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Keywords: Quercetin (QCT) is an abundant plant polyphenol with demonstrated efficacy in several diseases including colon
Quercetin cancer. Herein we have developed polymeric nanoparticles (NPs) of QCT based on the pH-sensitive polymer
Eudragit S100 Eudragit® S100 to achieve colon pH-specific drug release following oral administration. NPs were prepared by
Polymeric nanoparticles the nanoprecipitation technique and showed a mean diameter of 66.8 nm and a partially negative surface charge
Colon-targeting
of −5.2 mV. NPs contained on average 2.2% w/w QCT at an encapsulation efficiency of 41.8%. IR spectroscopy
Colon cancer
and differential scanning calorimetry (DSC) both revealed the presence of intermolecular interactions, most
likely H-bonding, between QCT and Eudragit® S100, which likely contributed to drug loading. DSC also indicated
that the drug was present in the NPs in an amorphous state, which was further confirmed by X-ray diffraction. In
vitro release testing showed a delay in drug release in acidic pH, but complete release within 24 h at pH 7.2. A
cytotoxicity assay was performed on CT26 murine colon carcinoma cells, where QCT-loaded NPs displayed
significantly higher potency (IC50 = 0.8 μM) than free QCT (IC50 = 65.1 μM). Our findings present a promising
nanomedicine for colon-targeted delivery of QCT in diseases such as colon cancer.
1. Introduction diseases especially cancer [4,5]. Among the various classes of nano-
carriers, polymeric NPs are the most versatile, since their controllable
Colon cancer is the third-most prevalent type of cancer, accounting structure provides an opportunity to tailor their properties for various
for 1.8 million cases and 862,000 deaths in 2018 alone [1]. The applications. In particular, NP-based oral formulations shield drugs
American Joint Committee on Cancer (AJCC) has classified colon from the harsh gastrointestinal environment, and can selectively in-
cancer into five stages; Stage 0, I, II, III, and IV. Stage 0 has a cure rate crease drug concentration inside diseased colon cells, thus elevating
of 100% after surgical resection. Stages I – IIC are also treated by sur- therapeutic efficacy while reducing systemic toxicity [6]. A variety of
gical resection, with 37–74% 5-year survival rates. Advanced stages polymeric NP-based platforms have been investigated for colon-specific
(IIIA – IV) require surgical resection followed by adjuvant che- delivery of therapeutic agents, such as those based on poly(lactide-co-
motherapy, but patients remain at high risk for metastasis and recur- glycolide) (PLGA) [7,8] and chitosan [9,10]. One of the most efficient
rence with a 6% survival rate [2]. Adjuvant chemotherapy is often methods for colon-targeted delivery via the oral route is pH-dependent
administered through the intravenous route, which can result in severe drug release [6]. To achieve this purpose, the dosage form is coated
systemic side effects due to nonspecific distribution of chemother- with an acid-resistant polymer that can protect it from premature re-
apeutic drugs to healthy tissues [3]. On the other hand, the oral route lease in the stomach and upper gastrointestinal tract (GIT). Once the
represents a safer and more logical route of administration for the polymer reaches the large intestine or colon, where the pH rises close to
treatment of colon-related diseases such as colon cancer. In addition to neutrality, it dissolves allowing the drug to be released [11–14].
the improved patient compliance, this strategy provides direct access to Eudragit® polymers are a group of commercially available me-
the disease site, which can enhance drug bioavailability and reduce the thacrylic acid copolymers that are typically employed in the pharma-
required dose, putting the patient at a much lower risk for developing ceutical industry in modified-release film coatings of tablets and cap-
chemotherapy-related side effects. sules. Among the various types of Eudragit® polymers available,
The ability of nanocarriers to guide drugs to specific sites in the Eudragit® S100 (Fig. 1a) is the most suitable for colon targeting with a
body, enhance their solubility, extend their half-life, and improve their ratio of methacrylic acid to methyl methacrylate of approximately 1:2
therapeutic index has revolutionized the treatment protocols for many [15]. The carboxyl groups of the methacrylic acid moieties are
∗
Corresponding author. Department of Pharmacy, Faculty of Pharmacy, Al-Zaytoonah University of Jordan, P.O. Box 130, Amman, 11733, Jordan.
E-mail address: suhair.sunoqrot@zuj.edu.jo (S. Sunoqrot).
https://doi.org/10.1016/j.jddst.2019.05.035
Received 5 April 2019; Received in revised form 17 May 2019; Accepted 21 May 2019
Available online 22 May 2019
1773-2247/ © 2019 Elsevier B.V. All rights reserved.
S. Sunoqrot and L. Abujamous Journal of Drug Delivery Science and Technology 52 (2019) 670–676
anti-colon cancer activity, none of the previous reports involved the use
of any type of polymeric NPs to specifically target QCT to the colon
tissue. For these reasons, we chose Eudragit® S100 as a colon pH-sen-
sitive nanocarrier for QCT. Physicochemical characterization of the NPs
was complemented with in vitro release in conditions mimicking GIT
transit, as well as cytotoxicity evaluation in a murine colon cancer
model to further validate the NP formulation as a potential colon-tar-
geted nanomedicine.
2.1. Materials
protonated in acidic media (e.g. stomach) and the side chains are not
2.2. Preparation of QCT-loaded NPs
charged, rendering the polymer insoluble. Upon exposure to neutral or
basic pH values, the carboxyl groups become ionized. This results in
NPs were prepared by the nanoprecipitation method as previously
negative repulsive charges between the carboxylate side groups and an
described [17,33]. Various formulations were prepared using Eudragit®
increase in aqueous solubility, causing the polymer to release its pay-
S100 with or without PVA (0.2% w/v in ultrapure water) as a stabilizer,
load [16]. The versatility of Eudragit® polymers has expanded their
Eudragit® S100 mixed with RS100 (1:1), or EC (1:1). The composition of
application from conventional film coating excipients to NP platforms
each formulation is summarized in Table 1. In a typical procedure,
for various applications including pH-dependent drug release. Pre-
19 mg total polymer and 1 mg QCT were co-dissolved in 2.5 mL ethanol.
paration of NPs from Eudragit® polymers can be achieved by nano-
The polymer/drug solution was then added dropwise to 10 mL ultra-
precipitation, resulting in matrix-type NPs [17].
pure water under stirring at 400 rpm, followed by overnight mixing to
Quercetin (QCT) (Fig. 1b) is the lead compound of flavonoids with
allow ethanol to evaporate. Large aggregates were removed by cen-
demonstrated anti-proliferative activities against different types of
trifugation at 4000 rpm for 5 min, and unentrapped drug was removed
cancer such as colorectal, lung, and breast, through several proposed
by membrane dialysis (MWCO 3500, Spectra/Por 3, Spectrum Labora-
mechanisms that involve free radical scavenging and binding transition
tories Inc., Rancho Dominguez, CA, USA) against deionized water,
metal ions [18,19]. Like many other molecules in its class, QCT is
changing the water every hour for 3 h. Experiments were conducted on
characterized by poor water solubility (log P = 0.35) and extensive
freshly prepared NP dispersions unless otherwise noted. NPs were
metabolism in vivo [20]. Given its promising activity toward colon
lyophilized using a Christ Alpha 1–4 freeze-dryer (Osterode, Germany)
cancer, we set out to develop a novel NP platform for QCT targeted to
without any lyoprotectant.
the colon via the oral route, since it is the most convenient method of
administration and will maximize the drug concentration at the target
site. 2.3. Particle size and zeta potential measurements
QCT has been previously formulated in polymeric NPs [21], mi-
celles [22], and liposomes [23]. Polymer-based carriers in particular Particle size and zeta potential were measured by dynamic light
have been widely explored to improve the oral bioavailability and scattering (DLS) using a Nicomp Nano Z3000 particle size/zeta poten-
stability of bioactive plant flavonoids including QCT [24]. Wegiel et al. tial analyzer (Particle Sizing Systems, Santa Barbara, CA, USA). Two
carried out mid-infrared spectroscopic investigations of QCT-based hundred microliter samples of freshly prepared NPs were diluted with
amorphous solid dispersions in a variety of polymers including Eu- an equal volume of ultrapure water, and each measurement was re-
dragit® E100 (an acid-soluble copolymer which readily dissolves at ported at least three times using different batches of the NPs.
stomach pH) [25]. The study revealed the presence of intermolecular
QCT-polymer interactions with high crystallization-inhibiting and sta- 2.4. Drug loading (DL) and encapsulation efficiency (EE) determination
bilizing potential, making this class of polymers an attractive delivery
platform for QCT. Wu et al. prepared QCT-encapsulated Eudragit® E100 The amount of QCT loaded into the NPs was determined by dis-
NPs for the purpose of increasing its solubility and oral bioavailability solving 1 mg of lyophilized NPs in 1 mL ethanol, followed by measuring
[26], where the NPs were designed to dissolve and release the drug the UV absorbance at 376 nm (UV-1800 Shimadzu spectrophotometer,
immediately in the stomach. Likewise, Tang et al. encapsulated genis- Kyoto, Japan). The amount of QCT loaded was determined based on a
tein, an isoflavone, in Eudragit® E100 NPs to improve its oral bioa- standard curve of QCT absorbance at 376 nm versus concentration in
vailability [27]. On the other hand, Pool et al. reported on the fabri- ethanol (y = 0.0566x + 0.1029, R2 = 0.9881). Each measurement was
cation of QCT NPs from Eudragit® L30-D55 to target the small intestine repeated at least three times using different batches of the NPs. DL and
[28]. QCT has been formulated in Eudragit® S100 but only in the form EE were calculated according to Equations (1) and (2) as follows:
of microspheres for the purpose of treating mustard gas poisoning
DL (w/w%) = (Actual weight of loaded QCT/Weight of QCT-loaded
[29–31]. Enteric-coated PLGA NPs have also been reported for QCT to
NPs) × 100% (1)
improve its intestinal absorption [32]. However, despite its promising
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S. Sunoqrot and L. Abujamous Journal of Drug Delivery Science and Technology 52 (2019) 670–676
EE (%) = (Actual weight of loaded QCT/Theoretical weight of QCT 2.10. Cytotoxicity of QCT-loaded NPs against CT26 murine colon cancer
added) × 100% (2) cells
Table 1
2.9. Drug release mechanism
Compositions of the QCT NP formulations prepared in this study.
The Korsmeyer-Peppas model was used to assess the mechanism of Batch Eudragit® Eudragit® EC (mg) QCT (mg) Aqueous Appearance
S100 (mg) RS100 phasea
QCT release according to Equation (3) [34,35]:
(mg) (10 mL)
Mt/M∞ = Ktn (3)
F1 19 - - 1 Water Milky
where Mt/M∞ is the fractional cumulative amount of drug released at F2 19 - - 1 0.2% PVA Clear
F3 9.5 9.5 – 1 Water Precipitate
time t, K is the release rate constant, and n is the diffusion exponent F4 9.5 – 9.5 1 Water Precipitate
indicative of the mechanism of drug release. To determine n, the release
data of ≤60% cumulative release was fitted into the model using a
The organic phase was composed of polymer(s) and QCT dissolved in
Graphpad Prism 6.0e. 2.5 mL ethanol.
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Fig. 3. FT-IR spectra of (A) QCT, (B) Eudragit® S100, and (C) QCT-loaded NPs
(F1).
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S. Sunoqrot and L. Abujamous Journal of Drug Delivery Science and Technology 52 (2019) 670–676
Fig. 4. DSC thermograms of (A) QCT, (B) Eudragit® S100, (C) QCT/polymer
Effective colon targeting with pH-sensitive polymers requires the
physical mixture, and (D) QCT-loaded NPs (F1). Changes in peak locations as ability of the delivery system to protect its cargo from the GIT en-
well as the disappearance of the QCT melting peak, are indicative of inter- vironment till it reaches the colon, where the pH will favor drug release
molecular H-bonding interactions between QCT and Eudragit® S100. by promoting polymer dissolution. We verified the ability of QCT-
loaded Eudragit® S100 NPs to effectively achieve this goal by con-
ducting a release test in media with different pH.
QCT-loaded NPs and are presented in Fig. 5. QCT exhibited several
As shown in Fig. 6, no QCT was detected in the release medium
characteristic peaks at 2θ of 10.65°, 12.30°, 15.67°, 24.60°, 26.38°, and
during incubation in SGF (pH 1.2) and acetate buffer (pH 4.5) for the
27.16° (Fig. 5a), indicative of a highly crystalline structure and con-
first 4 h, indicating that Eudragit® S100 can protect QCT against gastric
sistent with DSC results. Eudragit® S100 (Fig. 5b) displayed broad fea-
pH and during small intestinal transit. This is attributed to the proto-
tures, confirming the amorphous nature of the polymer. In the case of
nated state of the methacrylic acid moieties in Eudragit® S100 at low
QCT/polymer physical mixture (Fig. 5c), although most of QCT's
pH, rendering it insoluble and preventing QCT release. As the pH was
characteristic peaks were masked by the polymer incoherent scattering,
increased to 7.2, QCT release was initiated and was almost complete,
the crystalline structure of the drug still persisted. On the other hand,
reaching 91.8%, after 24 h. At this pH, the increased ionization of the
no characteristic peaks appeared in the pattern of QCT-loaded NPs
methacrylic acid moieties in the polymer caused electrostatic repulsion
(Fig. 5d), where the diffraction pattern was identical to that of Eu-
and polymer swelling, leading to the disruption of the NP matrix and
dragit® S100 alone (Fig. 5b). This finding is in agreement with DSC
release of encapsulated QCT. Our results are consistent with previous
analysis and provides strong evidence that QCT is converted to an
reports using similar systems [11,12,28], and strongly indicate that
amorphous state after loading into the NPs.
Fig. 5. XRD patterns of (A) QCT, (B) Eudragit® S100, (C) QCT/polymer physical mixture, and (D) QCT-loaded NPs (F1). QCT's crystalline structure is partially masked
upon mixing with amorphous Eudragit® S100, and completely disappears after loading into the NPs, indicating its conversion to an amorphous state.
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Table 3 S100 NPs enabled the intracellular delivery of a more effective con-
Korsmeyer-Peppas release kinetic parameters for the in vitro release of centration of QCT, resulting in a significantly higher cytotoxic effect,
QCT from Eudragit® S100 NPs (F1). which highlights an additional advantage for the Eudragit® S100-based
n K (h−1) R2 QCT NPs. Note that the in vitro release experiment revealed that drug
release from Eudragit® S100 NPs is almost complete within 24 h, sug-
9.06 3.33 0.89 gesting that QCT-loaded NPs are expected to behave similar to free QCT
in the cytotoxicity experiment after 72 h incubation. However, previous
studies have shown that Eudragit® S100 NPs may be internalized by
cells as quickly as after 1 h of incubation [41–43], which supports the
ability of the NPs to shuttle the drug inside the cells early on before they
dissolve in the cell culture medium extracellularly. Furthermore, cells
treated with empty Eudragit® S100 NPs displayed significantly higher
cell viabilities with an IC50 of 1262.0 μM at all concentrations tested,
indicating the biocompatibility of Eudragit® S100 NPs as a drug delivery
vehicle. Interestingly, a recent report by Sankaranarayanan et al. found
that flavonoid metabolites such as 2,4,6-trihydroxy benzoic acid are
more likely to be responsible for the anti-proliferative and cancer-pre-
ventive activity of flavonoids since these compounds are rapidly me-
tabolized in vivo [44]. In light of these findings, it would be noteworthy
to investigate the molecular mechanism of anti-cancer activity of QCT-
loaded NPs compared to the free drug and its metabolites in vitro, and
the possible protective role of Eudragit® NPs on QCT stability in vivo.
4. Conclusions
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