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    Ochekpe et al

    Trop J Pharm Res, June 2009; 8 (3):275

    Tropical Journal of Pharmaceutical Research, June 2009; 8 (3): 275-287 Pharmacotherapy Group,

    Faculty of Pharmacy, University of Benin,Benin City, 300001 Nigeria.

    All rights reserved.

    Available online at http://www.tjpr.org

    Review Article

    Nanotechnology and Drug DeliveryPart 2: Nanostructures for Drug Delivery

    Nelson A Ochekpe1*, Patrick O Olorunfemi2and Ndidi CNgwuluka21Department of Pharmaceutical Chemistry and 2Department of Pharmaceutics and Pharmaceutical Technology,Faculty of Pharmaceutical Sciences, University of Jos, PMB 2084, Jos, Nigeria

    Abstract

    This is the second part of a review on nanotechnology in general and particularly as it pertains to drugdeliver. In the earlier paper (Part 1), nanotechnology in nature, its history as well as design and methodswere discussed. Its applications, benefits and risks were also outlined. In this paper (Part 2), variousnanostructures employed in drug delivery, their methods of fabrication and challenges of nano drugdelivery are reviewed. Nanotechnology is one approach to overcome challenges of conventional drugdelivery systems based on the development and fabrication of nanostructures. Some challengesassociated with the technology as it relates to drug effectiveness, toxicity, stability, pharmacokineticsand drug regulatory control are discussed in this review. Clearly, nanotechnology is a welcomedevelopment that is set to transform drug delivery and drug supply chain management, if optimallydeveloped.

    Keywords:Nanotechnology, Nanobiotechnology, Drug delivery, Nanostructures, Nanomaterials,

    Nanocarriers.

    Received: 4 Nov 2008 Revised accepted: 13 Jan 2009

    *Corresponding author: E-mail: [email protected]; Tel: +234-(0)8037006372

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    INTRODUCTION

    Nanotechnology by manipulation ofcharacteristics of materials such as polymersand fabrication of nanostructures is able toprovide superior drug delivery systems forbetter management and treatment ofdiseases. The nanostructures employed asdrug delivery systems have multipleadvantages which make them superior toconventional delivery systems. In Part I, theadvantages of nanostructures in drug deliverywere outlined.

    These benefits account for the extensiveresearch that have been undertaken into thedevelopment of nanostructures such asliposomes, nanocapsules, nanoemulsions,solid lipid nanoparticles, dendrimers,polymeric nanoparticles, etc, for delivery ofdrugs. The materials employed in thefabrication of nanostructures determine thetype of nanostructures obtained and thesenanostructures, in turn, determine the

    different properties obtained and the releasecharacteristics of incorporated drugs.

    MATERIALS AND TYPES OFNANOSTRUCTURES

    Polymeric nanoparticles

    Polymeric nanoparticles are colloidal solidparticles with a size range of 10 to 1000nm

    1

    and they can be spherical, branched or shell

    structures. The first fabrication ofnanoparticles was about 35 years ago ascarriers for vaccines and cancerchemotherapeutics

    2. They are developed

    from non-biodegradable and biodegradablepolymers. Their small sizes enable them topenetrate capillaries and to be taken up bycells, thereby increasing the accumulation ofdrugs at target sites. Drugs are incorporatedinto nanoparticles by dissolution, entrapment,adsorption, attachment or by encapsulation,

    and the nanoparticles provide sustainedrelease of the drugs for longer periods, e.g.,days and weeks

    3. Nanoparticles enhance

    immunization by prevention of degradation of

    the vaccine and increased uptake by immune

    cells

    4

    . One of the determinants of the extentof uptake by immune cells is the type ofpolymer employed. In a study

    4 comparing

    poly-(-caprolactone) (PCL), poly (lactide-co-glycolide) (PLGA) and their blend, PCLnanoparticles were the most efficiently takenup by immune cells due to theirhydrophobicity. However, all polymericnanoparticles elicited vaccine (diphtheriatoxoid) specific serum IgG antibody responsesignificantly higher than free diphtheriatoxoid.

    To target drugs to site of action, the drug canbe conjugated to a tissue or cell specificligand or coupled to macromolecules thatreach the target organs. To target ananticancer agent to the liver, polymericconjugate nanoparticles which comprisedbiotin and diamine-terminated poly (ethyleneglycol) with a galactose moiety fromlactobionic acid were prepared

    5.

    Some other applications of nanoparticlesinclude possible recognition of vascularendothelial dysfunction

    6; oral delivery of

    insulin7; brain drug targeting for

    neurodegenerative disorders such asAlzheimers disease

    8; topical administration

    to enhance penetration and distribution inand across the skin barrier

    9; and pH-sensitive

    nanoparticles to improve oral bioavailability ofdrugs such as cyclosporine A

    10. Some

    polymers used in the fabrication of

    nanoparticles include chitosan, alginate,albumin, gelatin, polyacrylates, polycaprol-actones, poly(D, L-lactide-co-glycolide) andpoly (D, L-lactide) However, there areconcerns about polymeric nanoparticlesincluding cytotoxicity of by-products (althoughsome, such as polyanhydrides, degrade intoproducts that are biocompatible) andscalability.

    Liposomes

    Liposomes were first developed about 40years ago

    2. They are small artificial vesicles

    (50 100nm) developed from phospholipids

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    such as phosphatidylcholine, phosphatidyl-

    glycerol, phosphatidylethanolamine andphosphatidylserine, which have been used inbiology, biochemistry, medicine, food andcosmetics

    11-14. The characteristics of

    liposomes are determined by the choice oflipid, their composition, method ofpreparation, size and surface charge

    1.

    Liposomes have been applied as drugcarriers due to their ability to preventdegradation of drugs, reduce side effects andtarget drugs to site of action

    15. However,

    limitations of liposomes include low

    encapsulation efficiency, rapid leakage ofwater-soluble drug in the presence of bloodcomponents and poor storage stability

    15,16.

    However, surface modification may conferstability and structure integrity against harshbio-environment after oral or parenteraladministration

    17. Surface modification can be

    achieved by attaching polymers such as poly(methacrylic acid-co-stearyl methacrylate)and polyethylene glycol units to improve thecirculation time of liposomes in the blood; and

    by conjugation to antibodies or ligands suchas lectins for target specific drug delivery andstability

    16-18.

    Applications of liposomes includetransdermal drug delivery to enhance skinpermeation of drugs with high molecularweight and poor water solubility

    19; a carrier

    for delivery of drugs, such as gentamicin, inorder to reduce toxicity

    20; possible drug

    delivery to the lungs by nebulisation21

    ; ocular

    drug delivery

    22

    and in the treatment ofparasitic infections. However, solid lipidnanoparticles (SLNs) provide an effectivealternative due to their stability, ease ofscalability and commercialisability

    23.

    Other vesicular structures includetransferosomes, ethosomes, niosomes andmarinosomes which are used mainly fortransdermal delivery

    11,24,25. Transferosomes

    are developed by incorporation of surfactantmolecules (edge activators) such as sodium

    chlorate into liposomes while ethosomes areliposomes that are high in ethanol (up to45%). Niosomes are vesicles developed from

    non-ionic surfactants and marinosomes are

    liposomes produced from a natural marinelipid extract containing a high poly(unsaturated) fatty acid (PUFA) ratio.

    Dendrimers

    Dendrimers are nanostructures producedfrom macromolecules such aspolyamidoamine (PAMAM), polypropylene-imine and polyaryl ether; and are highlybranched with an inner core. The particle sizerange is between 1 to 100nm although their

    sizes are mostly less than 10nm. About 20years ago, dendrimer studies centred on theirsynthesis, physical and chemical propertieswhile exploration of their biologicalapplications was initiated about thirteen yearsago

    26. The uniqueness of dendrimers is

    based on their series of branches,multivalency, well defined molecular weightand globular structure with controlled surfacefunctionality, which enhances their potentialas carriers for drug delivery

    26,27. Their

    globular structures and the presence ofinternal cavities enable drugs to beencapsulated within the macromoleculeinterior. Dendrimers have been reported toprovide controlled release from the innercore

    27. However, drugs are incorporated both

    in the interior as well as attached on thesurface. Due to their versatility, bothhydrophilic and hydrophobic drugs can beincorporated into dendrimers.

    Controlled multivalency of dendrimersenables attachment of several drugmolecules, targeting groups and solubilisinggroups onto the surfaces of the dendrimers ina well defined manner

    26. Dendrimers are

    employed due to their size (less than 10nm),ease of preparation, functionality and theirability to display multiple copies of surfacegroups for biological recognition process

    28.

    Water soluble dendrimers can bind andsolubilise small molecules and can be usedas coating agents to protect drugs and deliver

    to specific sites. Other applications ofdendrimers include catalysis, gene and DNAdelivery, biomimetics and as solution phase

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    supports for combinatorial chemistry29

    . Some

    of the drug delivery applications includetherapeutic and diagnostic utilization forcancer treatment

    30; enhancement of drug

    solubility and permeability (dendrimer-drugconjugates)

    31; and intracellular delivery

    32

    Solid lipid nanocarriers

    Solid lipid nanoparticles (SLN) arenanostructures made from solid lipids suchas glyceryl behenate (Compritol), stearictriglyceride (tristearin), cetyl palmitate and

    glycerol tripalmitate (tripalmitin) with a sizerange of 50 and 1000 nm

    33,34. Research

    interest in SLN emerged about ten years agodue to their scalability potential. The lipidsemployed are well tolerated by the body;large scale production will be cost effectiveand simple by using high pressurehomogenization. Some of the features of SLNinclude good tolerability, site-specifictargeting, stability (stabilized by surfactants orpolymers), controlled drug release and

    protection of liable drugs from degradation34

    .However, SLN are known for insufficient drugloading, drug expulsion after polymorphictransition on storage and relative high watercontent of the dispersions

    34. SLN has been

    studied and developed for parenteral, dermal,ocular, oral, pulmonary and rectal routes ofadministration

    34-39

    To overcome the limitations of SLN,nanostructured lipid carriers (NLC) were

    introduced. NLC is composed of solid lipidsand a certain amount of liquid lipids withimproved drug loading and increased stabilityon storage thereby reducing drugexpulsion

    34,36. NLCs have been explored for

    dermal delivery in cosmetics anddermatological preparations

    34,36.

    Lipid drug conjugate (LDC) nanoparticleswere introduced to overcome the limitation oftypes of drugs incorporated in the solid lipidmatrix. Lipophilic drugs are usually

    incorporated in SLN but due to partitioningeffects during production, only highly potenthydrophilic drugs effective in low

    concentrations are incorporated in SLN34

    .

    LDC enables the incorporation of bothhydrophilic (e.g., doxorubicin and tobramycin)and lipophilic (e.g., progesterone andcyclosporine A) drugs

    34.

    Polymeric micelles

    Micelles are formed when amphiphilicsurfactant or polymeric moleculesspontaneously associate in aqueous mediumto form core-shell structures or vesicles.Polymeric micelles are formed from

    amphiphilic block copolymers, such aspoly(ethylene oxide)-poly(-benzyl-L-aspartate) and poly(N-isopropylacrylamide)-polystyrene, and are more stable thansurfactant micelles in physiologicalsolutions

    39. They were first proposed as drug

    carriers about 24 years ago39

    . The inner coreof a micelle is hydrophobic which issurrounded by a shell of hydrophilic polymerssuch as poly (ethylene glycol)

    40. Their

    hydrophobic core enables incorporation of

    poorly water soluble and amphiphilic drugswhile their hydrophilic shell and size (