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FUNCTIONAL HYDROGELS
IN DRUG DELIVERY
Key Features and Future Perspectives
FUNCTIONAL HYDROGELS
IN DRUG DELIVERY
Key Features and Future Perspectives
Editors
Umile Gianfranco Spizzirri and Giuseppe Cirillo
Department of Pharmacy, Health and Nutritional Sciences
University of Calabria
Rende (CS)
Italy
p,
p,
A SCIENCE PUBLISHERS BOOK
A SCIENCE PUBLISHERS BOOK
Cover illustration reproduced by permission of Drs. Derya Aydın, Mohammad Alipour and Seda Kizilel (authors
of Chapter 1).
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Library of Congress Cataloging‑in‑Publication Data
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Names: Liu, Jian (Chemical engineer), editor. | Jiang, San Ping, editor.
Names:
Title:
Names: Liu, Jian
Mesoporous (Chemical
Spizzirri, materials engineer), editor.
for advanced
Umile Gianfranco, ||Jiang,
energy
editor. San
storage
Cirillo, Ping, editor.
and conversion
Giuseppe, 1980- editor.
Title:
Title:Mesoporous
technologies
Functional materials
/ editors, for
Jian Liu,
hydrogels advanced
Department
in drug deliveryenergy
of: keystorage
Chemical
featuresand conversion
Engineering,
and future
technologies
Faculty /
of Science
perspectives editors, Jian Liu,
and Engineering,
/ editors, Department of Chemical
Curtin Spizzirri
Umile Gianfranco University, and Engineering,
Perth, WA, Cirillo,
Giuseppe
Faculty of Science
Australia, Sanof Pingand Engineering,
Jiang, Fuels Curtin Technology
and and
Energy University, Perth, WA,&
Institute
Department Pharmacy, Health Nutritional Sciences, University of
Australia, San Ping Jiang, Fuels and Energy Technology
Department of Chemical Engineering, Curtin University, Perth, WA, Institute &
Calabria, Rende (CS), Italy.
Department
Australia. of Chemical Engineering, Curtin University, Perth, WA,
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Preface v
1. Design of Stimuli-Responsive Drug Delivery Hydrogels: 1
Synthesis and Applications
Derya Aydın, Mohammad Alipour and Seda Kizilel
2. Nanocomposite Hydrogels as Drug Delivery Systems 24
Teresa del Castillo Castro, María Mónica Castillo Ortega,
Dora Evelia Rodríguez Félix and José Carmelo Encinas Encinas
3. Vesicles, Micelles and Cyclodextrins Immobilized into 52
Hydrogel: Multi-component Devices for Controlled
Drug Delivery
Lorena Tavano and Rita Muzzalupo
4. Molecularly Imprinted Hydrogels for the Selective Release 64
of Therapeutics
Piotr Luliński and Marcin Woźnica
5. Prodrugs and Bioconjugate Hydrogels: A Valuable Strategy 88
for the Prolonged-Delivery of Drugs
Ankit Jain, Anamika Sahu, Aviral Jain and Arvind Gulbake
6. Carbohydrate based Hydrogels for Controlled Release of 113
Cancer Therapeutics
S. Eswaramma, K.S.V. Krishna Rao, Qian Zhong and
K. Madhusudana Rao
7. Porous Hydrogels as Carrier for Delivery of 154
Macromolecular Drugs
Ecaterina Stela Dragan, Ana Irina Cocarta and Maria Valentina Dinu
8. Biopolymer-based Interpenetrating Network Hydrogels for 197
Oral Drug Delivery
Sabyasachi Maiti and Sougata Jana
9. Stimuli-Responsive Hydrogels for Parenteral Drug Delivery 234
Gayatri C. Patel
viii Functional Hydrogels in Drug Delivery: Key Features and Future Perspectives
ABSTRACT
Stimuli-responsive hydrogels have become popular in medicine and
polymer science as useful ‘smart’ devices due to their various properties
such as overall biocompatibility, high drug loading capacity, and controlled
molecule delivery. By tuning the polymer side chains and degree of
crosslinking, these gels may exhibit swelling/shrinking behaviour
in response to environmental stimuli such as light, pH, chemicals,
temperature, mechanical strain, and electrical field. Sensitivity of these
hydrogels enables precise control over fundamental material properties
such as physical structure, porosity, swelling behaviour, mechanical
strength and drug permeability. Temperature and pH alterations are
examples of physiological deviations that are commonly considered for
the design of responsive hydrogels, specifically for site-specific controlled
drug delivery. A class of hydrogels known as multi-responsive hydrogels
can respond to more than one stimuli which make them tunable and
controllable with improved biomimetic properties well-suited for
controlled and site specific drug delivery. Despite all these attractive
properties of stimuli-responsive hydrogels, slow response time may cause
some limitations in practical applications. Reduced hydrogel thickness
may decrease the response time of the gel to a stimulus; however, this
Department of Chemical and Biological Engineering, Koc University, Sariyer, Istanbul, Turkey,
34450.
* Corresponding author
2 Functional Hydrogels in Drug Delivery: Key Features and Future Perspectives
1. Introduction
During the past decades, most of the pharmaceutical research has focused
on controlled drug delivery systems. Novel drug delivery vehicles have
been developed using systems that include micelles, liposomes, dendrimers,
nanoparticles and lipo-protein drug carriers (Taghizadeh et al. 2015, des
Rieux et al. 2006, Alamdarnejad et al. 2013, Fattal et al. 2002). Among many
types of polymeric systems that are used as drug carriers, hydrogels have
attracted considerable interest and have been reviewed from different
perspectives (Peppas 1997, Hoare and Kohane 2008).
Hydrogels are a unique class of macromolecular networks that
have a high water swelling ratio. Many advantages of hydrogels such
as biocompatibility, water retention, external and internal stimulus in
the hydrogels provide suitable platform for the diffusion of therapeutic
substance (Hoffman 2012). Hydrophilic and hydrophobic properties of
hydrogels and the degree of cross-linking and ionization are important
parameters that control equilibrium swelling, dimensional alterations and
release profiles of drugs through these carriers (Peppas 1987, Brannon-
Peppas and Peppas 1991, Bal et al. 2014, Giray et al. 2012).
In recent years, stimuli-responsive hydrogels have attracted significant
attention for the development of controlled-released drug delivery
systems and their clinical applications. Increasing number of studies
have been published about drug delivery through stimuli-responsive
systems as is shown in Fig. 1. An ideal drug delivery system should be
capable of synchronizing the drug release profile with the physiological
condition (Gupta et al. 2002). Responsive properties of special hydrogels
to environmental stimulus are especially desirable for clinical applications.
In response to internal or external stimuli, hydrogels undergo significant
change in their network structure, swelling behaviour, and permeability
(Bajpai et al. 2008). External stimuli such as light and electric field have been
applied with stimuli generating devices, whereas internal stimuli occur
within the native environment of the body (Gupta et al. 2002). Commonly
used external and internal stimuli to control drug release behaviour include
pH, temperature, chemical, mechanical strain, light, electric field, and
magnetic field which are illustrated in Fig. 2 (Popescu et al. 2011). In this
chapter, we address opportunities and challenges related to the synthesis,
Design of Stimuli-Responsive Drug Delivery Hydrogels 3
Fig. 1. Number of studies reported about stimuli-responsive hydrogels in drug delivery from
1990 to 2015.
2. Thermo-responsive hydrogels
Thermo-responsive hydrogels and polymers is the most commonly studied
class of responsive polymeric systems in drug delivery research (Bawa et al.
2009, Bromberg and Ron 1998, Gil and Hudson 2004, Qiu and Park 2012).
Temperature can act as an external or internal stimulus. Thermal stimulus
is important due to universal physiological temperature of 37°C and
development of several mechanisms to manipulate and control temperature
in vivo (Klouda and Mikos 2008, Koetting et al. 2015). Drug delivery can be
4 Functional Hydrogels in Drug Delivery: Key Features and Future Perspectives
is also widely used because of its LCST within the range of 25–32°C.
Copolymers of NIPAAm can also be synthesized using other monomers
such as butylmethacrylate (BMA) in order to alter LCST (Qiu and Park 2012).
Another novel thermo-responsive polymer that has also pH-responsive
characteristics is poly(N-acryloyl-N-alkylpiperazine) (Gan et al. 2001).
Polyethylene-glycol (PEG) also shows negative temperature response in
aqueous environments. PEG methacrylate hydrogels decrease in swelling
ratio as temperature increases and longer chains lead to lower solubility at
lower temperatures (Koetting et al. 2015).
Besides swelling–shrinking transition, temperature-sensitive hydrogels
that are not covalently crosslinked may demonstrate sol–gel phase
transitions, instead of swelling–shrinking transitions. The thermally
reversible gels with inverse temperature dependence become sol at higher
temperatures. Some block copolymers made of poly(ethylene oxide) (PEO)
and poly(propylene oxide) (PPO) demonstrate this inverse temperature
response (Bawa et al. 2009, Qiu and Park 2012).
6 Functional Hydrogels in Drug Delivery: Key Features and Future Perspectives
3. pH-responsive hydrogels
pH-responsive hydrogels are of great importance since these systems could
respond to the naturally dynamic variation of pH in several parts of the
body such as gastrointestinal tract, vagina and blood vessels (Gupta et
al. 2002). Principally, pH-responsive hydrogels sense the perturbation in
the environment pH contributing to change in physical properties of the
hydrogel such as shape and size (Cevik et al. 2015). In particular, two main
strategies are used for the design of pH-responsive drug delivery systems:
(1) the use of polymeric systems with ionizable pendant moieties on their
backbone structure and, (2) the use of polymers bearing acid sensitive bonds
where breaking of these bonds contribute to the release of drug molecules
attached to the polymer backbone (Taghizadeh et al. 2015). Among various
kinetic models developed for drug or protein release from swollen hydrogel
structure, the following model proposed by Ritger and Peppas has been
commonly used (Ritger and Peppas 1987):
Mt
= kt n (1)
M∞
where in Eq. (1) Mt/M∞ is the fractional release of drug in time t, ‘k’ is
the characteristic constant of the hydrogel and ‘n’ is the diffusion exponent
characteristic of the release mechanism.
Fig. 5. Schematic representation of the pH-responsive swelling of (a) anionic and (b) cationic
hydrogels.
10 Functional Hydrogels in Drug Delivery: Key Features and Future Perspectives
4. Photo-responsive hydrogels
Photo responsive hydrogels are particularly interesting for drug delivery
applications due to remote, temporary, and spatial control over particle
release from these 3D structures. More importantly, the light irradiation
does not interfere with most proteins activity (Peng et al. 2010). These
type of responsive hydrogels are classified into two main groups: (1)
photodegradable hydrogels which have degradable moieties (e.g.,
o-nitrobenzyl and azobenzene) in their backbone, (2) thermo-sensitive
hydrogels (e.g., poly(N-isopropylacrylamine)) that contain near infrared
(NIR)-absorbing nanostructures such as nanoshells and carbon nanotubes
in the matrix (Wang et al. 2016).
4.2 Applications
Fig. 8. Schematic representation of the network behaviour during shear-thinning and recovery
or self-healing.
7. Electro-responsive hydrogels
Electric signal can be used as an external stimulus which has various
advantages. This stimuli can provide control over current magnitude and
duration of electrical pulses (Bawa et al. 2009). Electric-responsive hydrogels
demonstrate shrinking or swelling behaviour in response to applied electric
field and this property allows for their application in drug delivery (Qiu
and Park 2012). Delivery systems that utilize this property are designed
with polyelectrolytes that have high concentration of ionizable groups on
backbone (Bawa et al. 2009). Partially hydrolyzed polyacrylamide hydrogels
in direct contact with both anode and cathode electrodes undergo a volume
collapse if a minute change in electric potential is applied across the gel. On
application of a potential, H+ ions migrate towards cathode, which results
in a loss of water at anode side. Simultaneously, the electrostatic attraction
that exists between the anode surface and the negatively charged acrylic
acid groups creates a uniaxial stress along the gel axis. These two events
lead to shrinking of the hydrogel on the anode side (Qiu and Park 2012,
Tanaka et al. 1982, Gong et al. 1994).
8. Future outlook
In this chapter, the synthesis and mechanisms, structural properties, release
behaviours, and increasing applications of stimuli-responsive hydrogels
in biomedical research, especially drug delivery systems, were reviewed.
Significant progress has been achieved especially in the area of stimuli-
responsive hydrogels allowing researchers to further investigate existing
systems and develop new and smart responsive hydrogels based on detailed
knowledge of the polymer-drug conjugates relationship.
Despite the possibility of responsive hydrogel design, temporal and
spatial control delivery of particles to the desired site is still challenging
which necessitates further investigation addressing all safety questions.
Slow response time is one of the main obstacles for getting more efficient
and desired drug release profile. However, making hydrogels with smaller
size seems to be a good solution for decreasing response time but results in
more fragile systems with insufficient mechanical strength.
Stimuli-responsive hydrogels provide many great advantages including
controlled drug release, high specificity to tumour and intracellular drug
delivery, and excellent therapeutic efficacy while minimizing drug and
carrier associated side effects. However, further research is required to get
smarter multi stimuli-responsive hydrogels providing less response-time,
more biocompatibility and biodegradability, and sufficient mechanical
strength.
Controlled drug delivery systems have attracted great interest of
medical and industrial fields due to many desirable properties and functions
of stimuli-responsive hydrogels. Since research is ongoing in an effort to
find novel mechanisms, significant advances will occur in the near future
both in healthcare and industry that arise directly from stimuli-responsive
hydrogels.
Design of Stimuli-Responsive Drug Delivery Hydrogels 19
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the job that would bungle it. I've got an idea as to where the Greuze
is hidden, but I know very well that at the first hint of anything going
wrong it would disappear, or be destroyed."
"Then you think that the same people who brought off the
Flurscheim burglary are responsible for the despatch leakage?"
asked the Permanent Secretary.
"Certain of it," declared Inspector Kenly.
"But if you continue to work on my business, isn't what you fear
likely to come to pass? Will not another man be put on to the picture
robbery? Flurscheim will hardly keep silence."
"I'll see after that," answered Kenly. "From what I know of Mr.
Flurscheim he won't let the grass grow under his feet. He is probably
on the way to town now."
"Then what becomes of your plans?" asked the Permanent
Secretary. He could see that the detective had not revealed all that
was in his mind.
"Mr. Flurscheim wants to get his Greuze back undamaged," said
the detective slowly, "and he also wants to punish the man who stole
it. I shall see him directly he arrives in town, and I think I can make it
clear to him that he had better say nothing until I consider the time
ripe for action."
"There's only one thing more," remarked the Permanent
Secretary. "Suppose I think it necessary to ask Captain Marven for
an explanation?"
The detective jumped to his feet with a look of horror on his
face. "Good heavens! Sir Everard," he exclaimed, "you would spoil
everything. You won't do it?"
The Permanent Secretary laughed.
"You may make your mind easy, Kenly," he observed. "I'm too
much of a sportsman for that, I hope."
CHAPTER XX
GUY'S LAST THEFT