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2 I. F. Uchegbu
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Fig. 1.1 Pharmaceutical nanotechnology and its application to medicine. (Prepared using Biorender)
self-assemblies/nanoprecipitates present as nanoparticles of 10–800 nm in diameter. Some nanosystems, such as the polymer drug conjugates (Duncan 2003), present as molecular entities
in solution but on administration behave like a nanoparticle. Inorganic silica and gold nanoparticles are also being increasingly studied. However, both classical self-assembly and controlled and stabilised nanoprecipitation are the phenomenon that underpin most nanomedicines. As such, polar lipids assemble into micelles and liposomes, amphiphilic polymers self-assemble into polymeric
e a
micelles, polymeric vesicles and dens particles
and
hydroph
obic
polymers form nanoprecipitates in the presence of a polar
morphous nanoprecipitates and both drug
amphiphile. The science underpinning these pharmaceutical nanoparticles is now broadly understood, but how do these nanosystem s assist us in drug development. In other words, how is pharmaceutical nanoscience relevant to the treatment of disease?
1.2 Pharmaceutical Innovation
Pharmaceutical nanoscience has led to real pharmaceutical innovation. This inno­vation is exemplied by the development of nanotechnologies that are capable of fundamentally changing the way in which drugs work, with a reduction in side effects and an improvement in therapeutic indices docum ented for some of the early
1 Introduction 3
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Fig. 1.2 Drug delivery across the challenging biological barrier: the blood brain barrier
exponents such as Doxil (a reduction in cardiac toxicities (Gabizon et al. 2003)), Ambisome (a reduction in renal toxicities (Lee et al.
1994, Walsh et al. 1998)) and
Abraxane (a reduction in the hypersensitivity reactions seen with Taxol) (Pellegrino et al. 2017). These nanotechnologies have made drugs safer by directing them mostly to the site of pathology.
While safety is a key benet of the rst crop of nanomedicines, other advantages focusing on pure efcacy are also being pursued. In preclinical settings, there are a number of proof of concept studies that indicate that more nanomedici nes may one day be approved to solve specic drug delivery problems. The evidence in no way points to a certainty, however. One such preclinical proof of concept dataset was advanced by our group. We found that despite the formidable barrier posed by the blood brain barrier (Fig. 1.2), there is eviden ce that some nanomaterials are able to deliver drug molecules across this brain barrier following intravenous injection. As such, peptide analgesic nanobres, which enable peptide delivery to the brain on intravenous administration (Mazza et al. 2013), have been reported. However, using nanoparticles via the intravenous route for neurology therapeutic purposes has not yet progressed to a solid clinical outcome, even in early-stage clinical trials.
Delivery to the brain using nanotechnology and the nose to brain route is a promising alternative strategy and this method of delivery is what underpins Envelta
, an enkephalin-based painkiller currently in development (Godfrey et al.
2017). The nose to brain route is becoming more interesting to those developing
neurology assets, as even genes may be delivered via this route (Fatani et al. 2023).
Nanotechnologies have also been effective at increasing the overall systemic exposure, e.g. by promoting drug absorption via the oral route for example (Siew
2012). So while scientists and drug development specialists seek to achieve real
et al.
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Fig. 1.3 (a) Nanomedicines are used to target drug molecules to largely inaccessible parts of the anatomy such as the brain (1), exclusively to a tumour site (2), the bladder (3). (b) Nanomedicines are used to target drug molecules to the retina using eye drops. (Prepared using Biorender)
drug targeting to the brain, the bladder, tumours and other areas of pathology such as the retina (Fig.
1.3); the majority of proof of concept studies are still at the preclinical
stage and the standout successful application currently lies with the Covid-19 mRNA vaccines (Thomas et al.
2021).
In the 1970s, it was realised that conjugating a hydrophilic polymer to a protein drug resulted in an enlargement in its hydrodynamic diameter, a degree of improved metabolic stability and a resistance to both glomerular ltration and liver clearance (Veronese 2009). By the 1990s, liposomes, which until then had been an academic curiosity, demonstrated that the encapsulation of a hydrophilic drug within the liposomes hydrophilic core could achieve a change in the drugs biodistribution, causing it to accumulate in tumour areas, extravasate the vasculature and avoid heart tissue, the site of a particular drugs toxicity (Gabizon et al. 2003). The net result was the launch of Doxil (liposomal doxorubicin). Finally in 2001, it was discovered that the hydrophobic drug paclitaxel could be stabilised in aqueous media by binding non-covalently to albumin (Paal et al. 2001). Further studies revealed that the albumin coating on nanocrystalline paclitaxel could direct drug to secret ed amino acids rich in cysteine (SPARC) residues (Cortes and Saura 2010). SPARC residues are associated with malignant tissue. In essence, these data underpinned the launch of Abraxane. However, today, there is considerable debate about the use of nanomedicines to passively targe t drugs to tumours in humans as there has been
1 Introduction 5
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poor translation in humans of this nanomedicine tumour accumulation seen in preclinical studies.
There are still efforts to use the functionality of the nanoscale to develop drugs to treat other diseases. One example is the creation of a glucose-responsive insulin delivery systems for the treatment of Type II diabetes (Volpatti et al.
2020) and the
creation of eye drops to treat retinal diseases (Badr et al. 2022).
Apart from the use of nanomedicines to create efcacious therapeutics, there are a few new nanoscale diagnostic modalities that have been launched and much work in this area is aimed at discerning the molecular markers of disease using nanoparticle contrast agents and non-invasive imaging modalities.
It is interesting to note the current move away from merely investigating the impact of particle size on biodistribution and biological properties to a concerted and international effort to investigate the impact of shape on biological properties. Mitragotri (Mitragotri 2009) and DeSimone (Gratton et al. 2008) have shown that the shape of a particle alters the way in which a particle interacts with cells, with rod-like particles being favourably internalised by HeLa cells (Gratton et al.
2008)
and rod-like particles not being internalised by macrophages (Mitragotri 2009; Doshi and Mitragotri 2010). Furthermore our own work has shown that peptide nanobres are excellent systems for the delivery of peptides to the brain via the intravenous route (Mazza et al. 2013). With data from these early studies now rmly presented, there are now ample opportunities for scientists to study how nanoparticle shape (Lalatsa et al.
2012) quantitatively alters drug biodistribution, pharmacological
activity and toxicokinetics; i.e. leading to the new discipline of nanogeometry.
In essence, the last 50 years has seen nanoscience grow up to yield nanotechnol­ogy and eventu ally nanomedicines. This volume serves as an informative introduc­tion to this pharmaceutical innovation.
References
Badr MY, Halwani AA, Odunze U, Eskandarpour M, Calder VL, Schatzlein AG, Uchegbu IF. The
topical ocular delivery of rapamycin to posterior eye tissues and the suppression of retinal
inammatory disease. Int J Pharm. 2022;621:121755. Cortes J, Saura C. Nanoparticle albumin-bound (nab (TM))-paclitaxel: improving efcacy and
tolerability by targeted drug delivery in metastatic breast cancer. EJC Suppl. 2010;8(1):1–10. Doshi N, Mitragotri S. Macrophages recognize size and shape of their targets. PLoS One. 2010;5
(4):e10051. Duncan R. The dawning era of polymer therapeutics. Nat Rev Drug Discov. 2003;2:347–60. Fatani AS, Petkova A, Schatzlein AG, Uchegbu IF. Dose-dependent delivery of genes to the
cerebral cortex via the nasal route. Int J Pharm. 2023;644:123343. Gabizon AA. Pegylated liposomal doxorubicin: metamorphosis of an old drug into a new form of
chemotherapy. Cancer Investig. 2001;19(4):424–36. Gabizon A, Shmeeda H, Barenholz Y. Pharmacokinetics of pegylated liposomal doxorubicin –
review of animal and human studies. Clin Pharmacokinet. 2003;42(5):419–36.
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Godfrey L, Iannitelli A, Garrett NL, Moger J, Imbert I, King T, Porreca F, Soundararajan R,
Lalatsa A, Schatzlein AG, Uchegbu IF. Nanoparticulate peptide delivery exclusively to the brain
produces tolerance free analgesia. J Control Release. 2017;270:135–44. Gratton SE, Ropp PA, Pohlhaus PD, Luft JC, Madden VJ, Napier ME, DeSimone JM. The effect of
particle design on cellular internalization pathways. Proc Natl Acad Sci USA. 2008;105(33):
11613–8. Lalatsa A, Schatzlein AG, Mazza M, Le TB, Uchegbu IF. Amphiphilic poly(l-amino acids) – new
materials for drug delivery. J Control Release. 2012;161(2):523–36. Lee JW, Amantea MA, Francis PA, Navarro EE, Bacher J, Pizzo PA, Walsh TJ. Pharmacokinetics
and safety of a unilamellar liposomal formulation of amphotericin B (AmBisome) in rabbits.
Antimicrob Agents Chemother. 1994;38(4):713–8. Mazza M, Notman R, Anwar J, Rodger A, Hicks M, Parkinson G, McCarthy D, Daviter T, Moger J,
Garrett N, Mead T, Briggs M, Schatzlein AG, Uchegbu IF. Nanober-based delivery of
therapeutic peptides to the brain. ACS Nano. 2013;7(2):1016–26. Mitragotri S. In drug delivery, shape does matter. Pharm Res. 2009;26(1):232–4. Paal K, Muller J, Hegedus L. High afnity binding of paclitaxel to human serum albumin. Eur J
Biochem. 2001;268(7):2187–91. Pellegrino B, Boggiani D, Tommasi C, Palli D, Musolino A. Nab-paclitaxel after docetaxel
hypersensitivity reaction: case report and literature review. Acta Biomed. 2017;88(3):329–33. Siew A, Le H, Thiovolet M, Gellert P, Schatzlein A, Uchegbu I. Enhanced oral absorption of
hydrophobic and hydrophilic drugs using quaternary ammonium palmitoyl glycol chitosan
nanoparticles. Mol Pharm. 2012;9(1):14–28. Thakor AS, Jokerst JV, Ghanouni P, Campbell JL, Mittra E, Gambhir SS. Clinically approved
nanoparticle imaging agents. J Nucl Med. 2016;57(12):1833–7. Thomas SJ, Moreira ED Jr, Kitchin N, Absalon J, Gurtman A, Lockhart S, Perez JL, Marc GP,
Polack FP, Zerbini C, Bailey R, Swanson KA, Xu X, Roychoudhury S, Koury K,
Bouguermouh S, Kalina WV, Cooper D, Frenck RW Jr, Hammitt LL, Tureci O, Nell H,
Schaefer A, Unal S, Yang Q, Liberator P, Tresnan DB, Mather S, Dormitzer PR, Sahin U,
Gruber WC, Jansen KU, C. C. T. Group. Safety and efcacy of the BNT162b2 mRNA Covid-19
vaccine through 6 months. N Engl J Med. 2021;385(19):1761–73. Urits I, Swanson D, Swett MC, Patel A, Berardino K, Amgalan A, Berger AA, Kassem H, Kaye
AD, Viswanath O. A review of patisiran (ONPATTRO®) for the treatment of polyneuropathy in
people with hereditary transthyretin amyloidosis. Neurol Ther. 2020;9(2):301–15. Veronese FM. PEGylated protein drugs: basic science and clinical applications. Basel:
Birkhauser; 2009. Volpatti LR, Matranga MA, Cortinas AB, Delcassian D, Daniel KB, Langer R, Anderson
DG. Glucose-responsive nanoparticles for rapid and extended self-regulated insulin delivery.
ACS Nano. 2020;14(1):488–97. Walsh TJ, Yeldandi V, McEvoy M, Gonzalez C, Chanock S, Freifeld A, Seibel NI, Whitcomb PO,
Jarosinski P, Boswell G, Bekersky I, Alak A, Buell D, Barret J, Wilson W. Safety, tolerance, and
pharmacokinetics of a small unilamellar liposomal formulation of amphotericin B (AmBisome)
in neutropenic patients. Antimicrob Agents Chemother. 1998;42(9):2391–8.
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Part I
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Nanomaterials Fabrication,
Characterisation, and Use
Chapter 2
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Low-Molecular Weight Amphiphiles
Marie-Christine Jones
2.1 Introduction
A compound is said to be amphiphilic when it bears both solvent-loving (lyophilic) and solvent-hating (lyophobic) moieties. In pharmaceutical nanoscience, amphi­philic molecules are dened in relation to their afnity for water and thus, are said to present both hydrophilic and hydrophobic elements. In this chapter, we will focus on low-molecular weight amphiphiles (LMWAs), that is amphiphiles with a molec­ular weight below 1500 Da. Though somewhat arbitrary, this limit is helpful when trying to differentiate LMWAs from polymeric amphiphiles and focus the scope of this chapter.
2.2 Molecular Architecture and Surface Activity
LMWAs can be represented schematically as head-and-tail structures (Fig. 2.1). The headis hydrophilic, can be charged or neutral (non-ionic or zwitterionic) and is covalently bound to the hydrophobic tailwhich often consists of one or two long alkyl chain(s). Double-headed, amphiphilic structures have also been described where the polar heads are covalently bound through a linker (gemini-amphiphiles) or located at both ends of a long hydrophobic chain (bola-amphiphiles) (Bombelli et al. 2009; Lee et al. 2021).
The basic head-and-tail description of amphiphiles suggests well-dened hydro­philic and hydrophobic regions, which is true for some, but not all LMWAs. Still,
M.-C. Jones (*) School of Pharmacy, College of Medicine and Health, University of Birmingham, Birmingham, UK
© The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2024 I. F. Uchegbu et al. (eds.), Fundamentals of Pharmaceutical Nanoscience,
https://doi.org/10.1007/978-3-031-59478-6_2
9
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Fig. 2.1 Schematic representation of ( a) single-tail, (b) double-tail, (c) gemini and (d) bola LMWAs
this description is useful to explain the basic behaviour of many amphiphiles at surfaces and interfaces and why many are referred to as surfactants. In water, at low concentrations, amphiphilic monomers will naturally orient themselves to maximise the interaction between the polar head and water, and between the hydrophobic tail and air or an apolar solvent (Florence 2011; Wang et al. 2012). This ability to reduce surface or interfacial tension explains why LMWAs are used as wetting agents, emulsiers, or stabilisers in pharmaceutical and biologic drug formulations, but also why many are haemolytic (Ghosh et al. Sheskey et al. 2020). Surface-activity
2020; Manaargadoo-Catin et al. 2016;
will depend on many factors; structures with a long, linear hydrophobic tail and a single neutral or zwitterionic polar head positioned at the end of the tail tend to be better surfactants (Florence
2011).
2.3 Self-Assembly of Low-Molecular Weight Amphiphiles
In dilute aqueous solution s, LMWAs can associate to form various supramolecular structures that allow the hydrophobic tail(s) to be shielded from water. Conse­quently, most assemblies wi ll be characterised by hydrophobic domains sheltered behind a shell formed by the polar heads. Some structures (e.g. micelles) form spontaneously, while others (e.g. liposomes) require a small input of energy to disperse the amphiphile in water (Ghosh et al. 2020).
The self-assembled structures formed by LMWAs are stabilised by weak non-covalent forces, often combining hydrophobic van der Waals interactions and hydrogen bonding (Florence 2011; Lombardo et al. 2015). For ionisable and aro­matic LMWAs, electrostatic and π-π interactions can also contribute to the formation of stable assemblies (Zhao et al. 2017). The relative contribution of each of these forces will depend on the molecular chemistry of the amphiphile.
Small spherical micelles (5–10 nm) are the most common, and often the most stable, supramolecular arrangement for LMWAs. However, the molecular geometry of the amphiphile may impose some restrictions on packing, resulting in non-spherical assemblies that can accommodate both the tails and heads more
2 Low-Molecular Weight Amphiphiles 11
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Table 2.1 Impact of amphiphile geometry on aggregate morphology
a
Maximum aggregation number
comfortably (Table 2.1). The morphology adopted by LMWAs in water will depend on the relative size of the hydrophilic and hydrophobic moieties and can be predicted using Israelachvilis critical packing parameter (CPP, Eq. 2.1):
v
CPP ¼
where v length) of the hydrophobic tail and a of v and branching; a
and lc are the volume and critical length (ca. 80–90% of full extended
0
0
will vary depending on the number of tails, the presence of unsaturated bonds
0
will depend on the degree of hydration of the polar head and, for
0
a0l
0
c
ð2:1Þ
is the area of the hydrophilic head. The value
charged amphiphiles, on the degree ionisation (Israelachvili 1985; Israelachvili et al.
1976).
For spherical micelles to form, the radius of the micelle core cannot exceed the value of l
; this condition is only met when CPP 1/3, which applies to most single-
c
tailed surfactants with a relatively large polar head. For LMWAs with a slightly smaller polar head relative to the tail and thus, larger CPP (1/3 CPP 1/2), self-assembly will result in cylindrical, rod-shaped, or worm-like micelles. These elongated micelles have hemi-spherical ends and can be obtained through the dehydration of a non-ionic polar head (heating or cosolvent addition) or increasing the amphiphile concentration (Ghosh et al. 2020). In comparison, for ionic LMWAs, sphere-to-rod transitions can be induced by changing the ionic strength or pH of the aqueous phase (Chaudhuri et al.
2012; Sterpone et al. 2009; Velinova et al. 2011).
The formation of worm-like micelles causes the viscosity of the solution to increase, a property that is exploited in the formulation of hydrogels. Both spherical and cylindrical micelles have been used for drug delivery. Interestingly, it has been