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NANOMATERIALS FOR
CLINICAL APPLICATIONS
NANOMATERIALS FOR
CLINICAL APPLICATIONS
Case Studies in Nanomedicines
Edited by
NATASSA PIPPA
Section of Pharmaceutical Technology, Department of Pharmacy,
School of Health Sciences, National and Kapodistrian University of Athens,
Athens, Greece
COSTAS DEMETZOS
Section of Pharmaceutical Technology, Department of Pharmacy,
School of Health Sciences, National and Kapodistrian University of Athens,
Athens, Greece
Elsevier
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This book and the individual contributions contained in it are protected under copyright by the Publisher
(other than as may be noted herein).
Notices
Knowledge and best practice in this field are constantly changing. As new research and experience broaden our
understanding, changes in research methods, professional practices, or medical treatment may become necessary.
Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any
information, methods, compounds, or experiments described herein. In using such information or methods they
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List of contributors ix
v
vi Contents
Index 297
LIST OF CONTRIBUTORS
Katerina Anagnostou
Department of Electrical & Computer Engineering, Hellenic Mediterranean University Heraklion, Crete,
Greece
Maria Chountoulesi
Section of Pharmaceutical Technology, Department of Pharmacy, School of Health Sciences, National
and Kapodistrian University of Athens, Athens, Greece
Francesco Cilurzo
Department of Pharmaceutical Sciences, University of Milan, Milan, Italy
Costas Demetzos
Section of Pharmaceutical Technology, Department of Pharmacy, School of Health Sciences, National
and Kapodistrian University of Athens, Athens, Greece
Patricia Diaz-Rodriguez
R+D Pharma Group (GI-1645), Department of Pharmacology, Pharmacy and Pharmaceutical
Technology, Faculty of Pharmacy, University of Santiago de Compostela, Santiago de Compostela, Spain
Silvia Franzè
Department of Pharmaceutical Sciences, University of Milan, Milan, Italy
Jaspreet Singh Gulati
Hitech Formulations Pvt Ltd, Industrial Area 1, Chandigarh, India
David Henson
Department of Pharmaceutical Sciences, University of Kentucky, Lexington, KY, United States
Mario Jug
Faculty of Pharmacy and Biochemistry, University of Zagreb, Zagreb, Croatia
Indu Pal Kaur
University Institute of Pharmaceutical Sciences, Panjab University, Chandigarh, India
Mariana Landin
R+D Pharma Group (GI-1645), Department of Pharmacology, Pharmacy and Pharmaceutical
Technology, Faculty of Pharmacy, University of Santiago de Compostela, Santiago de Compostela, Spain
Sotiris Michaleas
Department of Life Sciences, School of Sciences, European University Cyprus, Nicosia, Cyprus
Umberto M. Musazzi
Department of Pharmaceutical Sciences, University of Milan, Milan, Italy
David Nardo
Department of Pharmaceutical Sciences, University of Kentucky, Lexington, KY, United States
Nikolaos Naziris
Section of Pharmaceutical Technology, Department of Pharmacy, School of Health Sciences, National
and Kapodistrian University of Athens, Athens, Greece
ix
x List of contributors
Dorota Neugebauer
Silesian University of Technology, Faculty of Chemistry, Department of Physical Chemistry and
Technology of Polymers, Gliwice, Poland
Natassa Pippa
Section of Pharmaceutical Technology, Department of Pharmacy, School of Health Sciences, National
and Kapodistrian University of Athens, Athens, Greece; Theoretical and Physical Chemistry Institute,
National Hellenic Research Foundation, Athens, Greece
Stergios Pispas
Theoretical and Physical Chemistry Institute, National Hellenic Research Foundation, Athens, Greece
Mohhammad Ramzan
University Institute of Pharmaceutical Sciences, Panjab University, Chandigarh, India
Carmen Remuñán-López
NanoBiofar Group (GI-1643), Department of Pharmacology, Pharmacy and Pharmaceutical Technology,
Faculty of Pharmacy, University of Santiago de Compostela, Santiago de Compostela, Spain
Helena Rouco
R+D Pharma Group (GI-1645), Department of Pharmacology, Pharmacy and Pharmaceutical
Technology, Faculty of Pharmacy, University of Santiago de Compostela, Santiago de Compostela, Spain
Simarjot Kaur Sandhu
University Institute of Pharmaceutical Sciences, Panjab University, Chandigarh, India
Garima Sharma
University Institute of Pharmaceutical Sciences, Panjab University, Chandigarh, India
Angeliki Siamidi
Section of Pharmaceutical Technology, Department of Pharmacy, School of Health Sciences, National
and Kapodistrian University of Athens, Athens, Greece
Joga Singh
University Institute of Pharmaceutical Sciences, Panjab University, Chandigarh, India
Mandeep Singh
University Institute of Pharmaceutical Sciences, Panjab University, Chandigarh, India
Athanasios Skouras
Department of Electrical & Computer Engineering, Hellenic Mediterranean University Heraklion, Crete,
Greece; Department of Life Sciences, School of Sciences, European University Cyprus, Nicosia, Cyprus
Joe E. Springer
Spinal Cord and Brain Injury Research Center, University of Kentucky, Lexington, KY, United States
Minas Stylianakis
Department of Electrical & Computer Engineering, Hellenic Mediterranean University Heraklion, Crete,
Greece
Vincent J. Venditto
Department of Pharmaceutical Sciences, University of Kentucky, Lexington, KY, United States
Marilena Vlachou
Section of Pharmaceutical Technology, Department of Pharmacy, School of Health Sciences, National
and Kapodistrian University of Athens, Athens, Greece
CHAPTER ONE
bilayers of SC remains the main pathway (Ting et al., 2004) because the former
comprise only a small area of the skin. The inability of drug molecules to penetrate
the SC and reach the deeper dermis layer of the skin in sufficient concentration can
usually result in recurrence of several skin diseases including infections that are often
not limited to the SC.
Small-sized carriers including liposomes, niosomes, aquasomes, transfersomes, elasto-
somes, microemulsions, nanoemulsions, self microemulsifying drug delivery system, self
nanoemulsifying drug delivery system, and solid lipid nanoparticles (SLNs) are currently
being explored extensively for their ability to permeate the SC and reach the lower skin
layers including dermis and at times the subcutaneous tissue too. Both micrometer- and
nanometer-range carriers were found effective in improving the delivery to skin. Since
the drug is released gradually and over a prolonged period of time, irritancy or other
side effects associated with the active ingredients, when applied in conventional formu-
lations, are significantly reduced when incorporated into these systems, without
compromising the efficacy (Castro and Ferreira, 2008). These systems not only mask the
irritation and side effects of the selected agent to be delivered but also invariably
improve its solubility and permeability.
The first generation of lipidic nanoparticles, that is, SLNs, necessarily comprise
high-melting point lipid(s) which are heated at least once to melt and consecutively
cooled. Latter results in the recrystallization of the lipid matrix leading to high possibil-
ity of polymorphism occurrence. Lipid particles crystallize in a higher energy modifica-
tion (α or β0 ) which during storage transform to the low-energy, more-ordered
modification (β).
Drug molecules in SLNs, oriented between the fatty acid chains or glycerides, can
be potentially expelled during transformation of the lipid from α to β form on storage.
This happens due to the formation of more-ordered structure or reduced number of
imperfections in the crystal lattice (Guimarães and Ré, 2011). Moreover because of
their perfect crystalline structure, SLNs exhibit a low drugloading efficiency
(Ghasemiyeh and Mohammadi, 2018).
To overcome these potential challenges faced by SLNs, the second-generation
lipidic nanoparticles called nanostructured lipid carriers (NLCs) were introduced in
1999. Evolution of lipidic nanoparticles from emulsion to NLCs is shown in Fig. 1.1
(Guimarães and Ré, 2011).
NLCs are composed of blends of solid and liquid lipids resulting in imperfections
in the lattice which can accommodate a greater amount of the active ingredient. The
less-ordered structure is due to inhibition of crystallization by liquid lipids. This
enables a significant increase in loading capacity and also minimizes premature active
ingredient expulsion. The structural comparison of SLN and NLC is depicted in Fig. 1.2
Solid lipids
Liquid lipid Polymer +
(solid) Solid lipids
(oil) Liquid lipids
(oil)
Lipid nanoparticles
Figure 1.1 Evolution of lipid nanoparticle concept in comparison with the conventional technolo-
gies till the beginning of the 1990s. NLC, Nanostructured lipid carrier; SLN, solid lipid nanoparticle.
Obtained with permission from Guimarães, K.L., Ré, M.I., 2011. Lipid nanoparticles as carriers for cosmetic
ingredients: the first (SLN) and the second generation (NLC). In: Beck, R., Guterres, S., Pohlmann, A. (Eds.),
Nanocosmetics and Nanomedicines, Springer, Berlin, Heidelberg, pp. 101122.
Solid lipid nanoparticles in dermaceuticals 5
SLN NLC
(Beloqui et al., 2016). Different patented and marketed products using SLN/NLC tech-
nology are given in Tables 1.1 and 1.2, respectively (Müller et al., 2007; Kaul et al.,
2018), respectively.