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Carbon Nanomaterial-Incorporated Polysaccharide-Based … 205
Fig. 4 Preparation, drug release, and bone tissue repair process and antimicrobial mechanism of HA-CS-C
. Reproduced with permission from Elsevier [79]
60
Dex. The type of bacterial strain that produces Dex determines the degree and kind of branching units at positions 2, 3, and 4. In the natural world, dextransucrase, a lactic acid bacterium enzyme, catalyses the conversionof sucrose’s d-glucopyranosyl residues to Dex which is how most extracellular Dex is made. To create colloid osmotic pressure which allows fluid to be drawn from the interstitial space and into the plasma, Dex substitutes blood proteins like albumins. By lowering blood viscosity and preventing erythrocyte aggregation, Dex 40 can increase blood flow. As a biopolymer, Dex offers several benefits including high solubility, biocompati­bility,biodegradability, and non-immunogenicityfor creating drug-delivery nanopar­ticles [83]. A novel dual drug-loaded system was engineered with the assistance of a layer-by-layer self-assembly method, from anionic GO, cationic polyethyleneimine, and poly-anionic dextran sulphate (GO/PEI/DS). The fabrication of this dual drug­loaded carrier aimed to augment the transdermal administration of anti-cancer drugs. After the oral administration, the average duration of drug residence in the blood­stream was 83.98 ± 3.71 h, whereas with the transdermal route of transportation of therapeutic, the drug residence time extended up to 149.62 ± 6.11 h. Rajeev et al. conducted in vivo pharmacokinetic investigations on Wistar rats which involved both oral and transdermal administration routes. It was observed that the trans­dermal delivery of the dual drug-loaded material led to a sustained and extended period of availability of the drugs in the bloodstream. The results revealed that the developed dual medication-loaded carrier demonstrated pH-tailored controlled and sustained administration profile for both DOX and MTX when administered trans­dermally, in contrast to oral delivery [84]. Hu et al. engineered rGO nanoparticles by employing Dex as a reducing components. In this approach, Dex was forthwith linked to rGO through hydrogen bonds and subsequently self-assembled to generate rGO/ Dex nanoparticle. Addition of rGO with Dex not only enhanced the biocompatibility of resultant material but also effectively improved the accommodation capacity of the anticancer drug, DOX. The fabrication r oute of rGO/Dex and accommodation of DOX within rGO/Dex are displayed in Fig. 5a. Incorporation of an oligopeptide
Tabl e 3 CN-incorporated CS nanocomposite-based drug delivery vehicles
Sl. No CN/CS-based drug
Drug model Characterization Stimuli
delivery vehicle
1 HA1-CS-C60beads Anaesthesinum XRD, FTIR, HPLC,
TEM, SEM
2 5-FU-CS-CQD-Apt 5-FU SEM, Zeta potential,
FTIR, XRD
3 DOX-SWNH/
DCA-HPCHS
DOX Fluorescence, flow
cytometry, confocal microscopy
4 MWCNTs/
gelatin-chitosan
5 CS/TPP/GO Sumatriptan
Ciprofloxacin SEM, FTIR, ATR-IR,
TGA, UV–Vis, EDX SEM, TEM, AFM,
succinate
TGA, XRD, FTIR, EDS, DLS
responsiveness
up to
pH Time %
[79]
18 days
pH 5.4 24 h 71 [80]
7.4 24 h 23
NIR irradiation [39]
pH 7.4 90 min 98 [26]
Drugr References
pH 1.2 More
7.4
substantial release at 7.4
[81]
206 K. M. Sahu et al.
Carbon Nanomaterial-Incorporated Polysaccharide-Based … 207
Fig. 5 a Fabrication path of rGO/Dex and accommodation of DOX within rGO/Dex and b compar­ative analysis of cellular uptake capacity of rGO/DOX/Dex, free DOX, and rGO/DOX/RDex. Reproduced with permission from Elsevier [85]
(RGD) with rGO/DOX/Dex (rGO/DOX/RDex) elevates the intracellular uptake. The comparative analysis of cellular uptake capacity of rGO/DOX/Dex, free DOX, and rGO/DOX/RDex via confocal fluorescence images is represented in Fig. 5b. The proficient cellular uptake and internalization indicate the capability of rGO/DOX/ RDex to enhance targeted cellular absorption, leading to increased intracellular drug accumulation [85]. Several therapeutic administration vehicles based on CN/Dex along with the model drug, drug release time, and release % are detailed in Table 4.

2.5 CN-Incorporated Hyaluronic Acid-Based Nanocomposite

HA, alternatively designated as hyaluronan, is a non-sulphated, anionic glycosamino­glycan (GAG) that is widely distributed in connective and epithelial tissues. An indi­vidual weighing 70 units on average has around 15 g of HA in their body, of which 33 g are spun over (degraded and synthesized) per day. The building blocks of HA
Tabl e 4 CN-incorporated Dex nanocomposite-based drug delivery vehicles
Sl. No CN/Dex-based drug delivery
vehicle
1 rGO/DOX/Dex DOX FTIR, Raman spectra, XPS,
2 GO-CS/Dex DOX FTIR, AFM, TGA, Zeta
3 GQDs-Dex/PNIPAM Buprenorphine DLS, XRD, PL, TEM, SEM,
Drug model Characterization Stimuli responsiveness Drug release References
pH Time %
pH 5.3 38.4 [85] TGA, TEM, DLS, UV–Vis, CLSM, FCM
6.8 48 h 12.7
7.4 7.4
pH 5.0 120 h 49.1 [86] potential, Fluorescence spectra
7.4 28.9
Temperature 7days – [87] Raman spectra
4 GO-DEX-Apt-CUR CUR FTIR, UV–Vis,1HNMR,
FESEM, AFM, TGA, DLS, EDX
pH 5.5 2days 70 [88]
7.4 20–30
5 GO-IONP-CS/DEX DOX TEM, AFM, Zeta potential pH 5.0 168 h 59.20 [89]
7.4 36.49
208 K. M. Sahu et al.
Carbon Nanomaterial-Incorporated Polysaccharide-Based … 209
are D-glucuronic acid and N-acetyl glucosamine groups assembled into an energet­ically stable oligosaccharide by means of β-1,4 and β-1,3 glycoside bond exchange. These distinct disaccharides combine to generate a coiling chain structure that can have lengths up to 10 nm and relative molecular masses between 10 and 1000 kDa. Because of its wide range of molecular weights, HA has developed a variety of elastic qualities that it may use for a range of therapeutic applications. Human tissues have HA half-lives that vary from approximately one day in the epidermis layer to up to seventy days in the vitreous body of the eye [90]. Over the past few years, HA has been employed frequently in the areas of medication development, surgery, and the treatment of arthritis. It has recently gained popularity in medication delivery studies. The key benefits of using HA and its derivatives as sustainable administer drug carriers are its high viscoelastic nature, plasticity, non-immunogenic property, strong biocompatibility, and decomposability. Certain tissues, including the liver, kidney, lymphatic arteries, and the majority of tumour tissues, haveabundant expres­sions of cell surface specialized receptors, which HA and its derivatives may bind to selectively. Their particular affinity to their receptors may be the basis for HA’s targeted administration of medication. Anticancer medicines, proteins, peptides, and nucleic acids can all be delivered via HA and its derivatives [91]. In addition to this, unification of HA with CNs has achievedgreat importance in medicinal applications. A brief summary showcasing different drug delivery platforms based on CN/HA is included in Table 5.
The dual stimuli responsive C
@CTAF/DNA/HA-SS-COOH nanovehicle was
60
designed by Wang et al. to efficaciously integrate the characteristics of both magnetic and glutathione (GSH) reductivesensitivebehaviours. The inclusion of both deshielding and target-specific functionalities in the reduction responsivedisulphide­modified HA-SS-COOH enveloping on C
@CTAF/DNA complexes aims to alle-
60
viate accumulation and control the surface anatomy of the complexes. Complexation with HA-SS-COOH enables a responsive behaviour to mimic a reductive extratu­moral environment. Systematic breaking of disulphide linkages in HA-SS-COOH by glutathione (GSH) achieves this responsiveness, enabling localized medication delivery to HepG2 cells. This innovative approach allows precise control over drug delivery, resulting in a more intelligent and potent targeting mechanism. Figure 6 depicts reduction-sensitive behaviour of C
@CTAF/DNA/HA-SS-COOH [97].
60

2.6 CN-Incorporated Starch-Based Nanocomposite

One of the most prevalent naturally occurring polysaccharides, starch is a semi­crystalline homopolysaccharide made up of chains of amylose and amylopectin that is utilized extensively in the food and pharmaceutical sectors [98]. Starch is the most prevalent carbohydrate in the human diet and is a polymer of glucose monomeric units bound by glycosidic linkages. In nature, starch is mostly used as an energy store. Starch’s abundance, affordability, biocompatibility, and regenerative quality have made it one of the most optimistic biomaterials for a range of biomedical and
210 K. M. Sahu et al.
Fig. 6 Schematic demonstration of reduction responsive behaviour of C60@CTAF/DNA/HA-SS- COOH. Reproduced with permission from ACS [97]
industrial uses in recent times [99]. To make the material biodegradable in nature, starch is utilized as an active ingredient and binder. The factor influencing starch’s binding ability is the granule surface’s porosity and how it interacts with amylase. The binding capability of starch with an underlying material is attributed to the disruption of the crystalline structure within the starch granules. Therefore, when starch and underlying material are bound together, the substance is more biodegrad­able when it is hydrolysed by the carboxymethylation process [100]. Starch-based biopolymers are an appealing and useful class of biodegradable biomaterials due to their low cost of raw ingredients and their simplicity of processing with either stan­dard plastic processing equipment or basic equipment. Amidst the scarcity of oil and the increasing awareness of the environmental issues linked to the widespread usage of polymers generated from petrochemicals, there is a significant push towards the development of starch-based biodegradable materials for both functional and general purposes. Also starch-based biopolymers can be used as practical biomaterials such as transdermal drug deliverypatches, carriers for drug delivery,and bandages for open wounds. However, because of their severe brittleness and innately low water resis­tance, they have limited uses. With an aim to alleviate their physical properties and use, a number of investigationsand techniques have been attempted, including mixing starch with compounds produced from petroleum, incorporating functional plasti­cizers, crosslinking through chemical agents, heat treatment, or photoirradiation, and employing nanocomposites [101]. Some of the starch-based nanocomposite made from starch and CNs which helps in overcoming the drawbacks of pristine starch are
Carbon Nanomaterial-Incorporated Polysaccharide-Based … 211
concisely explained in the following section. A biocompatible and pH stimuli respon­sive drug carrier platform was developed by Pooresmaeil et al. by integrating CMS, GQDs, and Bio-MOF(Zn), to promote the co-delivery of CUR and DOX. Photo­luminescent characteristics of GQDs, biocompatibility of carboxymethyl chitosan (CMS), and porous structural features of Bio-MOFs have jointly inspired to fabricate the therapeutic delivery carrier. According to BET assessment, the diameter of pore size of the Bio-MOF(Zn)@CMS/GQDs was found to be around 4.5 nm. The larger pore diameter contributed to a higher loading of both the drugs. In the in vitro ther­apeutic accommodation analysis, the loading % for CUR and DOX was calculated to be approximately 54.2% and 43.2%, respectively [102]. In another therapeutic release study, a green synthesis procedure was adapted to prepare nanocomposite hydrogel by utilizing CMC, starch, and rGO. These hydrogels were subsequently accommodating the dual nanoemulsions, functioning as pH-responsive administra­tion systems for CUR. It was revealed a more rapid release of CUR at depreciated pH levels. The MTT assay unveiled that higher level of toxicity is possessed by the nanocomposites against MCF-7 cancer cells in comparison to CMC, CMC/rGO, or CUR. Nanocomposites exhibit significant promise as drug carriers for the treatment of terminal cancers, demonstrating the potential for effective therapeutic outcomes with minimal adverse effects [103]. Pooresmaeil et al. used NAP@GQDs@Bio­MOF(Cu) to coat carboxymethyl starch (CMS) and CS-based polymeric matrix to developa therapeutic carrier for Naproxen (NAP). The release results of NAPindicate that CMS@CS provides gastric prevention and serves as a more s uitable drug carrier for targeting the colon. Figure 7 represents the synthesis procedure of CMS@CS/ (NAP@GQDs@Bio-MOF(Cu)). It has the potential to f unction as a sustained and controlled oral administration platform, exhibiting increased administration of NAP under simulated colon conditions [104]. Drug model, characterization technique, drug release %, time, and pH values of few CN/starch-based delivery carriers are displayed in Table 6.

2.7 CN-Incorporated Pectin-Based Nanocomposite

The most complex polysaccharide found in plant cell walls, according to both phys­ical and functional characteristics, is pectin. Plant growth, shape, development, and defence are all impacted by pectin. Pectins are a class of polysaccharides that are rich in galacturonic acid. They include homogalacturonan, rhamnogalacturonan I, and the substituted galacturonans xylogalacturonan (XGA), rhamnogalacturonan II (RG-II), and homogalacturonan (RG-I). Roughly 70% of pectin is constituted by galacturonic acid, which is connected at the O-1 and O-4 positions in all pectic polysaccharides. The poor gelling behaviour of pectin from other sources makes apple pomace and orange peel dual primary originating sources of commercial pectin, even though pectin is found in the cell walls of most plants. Pectin is a significant polysaccharide that finds uses in food, medicine, and several other sectors. Its capacity to form gel when exposed to low pH solutes or Ca
2+
ions is what makes it significant in the food
212 K. M. Sahu et al.
Fig. 7 Synthesis procedure of CMS@CS/(NAP@GQDs@Bio-MOF(Cu)). Reproduced with permission from Elsevier [104]
industry.Pectin finds its application in the food business as jams, jellies, frozen foods, and, more recently, low-calorie meals as a replacement for fat and/or sugar. It is also used in edible films, as a paper alternative, in foams and plasticizers, among other things. Since pectin is used in food industry, this is safe for humans and has biocom­patible and biodegradable properties. Further, pectin is used in the pharmaceutical sector to lower blood cholesterol and treat digestive issues [109, 110].
Aside from the abovediscussed applications, pectin has been tremendously imple­mented in the area of therapeutic delivery to make the carrier more viable in the said application. Wang et al. designed the pectin-based oral colon-specific drug delivery system (OCDDS) with improved and regulated delivery characteristics by accommo­dating 3-aminopropyltriethoxysilane-modified nano-carbon spheres (MNCS) into
2+
the pectin-Ca OCDD surpassed that of pectin-Ca the OCDDSs underwent a transformation where –COOH and –NH tioned to –COOH behaviour proportionate to the presence of –NH COOH and –NH
film. The encapsulation efficiency of all nanocomposite films in the
2+
-based OCDDS. When introduced into the SGF, groups transi-
+
and –NH
2
groups dissociate into –COO−and –NH
2
+
. This conversion contributes to an increased swelling
3
+
. In the SSIF environment, the –
3
+
, respectively, indicating
3
2
a shift in their chemical states. The electrostatic interaction played a crucial function in impeding the resolution of the composite films. The transformation of –NH
occurred when the simulated environmentwas altered to a pH of 7.4, mirroring
–NH
2
+
3
the behaviour of OCDDSs in the SGF. As the reaction occurs at SGF, the dissocia­tion reactions occur in SSIF and SCF conditions. Figure 8 depicts the fabrication and disassociation mechanisms of composite films under distinct pH conditions. They
to
Tabl e 5 CN-incorporated HA nanocomposite-based drug delivery vehicles
Sl. No CN/HA-based drug delivery
Drug model Characterization Stimuli responsiveness Drug release References
vehicle
1 CQD-FA-HA Epirubicin UV–Vis, FTIR, XRD,
HRTEM, XPS, EDX, FESEM
2 HA-CD@p-CBA-DOX DOX UV–Vis, FTIR,1HNMR,
TEM, Zeta potential, CLSM
3 GO–CMC2–FI–HA/DOX FTIR, TEM, Zeta potential,
Confocal microscopic
4 GO–HA/DOX DOX TEM, AFM, FTIR, XRD,
Raman spectra, UV–Vis,
5 EPI-SWCNTs-DSPE-HA Epirubicin1H NMR, UV–Vis, FTIR,
Fluorescence spectra, Raman spectra, TGA, SEM
Carbon Nanomaterial-Incorporated Polysaccharide-Based … 213
pH Time (h) %
pH 5.5 72 86 [92]
7.4 42
pH 5.5 24 Over 50 [93]
6.8
7.4 Less than 20
pH 5.8 12 46 [94]
7.4 96 12
pH 5.2 65 26 [95]
6.3 10.9
7.4 6.8
pH 5.5 12 60 [96]
7.4 48 20
Tabl e 6 CN-incorporated starch nanocomposite-based drug delivery vehicles
Sl.NoCN/Starch-based drug delivery
vehicle
1 CMS@CS/
(NAP@GQDs@Bio-MOF(Cu))
2 Starch/MWCNT-Gl Zolpidem FTIR, TEM,
3 PVA/Starch/GCN Silver-Titania TEM, XRD,
4 Starch–GNS Hydroxycamptothecin UV–Vis, FTIR,
5 Perlite/starch/SWCNTs-glucose CUR FTIR, XRD,
Drug model Characterization Stimuli
Naproxen FTIR, XRD,
BET, PL, SEM, AFM
XRD, FESEM, TGA,UV–Vis, DLS
FTIR
SEM, TEM, AFM, Raman spectra, CLSM, Fluorescence spectra
FESEM, TEM, TGA, DLS, BET
responsiveness
pH 1.2 2 16.04 [104]
pH 7.4 210 complete release [105]
pH Wat er,
pH 2.2 8 15 [107]
pH 4.5 24 Drug
Drug release References pH Time
(h)
6.8 2 71.58
7.4 4
[106] normal saline and simulated wound fluid
4.6
7.4 3
7.5
%
[108] release is more at 7.5
214 K. M. Sahu et al.