrogol used as a laxative, is a ● When working with phenol in a laboratory situation,
form of PEG. PEG is the basis of a number of laxatives PEG 300 can be used on phenol skin burns to deactivate
(e.g., macrogol-containing products, such as Movicol and any residual phenol.
PEG 3350, or SoftLax, MiraLAX, or GlycoLax). Whole
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bowel irrigation with PEG and added electrolytes is used


for bowel preparation before surgery or colonoscopy. PEG PEGylation
is used as an incipient in many pharmaceutical products.
Lower-molecular-weight variants are used as solvents in PEGylation has become a well-accepted method for the
oral liquids and soft capsules, whereas solid variants are delivery of biopharmaceuticals especially peptide and pro-
used as ointment bases, tablet binders, film coatings, and tein. PEGylation is the process of covalent attachment of
lubricants.[17] PEG is also used in lubricating eye drops. PEG polymer chains to another molecule, normally a drug
or therapeutic protein. PEGylation is routinely achieved by
● PEG, when labeled with a near-infrared fluorophore, incubation of a reactive derivative of PEG with the target
has been used in preclinical work as a vascular agent, molecule. Those in the biomedical, biotechnical, and phar-
lymphatic agent, and general tumor-imaging agent by maceutical communities have become quite familiar. In its
exploiting the enhanced permeability and retention most common form poly(ethylene glycol), with the
effect of tumors.[18] improved pharmacological and biological PEG, is a linear
● High-molecular-weight PEG (e.g., PEG 8000) has been or branched polyether terminated properties that are asso-
shown to be a dietary preventive agent against colorec- ciated with the covalent of poly(ethylene glycol) or PEG to
tal cancer in animal models.[19] therapeutically useful polypeptides.
● The chemoprevention database shows PEG is the most PEGylation, the covalent attachment of PEG to mole-
effective known agent for the suppression of chemical cules of interest, has become a well-established prodrug
carcinogenesis in rats. Cancer prevention applications delivery system.[27,28] This polymer is nontoxic, non-immu-
in humans, however, have not yet been tested in clinical nogenic, non-antigenic, and highly soluble in water and
trials.[20] FDA approved. The PEG-drug conjugates have several
● The injection of PEG 2000 into the bloodstream of advantages: a prolonged residence in body, a decreased
guinea pigs after spinal cord injury leads to rapid recov- degradation by metabolic enzymes, and a reduction or
ery through molecular repair of nerve membranes.[21] elimination of protein immunogenicity. PEGylation now
The effectiveness of this treatment to prevent paraple- plays an important role in drug delivery, enhancing the
gia in humans after an accident is not known yet.
potentials of peptides and proteins as therapeutic agents.
● Research is being done in the use of PEG to mask anti-
The covalent attachment of PEG to a drug or therapeutic
gens on red blood cells. Various research institutes have
protein can “mask” the agent from the host’s immune sys-
reported that using PEG can mask antigens without
damaging the function and shape of the cell. tem (reduced immunogenicity and antigenicity), and
● Research is also being done on the use of PEG in the increase the hydrodynamic size (size in solution) of the
field of gene therapy. agent, which prolongs its circulatory time by reducing
● PEG is being used in the repair of motor neurons dam- renal clearance. PEGylation can also provide water solubil-
Pharmaceutical—Plant Oil

aged in crush or laceration incidents in vivo and in ity to hydrophobic drugs and proteins. PEGylation is a pro-
vitro. When coupled with melatonin, 75% of damaged cess of attaching the strands of the polymer PEG to
sciatic nerves were rendered viable.[22] molecules most typically peptides, proteins, and antibody
● PEG is commonly used as a precipitant for plasmid fragments that can help to meet the challenges of improv-
DNA isolation and protein crystallization. X-ray dif- ing the safety and efficiency of many therapeutics.[29] It
fraction of protein crystals can reveal the atomic struc- produces alterations in the physiochemical properties
ture of the proteins. including changes in conformation, electrostatic binding,
Pharmaceutical Polymers 5935

hydrophobicity, etc. These physical and chemical changes protects insulin from the gastric environment. It has been
increase the systemic retention of the therapeutic agent. demonstrated that the insulin released from these nanopar-
Also, it can influence the binding affinity of the therapeutic ticles was stable with no conformational changes. PEG-
moiety to the cell receptors and can alter the absorption and modified starch acetate is a good approach for the controlled
distribution patterns. Typically, most of the PEG-based delivery of insulin or other proteins for various therapeutic
prodrugs have been developed for the delivery of antican- applications.[35]
cer agents such as paclitaxel, methotrexate, and cisplatin.
High-molecular-weight prodrugs containing cytotoxic
POLYVINYL ALCOHOL AND POLYVINYL
components have been developed to decrease peripheral
PYRROLIDONE
side effects and to obtain a more specific administration of
the drugs to the cancerous tissues.[30]
A polyvinyl pyrrolidone was the first synthetic polymer
PEGylation, by increasing the molecular weight of a
used as a blood substitute. Its solutions were mainly used
molecule, can impart several significant pharmacological
to treat the shock after the burns and in the case when the
advantages over the unmodified form, such as:
blood transfusion was not indicated.[36–38]
Likewise, the solutions of PVA have found applications
● Improved drug solubility
as blood substitutes. However, they were withdrawn from
● Reduced dosage frequency, without diminished effi-
the list of the blood substitutes as result of their undesirable
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cacy with potentially reduced toxicity


● Extended circulating life side effects. The blood substitutes with the therapeutic
● Increased drug stability action have also been elaborated as a result of incorpora-
● Enhanced protection from proteolytic degradation tion of some therapeutic agents (e.g., penicillin, pelentanic
acid, p-aminosalicylic chloride) into PVA.[36,38] PVA has a
hydroxyl group in its structure. It is synthesized by the
Starch is one of the superior known natural and biode-
polymerization of vinyl acetate to polyvinyl acetate
gradable biopolymers. Starch and its derivatives received
(PVAc), which is then hydrolyzed to get PVA. PVA hydro-
much concentration in the food, plastic, and pharmaceuti-
gels have been used for various biomedical and pharma-
cal industries because of its gelling, film forming, and bio-
ceutical applications.[39] PVA hydrogels have certain
degradable properties.[31] Different modifications or
advantages, which make them ideal candidates for bioma-
derivatization techniques have been tried for developing
terials. Advantages of PVA hydrogels are that they are non-
new polymers from natural biopolymers. One approach is
toxic, non-carcinogenic, and bioadhesive in nature. PVA
acetylation of starch, which converts the hydrophilic starch
also shows a high degree of swelling in water (or biological
to hydrophobic starch acetate. Starch acetate has been
fluids) and a rubbery and elastic nature and therefore
broadly used for drug delivery applications. Acetylation of
closely simulates natural tissue and can be readily accepted
starch has received much attention for varied drug delivery
into the body. PVA gels have been used for contact lenses,
applications, such as in the preparation of coatings for the
the lining for artificial hearts, and drug-delivery applica-
sustained release of drugs. Hydrophobically modified
tions. PVA is mainly used in topical pharmaceutical and
polymers have attracted much attention in drug delivery
ophthalmic formulations.[40,41] It is used as a stabilizer in
applications due to their fine balance of hydrophilic–hydro-
emulsions. PVA is used as a viscosity increasing agent for
phobic nature and biodegradability.[32,33] Starch was allowed
viscous formulations such as ophthalmic products. It is
to react with acetic anhydride (1:4 ratio) with sodium
used as a lubricant for contact lens solutions, in sustained
hydroxide as a catalyst as per the reported method.[34] Tight
release oral formulations, and transdermal patches.[42]
junction visualization studies demonstrated that PEGylated
starch acetate nanoparticles are capable of opening tight
junctions. The control Caco-2 cells stained with rhodamine HYDROCOLLOID
phalloidin, to visualize actin, showed uniform staining pat-
tern as shown in Fig. 2(A). However, cells treated with Hydrocolloids refer to a range of polysaccharides and
PEGylated starch acetate nanoparticles displayed a dis- proteins that are nowadays widely used to perform a num-
rupted staining pattern [Fig. 2(B)]. The untreated cells ber of functions in the pharmaceutical and biomedical
were observed as smooth lines at the cell–cell junction sector. The specific application of plant-derived hydrocol-
[Fig. 2(C)]; whereas, for PEGylated starch acetate nanopar- loids in pharmaceutical formulations include their use in
Pharmaceutical—Plant Oil

ticle-treated cells the staining intensity was weaker at cell– the manufacture of solid monolithic matrix systems,
cell contact sites [Fig. 2(D)]. implants, films, beads, microparticles, nanoparticles,
The use of PEGylated starch acetate nanoparticles for inhalable and injectable systems, as well as viscous liquid
controlled drug deliveries utilize its self-aggregation prop- formulations.[43–47] The hydrocolloids are available in a
erty. Micellar nanoparticles are formed on the self-associa- wide range and variety, which can be modified depending
tion of PEGylated starch acetate in the presence of aqueous upon research requirement. The selection of appropriate
insulin solution. The hydrophobic core of starch acetate hydrocolloid is dictated by the functional characteristics
5936 Pharmaceutical Polymers
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Fig. 2 Confocal images (20×) of Caco 2 cell-actin. (A) Caco cells without any treatment (control). (B) Caco cells exposed to 5 mg of
SA-PEG1900 nanoparticles for 1 hr—tight-junction protein ZO-1. (C) Caco cells without any treatment (control). (D) Caco cells exposed
to 5 mg of SA-PEG1900 nanoparticles for 1 hr.
Source: From Minimol et al.[35] © 2013, with permission from Elsevier.

required; moreover it is inevitably influenced by price. degraded by the bacterial polysaccharidases. This property
A lot of work has been carried out on various hydrocol- makes these hydrocolloids exceptionally suitable for the
loids in the field of scientific research. The biomedical formulation of colon-targeted drug delivery systems.[48]
and pharmaceutical applications of hydrocolloid-based
polymer hydrogels are of greater importance because of
properties such as biocompatibility, non-toxicity, equilib- PLASTICS AND RUBBERS
rium swelling, and renewability. Hydrocolloids are often
utilized in the design of novel drug delivery systems such Plastics are synthetic materials, which mean that they are
as those that target the delivery of the drug to a specific artificial or manufactured. Synthesis means that “some-
region in the gastrointestinal tract or in response to exter- thing is put together,” and synthetic materials are made of
nal stimuli to release the drug. This can be done via differ- building blocks that are put together in factories. Plastics
ent mechanisms including the coating of tablets with and natural materials such as rubber or cellulose are com-
polymers having pH-dependent solubilities or incorporat- posed of very large molecules called polymers. Plastics are
Pharmaceutical—Plant Oil

ing non-digestible polymers that are degraded by bacterial polymers, but polymers do not have to be plastics. The way
enzymes in the colon. Non-starch, linear polysaccharides plastics are made is actually a way of imitating nature,
are resistant to the digestive action of the gastrointestinal which has created a huge number of polymers. Cellulose,
enzymes and retain their integrity in the upper gastroin- the basic component of plant cell walls, is a polymer and
testinal tract. Matrices manufactured from these hydro- so are all the proteins produced in the body and the pro-
colloids therefore remain intact in the stomach and the teins one eats. Another famous example of a polymer is
small intestine, but once they reach the colon they are DNA—the long molecule in the nuclei of ones cells that
Pharmaceutical Polymers 5937

Fig. 3 Polyethylene.
Downloaded by [Narendra P. S. Chauhan] at 00:27 14 April 2016

Fig. 4 Structure of cellulose.

carries all the genetic information about oneself. Wool, Cellulose is insoluble in water and the most common
cotton, silk, wood, and leather are examples of natural other solvent. In spite of its poor solubility, cellulose is
polymers that have been known and used since ancient used in many applications including composites, netting,
times. This group includes biopolymers such as proteins upholstery, coatings, packing, paper, etc. Cellulosics (cel-
and carbohydrates that are constituents of all living organ- lulose derivatives) are in general strong, reproducible,
isms. Synthetic polymers, which include the large group recyclable, and biocompatible,[53] being used in various
known as plastics, came into prominence in the early 20th biomedical applications such as blood purification mem-
century. An artificial polymer that is known to everyone in branes and the like.
the form of flexible, transparent plastic bags that is poly-
ethylene. It is also the simplest polymer, consisting of Pharmaceutical Uses of Cellulose and Cellulose
random-length (but generally very long) chains made up of Derivatives
two-carbon units (Fig. 3).
The largest single use of rubber is the production of Methylcellulose
vehicle tires. Tires are highly engineered products that use
different kinds of rubber in different parts. MC resembles cotton in appearance and is neutral, odorless,
Rubber is used in the pharmaceutical industry to make tasteless, and inert. When MC contacts with water, it swells
closures, cap liners, and bulbs for dropper assemblies. The
and reproduces a clear to opalescent, viscous, colloidal
rubber stopper is used mainly for multiple dosage vials and
solution and it is insoluble in most of the common organic
disposable syringes. The rubber polymers most commonly
solvents. Solutions of MC are stable over a wide range of
used are natural, neoprene, and butyl rubber. Butyl rubbers
pH (2 to 12) with no change in viscosity. They can be used
and nitrile rubbers are some of the synthetic rubbers used
as bulk laxatives, so it can be used to treat constipation, and
for the manufacturing of closures. in nose drops, ophthalmic preparations, burn preparations
ointments, and like preparations.
CELLULOSE-BASED POLYMER
Ethylcellulose
Polysaccharides, natural polymers, fabricated into hydro-
philic matrices stay accepted biomaterials for controlled- EC is the non-ionic, pH-insensitive cellulose ether and is
Pharmaceutical—Plant Oil

release dosage forms. Cellulose is the most abundant insoluble in water but soluble in many polar organic sol-
naturally occurring biopolymer.[49,50] A variety of natural vents. It can be used on its own and in combination with
fibers such as cotton and higher plants have cellulose as a water-soluble polymers to prepare sustained release film
main constituent.[51,52] It consists of long chains of anhydro- coatings that are frequently used for the coating of micro-
D-glucopyranose units (AGU) with each cellulose mole- particles, pellets, and tablets. Many researchers like Fried-
cule having three hydroxyl groups per AGU, with the man and Golomb.[54] and Soskolne et al.[55] have confirmed
exception of the terminal ends shown in Fig. 4. the ability of EC to sustain the release of drugs.
5938 Pharmaceutical Polymers

Sodium carboxymethyl cellulose

It is a low-cost commercial soluble and polyanionic poly-


saccharide derivative of cellulose that has been used in
medicine, as an emulsifying agent in pharmaceuticals, and
also used in cosmetics.[56] Carboxymethyl cellulose (CMC)
is one of the important cellulose derivatives in industries,
which is widely used as an anti-caking agent, emulsifier,
stabilizer, dispersing agent, thickener, and gelling agent.
Sodium carboxymethyl cellulose is used in both therapeu-
tic and excipient. Therapeutic uses include bulk-forming
laxatives in which it may be the primary ingredient. Excip-
ient uses include those of suspending, tablet binding, or
viscosity increasing.

Hydroxypropylcellulose
Fig. 5 Partition of vasopressin between ethyl oleate and water in
Downloaded by [Narendra P. S. Chauhan] at 00:27 14 April 2016

Hydroxypropylcellulose (HPC)-SL and low-viscosity HPC the presence of RMs composed of S4-12C60 (circles), S4-14C60
polymers are versatile pharmaceutical excipients. It is (squares), and S4-18C60 (open triangles). Blank ethyl oleate was
widely used in pharmaceutical formulations like in oral used as control (closed triangles). Kapp values were calculated
products, as a tablet binder, in film-coating, and as a con- from the ratio of mean peptide concentrations in oil and water.
trolled-release matrix. All of the cellulosic polymers Source: From Jones et al.[64] © 2008, with permission from
described in the previous section have been used as binders Elsevier.
for solid dosage forms in wet granulation and dry- or
direct-compression tableting processes.[57–59]
12.5 µg, the experimental Kapp was maximal and reached 2,
4, and 77 for the C12, C14, and C18 derivatives, respec-
REVERSE MICELLES FOR PHARMACEUTICAL
tively. The ability of RMs to solubilize vasopressin in oil
APPLICATIONS
decreased with increasing peptide loading until saturation
of the available space was achieved, as indicated in Fig. 5.
Polymeric micelles are core–shell structures formed through
the self-assembly of amphiphilic polymers in a solvent that
is considered hostile toward either moiety. In water, these FILM FORMING (COATING)
micelles are characterized by a hydrophobic core shielded
from the external medium by a hydrophilic shell. This par- Film coating is one of the most commonly used methods
ticular type of micelle has been extensively studied with a for the preparation of sustained and controlled release dos-
particular attention to their ability to improve the aqueous age forms leading to the evaluation of various materials
solubility of hydrophobic therapeutic agents.[60,61] Polyami- with film-forming property.[65] The drug delivery applica-
doamine-based reverse micelles (RMs) were also proposed tions of polymer or biomaterial films are well established
for the controlled delivery of the anticancer drug 5-fluoro- for providing protective coatings and controlled drug
uracil. However, moderate success was obtained, since in release from dosage forms.[66] The main parameters used
vitro an aqueous dispersion of the micellar formulation to characterize the film-forming materials for coating
induced less than 5% drug release over 7 hr.[62] Vasopressin purposes are mechanical properties,[67,68] permeability
(9 amino acids, 1084 Da), also known as the antidiuretic properties,[69] and WVTRs.[70] Coated formulations for drug
hormone, is naturally secreted in response to changes in release behavior have been investigated for different condi-
blood pressure or volume.[63] tions by various investigators.[71–73]
It is highly soluble in water but has incomplete affinity Aqueous film coating applications are either solutions
for apolar solvents such as ethyl oleate, as indicated by a or dispersions, depending on the water solubility of the
low Kapp (b0.05) (Fig. 5). However, in the presence of RMs, film former polymers. Film formation from the polymer
Pharmaceutical—Plant Oil

the resemblance of vasopressin for the oil phase was sig- solution occurs through a series of phases. When the poly-
nificantly enhanced.[64] Thus, SA-YCZ RMs seems better mer solution is applied to the surface of the tablet, cohesion
suited for the encapsulation of peptidic molecules with a forces form a bond between the coating polymer mole-
MW not exceeding a few 1000 Da. All alkylated star- cules. Film formation from dispersion occurs when poly-
shaped polymers are referred to as SA-YCZ, where A, Y, meric particles coalesce to form a continuous film (Fig. 6),
and Z are the degree of branching, alkyl chain length and making it a more complex mechanism compared to film
DA respectively. According to Fig. 5 at an initial loading of formation from solution.[74]
Pharmaceutical Polymers 5939

POLYDIMETHYLAMINOETHYLMETHACRYLATE Figure 8 shows the in vitro release profile of Eudragit-


coated insulin-loaded PDG at gastric and intestinal pH.
A poly[2-(dimethylamino)ethylmethacrylate] (PD), bio- PDG exhibited encapsulation efficiency of 85.5 ± 3.24%.
compatible, water-soluble polymer finds extensive applica- Due to the swelling nature of the particles at pH 1.2, the
tions as membranes,[75] efficient non-viral gene-delivery particles were coated with Eudragit L 100-55. About 1.5%
vectors,[76] antimicrobial agents,[77] and biosensors.[78] of insulin was released at gastric conditions whereas about
N-hydroxypropyltrimethylammonium polydimethyl- 30% of insulin was released at intestinal pH in the first
aminoethylmethacrylate (PDG) prepared by the quater- hour. The results are statistically significant as the P-value
nization reaction of PD was conducted using was found to be less than 0.05. ELISA and Circular dichro-
N-hydroxypropyltrimethylammonium chloride as the qua- ism studies proved that the insulin released from PDG was
ternizing agent. Swelling of polymers or drug-polymer capable of retaining its biological activity.
matrices in the dissolution test media have been reported PDG having high positive charge displayed a calcium bind-
according to significant effects on ordinary dosage forms ing property, which helped in the loosening of epithelial tight
and controlled drug release systems. Atomic force micros- junctions by actin filament dislocation and binding to ZO-1
copy (AFM) image shown in Fig. 7(A) confirms the proteins. The PDG polymer is mucoadhesive thereby making
morphology and size of PDG. The swelling profile of PDG it a suitable carrier for the mucosal delivery of proteins.
at pH 1.2 and 6.8 is depicted in Fig. 7(B). PDG particles Recently, a number of terpolymers derived from 4-acetyl-
Downloaded by [Narendra P. S. Chauhan] at 00:27 14 April 2016

exhibited a high percentage of swelling at acidic pH pyridineoxime, 4-chloroacetophenone oxime, 8-hydroxy-


whereas the degree of swelling was lower at intestinal pH. quinoline, formaldehyde, benzoic acids, furfural, and
P-value as determined by Student’s t-test was found to be substituted acetophenones have been reported with excel-
statistically significant.[79] lent antimicrobial properties.[80–84]

Fig. 6 Film formation from aqueous polymeric dispersion.

Pharmaceutical—Plant Oil

Fig. 7 (A) AFM of N-hydroxypropyltrimethylammonium polydimethylaminoethyl methacrylate and (B) swelling profile of N-hydroxy-
propyltrimethylammonium polydimethyl aminoethylmethacrylate at pH 1.2 and 6.8. Indicated values are the mean of three measurements
(±SD) (n = 3).
Source: From Sonia & Sharma[79] © 2013, with permission from Elsevier.
5940 Pharmaceutical Polymers

Chemistry, Pacific College of Basic & Applied Sciences,


PAHER University, Udaipur (Raj.) for suggestions.

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