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REVIEW ARTICLE
Abbreviations: CSF: Cerebrospinal fluid; 5-FU: 5- Fluorouracil; CyA: Cyclosporin A; FITC-BSA: Fluorescein
isothiocyanate labeled bovine serum albumin; pDNA: Plasmid deoxyribonucleic acid; CS- NAC: Chitosan N-
acetyl-L-cysteine; Glycol CS-TGA: Glycol chitosan thioglycolic acid; CS-TGA: Chitosan thioglycolic acid; CS-
TBA: Chitosan $- thiobutylamidine; pSEAP: Recombinant secreted alkaline phosphate; OVA: Ovalbumin;
Thiolated HA: Thiolated hyaluronic acid; SVN: Survivin; SiRNA: Small interfering ribonucleic acid.
CONTACT Ketousetuo Kuotsu ketousetuoju@yahoo.in Department of Pharmaceutical Technology, Jadavpur University, Kolkata 700032, West Bengal, India
This article has been republished with minor changes. These changes do not impact the academic content of the article.
ß 2018 Informa UK Limited, trading as Taylor & Francis Group
380 S. NASKAR ET AL.
Nanoprecipitation
Figure 3. Representation of preparation of CSNPs by spray drying method. In this method, firstly, CS is dissolved in a suitable solvent to form
the diffusing phase. This phase is then added to the dispersing
linking agent, i.e. glutaraldehyde. Here, cross-linking reaction took phase i.e. methanol under magnetic stirring condition. The diffus-
place between the amino groups of CS with the aldehyde groups ing phase is added to the dispersing phase by means of a needle
of glutaraldehyde and precipitates to form particles [19,37,38]. positioned 2 cm above the surface at 0.86 ml min1 using a peri-
This method is schematically shown in Figure 2. staltic pump. Then the addition of a very small amount of
JOURNAL OF DRUG TARGETING 381
Citric acid
Thermal cross-linking is another aspect of physical cross-linking in
which citric acid (CA), a commonly used cross-linking agent is
added to an aqueous CS acidic solution in a constant molar ratio
between CA and CS [77]. Bagheri et al. [78] modified CS with carb-
oxyl functional groups using CA as a cross-linking agent at the dif-
Figure 9. Representation of preparation of CSNPs by emulsion solvent diffu- ferent molar ratio of CS to CA.
sion method.
acetone is diffused into the aqueous phase, decreasing CS solubil- Other crosslinkers
ity and thus, NPs are formed by polymer precipitation. An extra
Sometimes, malic acid, tartaric acid, CA and succinic acid were
amount of water is usually added in order to permit the complete
diffusion of acetone. Ultimately, centrifugation is used to separate used as a cross-linking agent for the preparation of CSNPs. The
NPs [61]. This method is schematically shown in Figure 9. carboxylic groups of di and tricarboxylic acids undergo chemical
cross-linking with the amino groups of CS, as a result, NPs forma-
tion take place [79]. Sodium sulphate is another important cross-
Cross linker of CSNPs linking agent used for the preparation of CSNPs.The sulphate
anion of sodium sulphate undergo crosslinking with the positively
Aldehyde
charged functional groups of CS [80].
Due to low-cost production, great fixation and the formation of a
thick cationic emulsion, glutaraldehyde is used as a versatile cross-
linker [62,63]. From the mechanistic point, a covalent crosslinking Physicochemical behaviour of CSNPs
takes place between the aldehyde groups of glutaraldehyde and Drug loading & drug release
the amino groups of CS, as a result, Nps formation takes place
[48]. Overt toxicity and balanced drug integrity are the drawbacks Drugs were loaded into CSNPs may be either incorporated the
of glutaraldehyde [64]. As per the report, the particle size has also drug at the time of NPs production or absorbed the drug after
been found to vary with the amount of glutaraldehyde [52]. the formation of NPs by incubating them in the drug solution.
Natural occurring a,b-unsaturated aldehyde, cinnamaldehyde is Diffusion and desorption are involved in the drug release from
another cross-linker used to prepared CSNPs [65]. Baicalein-loaded CSNPs [81]. The protein release from CSNPs may be due to three
CSNPs were successfully prepared by chemical cross-linking with predominant mechanisms including desorption, diffusion and
cinnamaldehyde as a cross-linking agent, by cross-linking method release due to polymer erosion of CSNPs [82]. Many factors were
in a W/O emulsion system [66]. Vanillin (3-methoxy-4-hydroxyben- found to influence the drug release rate from CSNPs including
zaldehyde) is another important phenolic aldehyde is used to pre- solubility, diffusion and biodegradation of the matrix materials,
pare CSNPs [67]. From the mechanistic point, chemical the choice of polymer matrices, the drug loading capacity and
crosslinking takes place between the aldehyde groups of vanillin size of NPs [1]. The equation which is used to describe drug
and the amino groups of CS, as a result, NPs formation take release mechanism
place [68].
Mt
¼ ktn ;
M1
Tripolyphosphate Mt
where M1 is equal to the drug release in the fraction at time t, k
TPP is a non-toxic, polyanion crosslinker. It has multivalent anions is equal to the constant which signify the macromolecular poly-
in its structure [69]. The amino groups of CS undergo reversible mer system properties.The n value is equal to the analysis of drug
physical cross-linking through electrostatic interaction with the release mechanism from the drug loaded NPs [83,84].
negatively charged TPP molecules, as a result, NPs formation takes
place [70,71]. Several advantages have been progressively indi-
Particle size &surface charge
cated for TPP, including the reversible physical cross-linking by
electrostatic interactionmakes it possible to prevent the toxicity of Most CSNPs prepared by the above methods have recorded mean
reagents [72]. sizes ranging from 100 to 400 nm. Particle size is one of the most
important features related to obtaining optimal in vitro efficacy of
CSNPs [85,86]. Particle size and its distribution were affected by
Genipin encapsulation efficiency and zeta potential [87]. Decrease the par-
Natural crosslinker genipin is obtained from gardenia fruit that ticles size could increase the specific surface area and the ratio of
has been utilised in herbal medicine and fabrication of food dyes. surface to volume, which could increase the dissolution and thus
The cytotoxicity of genipin is approximately 10,000 times less than increase the bioavailability of poorly water-soluble drugs [88].
glutaraldehyde [73,74]. Firstly, Song et al. [75] proposed the mech- Molecular weight and degree of deacetylation of CS are factors
anism of proteins crosslinking reaction by genipin. Kumar et al. found to affect particle size and surface charge [89]. Particle size
[76] synthesised ciprofloxacin-loaded genipin cross-linked CS/hep- and zeta potential are important factors which may influence the
arin nanoparticles (CIPRO-GP-CS/Hep NPs). They prepared these antifungal activity of NPs [90].
JOURNAL OF DRUG TARGETING 383
Zeta potential/surface charge is an important parameter of NPs [105]. Due to the mucoadhesive property, CS has been used
for the determination of their interaction in vivo with the nega- extensively as a carrier for mucosal drug delivery [106–108].
tively charged tumour cell membrane, stability, mucoadhesives Baltzley et al. [109] studied the probable use of CSNPs as an intra-
and permeation enhancing effect [91–93]. Zeta potential has the nasal delivery system to amplify olanzapine systemic bioavailabil-
greater influence on the particle stability in suspension. The less ity. They prepared these NPs through ionotropic gelation method.
zeta potential, the less likely the suspension to be stable [94]. They studied particle size, drug loading and in vitro release. Al-
Ghananeem et al. [110] studied the possible use of CSNPs as an
intranasal delivery system to amplify didanosine systemic and
Stability brain targeting efficiency. They prepared these NPs through iono-
The stability of NPs is an important factor in the pharmaceutical tropic gelation method and they studied prepared NPs size, drug
field until the loss of therapeutic efficacy [95]. Agglomerations of loading and in vitro release. Thus, both the intranasal route of
particles, bridging flocculation, coagulation are the predominant administration and formulation of didanosine in CSNPs aug-
factors for the physical instability of NPs [96]. Chemical stability of mented the delivery of didanosine to CSF and brain.
NPs depends on the following conditions like temperature, pH of
the medium, composition of the formulation, type of polymer Cancer drug delivery
used and the molecular weight of the polymer used in the formu-
lation. Most of the drugs sensitive to pH, hence pH should be Due to compatibility and biodegradability of CS, CSNPs are an
optimised to control the leakage of the drug [51]. CS chains pos- emerging field in the drug delivery of cancer [111]. CSNPs have
sess glucosamine groups that may be deprotonated if the pH been largely used for the delivery of anti-cancer drugs including
increases [97]. It was recorded that CSNPs prepared using sodium methotrexate [112], 5-flourouracil [113,114], cysplatin [115], epiru-
TPP and glycidoxy propyl trimethoxysilane cross-linking were pH bicin [116], curcumin [117,118], mitomycin C [119], docetaxel
sensitive [98]. Other research demonstrated that camptothecin- [120], doxorubicin (DOX) [49,121], paclitaxel [122] and tamoxifen
loaded N-isopropyl acrylamide-CSNPs were sensitive to tumour pH [123], focussing to augment anti-tumour efficacy, control release
when the charge ratio of N-isopropylacrylamide: CS was 4:1 [99]. and direct the drugs to the tumour thus reducing the toxicity.
In those studies, CSNPs were developed for: (i) to release 50%
of the methotrexate loaded in 48 h [112], (ii) to sustain release of
Cytotoxicity study& cellular uptake 5FU compared with the 5FU solution [113], (iii) to investigate NPs
were able to release the drug cysplatin in a sustained manner for
Cytotoxicity of CSNPs has been carried out to determine cell via-
a prolonged period of time [115], (iv) entrapment of epirubicin
bility. Cell viability and cell cytotoxicity have been carried out by a
into cholesterol-modified CS and show pH-dependent release of
simple non-radioactive colorimetric MTT (3–(4,5-dimethylthiazol-2-
drug in vitro [116], (v) encapsulation of doxorubicin in CS-based
yl)-2, 5 diphenyltetrazolium bromide) assay [100]. Corsi et al. [101]
NPs could be released into the cells in its active form [121], (vi)
prepared CS–DNA NPs and assessed the effect of prepared NPs
encapsulation of mitomycin C as intravesical chemotherapeutic
cell viability on human osteosarcoma cells, MSCs and HEK293,
agent and selectively incorporate NPs containing molecules in the
compared to a commercial lipid, Lipofect AMINETM2000 (LF). They
bladder cancer cell line, but not for normal bladder epithelial cells
measured the cell viability by MTT assay. In another study,
[119], (vii) the reduction of drug toxicity compared with free drug
Mansouri et al. [102] synthesised FA–CS–DNA NPs and evaluated
and reduce tumour volume in mice [120], (viii) carrier/vehicle/pro-
their effect on cell viability compared to LifofectAMINETM2000 (LF),
drug of cancer therapy [117,122,124–126], (ix) encapsulation of
a commercially available lipid vector [102]. The cytotoxic activities
dextran–doxorubicin conjugate in CSNPs [49], (x) to control the
of the CSNPs and copper (II)-loaded CSNPs was investigated by Qi
release of drug and to increase tamoxifen chemotherapeutic effi-
et al. [103] and a relationship between physiochemical properties ciency [123], (xi) chemotherapy of breast cancer in which the side
and activity is suggested. They used different cell lines for this effects of traditional chemo treatment could be reduced [114].
study. That author suggested that CSNPs and copper (II)-loaded
CSNPs showed much higher cytotoxicity toward BEL7402, BGC823
and Colo320 tumour cells while showing a slight effect on L-02 Anti-microbial drug delivery
human normal liver cells.
Efficient cellular uptake is an important parameter for NPs. Nowadays, CSNPs have been extensively utilised for drug delivery
applications in various infectious diseases. The functional groups
Confocal microscopic analysis is used to check the uptake of
help to aim loaded drugs to the site of infection. Slow biodegrad-
CSNPs into the cell nucleus [100] after 4 h exposure with 1% w/v
ation of CS permits controlled and sustained release of loaded
of CSNPs. Necrotic or autophagic cell death, possibly caused by
moieties, reduces the dosing frequency and suitable for raising
cell membrane damage is evoked by electron micrographs [104].
patient compliance in infectious diseases [127]. CSNPs have been
extensively used for the delivery of anti-microbial drugs including
Pharmaceutical applications of CSNPs cefazolin [128], rifampicin [129–131], daptomycin [132], ofloxacin
[133], amphoterecin B [134–136], vancomycin [137,138], ciprofloxa-
A specific administration route is highly essential for delivery of cin [139], amoxicillin [140], isoniazid [130,139] and tetracyc-
drugs to the site of its action [105]. A detail study of such admin- line [141].
istration to drug delivery is outlined below. In those studies, studies, CSNPs were developed for: (i) better
encapsulation efficiency (EE), good stability, excellent activity
against Klebseliapnominia, Paeroginosa and lactamase positive E.
Mucosal delivery
coli [128], (ii) better entrapment efficiency and good corneal per-
Nanocarriers have appeared as an effective strategy for mucosal meability [132], (iii) rapid bactericidal activity and reduced dose
drug delivery due to small steric obstruction and protection of frequency [129], (iv) better corneal permeation [133], (v) greater
freight therapeutics at both extracellular and intracellular range efficacy and better safety than commercial products [134], (vi)
384 S. NASKAR ET AL.
Ocular delivery
Anti-inflammatory drug delivery
CS, hydrophilic natural biodegradable polymer improves stability,
CSNPs have been greatly used for the delivery of anti-inflamma-
precorneal retention and enhances interaction with eye mucosa.
tory drugs including zaltoprofen [186], hydrocortisone [97], ketoro-
Moreover, CS is recognised as the polymer suitable for ocular
lac tromethamine [188], tretinoin [189] aiming to increase anti-
drug delivery for the following reasons: non-toxic, low eye irrita- inflammatory activity, improved efficacy and high phys-
tion, the sustained release, mucoadhesive, in situ gelling, transfec- ical stability.
tion and permeation enhancing properties [155]. The In those studies, CSNPs were used for: (i) prolonging anti-
mucoadhesive polymer such as CS is able to form disulphide inflammatory activity [186], (ii) increasing anti-inflammatory activ-
bonds with mucus glycoproteins when found with the mucus gel ity and improving efficacy [187], (iii) showing anti-inflammatory
layer [156]. CSNPs have been extensively used for the delivery of activity in ocular diseases [188], (iv) greater physical stability, bet-
ocular drugs including CyA [34,157], FITC–BSA [158,159], indo- ter potential for topical delivery and augmenting therapeutic effi-
methacin [160,161], pilocarpine [162,163], pDNA [164] and pred- cacy [189].
nisolone [165].
In those studies, CSNPs were developed for: (i) increasing the
therapeutic index of clinically challenging drugs [34], (ii) demon- Miscellaneous drug delivery
strating biocompatibility of the CSNPs [158], (iii) increasing drug CSNPs have also been used as delivery systems for miscellaneous
levels in the anterior segment of the eye in connection with the classes of drug including anti-HIV (lamivudine [190], zidovudine
uncoated systems [160], (iv) increasing the concentration of drug [191]), anti-malarial (chloroquine [192], anti-tubercular (rifampicin
detected in the anterior segment and the vitreous versus indo- and isoniazid [130]), skeletal muscle relaxant (thiocolchicoside
methacin eye drops [161], (v) sustaining drug release and prolong- [193]) and oral hypoglycaemic (insulin [194]).
ing therapeutic effect of drug-loaded NPs [162,163], (vi) increasing In those studies, CSNPs were used for: (i) controlling drug
the drug levels detected in the aqueous humour versus those delivery applications [190], (ii) acting as drug delivery vehicle
observed with the commercial suspension [165]. against rodent parasite [192], (iii) sustaining the release of anti-
JOURNAL OF DRUG TARGETING 385
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