Abstract
Atorvastatin, a favored option for hyperlipidemia exhibits the problem of poor gastric solubility and low absolute bioavailability (12%) along with higher pre-systemic clearance (>80%). Therefore, to circumvent these limitations, atorvastatin nanocrystals were prepared using poloxamer-188 as stabilizer via high pressure homogenization technique followed by lyophilization. Various variables like drug to poloxamer-188 ratio, homogenization cycle, homogenization pressure, type and concentration of cryoprotectant were optimized to achieve uniform nanosized crystals with good dispersibility. Solid state characterization by ATR-FTIR and DSC revealed no incompatible physicochemical interaction between drug and excipients in formulation while DSC and PXRD collectively corroborated the reduced crystallinity of drug in nanocrystals. Size analysis and SEM confirmed nanometric size range of nanocrystals (225.43 ± 24.36 nm). Substantial improvement in gastric solubility (~40 folds) and dissolution rate of drug in nanocrystals was observed. Pharmacokinetic study in wistar rats revealed significant improvement in oral bioavailability (~2.66 folds) with atorvastatin nanocrystals compared to pure drug. Furthermore, reduction in serum total lipid cholesterol, LDL and triglyceride content justified the effectiveness of formulation at 50% less dose of atorvastatin along with improved plasma safety profile in comparison of pure drug. In conclusion, atorvastatin nanocrystals are safe and efficacious drug delivery system confirming potent competence in treatment of hyperlipidemic conditions with ease of scalability for commercialization.
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Introduction
Hyperlipidemia is an idiopathic medical condition arising due to abnormal increase in blood lipids including cholesterol, triglycerides and lipoproteins. It is globally a leading cause of cardiovascular disorders due to formation of atherosclerotic plaque responsible for blockage of uniform blood flow to brain, limbs as well as heart. Several studies have established the correlation between hyperlipidemia and cardiovascular disorders like ischemia, stroke, coronary artery and peripheral vascular disease in today’s era1. Atorvastatin is a commonly prescribed statin clinically to reduce elevated level of low density lipoproteins (LDL) cholesterol. It is a competitive inhibitor of HMGCoA reductase involved in biosynthesis of hepatic cholesterol. Inhibition of HMGCoA reductase increases the expression of low density lipoprotein receptors on hepatocytes which facilitates higher LDL uptake and decreases level of LDL cholesterol2,3. However, poor solubility, hepatic first pass metabolism, low absolute (12%) and systemic (30%) bioavailability along with higher pre-systemic clearance (>80%) limits its therapeutic efficacy4. Food also interferes with rate of absorption (~25%) and extent of absorption (~90%) without affecting LDL-cholesterol lowering efficacy of atorvastatin5. Moreover, prolonged use of atorvastatin at high doses enhances susceptibility to severe muscular toxicity like rhabdomyolysis which hinders its wide spread clinical usage6.
Commonly utilized strategies for improving solubility and dissolution rate of poorly soluble drugs like atorvastatin involve the use of solubilizers, micronization/nanosizing or transformation of crystalline form to amorphous state7. Although, amorphous solids are less stable due to their higher Gibb’s free energy and entropy. Similarly, formulations prepared using higher amount of solubilizers like self emulsifying formulations are not always safe8. A variety of colloidal carriers like nanoparticles9,10,11, nanostructured lipid carriers12, liposomes13, self-emulsifying nanoformulations14, reconstituable spray dried ultra-fine dispersion15 and lyophilized dry emulsion tablets16 have been reported in literature for improving bioavailability and circumscribing the complications associated with atorvastatin pharmacotherapy. However, most of formulations reported are confined either to pharmacokinetic or pharmacodynamic study and deficient in comprehensive details of pharmacokinetic, pharmacodynamic and safety profile. Additionally, poor drug loading capacity, premature drug release, biocompatibility and biodegradability issue of carrier materials as well as difficulty in scalability due to complex manufacturing steps limit their clinical translation.
Recently, nanocrystals have received intense attention as nanotechnology coupled approach to enhance solubility and bioavailability of poorly soluble drugs with extensive commercial eminence due to high drug loading efficiency17. Nanocrystallization techniques like milling, precipitation and high pressure homogenization are commonly utilized to prepare nanocrystals. These techniques benefit the most drugs with high crystal lattice energy and solubility less than 200 µg/ml18. Among various nanocrystallization techniques, high pressure homogenization technique is a simple, faster, easily scalable and applicable universally for variety of materials19. The reduction of particle size in nanometer or submicron range by high pressure homogenization technique dramatically increases effective surface area of particles for interaction with solvent and enhances their saturation solubility and dissolution rate10,20. The significant amplification of Gibb’s free energy during nanosizing subsequently facilitates agglomeration of particles to achieve stabilization. Thus, a barrier or stabilizer use becomes essential to ensure sufficient steric or electrostatic repulsion between particles to achieve long term stability of formulation21. A stabilizer adsorbed on particle surface stabilizes morphology and size as well as can also amend in vivo performance of nanocrystals. Cellulosic polymers (HPC, HPMC, polyvinyl pyrrolidone), poloxamers (PF-68, PF-127), polyethylene glycol, cyclodextrins and surfactants (spans, Tween-80, sodium dodecyl sulfate) have been widely utilized to stabilize colloidal systems alone or in combination as per available literature reports17,22,23. Cellulosic polymers being non-toxic and non-irritant can be used to prepare nanocrystals to be delivered by various routes24. Their stabilizing efficiency varies according to their molecular weight and viscosity and usually need assistance of surfactants to achieve the desired product23,25. However, selection of higher amount of solubilizers like Tween-80, cremophore EL etc may cause hypersensitivity and pain in many patients26. Thus, selection of suitable type and amount of stabilizer for development of nanocrystals is most challenging and critical step. Among the stabilizers, poloxamers due to their amphiphilic nature offers better dispersibility and stability to colloidal nanocarriers21. Furthermore, poloxamers like poloxamer-188 and 407 have been endorsed as GRAS excipients by USFDA due to biocompatible and non-toxic property to mammalian cells.
Consequently, high pressure homogenization technique to tailor atorvastatin nanocrystals was employed in present study with a goal of improving atorvastatin’s bioavailability and safety. The primary aim of this study was nanonization of atorvastatin, its characterization and evaluation for bioavailability, safety and antihyperlipidemic potential in wistar rats.
Results and Discussion
Optimization of atorvastatin nanocrystals formulation
Nanosizing of drug particles often requires high energy input. Therefore, high pressure homogenization technique was utilized to formulate atorvastatin nanocrystals. It was observed that nanosizing of atorvastatin by high pressure homogenization showed significantly smaller average particle size along with uniform particle size distribution and better dispersibility in presence of poloxamer 188 as stabilizer compared to its absence (Table 1). This might be due to physical adsorption of stabilizer over the new surfaces generated during nanosizing which subsequently reduced high surface free energy by stearic stabilization and prevented recoalescence of nanosized particles23,27.
Subsequently, the concentration of poloxamer 188 was further optimized to achieve desirable particle size with good dispersibility. The average particle size and polydispersity index ranged 225.43 ± 24.36 nm to 914.34 ± 21.32 nm and 0.26 ± 0.03 to 0.92 ± 0.04 respectively on altering drug: poloxamer ratio from 1:5 to 1:2. It was observed that increase in concentration of poloxamer 188 facilitated smaller size particles (Table 1). The outcomes of study established that adsorption of hydrophobic domains of poloxamer 188 and micellar structure formed by hydrophilic domains (poly-ethylene oxide chains) impeded aggregation and crystal growth28. Higher average particle size and polydispersity index of batches prepared with lower concentration of stabilizer confirmed the insufficiency of poloxamer 188 to reduce the surface free energy of new surfaces generated and their growth into bigger crystals. However, further increase in stabilizer concentration relative to drug had led to genesis of larger size particles due to increased viscosity of system counteracting the shear forces experienced by formulation during homogenization (Table 1)26.
Process parameters like hydraulic homogenization pressure and number of cycles had also showed significant effect on particle size and polydispersity index (Table 1). Homogenization pressure disrupted large particles and their aggregates simultaneously due to induced phenomenon of cavitation, shear and turbulence in Microfluidizer (M-110P; Microfluidics, MA, USA). Thus, provides large surface area for stabilizer to be adsorbed and form micellar structures. Significant nanosizing of drug was observed on increasing the homogenization pressure from 250 bars to 1000 bars. However, no remarkable effect on particle size diminution was observed beyond 1000 bars. This might be attributed to high energy input at higher homogenization pressure contributing to re-aggregation of particles causing stagnancy in downward trend of particle size reduction29. Similarly, increase in homogenization cycles from 10 to 20 cycles had reduced the average particle size of nanocrystals significantly along with their PDI. Increasing number of homogenization cycles increases the probability of particles to pass through the zone of higher power density in Microfluidizer and thus greater diminution of particle size. However, further increase in homogenization cycle i.e. above 20 cycles had no marked effect on particle size and PDI. Homogenization cycles also had not showed any considerable effect on zeta potential of nanocrystals. During homogenization at higher homogenization pressure (>1000 bars) and large number of cycles (>20 cycles), recoalescence rate increased. Higher particles collision rate compared to physical adsorption rate of stabilizer over the newer surfaces generated might have contributed to enhanced recoalescence. Thus, increased energy input had increased the particle size rather than the expected smaller sizes30,31. Good yield (89.23 ± 5.64% to 94.23 ± 3.98%) and atorvastatin content (97.01 ± 5.21% to 99.56 ± 3.86%) was achieved for all batches. However, inconsiderable reduction in both yield and drug content might be due to processing losses occurring during atorvastatin nanocrystal production. Drug content of all batches prepared was within ± 5% of theoretical amount which indicated suitability and reproducibility of atorvastatin nanocrystal preparation method. Finally, optimized formulation was prepared by homogenizing drug to poloxamer ratio 1:5 for 20 cycles at 1000 bars for further studies.
Cryoprotectant selection
Lyophilization of aqueous dispersion of nanocrystals was performed to transform them into stable and easily re-dispersible dry state. Therefore, various cryoprotectants at different concentrations were screened to prevent crystal growth and facilitate ease of re-dispersibility of nanocrystals upon reconstitution with water. It was observed that both type as well as concentration of cryoprotectant affected the particle size, zeta potential and PDI of re-dispersed formulation (Table 2). Moreover, higher particle size and PDI was perceived for formulations lyophilized at lower concentration of cryoprotectant i.e. 5% w/v of mannitol or trehalose or lactose on re-dispersion indicating aggregation and crystal growth during process of freeze drying. Formulations lyophilized with 10% w/v mannitol showed ease of redispersion without agglomerates. The ability of cryoprotectant to protect formulation from aggregation followed the order mannitol > trehalose > lactose (Table 2). Slight increase in particle size was observed during freeze drying even with optimal mannitol concentration (10% w/v) although increase in particle size and PDI was not significant compared to freshly prepared formulations. Such increase in particle size during lyophilization might be contributed by thermodynamic tendency of particles to aggregate during freeze drying even though osmotic activity of mannitol counteracts to a great extent. The results of present study are consistent with earlier published results32. Eventually, the optimized formulation lyophilized using mannitol (10% w/v) as cryoprotectant was selected for further studies.
ATR-FTIR
ATR-FTIR spectrum of pure atorvastatin exhibited distinctive peaks at 3362.72 cm−1 due to N-H stretching, 3241.51 cm−1 due to symmetric O-H stretching, 2971.04 cm−1 due to CH-stretching, 1649.52 cm−1 due to asymmetric C=O stretching, 1580.85 cm−1 and 1515.31 cm−1 result from N-H bending and C-N stretching of C-N-H group, 1430.01 cm−1 and 1376.76 cm−1 due to O-H bending and C-O stretching of carboxylic acid and 1217.51 cm−1 due to aromatic C-N stretching. Poloxamer 188 showed an intense overlapped band at 1097.66 cm−1 due to asymmetric C-O-C stretching. Spectrum of atorvastatin nanocrystals exhibited characteristic peak of atorvastatin at 3232.87 cm−1, 1646.77 cm−1 and 1513.59 cm−1 due to symmetric O-H stretching, asymmetric C=O stretching and C-N-H group respectively as well as poloxamer 188 at 1097.92 cm−1 due to asymmetric C-O-C stretching. Comparison of spectrum of atorvastatin with atorvastatin nanocrystals exhibited no remarkable difference in position of peaks for atorvastatin confirming the compatibility of drug with excipients in formulation. However, concomitant decline in the intensity of respective peaks designated for atorvastatin was observed in spectrum of formulation due to dilution effect of higher concentration of poloxamer 188 in formulation (Fig. 1A).
Thermal analysis
Thermal studies were performed to evaluate additional properties of drug alone and in naocrystal formulation (Fig. 1B). Atorvastain showed a characteristic sharp endothermic peak at 154.17 °C whereas poloxamer 188 exhibited broad endothermic peak at 57.72 °C. Poloxamer 188 based atorvastatin nanocrystals exhibited characteristic peaks at 54.77 °C and 144.56 °C which respectively symbolized the presence of poloxamer 188 and drug in formulation. The decrease in melting point might be contributed by reduction in crystal size and crystal lattice energy of atorvastatin in nanocrystals due to incorporation of drug in hydrophobic domain of micelles formed by stabilizer33,34.
PXRD analysis
Diffractograms of atorvastatin, poloxamer 188 and optimized formulation are presented in Fig. 1C. The unprocessed atorvastatin showed characteristic intense and sharp diffraction peaks at 2θ values between 11 and 32° indicating its crystalline behavior. The presence of characteristic peaks of atorvastatin in diffractogram of optimized formulation represented that high-pressure homogenization did not disturb the drug crystallinity. However, peak broadening along with reduction in peak intensity indicating reduced crystallinity of drug was observed due to complete surface coverage of drug particles by poloxamer 18835,36. The results of thermal and diffraction studies ensured the reduced crystallinity of drug in nanocrystals which might have attributed to its enhanced solubility and dissolution.
Morphology
SEM images of pure drug divulged irregular crystalline shape of particles in the size range of 2 to 3 µm. While optimized formulation exhibited homogeneous cubical shaped nanocrystals in a size range of 170–240 nm (Fig. 1D). Imaging results are in good agreement with mean particle size and PDI determined by NanoZS Malvern indicating that all formulation and process variables had been suitably optimized. It also indicated that inclusion of poloxamer 188 only stabilized the crystals in their nanosized physical state without altering the crystallinity of drug37.
Solubility studies
The aqueous solubility of atorvastatin and optimized lyophilized formulation in water, HCl buffer pH 1.2 (simulated gastric pH) and phosphate buffer pH 6.8 (simulated intestinal pH) are shown in Table 3. Improved saturation solubility of drug by nanosizing using poloxamer-188 as stabilizer was observed at pH 1.2 (~40 folds), pH 6.8 (~20 folds) and water (~18 folds). This tremendous rise in solubility of atorvastatin showed excellent affinity between atorvastatin and poloxamer 188 to form molecular dispersion responsible for changing solubility equilibrium and saturation solubility of drug. Furthermore, improvement in drug solubility was contributed by nanosizing of atorvastatin in presence of stabilizer which provided stable atorvastatin nanocrystals with higher surface area for interaction with aqueous phase facilitating improved wetting and dispersibility38.
Dissolution studies
In vitro release study bestows practical comprehension into expected in vivo behavior of developed dosage form. Atorvastatin nanocrystals showed burst cumulative drug (~40%) release in 2 h followed by prolonged release upto 12 h (Fig. 2). This elevated rate of atorvastatin release might be contributed by stable nanosize of optimized formulation leading to poor agglomeration of nanocrystals, good wetting and dispersibility. The presence of stabilizer at interface of drug and aqueous phase also reduced surface tension between them by interaction of ether oxygen of polyethylene oxide blocks of poloxamer 188 via hydrogen bonding with water molecules21. However, prolonged release might be attributed to formation of multimolecular micelles of poloxamer 188. Hydrophobic domain of micelles might have interacted with atorvastatin via Van der Waals forces and slowed down partitioning and diffusion of drug from the core multimolecular micelles39.
Stability studies
Optimized formulation stored at room and accelerated temperature respectively for 6 months was assessed for physical and chemical stability to identify the stability boundaries in support of its storage recommendation. The results of stability study of samples stored at room temperature showed no remarkable change in particle size, PDI and atorvastatin content. However, considerable alteration in particle size and PDI was detected following 6 months of storage at accelerated conditions (Table 4). The crystal growth on storage at 40 °C might be contributed by Ostwald ripening40. Although drug content remained above 95% at both storage conditions indicating that lyophilized atorvastatin nanocrystals were stable with no drug degradation. Furthermore, results confirmed that use of high pressure homogenization technique for nanosizing of atorvastatin had not affected the chemical stability of atorvastatin.
Pharmacokinetics
Plasma concentration time profile of atorvastatin suspension and optimized formulation after single oral dose equivalent to 20 mg/Kg atorvastatin have been co-plotted in Fig. 3 while pharmacokinetic parameters are presented in Table 5 respectively. Relatively higher Cmax (2.19-fold) and AUC0–24 (2.66-fold) of atorvastatin nanocrystals confirmed higher rate and extent of absorption compared to atorvastatin suspension. Improved solubility and dissolution rate of atorvastatin offered by optimized formulation might have contributed high drug concentration gradient between GIT and blood vessels which accounted for higher atorvastatin plasma concentration22. Furthermore, poloxamers potential of permeability enhancement by altering micro-viscosity of cellular membrane also contributed to higher bioavailability41. Immediate absorption depicted by significantly lower Tmax and higher plasma concentration at all time points in 24 h profile of atorvastatin nanocrystals was observed compared to atorvastatin suspension. Oral administration of atorvastatin nanocrystals extended elimination half-life and MRT (1.42-fold) of atorvastatin compared to atorvastatin suspension indicated slower systemic clearance. This might be contributed by substantial lymphatic absorption of nanocrystals via paracellular pathways and phagocytosis of colloidal sized particles across the GIT where atorvastatin nanocrystals might dissolve slowly and diffuse down the concentration gradient to reappear in blood over several hours similar to classical redistribution42.
Various strategic approaches for enhancement of atorvastatin bioavailability, a prerequisite for the success of atorvastatin formulation are available in literature. However, some of them has narrow accomplishment to enhance the absorbed fraction of the atorvastatin dose like spray drying (~1.98 fold)11, self-emulsifying system (~1.93 fold)14, nanosuspension (~1.55 fold)14, gastro-resident formulation (~1.68 fold)43, solid self-emulsifying system (~2.16)44, submicron emulsion (~2.58 fold)45, solid dispersion with polyvinylpyrrolidone vinyl acetate (~1.38 fold)46 or hydroxypropyl methyl cellulose (~1.68 fold)47. In present study, atorvastatin processed with highly hydrophilic polymer i.e. poloxamer 188 augmented bioavailability enhancement consistent to relative boost of dissolution of atorvastatin nanocrystals. The outcomes of pharmacokinetic study of atorvastatin nanocrystals disclosed promising prospective of nanosizing in atorvastatin delivery with a sense of control over atorvastatin plasma concentration for prolonged period as disclosed by 2.66-fold higher relative bioavailability compared to pure drug.
In vivo efficacy
In the present study, high fat diet was used to induce hyperlipidemia. Since prolonged consumption of high fat may create diverse pattern of hyperlipidemia due to increased synthesis of triglycerides along with inhibition of β-oxidation of fatty acids which consequently leads to accumulation of excess triglycerides in liver. Such idiosyncrasies in lipid metabolism are typically corelated with cardiac disorders, obesity and related diseases48,49.
During high fat diet containing egg yolk and lard as source of saturated fatty acid, weight gain, serum total cholesterol and LDL level was significantly high in control group. However, remarkable reduction in total cholesterol, LDL, VLDL and triglyceride (TG) level was observed on oral treatment with drug and optimized formulation at p < 0.05 compared to control group (Table 6). This was contributed due to inhibition of expression of HMG-CoA reductase involved in catalysis of a rate limiting step in cholesterol synthesis. The effect of optimized formulation on lowering serum lipid level was significantly equal to crude drug at 50% less dose of atorvastatin. This might be attributed by the nanosize and presence of poloxamer 188 on the surface of nanocrystals facilitating enhanced endocytic uptake42. Furthermore, the inhibitory effect of poloxamer 188 on P-glycoproteins and CYP3A4 enzymes as well as capability of changing microviscosity of cellular membrane might have improved cellular uptake of atorvastatin21,50. Thus, enhanced in vivo efficacy of optimized formulation might be attributed by improved uptake, prolonged circulation of nanocrystal in blood and sustained release behavior of formulation maintaining therapeutic drug concentration systemically with prolonged inhibitory effect on HMG-CoA reductase involved in lipid synthesis.
Safety evaluation
Prolonged clinical use of atorvastatin often imparts skeleton muscle myopathy, myalgia progressing to rhabdomyolysis due to its accumulation in non-hepatic tissues. Therefore, plasma level of various biomarkers like creatinine kinase (CK), lactate dehydrogenase (LDH), creatinine and urea were estimated to diagnose skeleton muscle toxicities in rats treated with drug and formulation for 2 weeks. No significant change in creatinine kinase level was obtained in both drug and formulation treated groups. Although significant elevation of LDH, creatinine and urea plasma level were observed in drug treated group compared to formulation (Table 6). Improved safety profile of atorvastatin nanocrystals might be accredited to lower atorvastatin dose and their sustained release behavior which also protected drug from rapid metabolism. Thus, ameliorated lipid lowering potential of atorvastatin nanocrystals at half of dose documented in literature for various reported formulations like re-constituable spray dried ultra-fine atorvastatin dispersion15, lyophilized dry emulsion tablets16 and atorvastatin solid dispersion51 with good safety index confirmed the suitability and novelty of formulation in regulating hyperlipidemia.
Histopathological evaluation of liver of formulation treated animals also revealed lower accumulation of lipid droplets in liver tissues compared to drug treated and control animals. Numerous fat droplets and severe vascular changes in liver tissues of control group animals were observed (Fig. 4). No significant change in liver cells was observed in all treated groups confirming no harmful effect of drug and formulation respectively.
Materials and Methods
Materials
Atorvastatin and poloxamer 188 were obtained as gratis sample from Merck (Mumbai, India) and Jubilant Life Sciences Ltd. (Noida, India) respectively. Lactose, mannitol, trehalose, potassium dihydrogen ortho phosphate and disodium hydrogen ortho phosphate were purchased from S.D Fine chemicals Ltd. (Mumbai, India). HPLC grade acetonitrile and water was purchased from Merck Life Science Pvt. Ltd. Double distilled water was used all over the study.
Preparation of atorvastatin nanocrystals
Briefly, atorvastatin was dispersed in aqueous solution of poloxamer 188 using ultra turrax (IKAT 25, Germany) for 1 min. Subsequently, atorvastatin dispersion was processed using high shear fluid processor equipped with heat exchanger (Microfluidizer M-110P; Microfluidics, MA, USA) for 20 cycles at 1000 bars. The resultant suspension was lyophilized (Labconco benchtop freeze dryer system, MO, USA) after addition of suitable amount of cryoprotectant. Lyophilized atorvastatin nanocrystals were stored at 4 °C till further use. Several batches of atorvastatin nanocrystals were prepared by varying various formulation (concentration of stabilizer, type and concentration of cryoprotectant) and processing variables (homogenization pressure and number of cycles) as shown in Table 1 to confirm the optimum conditions for atorvastatin nanocrystals formation.
Physicochemical characterization of nanocrystals
Size and zeta potential
The average particle size diameter and zeta potential of different batches of atorvastatin nanocrystals along with their distribution was measured utilizing Malvern Zeta Sizer (Nano ZS, Malvern Instruments, UK). Samples were appropriately diluted and dispersed in distill water for 1 min using vortexer before analysis.
Drug content and yield determination
Lyophilized atorvastatin nanocrystals (20 mg) were dissolved in methanol and passed through syringe filter (0.22 µm pore size). The collected filtrate was diluted adequately before analyzing spectrophotometrically at 247 nm.
The percent yield of a batch was determined by dividing the weight of lyophilized atorvastatin nanocrystals obtained by total weight of all solids used to prepare lyophilized nanocrystals.
Cryoprotectant selection
Traditional cryoprotectant like mannitol, trehalose and lactose with different concentration i.e. 5% w/v and 10% w/v were respectively employed to evaluate the suitable cryoprotectant for the formulation. Different batches prepared after dissolving suitable cryoprotectant into liquid aqueous atorvastatin nanocrystal formulation respectively were frozen at −60 °C for 12 h. Afterwards, frozen samples were lyophilized at 0.07 mbar for 24 h using lyophilizer (Labconco benchtop freeze dryer system, MO, USA).
Re-dispersibility of freeze-dried samples was evaluated by adding milli Q water (10 ml) to lyophilized cake with manual shaking for 1 min. Subsequently, samples were sonicated in bath sonicator for 1 min and analyzed for particle size, PDI and zeta potential.
Solubility determination
Aqueous solubility of drug and optimized lyophilized batch of atorvastatin nanocrystals was evaluated using conventional shake flask method. Briefly, an excess amount of sample added to deionized water, HCl buffer pH 1.2 and phosphate buffer pH 6.8 respectively were shaken at 37 ± 1 °C for 24 h. Aliquots (2 ml) were withdrawn and centrifuged at 15,000 rpm for 20 min. Supernatants collected were syringe filtered (0.22 µm pore size) and analyzed spectrophotometrically.
Morphology
Morphology of pure drug and lyophilized atorvastatin nanocrystals was determined by field emission scanning electron microscopy (MIRA 3 TESCAN). Samples were clanged on a double adhesive tape and sputter coated with gold and palladium under an inert environment of argon. Samples were scanned and visualized through field emission scanning electron microscope at an excitation voltage of 5 KV and photomicrographs were captured.
Solid state characterization
ATR-FTIR spectroscopy was used to determine the possible chemical interaction between drug and excipients used in preparation of atorvastatin nanocrystals. ATR-FTIR spectra were recorded with in a spectral region of 4000–400 cm−1 at a resolution of 4 cm−1 with a scanning frequency of 45 times.
Thermal behavior of drug, poloxamer 188 and optimized formulation was analyzed utilizing differential scanning calorimeter DSC-60 (Shimadzu, Japan). An accurately weighed amount of samples (2–3 mg) were crimped into aluminum pans and heated over a range of 40–250 °C at a scanning rate of 10 °C min−1 under a continuous nitrogen purge (40 ml/min).
X-ray diffraction study was performed to evaluate crystallinity of atorvastatin, poloxamer 188 and optimized formulation utilizing Philips PAN analytical expert PRO X-ray diffractometer 1780 (Netherlands). Instrument was operated at 40 kv, 40 mA with Cu-Kα line as radiation source. All samples were scanned over a 2Ө range between 5° to 60° with a scan rate of 5°/min.
In-vitro dissolution studies
Dissolution behavior of atorvastatin and atorvastatin nanocrystals was analyzed in pH progressive dissolution media (HCl buffer pH 1.2 for 2 h followed by phosphate buffer pH 6.8) utilizing paddle type USP dissolution apparatus. An accurately weighed amount of drug/drug nanocrystals corresponding to 50 mg drug was kept in dialysis bag (12 KDa Molecular weight cut off, Himedia, India). Subsequently, dialysis bags were suspended in release media (900 ml) containing 0.1% w/v Tween-80 to simulate sink conditions under continuous stirring (75 rpm) in thermostatically controlled condition (37 ± 1 °C). Aliquots (3 ml) were drawn out at predestined time intervals upto 12 h with subsequent renewal with fresh dissolution media to keep the dissolution fluid volume constant. The collected samples were syringe filtered (0.22 µm) and analyzed spectrophotometrically at 247 nm.
Stability study
Optimized formulation was monitored for stability according to ICH guidelines. Samples were imposed to different storage conditions i.e. 25 ± 2 °C at 60 ± 5% RH and 40 ± 2 °C at 75 ± 5% RH for 6 months. All the samples were evaluated for change in particle size, zeta potential and polydispersity index after re-dispersing lyophilized formulation at an interval of 1.5, 3 and 6 months along with visual observation for physical stability.
In vivo study
Three-month old wistar rats (150–200 g) were received from the animal house of Department of Pharmacy, Banasthali Vidyapith, Rajasthan, India. All in vivo studies were approved by the Institutional Animal Ethical Committee of Banasthali Vidyapith, Rajasthan (574/GO/ReBi/S/02/CPCSEA) and carried out in accordance with CPCSEA guidelines and regulations, Ministry of Social Justice and Empowerment, Government of India. Animals housed in polypropylene cages were acclimatized on normal animal feed (commercial pellets) and water ad libitum at 22 ± 1 °C and 45–55% RH with photoperiodic exposure of light and dark cycle of 12 h each respectively.
Pharmacokinetic study
Twelve wistar rats were randomly distributed into two groups (n = 6). Atorvastatin (20 mg/kg) and atorvastatin nanocrystals (equivalent to 20 mg/kg atorvastatin) dispersed in 0.3% w/v sodium carboxy methyl cellulose was given orally to overnight-fasted rats of group I and group II respectively. Blood samples (250 µl) were collected from rat tail vein in heparinized tube at 0.5, 1, 2, 4, 8, 12 and 24 h post-dosing. Subsequently plasma was separated from blood samples by centrifuging them at 5000 rpm for 10 min at 4 °C. Separated plasma was stored at −60 °C until quantified by RP-HPLC (LC-2010CHT; Shimadzu, Japan). Mobile phase composed of acetonitrile and phosphate buffer pH 5.0 (45:55 v/v) at 25 ± 2 °C with an adjusted flow rate of 1.0 ml/min was used to achieve HPLC resolution of samples. The eluted atorvastatin was analyzed at 247 nm9.
The data of plasma drug concentration with respect to time was evaluated utilizing WinNonlin software (5.1: Pharsight, Mountain View, CA).
In vivo efficacy and safety
High fat diet composed of commercial rat chow (75.5%), egg yolk (12.5%), lard (8.5%), cholesterol (3%) and bile salt (0.5%) respectively were mixed, pelleted and provided to wistar rats for 4 weeks to instigate hyperlipidemia. Blood samples collected from caudal vein of animals maintained on high fat diet were evaluated for serum lipid level52. A considerable elevation in serum lipid level indicated the establishment of hyperlipidemia with high fat diet. Twelve animals were randomly segregated into three groups (n = 4): group I: positive control (orally treated with 0.5% carboxymethyl cellulose sodium solution); group II: atorvastatin suspension treated (oral, 5 mg/Kg); group III: optimized formulation treated (oral, equivalent to 2.5 mg/Kg atorvastatin). Animals of each group were treated with respective regimen consecutively for 2 weeks after induction of hyperlipidemia. Blood samples collected after 2 weeks treatment from respective group were centrifuged at 5000 rpm for 10 min to separate plasma. The collected plasma samples were analyzed for various biochemical parameters like total cholesterol (TC), low density lipoprotein (LDL), high density lipoprotein (HDL), triglyceride level, plasma creatinine kinase, creatinine and urea level using commercially available diagnostic kit (Span Diagnostic Ltd., Surat, India).
Animals were sacrificed on day 14 of treatment and liver was excised, weighed and analyzed for histological lesions. Liver tissues were fixed in 10% formalin at room temperature. Tissues embedded in paraffin were sectioned (3–4 mm thick), mounted on glass slides and stained using haematoxylin and eosin dye and observed for histological changes under light microscope fitted with image analyzer.
Statistical analysis
Data are demonstrated as mean ± SD. Statistical significance of differences between means was analyzed by one-way ANOVA followed by Bonferroni test for comparisons of related data using GraphPad Prism Software (version 5.03, GraphPad Software Inc CA, USA) at p < 0.05.
Conclusions
The development of atorvastatin nanocrystals was successfully achieved. Optimized atorvastatin nanocrystals exhibited remarkable enhancement in solubility and bioavailability with prolonged biological half life. Serum lipid profiles had demonstrated higher potential of atorvastatin nanocrystals to lower hyperlipidemia even at 50% lesser dose compared to drug suspension. Furthermore, formulation restored more meaningfully liver tissue histology after intoxication with cholesterol rich diet. Thus, preparation of nanocrystals of poorly soluble drug like atorvastatin is a consistent and effective approach for improving its oral bioavailability, safety and bioactivity with ease of commercial scalability.
References
Lee, J. S. et al. Triglyceride and HDL-C dyslipidemia and risks of coronary heart disease and ischemic stroke by glycemic dysregulation status: the strong heart study. Diabetes Care 40, 529–537 (2017).
Adams, S. P., Tsang, M. & Wright, J. M. Lipid lowering efficacy of atorvastatin. Cochrane Database Syst. Rev. 12, CD008226 (2012).
Laufs, U., Karmann, B. & Pittrow, D. Atorvastatin treatment and LDL cholesterol target attainment in patients at very high cardiovascular risk. Clin. Res. Cardiol. 105, 783–790 (2016).
Corsini, A. et al. New insights into pharmacodynamic and pharmacokinetic properties of statins. Pharmacol. Ther. 84, 413–428 (1991).
Lennernäs, H. Clinical pharmacokinetics of atorvastatin. Clin. Pharmacokinet. 42, 1141–1160 (2003).
Rosenson, R. S. et al. Optimizing cholesterol treatment in patients with muscle complaints. J. Am. Coll. Cardiol. 70, 1290–1301 (2017).
Baghel, S., Cathcart, H. & O’Reilly, N. J. Polymeric amorphous solid dispersions: a review of amorphization, crystallization, stabilization, solid-state characterization, and aqueous solubilization of biopharmaceutical classification system class II drugs. J. Pharm. Sci. 105, 2527–2544 (2016).
Choi, J. S. & Park, J. S. Surface modification of docetaxel nanocrystals with HER2 antibody to enhance cell growth inhibition in breast cancer cells. Colloids Surf. B Biointerfaces 159, 139–150 (2017).
Kumar, N. et al. Atorvastatin calcium encapsulated Eudragit nanoparticles with enhanced oral bioavailability, safety and efficacy profile. Pharm. Dev. Technol. 22, 156–167 (2017).
Kurakula, M., El-Helw, A. M., Sobahi, T. R. & Abdelaal, M. Y. Chitosan based atorvastatin nanocrystals: effect of cationic charge on particle size, formulation stability, and in-vivo efficacy. Int. J. Nanomed. 10, 321–334 (2015).
Kim, M. S. et al. Preparation, characterization and in vivo evaluation of amorphous atorvastatin calcium nanoparticles using supercritical antisolvent (SAS) process. Eur. J. Pharm. Biopharm. 69, 454–465 (2008).
Khan, S., Baboota, S., Ali, J., Narang, R. S. & Narang, J. K. Chlorogenic acid stabilized nanostructured lipid carriers (NLC) of atorvastatin: formulation, design and in vivo evaluation. Drug Dev. Ind. Pharm. 42, 209–220 (2016).
Li, X. et al. Synergistic effects of liposomes encapsulating atorvastatin calcium and curcumin and targeting dysfunctional endothelial cells in reducing atherosclerosis. Int. J. Nanomed. 14, 649–665 (2019).
Hashem, F. M., Al-Sawahli, M. M., Nasr, M. & Ahmed, O. A. A. Custom fractional factorial designs to develop atorvastatin self-nanoemulsifying and nanosuspension delivery systems – enhancement of oral bioavailability. Drug Des. Devel. Ther. 9, 3141–3152 (2015).
Basha, M., Salama, A. H. & El Awdan, S. Reconstitutable spray dried ultra-fine dispersion as a robust platform for effective oral delivery of an antihyperlipidemic drug. Int. J. Pharm. 532, 478–490 (2017).
Salama, A. H., Basha, M. & El Awdan, S. Experimentally designed lyophilized dry emulsion tablets for enhancing the antihyperlipidemic activity of atorvastatin calcium: Preparation, in-vitro evaluation and in-vivo assessment. Eur. J. Pharm. Sci. 112, 52–62 (2018).
Gad, S. F. et al. Enhancing docetaxel delivery to multidrug-resistant cancer cells with albumin-coated nanocrystals. Mol. Pharm., https://doi.org/10.1021/acs.molpharmaceut.7b00783 (2018).
Peltonen, L. & Hirvonen, J. Pharmaceutical nanocrystals by nanomilling: critical process parameters, particle fracturing and stabilization methods. J. Pharm. Pharmacol. 62, 1569–1579 (2010).
Junghanns, J. A. H. & Müller, R. H. Nanocrystal technology, drug delivery and clinical applications. Int. J. Nanomed. 3, 295–309 (2008).
Moschwitzer, J. P. Drug nanocrystals in the commercial pharmaceutical development process. Int. J. Pharm. 453, 142–156 (2013).
Pawar, V. K. et al. Pluronic F-127 stabilised docetaxel nanocrystals improve apoptosis by mitochondrial depolarization in breast cancer cells: pharmacokinetics and toxicity assessment. J Biomed. Nanotechnol. 11, 1747–1763 (2015).
Gao, L. et al. Drug nanocrystals: in vivo performances. J. Control. Release 160, 418–430 (2012).
Ozaki, S. et al. Inhibition of crystal nucleation and growth by water-soluble polymers and its impact on the supersaturation profiles of amorphous drugs. J. Pharm. Sci. 102, 2273–2281 (2013).
FDA, US Food and Drug Administration: Inactive Ingredients for Approved Drug Products. Available online: http://www.accessdata.fda.gov/scripts/cder/iig/getiigWEB.cfm (accessed on 17 March 2019)
Zuo, B. et al. Preparation and in vitro/in vivo evaluation of fenofibrate nanocrystals. Int. J. Pharm. 455, 267–275 (2013).
Tuomela, A., Hirvonen, J. & Peltonrn, L. Stabilizing agents for drug nanocrystals: effect on bioavailability. Pharmaceutics 8, E16 (2016).
Sharma, M., Sharma, S. & Wadhwa, J. Improved uptake and therapeutic intervention of curcumin via designing binary lipid nanoparticulate formulation for oral delivery in inflammatory bowel disorder. Artif. Cells Nanomed. Biotechnol. 47, 45–55 (2019).
Dong, D. et al. Elucidating the in vivo fate of nanocrystals using a physiologically based pharmacokinetic model: a case study with the anticancer agent SNX-2112. Int. J. Nanomed. 10, 2521–2535 (2015).
Liu, C. M. et al. Relationship between functional properties and aggregation changes of whey protein induced by high pressure microfluidization. J. Food Sci. 76, E341–347 (2011).
Peng, J. et al. Effect of high pressure homogenization preparation on mean globule size and large diameter tail of o/w injectable emulsions. J. Food Drug Anal. 23, 828–835 (2015).
Sharma, M. & Sharma, R. Implications of designing bromelain loaded enteric nanoformulation on its stability and anti-inflammatory potential upon oral administration. RSC Adv. 8, 2541–2551 (2018).
Wang, L. et al. Cryoprotectant choice and analyses of freeze-drying drug suspension of nanoparticles with functional stabilisers. J. Microencapsul. 35, 241–248 (2018).
Ali, H. S. M. & Hanafy, A. F. Glibenclamide nanocrystals in a biodegradable chitosan patch for transdermal delivery: engineering, formulation, and evaluation. J. Pharm. Sci. 106, 402–410 (2017).
Roduner, E. Size matters: why nanomaterials are different. Chem. Soc. Rev. 35, 583–592 (2006).
Rachmawati, H., Al Shaal, L., Müller, R. H. & Keck, C. M. Development of curcumin nanocrystal: physical aspects. J. Pharm. Sci. 102, 204–214 (2013).
Srivalli, K. M. & Mishra, B. Preparation and pharmacodynamic assessment of ezetimibe nanocrystals: effect of P-gp inhibitory stabilizer on particle size and oral absorption. Colloids Surf. B Biointerfaces 135, 756–764 (2015).
Liu, F. et al. Targeted cancer therapy with novel high drug-loading nanocrystals. J. Pharm. Sci. 99, 3542–3551 (2010).
Salmani, J. M., Lv, H., Asghar, S. & Zhou, J. Amorphous solid dispersion with increased gastric solubility in tandem with oral disintegrating tablets: a successful approach to improve the bioavailability of atorvastatin. Pharm. Dev. Technol. 20, 465–472 (2015).
Kolliphor®P Grades. BASF, The Chemical Company, Technical information 03_111136e-03 June 2013, accessed on 18th Sep. 2018.
Gora, S., Mustafa, G., Sahni, J. K., Ali, J. & Baboota, S. Nanosizing of valsartan by high pressure homogenization to produce dissolution enhanced nanosuspension: pharmacokinetics and pharmacodynamic study. Drug Deliv. 23, 940–950 (2016).
Li, M. et al. Excipients enhance intestinal absorption of ganciclovir by P-Gp inhibition: assessed in vitro by everted gut sac and in situ by improved intestinal perfusion. Int. J. pharm. 403, 37–45 (2011).
Sharma, M., Gupta, N. & Gupta, S. Implications of designing clarithromycin loaded solid lipid nanoparticles on their pharmacokinetics, antibacterial activity and safety. RSC Adv. 6, 76621–76631 (2016).
Khan, F. N. & Dehghan, M. H. Enhanced bioavailability of atorvastatin calcium from stabilized gastric resident formulation. AAPS Pharm. Sci. Tech 12, 1077–86 (2011).
Yeom, D. W. et al. Development of a solidified self-microemulsifying drug delivery system (S-SMEDDS) for atorvastatin calcium with improved dissolution and bioavailability. Int. J. Pharm. 506, 302–11 (2016).
Qin, L., Niu, Y., Wang, Y. & Chen, X. Combination of phospholipid complex and submicron emulsion techniques for improving oral bioavailability and therapeutic efficacy of water-insoluble drug. Mol. Pharm. 15, 1238–1247 (2018).
Kim, M. S., Kim, J. S., Cho, W., Park, H. J. & Hwang, S. J. Oral absorption of atorvastatin solid dispersion based on cellulose or pyrrolidone derivative polymers. Int. J. Biol. Macromol. 59, 138–142 (2013).
Kwon, J. et al. Spray-dried amorphous solid dispersions of atorvastatin calcium for improved supersaturation and oral bioavailability. Pharmaceutics 11, E461 (2019).
Karalis, D. G., Victor, B., Ahedor, L. & Liu, L. Use of lipid lowering medications and the likelihood of achieving optimal LDL-cholesterol goals in coronary artery disease patients. Cholesterol. 2012, Article ID 861924. https://doi.org/10.1155/2012/861924
Machaba, K. E. et al. In vivo anti-hyperlipidemic activity of the triterpene from the stem bark of Protorhus longifolia (Benrh) Engl. Lipids Health Dis. 13, 131 (2014).
Huang, J. et al. Effect of Pluronic F68 block copolymer on P-glycoprotein transport and CYP3A4 metabolism. Int. J. Pharm. 356, 351–353 (2008).
Choudhary, A., Rana, A. C., Aggarwal, G., Kumar, V. & Zakir, F. Development and characterization of an atorvastatin solid dispersion formulation using skimmed milk for improved oral bioavailability. Acta Pharmaceutica Sinica B 2, 421–428 (2012).
Hou, Y. et al. Pu-erh tea aqueous extracts lower atherosclerotic risk factors in a rat hyperlipidemia model. Exp. Gerontol. 44, 434–439 (2009).
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The authors are grateful to Banasthali Vidyapith (Rajasthan, India) for providing facilities to undertake this research.
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M.S. designed the study. M.S. and I.M. conducted the study, collected data and analyzed the data. M.S. drafted the manuscript. Both the authors reviewed the final manuscript.
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Sharma, M., Mehta, I. Surface stabilized atorvastatin nanocrystals with improved bioavailability, safety and antihyperlipidemic potential. Sci Rep 9, 16105 (2019). https://doi.org/10.1038/s41598-019-52645-0
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DOI: https://doi.org/10.1038/s41598-019-52645-0
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