Crosslinked Chitosan Nanoparticle Formulations for Delivery From Pressurized

Embed Size (px)

Citation preview

  • 8/17/2019 Crosslinked Chitosan Nanoparticle Formulations for Delivery From Pressurized

    1/8

    Research paper

    Crosslinked chitosan nanoparticle formulations for delivery from pressurized

    metered dose inhalers

    Ketan Sharma a, Satyanarayana Somavarapu a, Agnes Colombani b, Nayna Govind b, Kevin M.G. Taylor a,⇑

    a UCL School of Pharmacy, London, UK b AstraZeneca R&D Charnwood, Loughborough, UK 

    a r t i c l e i n f o

     Article history:

    Received 5 August 2011

    Accepted in revised form 22 December 2011

    Available online 9 January 2012

    Keywords:

    Chitosan

    Inhalation

    Nanocarrier

    Nanoparticle

    Polyethylene glycol

    Pressurized metered dose inhaler

    a b s t r a c t

    Crosslinked chitosan nanoparticles, prepared using ionic gelation, have been successfully formulated into

    pressurized metered dose inhalers (pMDIs) with potential for deep lung delivery of therapeutic agents.

    Nanoparticles were prepared from crosslinked chitosan alone and incorporating PEG 600, PEG 1000 and

    PEG 5000 for dispersion in aerosol propellant, hydrofuoroalkane (HFA) 227. Spherical, smooth-surfaced,

    cationic particles of mean size less than 230 nm were produced. Nanoparticles were positively charged

    and non-aggregated at the pH of the airways. Crosslinked chitosan–PEG 1000 nanoparticles demonstrated

    greatest dispersibility and physical stability in HFA-227, whereas other formulations readily either

    creamed or sedimented. Following actuation from pMDIs, the fine particle fraction (FPF) for crosslinked

    chitosan–PEG 1000 nanoparticles, determined using a next generation impactor, was 34.0 ± 1.4% with a

    mass median aerodynamic diameter of 4.92 ± 0.3lm. The FPFs of crosslinked chitosan, crosslinked chito-

    san–PEG 600 and crosslinked chitosan–PEG 5000 nanoparticles were 5.7 ± 0.9%, 11.8 ± 2.7% and

    17.0 ± 2.1%, respectively. These results indicate that crosslinked chitosan–PEG 1000-based nanoparticles

    are promising candidates for delivering therapeutic agents, particularly biopharmaceuticals, using pMDIs.

     2011 Elsevier B.V. All rights reserved.

    1. Introduction

    Pulmonary drug delivery may be employed for therapeutic

    agents having local or systemic activity. It provides advantages

    over other delivery routes as it is non-invasive, avoid first-pass

    metabolism and the lung offers a highly vascularized, large surface

    area for drug absorption  [1]. Pressurized metered dose inhalers

    (pMDIs) are widely used inhalation devices, being convenient to

    use and offering a sealed environment, providing protection from

    air, light, moisture and microbial degradation. These medical de-

    vices comprise a therapeutic agent either suspended or dissolved

    in a hydrofluoroalkane (HFA) propellant. To achieve deep lung

    deposition of particles, one successful approach has been to formu-

    late low density hollow particles, which have relatively large phys-

    ical diameters, corresponding to a much smaller aerodynamic

    diameter  [2]. An alternative approach is the use of nanoparticles

    that are particularly attractive for pulmonary delivery, as their size

    not only permits access to the peripheral airways [3] but also en-

    sures that they escape both phagocytic and mucociliary clearance

    mechanisms  [4]. Incorporating drugs into, or onto, nanoparticles

    potentially provides protection against intracellular and extracel-

    lular barriers, degradation and may overcome formulation chal-

    lenges, such as delivery of poorly aqueous soluble and unstable

    drugs without compromising the native conformation of these

    molecules [5,6]. The small size of dry nanoparticles leads to high

    inter-particle cohesive forces that negatively impact on their

    aggregation behaviour, which is particularly problematic for dry

    powder inhaler (DPI) formulation. However, in a pMDI formula-

    tion, the presence of propellants such as HFAs offers potential for

    deaggregating the nanoparticles, though other excipients may be

    necessary [7]. A number of groups have studied pMDI nanoparticle

    delivery, though adequate dispersion of such small particles in liq-

    uefied aerosol propellants is a major formulation challenge [3,8,9].

    Oleic acid, sorbitan trioleate, dipalmitoylphosphatidylcholine and

    volatile oils have been used within HFA propellants, permitting

    the successful dispersion of protein nanoparticles   [10]   which

    maintained protein integrity, and were successfully delivered in

    an aerosol having appropriate aerodynamic characteristics for

    therapeutic activity.

    Chitosan has gained considerable interest as a polymer for pre-

    paring nanoparticles because of its biodegradable, biocompatible,

    non-toxic and mucoadhesive properties [11,12]. Chitosan has been

    reported to increase the uptake of macromolecules through open-

    ing of tight junctions of epithelial cells [13] and has also been for-

    mulated as nanoparticles designed to improve the delivery of 

    therapeutically active molecules across mucosal surfaces   [14].

    The successful application of chitosan for  in vitro  and in vivo  gene

    delivery has demonstrated its potential for pharmaceutical and

    0939-6411/$ - see front matter  2011 Elsevier B.V. All rights reserved.doi:10.1016/j.ejpb.2011.12.014

    ⇑ Corresponding author. UCL School of Pharmacy, 29-39 Brunswick Square,

    London WC1N 1AX, UK. Tel.: +44 207753 5853; fax: +44 207753 5942.

    E-mail address: [email protected] (K.M.G. Taylor).

    European Journal of Pharmaceutics and Biopharmaceutics 81 (2012) 74–81

    Contents lists available at  SciVerse ScienceDirect

    European Journal of Pharmaceutics and Biopharmaceutics

    j o u r n a l h o m e p a g e :   w w w . e l s e v i e r . c o m / l o c a t e / e j p b

    http://dx.doi.org/10.1016/j.ejpb.2011.12.014mailto:[email protected]://dx.doi.org/10.1016/j.ejpb.2011.12.014http://www.sciencedirect.com/science/journal/09396411http://www.elsevier.com/locate/ejpbhttp://www.elsevier.com/locate/ejpbhttp://www.sciencedirect.com/science/journal/09396411http://dx.doi.org/10.1016/j.ejpb.2011.12.014mailto:[email protected]://dx.doi.org/10.1016/j.ejpb.2011.12.014

  • 8/17/2019 Crosslinked Chitosan Nanoparticle Formulations for Delivery From Pressurized

    2/8

    biomedical applications [15]. The potential for pulmonary delivery

    has been recognized, and chitosan nanoparticles encapsulated in

    mannitol microspheres have been demonstrated to be biocompat-

    ible with Calu-3 and A549 human respiratory epithelial cell lines

    for up to 48 h [16]. Crosslinked chitosan microparticulates contain-

    ing the bronchodilator, salbutamol sulphate prepared using spray

    drying, were able to achieve controlled release of the drug   [17]

    and could be formulated into DPIs, with good aerosolization prop-

    erties. Chitosan has not been extensively studied as a carrier for

    delivery from pMDI systems; hence, in this study, the formulation

    and characterization of crosslinked chitosan nanoparticles for

    delivery using pMDIs are explored. Previous studies [9] suggested

    that tripolyphosphate (TPP)-crosslinked chitosan microspheres

    were not suitable for HFA-134a-based pMDI systems, because of 

    the density difference between the particles and propellant. The

    dispersibility of such particles within a non-polar medium, such

    as HFA-227 (1,1,1,2,3,3,3-heptafluoropropane, which has higher

    density than HFA-134a), can be improved by controlling the steric

    repulsive forces between particles [18], for instance by inclusion of 

    hydrophilic polymers, such as polyethylene glycol (PEG) and poly-

    vinylpyrrolidone (PVP)   [19,20]. A recent study  [19]   has demon-

    strated that PEG acts as a polymeric surfactant and helps to

    reduce the cohesive interactive forces between drug particles that

    are suspended in a fluorinated solvent (2H,3H-perfluoropentane)

    used as a non-volatile model for HFA propellants. PEG was chosen

    in the formulation of crosslinked chitosan nanoparticles investi-

    gated in this study, since it has appreciable solubility in HFAs

    [21] and is approved by the FDA as an excipient for use in pMDIs

    [22]. In a previous study [23], inclusion of PEG300 within particles

    of salbutamol sulphate prevented cohesive interactions when par-

    ticles were dispersed in propellant HFAs (HFA-227 and HFA-134a).

    Together, these studies indicate that polymers such as PEGs can

    adsorb at an interface in fluorinated liquid solvents, including HFA

    propellants, and that crosslinked chitosan–based microparticles

    can be formulated into pMDIs. The objective of the current study

    was to prepare and characterize crosslinked chitosan–based nano-

    particles, which might have future application in the delivery of small molecules and biopharmaceuticals to the peripheral airways.

    Dispersion of nano-sized particles is a considerable challenge, and

    the study is the first to explore the applicability of PEG of different

    molecular weights as stabilizers for such particles dispersed in

    HFA-227. The study describes the use of combinations of FDA-ap-

    proved propellant and PEG to produce a functional and potentially

    therapeutically useful nanoparticle formulation for pulmonary

    delivery, via a pMDI.

    2. Materials and methods

     2.1. Materials

    Chitosan (Protasan UP G 113, m.w 150–200 kDa, degree of 

    deacetylation 75–90%) was purchased from Novamatrix (Norway).

    Fluorescein 5-isothiocyanate (FITC) with   P90% purity, glycerol

    (P99% purity), polyethylene glycol 1000 and sodium tripolyphos-

    phate 85% were purchased from Sigma–Aldrich (Germany). Poly-

    ethylene glycol 5000 monomethyl ether was obtained from Fluka

    (US). Polyethylene glycol 600 and HPLC grade water were pur-

    chased from Fischer Scientific (UK). HFA-227 (1,1,1,2,3,3,3-hepta-

    fluoropropane) was obtained from INEOS Fluor (UK).

     2.2. Preparation of nanoparticles

    Nanoparticles were produced using an ionic gelation method

    [24], whereby sodium tripolyphosphate (TPP) solution (0.5 mg/ml) was added drop-wise to a chitosan solution (1 mg/ml) in the

    ratio of 1:5 (w/w) using a peristaltic pump (Gilson, France) under

    constant stirring. Three molecular weights of PEG (600/1000/

    5000) were used, and the same protocol was followed to prepare

    chitosan–TPP–PEG (5:1:30) nanoparticles by dissolving PEG with

    TPP prior to its addition to chitosan. The ratio of chitosan/TPP/

    PEG was established in preliminary experiments (data not shown),

    which demonstrated that this ratio was optimal for preparation of 

    non-aggregated, nano-sized particles.

     2.3. Preparation of fluorescent crosslinked chitosan nanoparticles

    Chitosan was labelled with FITC by conjugating the primary

    amine group of the chitosan with the isothiocyanate group of FITC

    [25,26]. Briefly, 1% (w/v) of chitosan was dissolved using 0.1 M ace-

    tic acid, followed by an equal volume of methanol (16 ml). To this,

    2.5 ml of FITC in methanol (2 mg/ml) was added drop-wise with

    constant stirring for 3 h. The solution was adjusted to pH 10.0 by

    the addition of 0.5 M sodium hydroxide solution, which resulted

    in a precipitate, and then centrifuged at 25,000 g   for 10 min.

    The FITC-labelled chitosan precipitate was washed with metha-

    nol/water (70:30) mixture and centrifuged until no fluorescence

    was detected in the supernatant at excitation and emission max-

    ima of 492 and 518 nm, respectively (LS 55 Fluorescence Spec-

    trometer, Perkin–Elmer, UK). The precipitate was freeze-dried

    (Virtis Advantage, SP Scientific, USA) to obtain a dry powder. Label-

    ling efficiency (percent weight of FITC to weight of the FITC-chito-

    san) was calculated by measuring the fluorescence intensity of the

    FITC-labelled chitosan solution against a standard solution of FITC.

    Chitosan-conjugated FITC was used to prepare fluorescent nano-

    particles as described in Section   2.2, and these were used in

    in vitro   aerosolization studies.

     2.4. Size and surface charge of nanoparticles

    The hydrodynamic diameter and zeta potential of nanoparticles

    were determined using photon correlation spectroscopy (PCS) and

    laser Doppler electrophoresis (LDE), respectively, using a Zetasizer(Nano ZS, Malvern Instruments, UK). The instrument parameters,

    such as refractive index (1.333) and viscosity (0.8872 cP), were

    set for the dispersion medium (water) in which the nanoparticles

    were dispersed at 25 C. Data are presented as the mean of three

    independent experiments.

     2.5. Morphology of nanoparticles

    Each formulation was freeze-dried, and a small sample of the

    dried particles was placed on a scanning electron microscopy

    (SEM) stub. Samples were sputter-coated with gold and examined

    by SEM (FEI XL30 TMP, Philips, the Netherlands). The morphology

    and integrity of nanoparticles post-aerosolization were deter-

    mined by actuating pMDI formulations of nanoparticles from a dis-tance of approximately 15 cm onto a glass slide, which was cut into

    pieces, mounted on an SEM stub and visualized by SEM as de-

    scribed above.

     2.6. Effect of pH on nanoparticle properties

    The effect of pH on the size and zeta potential of nanoparticles

    was studied using a Zetasizer (Nano ZS, Malvern Instruments, UK)

    equipped with an auto-titration unit (MPT-2, Malvern Instruments,

    UK). The aqueous dispersion of nanoparticles (12 ml) was titrated

    with 0.1 M sodium hydroxide solution (NaOH) under constant stir-

    ring over a range of pH (5.5–8). The titrated dispersion was trans-

    ferred to a measuring capillary cell by a spinning disc, and changes

    in the properties of the nanoparticles were measured as a functionof pH.

    K. Sharma et al. / European Journal of Pharmaceutics and Biopharmaceutics 81 (2012) 74–81   75

  • 8/17/2019 Crosslinked Chitosan Nanoparticle Formulations for Delivery From Pressurized

    3/8

     2.7. Preparation of nanoparticle dispersions in HFA propellant 

    A uniform dispersion of nanoparticles in propellant HFA-227

    was prepared. Briefly, 7 mg of freeze-dried nanoparticles was

    added to a clear transparent polyethylene terephthalate (PET) vial.

    Vials were crimped with a continuous valve (Valois, France) usinga

    pneumatic crimper (P2002/20, Pamasol, Switzerland). 0.5 g of pro-

    pellant was manually added through the valve. The mixture was

    vortexed for 30 s and sonicated for 5 min at 20 C. The process

    was repeated twice, and at each step, additional propellant was

    added until the desired weight of 8.4 g was achieved. These PET

    vials were used for studies of nanoparticle dispersion. A similar

    process was followed to manufacture pMDI batches containing

    FITC-labelled nanoparticle formulations. In this case, coated alu-

    minium canisters (supplied by AstraZeneca, UK) were employed.

    After filling with nanoparticle formulation (7 mg), the canisters

    were crimped with metering valves (Valois, France) having a deliv-

    ery volume of 50 lL per actuation. Additional propellant HFA-227

    was added through the valve in a step-wise manner using auto-

    matic pressure filling equipment (P2011, Pamasol, Switzerland)

    to achieve a total content weight of 8.4 g. This corresponds to a

    dose of 59lg nanoparticles per 50lL actuation. All pMDI canisters

    were vigorously shaken for 10 s; stored inverted for one month at

    ambient temperature, and later, after insertion into a plastic actu-

    ator (supplied by AstraZeneca, UK), investigated for ex-actuator

    aerosol particle size distribution and fine particle fraction (FPF).

     2.8. Analysis of nanoparticle suspension stability

    PET vials containing the HFA-227 nanoparticle suspensions

    were vigorously hand-shaken and then placed in a light box for vi-

    sual inspection to analyse their physical characteristics such as

    sedimentation, creaming, flocculation and coalescence. The stabil-

    ity and dispersion behaviour were monitored by naked eye obser-

    vation after manual shaking ceased, until sedimentation or

    creaming was apparent. Photographic images were taken at 10 s

    and 1 min time points.HFA-based formulations in PET vials were further investigated

    using an optical analyzer; Turbiscan (MA2000, Formulaction,

    France) [27]. The content of each vial was transferred, via the valve,

    into a pressure-sealed glass tube, using purpose-built apparatus

    (courtesy of AstraZeneca, UK), then studied using the Turbiscan.

    After shaking, the entire length of the glass tube was scanned four

    times at 1-min intervals using a light source (NIR,  k  = 850 nm) and

    the backscattered light measured.

     2.9. Aerosol particle size analysis

    Aerosol particle size analysis was performed using a Sympatec

    particle size analyzer (Sympatec GmbH System-Partikel-Technik,

    Germany). pMDI suspensions were shaken 10 times and actuated

    via a sealed central adapter into the Sympatec at a flow rate of 

    60 L/min for 10 s. The aerosol cloud generated passed through

    the laser beam. An optical lens (0.45–87.5lm size range) was used

    to collect the diffracted light for calculationof size distribution. The

    first ten doses of each new pMDI were fired to waste and a time

    interval of 60 s elapsed between each actuation to prevent exces-

    sive cooling of the pMDI metering chamber. The data generated

    are presented as 10th (D10), 50th (D50, volume median diameter;

    VMD) and 90th (D90) percentile of the cumulative particle under-

    size frequency distribution.

     2.10. Determination of aerosol parameters using the next generation

    impactor 

    The aerosol performance of FITC-labelled pMDI formulationswas determined using a next generation impactor (NGI; Copley

    Scientific, UK), operated in accordance with the specifications for

    pMDIs described in the European Pharmacopoeia [28]. The collec-

    tion plates of the NGI were uniformly coated with glycerol prior to

    the measurement, with stage 8 comprising a micro-orifice filter, to

    collect very fine particles. The NGI was operated at an air flow rate

    of 30 L/min for preset 10 s intervals following pMDI actuation, to

    allow particle deposition on the plates. The pMDI was vigorously

    shaken for 10 s before actuation. Following actuation of five shots

    to waste, the pMDI was actuated into the NGI setup, with a 60-s

    interval between each actuation. Twenty actuations were cumula-

    tively collected on glycerol-coated plates for each pMDI canister.

    The collection plates, micro-orifice filter, throat and actuator were

    rinsed with water and washings collected and made up to volume.

    The amount of FITC-labelled crosslinked chitosan nanoparticles

    collected from each stage was determined using a fluorescence

    spectrophotometer as described previously. The parameters calcu-

    lated for the aerosols produced were fine particle fraction (FPF;

    stage 3 to filter, i.e. 0.05) in zeta potential between

    the four formulations, whether FITC-labelled or unlabelled. A sig-nificant difference ( p < 0.05) in nanoparticle size was observed.

    Post hoc Nemenyis test showed that crosslinked chitosan–PEG

    5000 nanoparticles (both FITC-labelled and unlabelled) were sig-

    nificantly larger than crosslinked chitosan particles without PEG.

    This indicates that PEG (molecular weights 600–5000) had no

    influence on nanoparticle surface charge, but that the highest

    molecular weight PEG 5000 increased particle size, presumably

    due to the presence of the large chain polymer on the particle sur-

    face. Labelling of particles had no significant effect on size or sur-

    face charge characteristics ( p > 0.05) in comparison to unlabelled

    nanoparticles, and hence, both would be predicted to behave in a

    similar manner when incorporated into pMDI formulations. The

    polydispersity index (PDI) was slightly higher for unlabelled nano-

    particles compared to labelled nanoparticles. For all formulations,the PDI was less than 0.3, which is an indication of a narrow parti-

    76   K. Sharma et al. / European Journal of Pharmaceutics and Biopharmaceutics 81 (2012) 74–81

  • 8/17/2019 Crosslinked Chitosan Nanoparticle Formulations for Delivery From Pressurized

    4/8

    cle size distribution in all instances. A relatively high proportion of 

    PEG was employed during particle manufacture to ensure that it

    was trapped within the crosslinked chitosan nanoparticles during

    ionic gelation, permitting modification of their surface properties.

     3.2. Morphology of nanoparticles

    The nanoparticles produced by the described methodology

    were spherical and of approximately uniform size with a smooth

    surface.  Fig. 1a, for example, shows smooth, spherical crosslinked

    chitosan–PEG 1000 nanoparticles having a narrow size distribu-

    tion. Similar SEM images were obtained for non-PEG, PEG 600

    and PEG 5000 based crosslinked chitosan nanoparticles.  Fig. 1b

    shows that crosslinked chitosan–PEG 1000 nanoparticles collected

    post-actuation from a pMDI canister, via the metering valve, were

    similar morphologically to freeze-dried nanoparticles prior to

    pMDI manufacture.

     3.3. Effect of pH on nanoparticle properties

    In order to explore the potential of chitosan-based nanoparti-

    cles for lung delivery, it is important to consider their behaviour

    in different physiological conditions, especially at lung pH; 6.5

    [33]. The change in zeta potential of nanoparticles over a pH range

    5.5–8.0 is shown in Fig. 2a. The measured surface charge for all four

    formulations was very similar at any single measured pH. The high

    positive surface charge density for crosslinked chitosan at lower

    pH is due to the free surface amine groups of chitosan. As the pH

    of the nanoparticle suspension was increased, a greater proportion

    of amine groups were deprotonated resulting in a decrease in the

    measured positive zeta potential for the particles.

    The influence of pH on nanoparticle size is shown in Fig. 2b. At a

    pH range of 5.5–6.5, the mean nanoparticle size was constant. The

    positive charge of chitosan in acidic medium results in repulsion

    between nanoparticles   [34]. However, as the pH was increased,

    the mean measured particle size increased, which suggests the

    occurrence of aggregation. Such increases were more marked for

    non-PEG-based formulations, compared to those with PEG, sug-

    gesting that the association of PEG with crosslinked chitosan nano-

    particles provides steric hindrance, preventing nanoparticles from

    aggregating. At pH 7.5 and greater, the measured particle size in-

    creased due to decreased surface charge (Fig. 2a), leading to aggre-

    gation of all formulations, and both PEG- and non-PEG-based

    dispersions became turbid in appearance. This agrees with another,

    parallel study   [35], where chitosan and enoxaparin complexes

    showed physicochemical stability at a pH range of 3–6.5, but

    aggregated at higher pH.

    From these studies, it was observed that the physical stability of 

    crosslinked chitosan nanoparticles is pH dependent, but significant

    aggregation does not occur at lung pH; 6.5 [33]. Further, these find-

     Table 1

    Size and zeta potential of FITC-labelled and unlabelled chitosan and chitosan–PEG nanoparticles, (mean ± S.D.,  n  = 3).

    Formulation Unlabelled nanoparticles FITC-labelled nanoparticles

    Hydrodynamic diameter

    (nm ± S.D) (PDI ± S.D)

    Zeta potential

    (mV ± S.D)

    Hydrodynamic diameter

    (nm ± S.D) (PDI ± S.D)

    Zeta potential

    (mV ± S.D)

    Chitosan 169.6 ± 5.9 (0.259 ± 0.025) +25.8 ± 3.3 166.0 ± 3.0 (0.194 ± 0.015) +30.0 ± 1.7

    Chitosan–PEG 600 174.7 ± 4.5 (0.267 ± 0.002) +23.7 ± 0.8 183.0 ± 8.2 (0.213 ± 0.015) +25.0 ± 3.6

    Chitosan–PEG 1000 193.9 ± 7.2 (0.248 ± 0.003) +28.2 ± 3.7 203.0 ± 8.5 (0.141 ± 0.021) +24.0 ± 5.6

    Chitosan–PEG 5000 210.1 ± 9.0 (0.255 ± 0.018) +25.0 ± 3.4 221.0 ± 10.6 (0.217 ± 0.009) +27.0 ± 6.1

    Fig. 1.  Scanning electron micrographs of chitosan–PEG 1000 nanoparticles; (a)freeze-dried and (b) post-actuation from a pMDI.

    a

    b

    Fig. 2.   pH-induced variation in physicochemical properties of nanoparticles

    (mean± S.D.,   n = 4); (a) zeta potential and (b) hydrodynamic diameter. (For

    interpretation of the references to colour in this figure legend, the reader isreferred to the web version of this article.)

    K. Sharma et al. / European Journal of Pharmaceutics and Biopharmaceutics 81 (2012) 74–81   77

  • 8/17/2019 Crosslinked Chitosan Nanoparticle Formulations for Delivery From Pressurized

    5/8

    ings suggest that PEG-based crosslinked chitosan nanoparticles are

    more resistant to aggregation as a result of changing pH than non-

    PEG-based formulations.

     3.4. Visual analysis of nanoparticle dispersion stability

    The physical stability of the nanoparticles following dispersion

    in propellant HFA-227 is shown in Fig. 3. Preliminary experiments

    suggested that nanoparticle dispersions in HFA-227 had greater

    physical stability than in HFA-134a (data not shown), possibly

    due to the greater density of HFA-227, and hence, this propellant

    was used in all further studies.

    Chitosan nanoparticles without PEG aggregated readily, and

    phase separation occurred with clearly visible aggregates settling

    rapidly (Fig. 3A). The inclusion of PEG 600 within the nanoparticles

    did not result in any apparent change in their dispersion properties

    (Fig. 3B). Both formulations were physically unstable, resulting in

    aggregation in less than one minute. Previously, the inability of 

    PEG 600 to stabilize silica particles dispersed in a fluorinated sol-

    vent (2H,3H-perfluoropentane) has been reported [20]. Chitosan–

    PEG 1000 nanoparticles produced a homogeneous translucent dis-

    persion in HFA-227, which exhibited no phase separation for up to10 min (Fig. 3C). In addition to exhibiting the slowest rate of sedi-

    mentation, these nanoparticles readily re-dispersed upon shaking.

    This property is essential for acceptable dose reproducibility froma

    pMDI. A good stabilization excipient for pMDI formulation should

    be well solvated and block particle–particle interaction  [19]. PEG

    1000 is able to solvate well within HFA-227  [36], though PEG sol-

    ubility is likely to decrease with increasing molecular weight  [37].

    Chitosan–PEG 5000 nanoparticles produced an opaque, milky dis-

    persion in HFA-227, which separated into two phases (Fig. 3D),

    with particles creaming to the surface of the liquid propellant, pre-

    sumably as the density of these particles is less than the density of 

    the propellant. Although this formulation creamed in less than

    1 min, it was re-dispersible on gentle shaking.

    These PEG and non-PEG crosslinked chitosan nanoparticles did

    not visibly adhere to the walls of PET vials, even after one month’s

    storage. Chitosan–PEG 1000 composition greatly improves the

    nanoparticle physicochemical characteristics. From these findings,

    the polymeric chain length of PEG 1000 seems optimal to provide

    steric stabilization and to minimize particle–particle interaction

    between crosslinked chitosan nanoparticles in HFA-227. Previous

    studies have revealed the stabilizing effect of PEG 1000 and poly-

    vinylpyrrolidone (PVP) within the model propellant 2H, 3H-per-

    fluoropentane, resulting in reduced particle–particle and

    particle–canister wall surface interactions [38]. Long-term stabil-

    ity, dispersibility and ease of redispersion of HFA-based pMDI for-

    mulations are key parameters for the quality of an inhalation

    product. These findings, undertaken using pressurized apparatus

    to investigate properties in the clinically relevant propellant

    HFA-227, indicate that PEG 1000, incorporated into crosslinked

    chitosan nanoparticles, is an effective formulation strategy to pro-

    duce viable nanoparticle dispersions for delivery from a pMDI.

     3.5. Optical analysis of nanoparticle dispersion stability

    The experimental data obtained using the Turbiscan are a qual-

    itative or semi-quantitative indication of nanoparticle suspension

    behaviour, in a pressurized system, with respect to time. A formu-

    lation is deemed to be unstable if the variation in its scan intensity

    on a time scan graph is >10%  [39]. The acquired scans for the per-

    centage of backscattered light (%BS) obtained for each formulation

    as a function of time and sample height are shown in Fig. 4. Turbi-

    scan results obtained with the nanoparticle/HFA suspension

    showed a sharp increase in backscattering (>10%) between the first

    scan (time = 0) and all the consecutive scans with greatest increase

    at the lower regions of the tube (Fig. 4a). This is due to particle size

    variation and particle migration to the bottom of the glass tube,

    which causes a variation in light transmission through the glass

    tube and an increase in backscattering. The nanoparticle suspen-sion signal was modified in the presence of PEG 600, indicated

    by a step-wise increase in BS signal level between each successive

    scan (Fig. 4b). This signifies a delay in the separation between two

    different phases compared to the nanoparticle/HFA formulation

    (without PEG). The variation in the percentage of backscattering

    between the first and the final scan was greater than 10%, indicat-

    ing that PEG 600 does not prevent aggregation, but only delays the

    onset of aggregation.

    The scan for PEG 1000–crosslinked chitosan dispersions in HFA-

    227 showed a 2% variation in backscattering for the entire scan at

    all time points (Fig. 4c), indicating high stability for this formula-

    tion, that is, no settling or creaming behaviour within the HFA.

    There was no apparent change in particulate size and volume frac-

    tion for the dispersion, even after 3-min post-shaking, leaving theproduct homogeneous. It is likely that the nanoparticle-bound PEG

    1000 covers the surface of the nanoparticles suspended within HFA

    and reduces the interfacial energy between particulates and pro-

    pellant improving suspension stability. The dispersion of cross-

    linked chitosan–PEG 5000 nanoparticles in HFA-227 was opaque

    and milky in appearance. Due to the turbidity of the suspension,

    it was difficult to monitor the onset of creaming at the start of 

    phase separation using the naked eye. The Turbiscan was a useful

    technique to identify the appearance of a clear layer at the bottom

    of the glass tube and/or creaming at the top. The backscattering

    signal increased to 25% between 40 and 45 mm, reflecting the

    creaming behaviour of the sample (Fig. 4d), and suggesting that

    crosslinked chitosan–PEG 5000 nanoparticles had lower density

    than HFA-227 causing them to cream. These results demonstratethat producing crosslinked chitosan nanoparticles that incorporate

    Fig. 3.   Images of formulations dispersed within pressure-sealed HFA-227 propel-

    lant at 10 s and 1 min time points following hand shaking: (A) Chitosan, (B)

    Chitosan–PEG 600, (C) Chitosan–PEG 1000 and (D) Chitosan–PEG 5000nanoparticles.

    78   K. Sharma et al. / European Journal of Pharmaceutics and Biopharmaceutics 81 (2012) 74–81

  • 8/17/2019 Crosslinked Chitosan Nanoparticle Formulations for Delivery From Pressurized

    6/8

    PEG 1000 was successful in stabilizing the particle dispersion in

    HFA-227. However, PEG 600 and PEG 5000 were not able to

    achieve the same degree of physical stability when particles con-

    taining these polymers were dispersed in the propellant, such that

    the particles either sedimented or creamed. These results are in

    line with the data obtained by visual analysis of dispersions, as de-

    scribed in the previous section.

     3.6. Aerosol particle size distribution

    The post-actuation size distribution of the emitted aerosol

    clouds from pMDIs is shown in  Fig. 5, with each data point repre-

    senting the mean size following actuation from four canisters con-

    taining the same formulation. The nanoparticles showed a wide

    size distribution, with some multi-modality and a VMD of 

    54.24 lm   (Table 2). This suggests that the nanoparticles were

    highly aggregated within HFA-227 propellant and largely re-

    mained aggregated following actuation and subsequent rapid

    evaporation of the propellant. This rapid evaporation or ‘flashing’

    of the propellant results in dispersion of fine particles into the air

    if formulation is appropriate  [40]. PEG 600-based formulations

    showed a bi-modal distribution, having a VMD of 23.16lm(Table 2). The inability of PEG 600 to stabilize silica particles has

    previously been reported [20], which may be related to the rela-

    tively short length of the polymer chains, or the physical state of 

    PEG 600, which is liquid at room temperature, while PEG 1000

    and 5000 are solids. There was a small subpopulation of particles

    havinga mode less than 3 lm, and similar observations were made

    for crosslinked chitosan–PEG 5000 particles, which had a multi-

    modal size distribution, having a VMD of 28.43lm (Table 2). These

    data suggest that aerosolization of these three formulations using a

    pMDI is not appropriate for lung delivery, as their median size

    greatly exceed the size (1–5 lm) required for peripheral lung

    deposition. In contrast, the crosslinked chitosan–PEG 1000 particle

    a

    b

    c

    d

    Fig. 4.   Back scattering profiles of formulations dispersed within pressure-sealed

    HFA 227 as a function of time (1 min) with percentage changeon Y -axis and sample

    height on X -axis, (a) Chitosan, (b) Chitosan–PEG 600, (c) Chitosan–PEG 1000and (d)

    Chitosan–PEG 5000 nanoparticles. The increase or decrease in scan intensity on a

    time scan graph correlating to the sample height below 2.5 mm (convex bottom of 

    glass tube) and above the meniscus (shown by major change in backscattering of 

    plots) of the sample is because of multiple light diffractions and has no physical

    meaning. Hence, it is not taken into account for stability analysis. (For interpre-

    tation of the references to colour in this figure legend, the reader is referred to the

    web version of this article.)

    Fig. 5.  Post-actuation size distribution data for pMDI systems containing chitosan

    and chitosan–PEG nanoparticles (mean ± S.D., n  = 4).

     Table 2

    Post-actuation cumulative size distribution for chitosan and chitosan–PEG nanopar-

    ticles, (mean ± S.D.,   n = 4). D10, D50 and D90 represent the 10%, 50% and 90%

    cumulative undersize diameter determined by laser diffraction.

    Formulation D10 ± S.D (lm) D50 ± S.D (lm) D90 ± S.D (lm)

    Chitosan 1.58 ± 0.31 54.24 ± 4.66 78.56 ± 1.57

    Chitosan–PEG 600 2.33 ± 1.03 23.16 ± 3 .03 57.81 ± 2.27

    Chitosan–PEG 1000 0.72 ± 0.16 1.53 ± 0.07 2.76 ± 0.27

    Chitosan–PEG 5000 1.29 ± 0.05 28.43 ± 6 .52 67.69 ± 5.04

    K. Sharma et al. / European Journal of Pharmaceutics and Biopharmaceutics 81 (2012) 74–81   79

  • 8/17/2019 Crosslinked Chitosan Nanoparticle Formulations for Delivery From Pressurized

    7/8

    formulation produced a more uniform size distribution, with a

    much smaller VMD of 1.53 lm, which is appropriate for deep lung

    alveolar delivery   [41]. The improvement in dispersibility of 

    crosslinked chitosan nanoparticles, when incorporating PEG 1000

    as observed in previous sections, is thus reflected in an improved

    performance in delivery from a pMDI.

     3.7. In vitro assessment of aerosolization performance

    FITC was used as a fluorescent marker in order to quantify low

    concentrations of chitosan following aerosolization and deposition

    in the NGI. FITC percentage content was 2.8%. The measured FPF

    was 5.7 ± 0.9%, 11.8 ± 2.7% and 17.0 ± 2.1% for crosslinked chitosan

    nanoparticles, crosslinked chitosan–PEG 600 and crosslinked

    chitosan–PEG 5000 nanoparticles, respectively (Fig. 6). The poor

    performance of these formulations as aerosols may be attributed

    to aggregation of particles within the liquefied HFA and/or an

    inability to disperse during actuation and propellant evaporation

    subsequent to actuation, resulting in poor deposition in the lower

    stages of the NGI. Chitosan–PEG 1000 nanoparticles showed high-

    est ( p < 0.05) FPF of 34.0 ± 1.4%, with MMAD of 4.92 ± 0.29lm and

    GSD of 3.35 ± 0.92, indicating this was the most suitable cross-

    linked chitosan nanoparticle formulation for lung delivery, using

    a pMDI. These results correlate well with the aerosol sizing by laser

    diffraction described earlier. Chitosan deposition in all stages of the

    NGI and accessories (actuator, mouthpiece and throat) was be-

    tween 75% and 125% of the anticipated label claim, which is in

    accordance with the criteria of the European Pharmacopoeia  [28].

    In comparison with the other formulations, the crosslinked chito-

    san–PEG 1000 formulation in HFA demonstrated high and consis-

    tent aerosolization performance and good dose recovery (mass

    balance).

    The mass deposition of chitosan at each stage of the NGI is pre-

    sented in Fig. 7, for the crosslinked chitosan–PEG 1000 formula-

    tion. NGI is an instrument used to assess inhalation aerosol

    performance and gives an indication of the likely performance of 

    an inhalation product  in vivo. The FPF of 34% for this formulationis predictive of the proportion of therapeutically useful aerosol

    likely to reach the deep lung. This may be considered adequate

    to exhibit a therapeutic effect, as commercially available pMDI

    products deliver about 30% of the total emitted dose to the lungs

    [42,43]. A similar deposition profile, with FPF of 31.5% was re-

    ported for semi-interpenetrating polymeric network microspheres

    loaded with bovine serum albumin delivered from a DPI  [44]. Pre-

    vious reports of nanoparticle delivery from HFA-134a based pMDI

    systems have reported a FPF of approximately 45% for insulin

    loaded nanoparticles, employing a volatile oil as a dispersant  [10]

    and lysozyme nanoparticles with oleic acid, sorbitan trioleate or

    dipalmitoylphosphatidylcholine as dispersants [8]. Lecithin-based

    nanoparticles were successfully dispersed in HFA-227 and

    achieved a high fine particle fraction (>58%)  [7]. Successful pMDIformulation depends on the properties of the dispersed material,

    dispersant and propellant. This study has demonstrated the poten-

    tial of a novel crosslinked chitosan–PEG 1000 formulation, capable

    of delivery from a pMDI, as a nanocarrier for pulmonary drugdelivery.

    4. Conclusion

    This study has successfully demonstrated a formulation ap-

    proach, potentially capable of delivering crosslinked chitosan–

    based nanoparticles to the lung using a pMDI. Nanoparticles pre-

    pared from crosslinked chitosan alone showed aggregation, and

    the preparation was physically unstable when suspended within

    an HFA-227 pressurized system. Inclusion of PEG during particle

    production modified their properties. Due to the amphiphilic nat-

    ure of PEG, it is likely to be inside the nanoparticle and at the par-

    ticle surface; this is supported by the increased size of nanoparticles with PEG 5000 and the improved dispersion proper-

    ties, of PEG 1000 and 5000 containing particles. The presence of 

    PEG 1000, in particular, provided steric stabilization when incorpo-

    rated into crosslinked chitosan nanoparticles, prior to dispersion in

    HFA-227. Dispersibility of these particles and subsequent deposi-

    tion from a pMDI into an NGI were greatly improved compared

    to crosslinked chitosan particles alone, or those incorporating

    PEG 600 and PEG 5000. PEG1000 may have produced the best re-

    sults of the three PEGS investigated for a combination of reasons:

    PEG 600 is a small liquid molecule, which may not be well retained

    in the nanoparticles. PEG 1000 is well solvated in HFA, thus provid-

    ing steric stabilization of the particles. PEG 5000 has a much longer

    chain length than PEG 1000, which is likely to be less well solvated,

    and association of the long PEG chains may result in aggregation.The relatively high FPF and ease of redispersion, combined with a

    small primary particle size and positive charge, suggest that the

    crosslinked chitosan–PEG 1000 nanoparticles have potential appli-

    cation in delivery of drugs and biopharmaceuticals, such as nucleic

    acids to the lungs. However, these findings pertain to a system that

    does not include an active pharmaceutical ingredient. Further

    studies are required to determine whether a nanoparticle formula-

    tion of crosslinked chitosan and PEG 1000 is optimal in the pres-

    ence of an incorporated therapeutic agent.

    This study will help in early phase new system development for

    polymeric nanoparticle delivery of therapeutic agents using pMDIs.

    Future work will involve the evaluation of dispersion stability and

    aerosolization behaviour over long-term storage of nanoparticles

    dispersed within pressurized propellant-based systems and theinclusion of therapeutic molecules.

    Fig. 6.   Fine particle fraction of pMDI formulations of chitosan and chitosan–PEGnanoparticles determined using the NGI (mean ± S.D., n  = 3).

    Fig. 7.  Deposition of chitosan–PEG 1000 nanoparticles delivered from a pMDI into

    the NGI, (mean ± S.D.,  n  = 3).

    80   K. Sharma et al. / European Journal of Pharmaceutics and Biopharmaceutics 81 (2012) 74–81

  • 8/17/2019 Crosslinked Chitosan Nanoparticle Formulations for Delivery From Pressurized

    8/8

     Acknowledgements

    Financial support from AstraZeneca is gratefully acknowledged.

    We also thank David McCarthy, UCL School of Pharmacy for assis-

    tance with electron microscopy. Special thanks to Hamid Merchant

    (University of London) and Varsha Thakoersing (Leiden University,

    The Netherlands) for numerous stimulating discussions.

    References

    [1] J. Birchall, Pulmonary delivery of nucleic acids, Expert Opin. Drug Deliv. 4

    (2007) 575–578.

    [2] L.A. Dellamary, T.E. Tarara, D.J. Smith, C.H. Woelk, A. Adractas, M.L. Costello, H.

    Gill, J.G. Weers, Hollow porous particles in metered dose inhalers, Pharm. Res.

    17 (2000) 168–174.

    [3] M.M. Bailey, C.J. Berkland, Nanoparticle formulations in pulmonary drug

    delivery, Med. Res. Rev. 29 (2009) 196–212.

    [4] N. Tsapis, D. Bennett, B. Jackson, D.A. Weitz, D.A. Edwards, Trojan particles:

    large porous carriers of nanoparticles for drug delivery, Proc. Natl. Acad. Sci.

    USA 99 (2002) 12001–12005.

    [5] C. Vauthier, D. Labarre, Modular biomimetic drug delivery systems, J. Drug

    Deliv. Sci. Technol. 18 (2008) 59–68.

    [6] C. Mayer, Nanocapsules as drug delivery systems, Int. J. Artif. Organs 28 (2005)

    1163–1171.

    [7] P.A. Dickinson, S.W. Howells, I.W. Kellaway, Novel nanoparticles for

    pulmonary drug administration, J. Drug Target. 9 (2001) 295–302.

    [8] B.K. Nyambura, I.W. Kellaway, K.M.G. Taylor, The processing of nanoparticles

    containing protein for suspension in hydrofluoroalkane propellants, Int. J.

    Pharm. 372 (2009) 140–146.

    [9] R.O. Williams, M.K. Barron, J.M. Alonso, C. Remuñán-López, Investigation of a

    pMDI system containing chitosan microspheres and P134a, Int. J. Pharm. 174

    (1998) 209–222.

    [10] B.K. Nyambura, I.W. Kellaway, K.M.G. Taylor, Insulin nanoparticles: stability

    and aerosolization from pressurized metered dose inhalers, Int. J. Pharm. 375

    (2009) 114–122.

    [11] L. Illum, Chitosan and its use as a pharmaceutical excipient, Pharm. Res. 15

    (1998) 1326–1331.

    [12] O. Felt, P. Buri, R. Gurny, Chitosan: a unique polysaccharide for drug delivery,

    Drug Dev. Ind. Pharm. 24 (1998) 979–993.

    [13] H.L. Luessen, B.J. de Leeuw, M.W. Langemeyer, A.B. de Boer, J.C. Verhoef, H.E.

     Junginger, Mucoadhesive polymers in peroral peptide drug delivery. VI.

    Carbomer and chitosan improve the intestinal absorption of the peptide

    drug buserelin in vivo, Pharm. Res. 13 (1996) 1668–1672.

    [14] R. Fernandez-Urrusuno, P. Calvo, C. Remunan-Lopez, J.L. Vila-Jato, M.J. Alonso,

    Enhancement of nasal absorption of insulin using chitosan nanoparticles,Pharm. Res. 16 (1999) 1576–1581.

    [15] S.Y. Chae,M.K. Jang, J.W. Nah, Influence of molecular weight onoral absorption

    of water soluble chitosans, J. Contr. Rel. 102 (2005) 383–394.

    [16] A. Grenha, C.I. Grainger, L.A. Dailey, B. Seijo, G.P. Martin, C. Remuñán-López, B.

    Forbes, Chitosan nanoparticles are compatible with respiratory epithelial cells

    in vitro, Eur. J. Pharm. Sci. 31 (2007) 73–84.[17] D.O. Corrigan, A.M. Healy, O.I. Corrigan, Preparation and release of salbutamol

    from chitosan and chitosan co-spray dried compacts and multiparticulates,

    Eur. J. Pharm. Biopharm. 62 (2006) 295–305.

    [18] R.J. Pugh, T. Matsunaga, F.M. Fowkes, The dispersibility and stability of carbon

    black in media of low dielectric constant. 1. Electrostatic and steric

    contributions to colloidal stability, Colloids Surfaces 7 (1983) 183–207.

    [19] D. Traini, P.M. Young, P. Rogueda, R. Price, Investigation into the influence of 

    polymeric stabilizing excipients on inter-particulate forces in pressurised

    metered dose inhalers, Int. J. Pharm. 320 (2006) 58–63.

    [20] A. Paul, P.C. Griffiths, P.G. Rogueda, Towards an understanding of adsorption

    behaviour in non-aqueous systems: adsorption of poly(vinyl pyrrolidone) and

    poly(ethylene glycol) onto silica from 2H,3H-perfluoropentane, J. Pharm.

    Pharmacol. 57 (2005) 1383–1387.

    [21] C. Vervaet, P.R. Byron, Drug-surfactant–propellant interactions in HFA-

    formulations, Int. J. Pharm. 186 (1999) 13–30.

    [22] G. Pilcer, K. Amighi, Formulation strategy and use of excipients in pulmonary

    drug delivery, Int. J. Pharm. 392 (2010) 1–19.

    [23] L. Wu, M. Al-Haydari, S.R.P. Da Rocha, Novel propellant-driven inhalation

    formulations: engineering polar drug particles with surface-trapped

    hydrofluoroalkane-philes, Eur. J. Pharm. Sci. 33 (2008) 146–158.

    [24] A. Trapani, J. Sitterberg, U. Bakowsky, T. Kissel, The potential of glycol chitosan

    nanoparticles as carrier for low water soluble drugs, Int. J. Pharm. 375 (2009)

    97–106.

    [25] C. Colonna, B. Conti, P. Perugini, F. Pavanetto, T. Modena, R. Dorati, P. Iadarola,I. Genta, Ex vivo evaluation of prolidase loaded chitosan nanoparticles for

    the enzyme replacement therapy, Eur. J. Pharm. Biopharm. 70 (2008)

    58–65.

    [26] M. Huang, Z. Ma, E. Khor, L.-Y. Lim, Uptake of FITC–chitosan nanoparticles by

    A549 cells, Pharm. Res. 19 (2002) 1488–1494.

    [27] P. Bru, L. Brunel, H. Buron, I. Cayré, X. Ducarre, A. Fraux, O. Mengual, G.

    Meunier, A. de Sainte Marie, P. Snabre, Particle sizing and characterisation, in:

    Particle Sizing and Characterisation, 2004. pp. 45–60.

    [28] European Pharmacopoeia, Preparations for Inhalation (2.9.18), in: European

    Pharmacopoeia 6.0. 2008, Directorate for the Quality of Medicines of the

    Council of Europe: Strasbourg, pp. 287–300.

    [29] T.C. Carvalho, J.I. Peters, R.O. Williams, Influence of particle size on regional

    lung deposition – what evidence is there?, Int J. Pharm. 406 (2011) 1–10.

    [30] M. Bivas-Benita, S. Romeijn, H.E. Junginger, G. Borchard, PLGA–PEI

    nanoparticles for gene delivery to pulmonary epithelium, Eur. J. Pharm.

    Biopharm. 58 (2004) 1–6.

    [31] S. Mao, W. Sun, T. Kissel, Chitosan-based formulations for delivery of DNA and

    siRNA, Adv. Drug Deliv. Rev. 62 (2010) 12–27.

    [32] T. Sato, T. Ishii, Y. Okahata, In vitro gene delivery mediated by chitosan, Effectof pH, serum, and molecular mass of chitosan on the transfection efficiency,

    Biomaterials 22 (2001) 2075–2080.

    [33] K. Mohri, T. Okuda, A. Mori, K. Danjo, H. Okamoto, Optimized pulmonary gene

    transfection in mice by spray-freeze dried powder inhalation, J. Contr. Rel. 144

    (2010) 221–226.

    [34] T. Kiang,J. Wen, H.W. Lim, K.W.K.W.Leong, The effect of thedegree of chitosan

    deacetylation on the efficiency of gene transfection, Biomaterials 25 (2004)

    5293–5301.

    [35] W. Sun, S. Mao, D. Mei, T. Kissel, Self-assembled polyelectrolyte

    nanocomplexes between chitosan derivatives and enoxaparin, Eur. J. Pharm.

    Biopharm. 69 (2008) 417–425.

    [36] R.P. Peguin, S.R. da Rocha, Solvent-solute interactions in hydrofluoroalkane

    propellants, J. Phys. Chem. B 112 (2008) 8084–8094.

    [37] K.B. Ridder, C.J. Davies-Cutting, I.W. Kellaway, Surfactant solubility and

    aggregate orientation in hydrofluoroalkanes, Int. J. Pharm. 295 (2005) 57–65.

    [38] R. Ashayer, P.F. Luckham, S. Manimaaran, P. Rogueda, Investigation of the

    molecular interactions in a pMDI formulation by atomic force microscopy, Eur.

     J. Pharm. Sci. 21 (2004) 533–543.[39] C. Celia, E. Trapasso, D. Cosco, D. Paolino, M. Fresta, Turbiscan Lab expert

    analysis of the stability of ethosomes and ultradeformable liposomes

    containing a bilayer fluidizing agent, Colloids Surf. B Biointerfaces 72 (2009)

    155–160.

    [40] K.M.G. Taylor, Pulmonary drug delivery, in: Aulton’s Pharmaceutics: The

    Design and Manufacture of Medicines, Churchill Livingstone, Edinburgh, 2007,

    pp. 539–554.

    [41] W. Stahlhofen, J. Gebhart, J. Heyder, Experimental determination of the

    regional deposition of aerosol particles in the human respiratory tract, Am.

    Ind. Hyg. Assoc. J. 41 (1980) 385–398.

    [42] J.L. Rau, The inhalation of drugs: advantages and problems, Respir. Care 50

    (2005) 367–382.

    [43] P.H. Hirst, G.R. Pitcairn, J.G. Weers, T.E. Tarara, A.R. Clark, L.A. Dellamary, G.

    Hall, J. Shorr, S.P. Newman, In vivo lung deposition of hollow porous particles

    from a pressurized metered dose inhaler, Pharm. Res. 19 (2002) 258–264.

    [44] I.M. El-Sherbiny, H.D.C. Smyth, Biodegradable nano-micro carrier systems for

    sustained pulmonary drug delivery: (I) self-assembled nanoparticles

    encapsulated in respirable/swellable semi-IPN microspheres, Int. J. Pharm.

    395 (2010) 132–141.

    K. Sharma et al. / European Journal of Pharmaceutics and Biopharmaceutics 81 (2012) 74–81   81