The Effects of Primary Unconjugated Bile Acids on Nanoencapsulated Pharmaceutical Formulation of Hydrophilic Drugs: Pharmacological Implications.

INTRODUCTION: In a recent study, in our laboratory, primary unconjugated bile acids, commonly found in humans, chenodeoxycholic acid (CDCA), have been shown to improve stability of nanoencapsulated lipophilic drugs and improve their release profile after oral administration likely via electrokinetic stabilisation. Hence, this study aimed to examine the effects of CDCA on exerting similar effects on hydrophilic drugs.
METHODS: Various CDCA-based formulations were produced for the orally administered hydrophilic drug, metformin. Analyses of these formulations included electrokinetic potentials, topography, drug and CDCA formulation contents, nano size distribution, heat-induced deformation and outer-core expansion indices, release profiles, shell-resistance ratio, and thermal and chemical indices. With the drug's main target being pancreatic beta-cells, the formulations' effects on cell viability, functions and inflammatory profiles were also investigated. RESULTS AND
CONCLUSIONS: CDCA-based metformin formulations exhibited improved stability and release profiles via thermal, chemical and electrokinetic effects, which were formulation-dependent suggesting potential applications of CDCA in the oral targeted delivery of hydrophilic drugs.

Introduction

Bile acids are naturally produced in the human liver and play a key role in cholesterol metabolism and in maintaining bile acid homeostasis.1 In addition to this, bile acids are being increasingly recognised as complex integrators playing significant roles in immune function, signalling pathways and have been demonstrated to have an antidiabetic effect through signalling pathways.2 In addition to these direct physiological effects, linbile acids incorporated into micro and nano capsules have been shown to improve the stability and release profile of lipophilic drugs and improve targeted oral delivery likely due to electrokinetic stabilisation.3–5

CDCA is a primary bile acid that reduces cholesterol levels by increasing intestinal excretion and interfering with bile acid synthesis to reduce secretion of cholesterol and cholesterol saturation.6,7 It is commonly used to treat constipation and gall stones as well as lipid storage disorders,8 however, hepatotoxicity and gastrointestinal disorders have been shown to have adverse effects.6 Outside pharmacological applications recent studies have found that CDCA interacts with vitamin D receptors, with these playing a role in bile acid excretion.9

Lipophilic drugs have been encapsulated with CDCA, leading to improvements in stability. Mathavan et al incorporated CDCA into microcapsules containing the lipophilic drug gliclazide with an improvement in physical characteristics, stability, and release profiles. The change in zeta potential was hypothesised to be due to the surfactant properties of CDCA reducing charge on the outer surface of the molecules.10

Metformin is known as a biguanide drug and has been widely used for treating Type 2 diabetes. Despite its high efficacy profile, metformin uptake, particularly long-term, has been associated with multiple adverse events and exhibits a long list of side effects, including weight loss, diarrhoea and vomiting, which can be severe.

The incorporation of bile acids has been shown to modify surface charge, which is measured in the same manner as zeta potential, with subsequent benefits in microcapsule characteristics and drug release. Mooranian et al incorporated ursodeoxycholic acid (UDCA) into nano and microcapsules for encapsulation of the lipophilic drug probucol, with bile acid formulations showing enhanced electrokinetic stability and enhanced drug uptake.11 In another study, UDCA inclusion for β cell encapsulation stabilised electrokinetic charge by enhancing electrostatic and free charge, improving the physical characteristics of the capsules and protective effects on encapsulated cells.12

The modification of electrokinetic potential has been shown to improve drug delivery systems and release across a range of pharmaceuticals. Bile acid incorporation with antibiotics has shown a shift in free charge and subsequent interaction between functional groups and micelles, allowing characterisation of the partitioning of solutes in micelles, as well as a way to optimise drug delivery systems, with a resultant increase in drug solubility.13 Gallardo et al demonstrated that stability is primarily controlled by zeta potential in polymeric drug delivery systems, with modification to a more favourable zeta potential yielding more homogenous suspensions less prone to flocculation.14 Ophthalmic application of aspirin was shown to be improved by encapsulating the drug with proteins that stabilised the electrokinetic potential, resulting in a sustained release of the drug with significantly reduced haemolysis.15

Eudragit (Eud) is a polymethacrylate-based polymer that, like BAs, acts as a useful excipient in the delivery of various pharmaceutical products. There are several different types of Eud polymers, each with different pH-dependent and independent solubility. In general, Euds are classified based on charge (anionic, cationic or neutral). Cationic Eud is useful in taste modification, while non-ionic is useful in GIT targeting.16 Neutral Euds have previously been explored in capsule preparations of ketoprofen, resulting in delayed and pH independent drug release.17

Electrokinetic stabilisation improves the drug delivery systems, particularly the physical characteristics, stability, and release profiles of encapsulated drugs. Leveraging the physical and chemical stabilising properties of bile acids in encapsulation leads to an improvement in resistance to mechanical stress as well as improved surface characteristics and resistance to water permeation. The resultant modification of electrokinetic potential of bile acid incorporation and subsequent improvement in drug delivery is desirable. Additionally, the use of EU provides a novel way to further improve the release profile of drugs in microcapsules. This study aimed to investigate the impact of CDCA and Eud types (NM, RL, RS) incorporation in microcapsules to deliver the hydrophilic drug metformin (M), to establish if the same improvements seen in lipophilic drug delivery could be established.

Materials and Methods

Materials

Metformin (M, 98%), sodium alginate (SA, 99%) and chenodeoxycholic acid (CDCA, 99%) purchased from Sigma Chemical Co, USA. Calcium chloride dihydrate (CaCl2.2H2O 98%) was obtained from Scharlab S.L, Australia. All reagents and solvents were HPLC grade used without further purification or modification and were supplied by Merck (Australia).

Drug Preparations

Stock suspensions or pre-encapsulation material were prepared by adding 1.6 g SA, 0.6 g of bile acid, 0.1 g Glyceryl monooleate, 3 g Poloxamer, 0.2 g of M powder and 1 g of Eud to 100 mL of ultrapure water and mixed by hand. The stock suspensions were then placed on a magnetic stirrer to mix thoroughly for 24 hours at room temperature before being stored in the refrigerator at 4°C. Stock solutions were within 48 hours of preparation. A stock solution of CaCl2 (2%) was prepared by adding 2 g CaCl2 powder to 100 mL HPLC water and mixed thoroughly, until completely dissolved.

Microcapsule Preparation

Capsules were prepared using a well-defined and heavily refined method that has been established by our laboratory.18–25 Pre-encapsulation material was prepared as with different classes of Eud added according to Table 1. Each formulation also contained 1.6% SA, 0.1% Glyceryl monooleate, 0.2% M and 3% Poloxamer. Formulations F2, F4 and F6 had 0.6% CDCA and each solution had 1% of the appropriate Eud as per Table 1.

Table 1

Formulation List for Preparation of Pre-Encapsulation Mixtures

Formulation	Components
F1	EudNM30D
F2	EudNM30D + CDCA
F3	EudRL30D
F4	EudRL30D + CDCA
F5	EudRS30D
F6	EudRS30D + CDCA

The Büchi encapsulator system was used to perform the Ionic Gelation Vibrational Jet Flow (IGVJF) encapsulation.26–30 Settings including vibration frequency, voltage and nozzle diameter were tuned to produce a uniform droplet size of pre-encapsulation material. Microcapsules were then cross-linked in a 2% CaCl2 bath as consistently sized spheres.31–34 Capsules were then rinsed under deionised water for at least one minute prior to drying or any testing was to occur.

Microcapsule Imaging

To assess preliminary sizing and quantities capsules were imaged via light microscopy. Glass slides with a calibrated scale were loaded with freshly encapsulated material. 4X objective was then used with the Olympus IX-51 inverted microscope to assess the capsules.19,35–37

Scanning electron microscopy (SEM) was also performed to review capsule topography. Freshly formed capsules were dried in a stability chamber for three days at 40°C and 40% humidity. Capsules were coated in 5nm of platinum whilst under a vacuum to allow for imaging with the MIRA3 FibSEM SEM.

Microcapsule Size, Electrokinetic Potential, and Stability

In addition to microscopy, capsule size was determined by two further methods. Mie scattering and Fraunhofer diffraction is a rapid technique that utilises lasers to determine the size of particles with the use of lasers.38 The Mastersizer 2000 from Malvern Instruments was used to record the laser scatter from prepared particles to determine their size using Mie scattering and Fraunhofer diffraction. Sizing was also assessed through spectroscopy performed by the Zetasizer 3000HSa also from Malvern Instruments. Both instruments were run using standardised procedures already established by the laboratory.21 Electrokinetic potential aka zeta potential was also assessed using the Zetasizer 3000HSa. Measurements were performed at 25°C and each sample was repeated in triplicate.18,21

Stability studies were carried out to evaluate the temperature resistance of the capsules. Pre-determined quantities of capsules were prepared and placed into sterile petri-dishes for analysis. Capsules were then stored at −20°C, 5°C, 25°C, and 40°C. Humidity was set at 35%, and capsules were stored for 3 days. Humidity and temperature were regulated to ensure consistent conditions. After the 3-day incubation, capsules were assessed for signs of breakdown.

Characterisation of Loaded Capsules

Drug loading and efficiency were determined via high performance liquid chromatography (HPLC) using an established method for determining M content.39–41 Briefly, 100 mg of capsules were broken down and made up to 200 mL with phosphate buffer (pH 7.4). Samples were centrifuged and the filtered for HPLC assessment. M concentration was then quantified by a UV detector set at a wavelength of 227 nm as per the laboratory methods. M loading was determined as a percentage of the weight of the M in the sample. Microencapsulation efficiency was determined as a percentage of the practical weight of M over the theoretical weight. Samples were repeated in triplicate.

Mechanical Strength, Buoyancy, Chemical and Physical Compatibility

Capsule expansion was assessed as a means to determine mechanical strength. Capsules were stored at 25°C and 37°C at pH 3 and 7.4 to mimic the conditions inside the GIT. Capsule sizes were determined pre and post storage to determine a % expansion.

Capsule buoyancy was also assessed. Buoyancy was calculated as the percentage of microcapsules that were able to float in 100 mL of phosphate buffered liquid.42

To determine physical and chemical compatibility, Fourier transform infrared (FTIR) and differential scanning calorimetric (DSC) analysis were performed as per our previous methods.19,37 FTIR assessed the absorption spectra of separate components, the combined mixtures and the drug containing capsules. Infrared assessment was performed on the PerkinElmer FTIR spectrometer TWO in the 650–4000 cm−1 scanning range, with results recorded at 25°C. DSC was also performed on individual capsule components, mixtures, and crushed capsules on a DSC instrument (DSC 8000; PerkinElmer Inc., Waltham, MA, USA). 5 mg of sample was prepared in aluminium vessels and heated in a nitrogen atmosphere at a rate of 20°C/min. Assays were repeated in triplicate.

MTT and Inflammatory Biomarkers

The MTT (3-[4,5-dimethylthiazol-2-yl]-2,5 diphenyl tetrazolium bromide) assay is a technique that was used to observe the effects of capsules on mitochondrial activity and by extension cell viability.43,44 Stock MTT solution was prepared at 5mg/mL within 24 hours of use. All groups were treated in the exact same way, including controls. Cell concentrations per volume was set as 106/mL and cells were randomly allocated to different groups.

Prepared MIN6 cells were added to each well of a 96 well plate and left to incubate for 24 hours, dried microcapsules were also stored in pH 7.4 media for 24 hours at 37°C before being added to each well.45 Capsules with no cells were used as negative controls, plates were incubated for a further 24 hours. After the incubations, 20 µL of the prepared MTT was added to each well. MTT was converted to MTT-formazan via mitochondrial reductase. MTT-formazan was then removed and dissolved in 100 µL dimethyl sulfoxide (DMSO) from Sigma Chemicals. The resultant purple solution was then analysed via photometry at 550nm. Findings are reported in triplicate.

MIN6 cells were also used to show inflammatory markers produced post exposure to the microcapsules. As above, capsules were incubated with cells for 48 hours and the media were then removed and analysed using the BD cytometric bead array (CBA). BD Mouse Flex Sets were used to detect tumour necrosis factor α (TNF-α), interferon γ (IFN-γ), interleukin-6 (IL-6), interleukin-10 (IL-10) and interleukin-1 (IL-1) via flow cytometry. Findings are reported in triplicate.

Results and Discussion

Microscopy and Encapsulation Efficiency

Microcapsule shape, size and topography appear to be consistent despite changes in formulation as seen in Figure 1. All capsules have consistently sized, oval, and 3D shapes as demonstrated in Figure 1A. Formulations F1, F2 and F5 appear to have smooth surface texture, while F4 and F6 have noticeable crystalline structures on their surface and F3 may have less obvious crystal-like structures. While no further analysis of the microcapsule surface was performed, it is possible that these are M on the surface of the capsule.46 This is consistent with other research by our laboratory that found anti-diabetic drug crystals on the surface of microcapsules. In these studies, these crystals were identified by x-ray spectroscopy and confirmed to be drugs.20,21,35 Other atoms including Ca and Cl have also been found on the surface of capsules and may result in the crystals formed here. These crystals are commonly found in the ionic gelation processed microcapsules and are only seen due to the need to dry the capsules prior to imaging with the SEM.35

Figure 1

Microcapsule microscopy (A), Drug content pre and post encapsulation (B) and Bile acid content pre and post encapsulation (C). Data are mean ± SEM.

Drug content remained consistent across all formulations (F1-F6) when comparing pre and post-stability testing samples as seen in Figure 1B. Figure 1C shows bile acid content also remained consistent in capsules that contained CDCA. This suggests that neither drug nor bile acid is being broken down or significantly chemically modified by the encapsulation process. This is important as if they had been broken down, and the microcapsules may not be as effective as they could be. CDCA has been shown in other studies to not strongly interact with and therefore not potentially compromise drugs in microcapsules.10

Figures 1A and 2A show that all capsules (F1–F6) despite their composition maintained a consistent size and a mass of ~800 μg. This indicates that the capsules were of similar size and mass, and therefore also of similar density despite differences in formulations.

Figure 2

Microcapsule size distribution (A), electrokinetic (B) and stability (C). Stability was determined as heat-induced deformation index on a scale of 0–2 at temperature A.−20°C B. 5°C C. 25°C and D. 40°C. Data are mean ± SEM, n = 3. *P<0.05, **P<0.01.

Figure 2 also shows electrokinetic of the formulations. Figure 2B shows that F1 and F2 containing EudNM30D had a negative electrokinetic potential ~ −20mv. F3-F6 all had positive electrokinetic potential between 22–33mv. CDCA did not appear to significantly change the potential in the capsules except for F3 and F4 (EudRL30D containing formulations) where there was a significant change in potential from 22 to 30 mv (P<0.05) with the addition of CDCA. In previous studies, CDCA has also been shown to increase the magnitude of the electrokinetic potential.18

Increased magnitude of electrokinetic potential (in either the positive or negative direction) results in increased repulsion between the molecules within the microcapsules. Increased repulsion is linked to increased stability and therefore strength.47 Increased electrokinetic potential is also useful in reducing particle aggregation, which is useful in improving drug delivery. A charge of ~30 mv is considered optimal for drug delivery.48

Heat-induced deformation is indicated in Figure 2C. Capsule formulations F1 and F2 showed breakdown at the lowest temperatures, beginning at 5°C. CDCA marginally assisted in the stability by preventing early breakdown at 25°C as demonstrated in F2 compared to F1. Formulations F3-F4 had consistent structural integrity, with no breakdown until 25°C and no further destruction at 40°C. Optimally, breakdown would not occur until the capsules reach body temperature.

Given that the only difference between F1/3 and F3–4 was the use of a different Eud, it is likely that EudNM30D contributed to the early destruction of these capsules and its net negative electrokinetic potential. EudNM30D is considered a swellable polymer, and this may have contributed to its early breakdown.16

Microcapsule Strength and Drug Release

Capsule outer core expansion and drug release are shown in Figure 3. Outer core expansion is an indicator of osmosis across the microcapsule. Outer core expansion suggests that more water is getting into the capsules and expanding them. Generally, increased expansion indicates an increased risk of capsules breaking. Figure 3A–D shows capsule expansion remained consistent between capsules at different pH. Previously, CDCA has been shown to improve capsule stability and increase capsule strength. Primarily CDCA was able to do this by reducing water permeation and thus decreasing swelling, increasing non-covalent bonding to improve strength and through deprotonation of carboxylic acid to improve electronegativity.18

Figure 3

Microcapsule expansion (A–D) and drug release profiles (E) at pH 1.5 [E-1], pH 3.5 [E-2], pH 6 [E-3] and pH 7.4 [E-4]. Data are mean ± SEM, n = 3. *P<0.05, **P<0.01.

Drug release profiles varied significantly based on the formulation as shown in Figure 3E. At pH 1.5, all formulations except F1 had consistent drug release. At pH 3.5, formulation F4 released significantly more drugs than F3 (P<0.05) (CDCA negative) suggesting that CDCA presents is influencing drug release. At pH 6 F4, F5, and F6 released statistically significantly more drugs than F1, F2, and F3, this was also true at pH7.4 (P<0.01). The differences between F3 and F4 indicate that in the EudRL30D containing formulation CDCA was influencing drug release. In other formulations, however, it does not appear that CDCA significantly affected drug release profiles. The pH dependent-release profiles seen in formulations F4-F6, where drug loading was achieved >90% would be useful in the delivery of drugs through the GIT.

Previous work has indicated that the introduction of bile acids does improve the release profiles of drugs.4,5,49–53 Bile acids have been shown to effectively control drug release profiles. The bile acid deoxycholic acid has been shown at low concentrations to increase drug release from microcapsules while at higher concentrations decrease drug release.54 Eud formulations have been found to be effective in vivo at tolerating pH changes that mimic the colon and improving drug delivery.55 The introduction of Eud into bile acid containing capsules has also been shown to improve release profiles of drugs.56

Shell Resistance, Gut-Sinkability, Chemical and Thermal Indexes

Buoyancy (gut-sinkability) was consistent between microcapsules regardless of excipient content as seen in Figure 4B. This indicates a similar density between the capsules. It is important that buoyancy remains low, so that capsules will be able to retain significant contact with the surface of the gut rather than floating on top. This gives capsules the highest chance of interacting with the epithelial cells to release their contents.

Figure 4

Shell resistance (%) (A), gut sinkability (%) (B, major thermal indexes of microcapsules (C and D) and major chemical-forming indexes of microcapsules (E and F).

Shell resistance in Figure 4A also remained consistent between capsules regardless of formulations. Suggesting that Eud type and CDCA did not affect shell resistance.

DSC and FTIR results in Figure 3C–F indicate no chemical modification to metformin. This indicates that the encapsulation process did not significantly alter the chemical structure of metformin, which implies that it would remain biologically active. This is in line with our previous work that has shown little compromise in the chemical structure of drugs or excipients during the encapsulation process (Figure 4).19,37,57

Cell Survival and Inflammatory Biomarkers

Cell survival is indicated in Figure 5A. Overall, cell survival studies were poor with F1-F6 all showing decreased survival compared with untreated cells (P<0.01) except for F4 which showed no significant change in cell survival. CDCA did not significantly modify the cell survival in sets F1/F2 or F5/F6. CDCA did, however, statistically significantly improve the survival of CDCA-EudRL30D containing capsule F4 compared to F3. In line with the findings in F4, previous studies have indicated that CDCA improved survival of cells that are encapsulated by CDCA.18 In previous studies CDCA has been found to be toxic in rhesus monkey liver, this was, however, only indicated in significantly higher doses than seen here.58 The lack of decreased survival is still positive as it indicates no detrimental effects to cells.

Figure 5

Cell survival (A), insulin production (B), inflammatory markers (C–G). Data are mean ± SEM, n = 3. *P<0.05, **P<0.01.

Figure 5B displays data about the insulin production of cells treated with capsules. All capsule treated cells produced insulin, while untreated cells did not. While CDCA containing formulation F4 did result in the highest insulin production, it was not a statistically significant increased suggesting that CDCA does not influence insulin production of cells. This is in opposition to research that has found the stimulation of the Bile acid Farnesoid X receptor (FXR) has been shown to increase the production and secretion of insulin from cells.59 Diabetic animal models treated with Eud-Bile acid capsules have previously also shown no change in insulin concentration, and despite this, they did show improved control glycaemia.60 It is unclear why CDCA alone is capable of modifying insulin release, but with Eud, it is not able to significantly influence its release.

Figure 5C–G shows inflammation markers produced by cells. Compared to untreated cells, all treated cells did not show statistically significant changes in TNF-α, IFN-γ or IL-1 (Figure 5C, D, and F). Although not statistically significant, F4 did have the lowest levels of TNF-α and IFN-γ as well as the second lowest level of IL-1. IL-6 was increased in all treated cells (Figure 5E); however, it was the least significantly increased in formulation F1, F2 and F4 (P<0.05). IL-10 was only statistically significantly decreased in formulation F4 (P<0.05) as seen in Figure 5G.

In vivo, CDCA is thought to trigger inflammation in liver fibrosis through stimulated secretion of inflammatory cytokines including TNF-α, IL-1 and IL-6 through NLRP3 activation.61 Previous studies, however, have indicated that CDCA treatment of cells results in decreased TNF-α production.18 High levels of TNF-α have been shown to significantly impair cells' ability to survive.62 Other Eud-based formulations have also previously shown a decrease in TNF-α production.63

IFN-γ alone is not capable of inducing apoptosis in pancreatic cells. This is in combination with TNF-α that it is able to induce apoptosis through STAT1 activation.64 Previous studies have replicated the findings that Eud-Bile acid-based formulations do not significantly alter the levels of IFN-γ.42 Interestingly, other bile acids have been shown to increase IFN-γ levels.65

FXR activation by bile acids, including CDCA, has been shown to stimulate levels of IL-6 as seen in this study.66 Previous work by our laboratory has, however, indicated that CDCA decreased IL-6 as well as IL-1 expression in treated cells.18, 67–70

Conclusion

CDCA-Eud-based metformin formulations exhibited improved stability and release profiles via thermal, chemical, and electrokinetic effects, which were formulation-dependent suggesting potential applications of CDCA in the oral targeted delivery of hydrophilic drugs.

Formulation F4, containing EudRL30D + CDCA showed the most potential. F4 resulted in smooth surface morphology with sizing consistent with other capsules. Drug and bile acid content did not have any statistically significant change between pre and post testing. F4 also showed an increased magnitude of electrokinetic potential with good shell resistance and gut-sinkability. F4 also showed cell survival on par with untreated cells but with increased insulin production and decreased inflammatory cytokine production. F4 also resulted in statistically significant improvement compared to F3 (EudRL30D, no CDCA) suggesting that bile acid content contributed to its improved parameters. Hence, the findings demonstrated advantages of CDCA-based metformin formulations in terms of better stability and release profiles which may result in improved safety profiles and potentially metformin efficacy. Further investigations into Eud-CDCA-based microcapsules are required to gain more insight into their effectiveness as drug excipients. F4 in particular would benefit from further investigation.