International Journal of Pharmaceutics 403 (2011) 268–275
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International Journal of Pharmaceutics
journal homepage: www.elsevier.com/locate/ijpharm
Pharmaceutical Nanotechnology
In vitro and in vivo evaluation of anti-inflammatory agents using nanoengineered
alginate carriers: Towards localized implant inflammation suppression
Rahul Dev Jayant
a
, Michael J. McShane
b
, Rohit Srivastava
a,∗
a
Department of Biosciences and Bioengineering, Indian Institute of Technology Bombay (IIT Bombay), Powai, Mumbai 400076, India
b
Biomedical Engineering Department & Materials Science and Engineering Program, Texas A & M University, College Station, TX 77843-3120, USA
article info
Article history:
Received 1 September 2010
Received in revised form 19 October 2010
Accepted 19 October 2010
Available online 2 November 2010
Keywords:
Alginate
Microspheres
Controlled release
Anti-inflammatory drugs
Layer-by-layer (LbL)
abstract
The aim of this research was to develop nanoengineered alginate microspheres for localized delivery of
anti-inflammatory drugs (dexamethasone and diclofenac sodium) for implantable “Smart tattoo” glucose
biosensor used for continuous glucose monitoring. The formulation was prepared and characterized for
in vitro drug release from uncoated and polyelectrolyte-coated microparticles. Biocompatibility was then
tested using L929 cell-line; pilot in vivo studies with Sprague–Dawley (SD) rat subjects were performed
to test the suppression of inflammation and fibrosis associated with implantation and was analyzed using
standard hematoxylin and eosin staining method. The drug-loaded microspheres were able to deliver the
drug for 30 days at a controlled rate with zero-order kinetics. The layer-by-layer self-assembly technique
was used to effectively limit the burst release of drug from the matrix. Cell culture studies prove that
the material are not cytotoxic and showed acceptable >80% cell viability in all the tested samples. In vivo
studies show that both drugs were successful in controlling the implant/tissue interface by suppressing
inflammation at the implant site. It was clearly evident that the combined approach of drug loaded carriers
along with implanted biosensor shows promise in improving sensor biocompatibility and functionality.
Thus, suggesting potential application of alginate microspheres as “smart-tattoo” glucose sensors.
© 2010 Elsevier B.V. All rights reserved.
1. Introduction
Currently, most diabetics measure their blood glucose concen-
trations by intermittent “finger-prick” capillary blood sampling,
a method that is painful and uncomfortable. The development of
technology for minimally or non-invasive and continuous glucose
sensing is, therefore, considered a priority in diabetes care (Abel
and Woedtke, 2002). Interest in implantable biosensors has gained
popularity owing primarily to the continuous monitoring capa-
bility that aids in identifying trends in glucose excursions, and
enables patients to take pre-emptive action to avoid dangerous
hypoglycemia. Continuous blood glucose monitoring is also becom-
ing a more integral part of diabetes management for understanding
specific patient glucose patterns and aids in determining dosage
frequency and time of administration of insulin dosage. However,
there are significant problems with the performance of commer-
cially available subcutaneously implanted in vivo glucose sensors,
including inaccurate results, low precision, and requirements for
frequent calibration (Pickup, 2004; Gilligan et al., 2004).
∗
Corresponding author. Tel.: +91 22 25767746; fax: +91 22 25723480.
E-mail address: rsrivasta@iitb.ac.in (R. Srivastava).
Another key issue with the use of these devices is the series of
inflammatory events generated in response to tissue injury dur-
ing implantation. This generally results in compromised device
functionality and subsequent device failure (Sharkawy et al., 1997,
1998a,b). During the initial acute response, fluid carrying plasma
proteins and inflammatory cells migrate to the implanted site. In
many cases, proteins adsorb to the implant surface and then phago-
cytic cells (neutrophils, monocytes and macrophages) surround the
biosensor, affecting its functionality (Anderson, 2001). Phagocyto-
sis is the foremost body defense occurring upon implantation, since
for large implants phagocytosis is not possible, the cells attack these
implants by the release of reactive oxygen species and enzymes that
are intended to degrade the implant. The exact timing, action, and
intensity of the process are dependent on the nature of the foreign
body, size, shape, and physical and chemical properties (Gerritsen,
2000). The acute response lasts about three days, after which a
chronic inflammatory response may set in or a modified version of
the healing process begins (Anderson, 2001; Gerritsen, 2000). Even-
tually, a fibrotic capsule is formed, which is a characteristic feature
of the steady-state foreign body response. Fibrous encapsulation
can impede transport of glucose and fluid to sensor causing com-
promised device functionality. Calcification and protein fouling of
implanted biosensors may occur (Wisniewski and Reichert, 2000;
Wisniewski et al., 2000) and these processes induce the outer mem-
0378-5173/$ – see front matter © 2010 Elsevier B.V. All rights reserved.
doi:10.1016/j.ijpharm.2010.10.035