Enhanced and sustained topical ocular delivery of cyclosporine A in thermosensitive hyaluronic acid-based in situ forming microgels

Int J Nanomedicine. 2013:8:3587-601. doi: 10.2147/IJN.S47665. Epub 2013 Sep 20.

Abstract

For nearly a decade, thermoresponsive ophthalmic in situ gels have been recognized as an interesting and promising ocular topical delivery vehicle for lipophilic drugs. In this study, a series of thermosensitive copolymers, hyaluronic acid-g-poly(N-isopropylacrylamide) (HA-g-PNIPAAm), was synthesized, by coupling carboxylic end-capped PNIPAAm to aminated hyaluronic acid through amide bond linkages, and was used as a potential carrier for the topical ocular administration of cyclosporine A (CyA). The lower critical solution temperature of HA-g-PNIPAAm59 in aqueous solutions was measured as 32.7°C, which was not significantly affected by the polymer concentration. Moreover, HA-g-PNIPAAm59 microgels showed a high drug loading efficiency (73.92%) and a controlled release profile that are necessary for biomedical application. Transmission electron microscopy (TEM) and atomic force microscopy (AFM) observations showed that HA-g-PNIPAAm microgels were spherical in shape with homogeneous size. Based on the result of the eye irritation test, the HA-g-PNIPAAm microgels formulation was shown to be safe and nonirritant for rabbit eyes. In addition, HA-g-PNIPAAm microgels achieved significantly higher CyA concentration levels in rabbit corneas (1455.8 ng/g of tissue) than both castor oil formulation and commercial CyA eye drops. Therefore, these newly described thermoresponsive HA-g-PNIPAAm microgels demonstrated attractive properties to serve as pharmaceutical delivery vehicles for a variety of ophthalmic applications.

Keywords: cyclosporine A; hyaluronic acid; ophthalmic drug delivery; thermosensitive microgels.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Administration, Ophthalmic
  • Animals
  • Capsules / adverse effects
  • Capsules / chemical synthesis*
  • Cyclosporine / administration & dosage*
  • Cyclosporine / adverse effects*
  • Cyclosporine / chemistry
  • Delayed-Action Preparations / administration & dosage
  • Delayed-Action Preparations / adverse effects*
  • Delayed-Action Preparations / chemical synthesis*
  • Endophthalmitis / chemically induced*
  • Endophthalmitis / pathology
  • Gels / chemistry
  • Hyaluronic Acid / adverse effects
  • Hyaluronic Acid / chemistry*
  • Immunosuppressive Agents / administration & dosage
  • Immunosuppressive Agents / adverse effects
  • Immunosuppressive Agents / chemistry
  • Rabbits
  • Temperature

Substances

  • Capsules
  • Delayed-Action Preparations
  • Gels
  • Immunosuppressive Agents
  • Cyclosporine
  • Hyaluronic Acid