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KEY WORDS Abstract: In recent years, smart polymers have been extensively studied
Polymer and many interesting properties and potential applications have been
Pharmaceutical polymer found and identified. The question of what makes smart polymers
Biopolymer, unique starts with this review post, and are there some features that
Biological activity differentiate them from other polymers. Because of their unique
structural and functional properties, smart polymers are well worth
researching further.
Corresponding Author:
Banan Borhan Saeed
Department of Pharmaceutical Chemistry, College of Pharmacy, University of Mosul, Mosul, Iraq
ACE Journal of Clinical Chemistry and Laboratory Medicine |ISSN: 2520‐3738 |Volume 1 |Number 2 |Page No. 7‐17 |2021 7
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Semisynthetic polymers: The majority of these polymers chain but also forms branches of different lengths with
are chemically modified naturally occurring polymers, the main chain. Some examples include low‐density
such as Cellulose and Vulcanized rubber. polythene (1), amylopectin (12) and glycogen (13)
(Fig. 5).
Synthetic polymers: A large number of man‐made
polymers, including fibers and plastic rubbers are Cross‐linked polymers or network polymers: Polymers
commonly used in everyday life. that have a long straight chain but are linked by strong
covalent bonds by these chains. In these polymers, the
Classification based on structure[7] linear polymers originally formed are joined together to
Linear polymers: These polymers do not have branches create a three‐dimensional network structure. Bakelite
but have long and straight chains. High‐density polythene (11) and melamine (14) are examples (Fig. 6).
(1), polyvinyl chloride (3) and polyester (7) are common
examples. Classification based upon molecular forces[5]
Elastomer: The intermolecular attraction forces between
Branched‐chain polymer: In these polymers, the the polymer chains are weakest such as natural rubber
monomer units not only combine to produce the linear and Buna‐S‐S. (5).
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Fig. 9: Biopolymers
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Temperature sensitive smart polymers: Some polymeric coating materials to avoid hydrolysis effects or to
systems are temperature sensitive. When heated, improve the organoleptic aspects of pharmaceutical
these polymers undergo a gel‐to‐gel change that can be tablets[23]. These materials are usually co‐polymers in a
exploited to deliver medicinal compounds in vivo. In this ratio of 2: 1: 1 from the dimethyl aminoethyl
type of system, water typically has a critical solution methacrylate groups, butyl methacrylate and methyl
temperature at which the polymer and solution process methacrylate[24] (Fig. 13).
is adjusted according to its composition. As a function of The Eudragit® E 100 and Eudragit® PO commercial
ambient temperature, many polymers demonstrate copolymers come from amino methacrylate groups,
sudden changes in their solubility. This property has been under acidic circumstances. The groups are ionizable or
used to produce aqueous solutions of these polymers degradable via hydrolyte polymer structure. These two
that, in response to temperature changes, undergo recycled polymer materials have been chemically,
sol‐gel transition. Heat‐sensitive polymers include Poly physically and surface‐modified according to Eudragit® E
(N‐alkyl substituted acrylamide), Poly (N‐isopropyl 100 & Eudragit® E‐PO. Acidic conditions have been used
acrylamide)(20) and Poly (N‐vinyl isobutyramide)(21)[21] to solubilize and dry polymers in commercial
(Fig. 12). products.The polymeric materials were found to be
highly ionized even without hydrolysis of the esterified
Phase sensitive smart polymers: According to groups. In outre, the material's flow properties and
researchers, using phase‐sensitive smart polymers, solubility in aqueous solutions at pH>5 have been
biocompatible formulations for regulated protein improved while its hydrophobicity has been preserved.
distribution in a conformationally stable and (Fig. 14, 15)[25].
physiologically active state can be developed. Comprising BMP‐2 has received much attention for its bone
several advantages over other systems such as easy mobility but due to its instability and harmful effects, its
manufacturing, lower conditions of production for use is limited. The complication with heparin is a
vulnerable medicinal molecules, and high load capacity, promising way to reduce the BMP‐2 dose, as heparin
these smart polymeric systems offer many[22]. improves the bone conductivity of BMP‐2. However,
heparin's anticoagulant property has limited therapeutic
Some applications of pharmaceutical polymers: use. Four compounds having polycarboxylate groups
Eudragit® is a commercial polymer derived from poly (PAA, PMAA, PAsp and PGlu) (Fig. 16) were selected
(methacrylate) that is used for many purposes in the utilizing alternate polymers by Terauchi and his team.
pharmaceutical field. It is available in two varieties‐ BMP‐2 was examined for heparin‐like activity and
Eudragit® E 100 and Eudragit® E PO(22). Both are used as its ability to alter bone conductivity. When these
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Fig. 16: Chemical structures of polycarboxylates where n indicates the degree of polymerization
polycarboxylates were combined with BMP‐2, they the colon with pectin as the carrier and diltiazem
generated multi electrolyte complexes. Comparing hydrochloride and indomethacin as the model drug[27].
polycarboxylate/BMP‐2 complexes to heparin/BMP‐2 In vitro research has shown that the prepared dosage
complexes, bone differentiation performance was forms have the ability to release the drug mainly into the
investigated. Consequently, the PGlu/BMP‐2 complex colon and not into the stomach and small intestine.
displayed the highest alkaline phosphatase activity, Pectin can be used efficiently to target both
which is a hallmark of bone differentiation and fast water‐soluble and insoluble drugs[28, 29] (Fig. 17).
mineralization at the initial stages This suggests that PGlu In pharmaceutical research and production,
could replace heparin in BMP‐2‐induced bone synthetic and natural polymers play a vital role.From
regeneration[26]. inert bulk excipients to sophisticated drug delivery
Pectin (23) has very strong gel‐forming properties methods, polymers have a wide range of pharmaceutical
and is a polysaccharide that has historically seen major applications. Pharmacologically inert polymers, such as
applications in the food and pharmaceutical industries. those utilized in drug delivery, are currently the most
A novel tablet formulation has been developed targeting often employed polymers. When it comes to drug
ACE Journal of Clinical Chemistry and Laboratory Medicine |ISSN: 2520‐3738 |Volume 1 |Number 2 |Page No. 7‐17 |2021 13
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24
23
Polymer‐drug Polymer‐protein
Fig. 19: The addition of polymers
Polymeric
conjugate conjugate micelle
manufacturing improves flow and compaction
Fig. 18: Polymer’s advantages in drug delivery qualities[32]. Many of the polymeric excipients used are
applications often the same as those used in immediate‐release
tablets to bulk out capsule fills. Gelatine has been used
delivery, polymers provide a lot of advantages including for hard (two‐piece) and soft (one‐piece) capsules almost
controlled drug release, a customizable pharmacokinetic exclusively as a shell material[33]. HPMC has recently been
and biodistribution profile, as well as enhanced drug produced and approved for the development of hard
protection (Fig. 18)[30]. (two‐piece) capsules as an alternative material[32]
These can be inert bulk excipients, or they can be (Fig. 19).
complex drug delivery systems used in pharmaceuticals.
Currently, polymers are generally used in applications Modified release dosage form: Polymers have been
where they are meant to be pharmacologically inactive tested for their ability to extend drug stay in the stomach
and actually supply small molecules or the by binding to the mucous lining of the stomach and
macromolecule. The benefits of polymers in floating overthe stomach contents to achieve mucosal
drug‐delivery applications including management of drug adhesive low‐density gastric retention[33].
release, the customizable profile of drugs
pharmacokinetics and biodistribution as well as the Extended‐release dosage forms: In order to retain a
better protection against drugs, are surely varying therapeutic impact, prolonged and continuous release
(Fig. 18)[30]. dosage forms prolong the time that systemic medication
Polymeric drugs with conventional small molecule levels are within the therapeutic range and thereby
drugs will add many possible benefits to the decrease the amount of doses that the patient must
development of drugs that are not readily available. receive, thus improving compliance. Water‐insoluble
Macromolecular targets are the most often investigated polymers, such as cellulose derivatives, cellulose acetate,
biological targets for therapeutic treatments. Multiple and polyvinyl derivative polyvinyl acetate (Fig. 20) are
interactions dictate whether signaling pathways are most commonly used in extended‐release
activated or inhibited as well as whether targets are applications[33].
bound. Like protein macromolecules, polymers have
multivalent properties that are difficult to combine into Polymeric drugs with anti‐cancer activity: Except for
small molecules[31]. hematological cancers, cancer is characterized by
uncontrolled cell growth and the absence of cell death,
Immediate‐release dosage forms: Microcrystalline resulting in an irregular cell mass or tumor. It appears
cellulose is commonly used in tablet formulations of that cancer is the world's second‐largest cause of death,
extremely active low‐dose drugs as an alternative to after cardiovascular disease, despite substantial
carbohydrates as diluents. The addition of polymers such advancements in cancer treatment[34]. Particularly when
as polyvinylpyrrolidone (24) and hydroxypropyl triggered by endogenous or exogenous stimuli, smart
methylcellulose (25) in tablet formulations before tablet polymeric nanocarriers can improve therapy efficiency by
ACE Journal of Clinical Chemistry and Laboratory Medicine |ISSN: 2520‐3738 |Volume 1 |Number 2 |Page No. 7‐17 |2021 14
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Water influx
Blocking host
cell receptors
Fig. 20: Diagrammatic representation of coating
dissolution sustained system
Fig. 21: By inhibiting connections between the virus and
delivering anticancer drugs locally, briefly and at the host cell, antiviral polymeric medicines
controlled doses. To take it a step further, by molecularly prevent viral entrance into the body
imprinting chemotherapy into the polymer matrix, it is
feasible to not only significantly boost the loading power
(a)
of polymeric carriers but also to improve their drug
release kinetics and stimulus response[35].
A sequence of structurally related copolymers of the
1:2 alternating divinyl ether and maleic anhydride (b)
(DIVEMA) cyclocopolymer Antitumor characteristics were
identified. The synthesis and structures of these
copolymers and their efficacy as antitumor agents are
(c)
discussed[36]. Polyacrylic acid, polyvinyl sulfate and
polyamido amines are examples of synthetic polymers
that were influenced by (DIVEMA's) early production.
Many of these polymers have shown antitumor activity Fig. 22: Polymeric drugs with antimicrobial activity
in animal models[37, 38].
varying molecular weights have a 1,000‐to‐a‐million‐fold
Polymeric drugs with antiviral activity: The coordinated better binding affinity with the viral surface than the
action of several surface epitopes helps viruses dock to monomer. Hydrophobic linkers greatly boost
host cells and enhance a cellular entrance, replication of multitalented binding and antiviral activity[42]. Further
their own genetic material, and assembly of new virus research revealed that H1N1 was resistant to the
particles, all of which are necessary to complete the antiviral drug[43].
usual viral replication cycle. Contrary to small molecule
antivirals which can intervene at multiple stages of viral Polymeric drugs with antimicrobial activity: For the
replication, fusion inhibitors, reverse transcriptase treatment of infections caused by rapidly evolving
inhibitors, or integrase inhibitors, antiviral polymers are multidrug‐resistant bacterial strains, new therapeutic
approaches are urgently needed. Bacterial surfaces are
primarily designed to interfere with viral host cell
usually targeted by polymeric antimicrobials, either by
interactions[39]. The antiviral action of polymers can be
direct membrane damage, limiting interactions with host
attributed to either steric viral surface shielding or
cells or by decoration with identifiable moieties to
competitive suppression by a large molecular weight and combat phagocytosis (Fig. 22). In addition to directly
a multivalent binding. Either the virus is connected to a damaging the bacterial membrane, polymeric
polymer or the host cell is connected to receptors medications also inhibit the bacteria from interacting
necessary for viral docking and entry, resulting in a with host cells and they enhance the cell's ability to
decreased viral entrance (Fig. 21)[40]. phagocytose germs[44].
ACE Journal of Clinical Chemistry and Laboratory Medicine |ISSN: 2520‐3738 |Volume 1 |Number 2 |Page No. 7‐17 |2021 15
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customizable pharmacokinetic and biodistribution 11. Abd El Aty, A.A., F.A. Mostafa, M.E. Hassan, E.R.
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anti‐cancer agents, anti‐microbials and antiviral agents as 14. Mahajan, A. and G. Aggarwal, 2011. Smart polymers:
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are effective as anti‐carcinogenic agents, anti‐microbials
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