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RESEARCHARTICLE Formulation, Pharmacokinetic, and Efficacy Studies of Mannosylated Self-Emulsifying Solid Dispersions of Noscapine TerrickAndey1,ApurvaPatel2,SrujanMarepally3,MahavirChougule4,ShawnD.Spencer2, ArunK.Rishi5,MandipSingh2* 1 DepartmentofPharmaceuticalSciences,SchoolofPharmacy,MassachusettsCollegeofPharmacyand HealthSciencesUniversity,19FosterStreet,Worcester,MA,UnitedStatesofAmerica,2 Departmentof Pharmaceutics,CollegeofPharmacyandPharmaceuticalSciences,FloridaA&MUniversity,1520South MartinLutherKingJr.Blvd.,Tallahassee,FL,UnitedStatesofAmerica,3 InstituteforStemcellbiologyand RegenerativeMedicine(inStem),NationalCentreforBiologicalSciences(NCBS),Bangalore,India, 4 DepartmentofPharmaceuticalSciences,DanielK.InouyeCollegeofPharmacy,UniversityofHawaiiat Hilo,200W.St.,Hilo,HI96720,UnitedStatesofAmerica,5 DepartmentofOncology,WayneState University,Detroit,MI,UnitedStatesofAmerica *[email protected] Abstract OPENACCESS Citation:AndeyT,PatelA,MarepallyS,Chougule M,SpencerSD,RishiAK,etal.(2016)Formulation, Purpose Pharmacokinetic,andEfficacyStudiesof MannosylatedSelf-EmulsifyingSolidDispersionsof Toformulatehydroxypropylmethylcellulose-stabilizedself-emulsifyingsoliddispersiblecar- Noscapine.PLoSONE11(1):e0146804.doi:10.1371/ riersofnoscapinetoenhanceoralbioavailability. journal.pone.0146804 Editor:DhyanChandra,RoswellParkCancer Methods Institute,UNITEDSTATES Formulationofnoscapine(Nos)self-emulsifyingsoliddispersiblemicroparticles(SESDs) Received:July10,2015 wasaffordedbyemulsificationusinganoptimizedformulaofLabrafilM1944,Tween-80, Accepted:December22,2015 andLabrasolfollowedbyspray-dryingwithhydroxypropylmethylcellulose(HPMC),with Published:January12,2016 andwithoutmannosamine(Mann-Nos_SESDsandNos_SESDsrespectively);self-microe- Copyright:©2016Andeyetal.Thisisanopen mulsifyingliquiddispersions(SMEDDs)withandwithoutmannosamine(Mann-Nos_S- accessarticledistributedunderthetermsofthe MEDDsandNos_SMEDDsrespectively)werealsoprepared.SMEDDsandSESDswere CreativeCommonsAttributionLicense,whichpermits characterizedforsize,polydispersity,surfacecharge,entrapmentefficiency,invitroperme- unrestricteduse,distribution,andreproductioninany ability,invitroreleasekinetics,andoralpharmacokineticsinSprague-Dawleyrats(10mg/ medium,providedtheoriginalauthorandsourceare credited. kgp.o).TheantitumorefficacyofMann-Nos_SESDsonthebasisofchemosensitizationto cisplatin(2.0mg/kg,IV)wasinvestigatedinachemorefractorylungtumorNu/Numouse DataAvailabilityStatement:Allrelevantdataare withinthepaper. modeluptoamaximaloraldoseof300mg/kg. Funding:ThisstudywasfundedbyaP20MD006738 grantfromtheNationalInstituteonMinorityHealth Results andHealthDisparities(NIMHD).Thefundershadno Theoil/surfactant/co-surfactantmixtureofLabrafilM1944,Tween-80,andLabrasoloptimized roleinstudydesign,datacollectionandanalysis, decisiontopublish,orpreparationofthemanuscript. atweightratiosof62.8:9.30:27.90%producedstableself-microemulsifyingdispersions (SMEDDs)ataSMEDDtowaterratioof1–3:7–9partsbyweight.SMEDDshadhydrody- CompetingInterests:Theauthorshavedeclared thatnocompetinginterestsexist. namicdiametersbetween231and246nm;surfacechargesrangedfrom-16.50to-18.7mV; PLOSONE|DOI:10.1371/journal.pone.0146804 January12,2016 1/20 OralNoscapineFormulationforEnhancedBioavailability andentrapmentefficiencieswerebetween32and35%.SESDsrangedinsizebetween5.84 and6.60μmwithsurfacechargesfrom-10.62to-12.40mVandentrapmentefficienciesof 30.96±4.66and32.05±3.72%(Nos_SESDsandMann-Nos_SESDsrespectively).Mann- Nos_SESDsexhibitedsaturatinguptakeacrossCaco-2monolayers(P =4.94±0.18× app 10−6cm/s),withcontrolledreleaseof50%ofNosin6hratpH6.8followingHiguchikinetics. Mann-Nos_SESDswas40%morebioavailablecomparedtoNos_SESDs;andwaseffective insensitizingH1650SPcellstoCisplatininvitroandinanorthotopiclungtumormodelof H1650SPorigin. Conclusions Mannosylatednoscapineself-emulsifyingsoliddispersions(Mann-Nos_SESDs)arebio- availableandpotentiatetheantineoplasticeffectofcisplatin-basedchemotherapyincis- platin-resistantNSCLC. Introduction Noscapine,alowtoxicity,naturally-occurringbenzylisoquinolinealkaloidisassociatedwith anticanceractivity[1,2].Themodeofactionofnoscapine’santicanceractivityispolymeriza- tionandstabilizationofmicrotubules[3];andwhenadministeredincombinationwithcon- ventionalchemotherapy,itpotentiatestheinductionofcelldeath[4].However,theprospectof noscapineasaneffectiveanticancertherapyintheclinicremainsunknown[5,6].Thatnosca- pine,alipophiliccompound(LogP~2.6)withmoderateaqueoussolubility(solubility(cid:1)0.05 mg/mL)shouldsufferfromlimitedoralbioavailabilityisunderpinnedbyashorthalf-lifestem- mingfromextensivehepaticmetabolism,asiscommonwithopioids[7,8].Noscapine’santi- canceractivitytherefore,necessitatesahighoraleffectivedose(ED 300–600mg/kg),thereby, 50 limitingitstranslationalutilityduetopotentialadversereactions[9,10].Therehasconse- quentlybeenmuchinterestinnanoparticleencapsulationofnoscapineasameansofovercom- ingreducedplasmaexposureviaprotectionfromenzymaticdegradationandefflux[11,12,13]. Fororaladministration,functionalizingananoparticleviamannosylationhasthebenefitof allowingforsustainedinputviaintestinallymphaticabsorption,whichmayincreasesystemic exposure[14].Theintestinallumenhasmicrofold(M)cellsinthefollicularepithelium,cover- ingimmuneresponsezoneswithinthePeyer’spatch.TheseMcellsexpressmannosereceptors whichfacilitateendocytictraffickingofparticlesintothelymphatics[15,16,17].Thus,the designofsystemswithamannosepresentingsurfacehasbecomeapotentiallyviableapproach forenhancingthedeliveryoforaldrugcandidates[18,19,20].However,engineeringofadrug carrierforlymphatictraffickingmustfacilitatedelayedintestinalreleasetopromotelymphatic transit.Hydroxypropylmethylcellulose(HPMC),asemi-syntheticpolymervariouslyusedasa thickening,suspending,andemulsifyingagenteffectivelystabilizesemulsionsandfacilitates controlledreleaseofdrugs[21,22,23].Formulationoflowbioavailabilitynoscapineinaself- emulsifyingdrugdeliverycarrierstabilizedbyspray-dryingwithHPMCwastherefore,pre- dictedtodelaysystemicinputandpredisposetolymphatictransitandpotentialuptake. Inthisstudytherefore,wehypothesizedthatnoscapine,orallyadministeredviaamannosy- latedHPMC-coatedself-emulsifyingcarrierwillbebioavailableandenhancetumorrespon- sivenesstocisplatin.Thisweexpectedtoresultfroma)slownoscapinerelease,b)increased lymphaticsystemtransit,c)delayed/sustainedsystemicinput,andd)increasedplasma PLOSONE|DOI:10.1371/journal.pone.0146804 January12,2016 2/20 OralNoscapineFormulationforEnhancedBioavailability exposure,allpotentiallycontributingtoenhancedtumorsensitization.Totestourhypothesis, weutilizedaspray-driedmannosamine-HPMCmatrixoveranoscapine-loadedself-microe- mulsifyingdrugdeliverysystem(SMEDD)toevaluate(a)thereleaserate,(b)transportacross acoloncancercarcinomacell(Caco-2)model,(c)pharmacokineticplasmaexposureinorally administeredrats,and(d)tumorresponsetoacombinationregimenofnoscapineandcisplatin inanorthotopicmousemodelofchemorefractoryH1650-inducednon-smallcelllungcancer (NSCLC). MaterialsandMethods Reagents 1 Noscapinehydrochloride,D-mannosaminehydrochloride,laminin,Accutase ,poly-D-lysine, epidermalgrowthfactor,andfibroblastgrowthfactorwerefromSigmaAldrich(St.Louis, 1 1 MO);Labrafil M1944andLabrasol fromGattefosse(Paramus,NJ).Fetalbovineserum (FBS),RPMI-1640media,DMEM:F12basemediaandnitrogensupplementwerefromLife Technologies(GrandIsland,NY).Allothermaterialswereofcellcultureoranalyticalgrade. Cellculture H1650cells,originallyfromtheAmericanTypeCultureCollection(ATCC)werekindly donatedbyDr.SrikumarChellappanattheH.LeeMoffittCancerCenter&ResearchInstitute (Tampa,FL).SubculturesofH1650cancerstemcells(CSCs)/sidepopulation(SP)cellswere generatedfromH1650parent/mixedpopulation(MP)cellsbyfluorescenceactivatedcellsort- ingwithHoechst33342stainingaspreviouslydescribed[24].Caco-2andH460cellswere fromtheAmericanTypeCellCulture(Manassas,VA).H1650SPcellsweremaintainedin DMEM:F12supplementedwithfibroblastgrowthfactor(10μg/mL),epidermalgrowthfactor (10μg/mL),andpenicillin-streptomycin-neomycin(PSN,2%v/v).H1650MPcellsweremain- tainedinDMEM:F12supplementedwith10%v/vFBSand2%v/vPSN.Caco-2cellsandH460 cellswereculturedinDMEM:F12andRPMI-1640respectively,eachsupplementedwithFBS (10%v/v),PSN(2%v/v),non-essentialaminoacidsolution(1.2%v/v)andHEPES(10mM). Allcelllinesweremaintainedundercarbondioxide(5%)at37°C. Preparationofsolidmicroparticles 1 1 Optimizedconcentrationsofoil(Labrafil M1944),surfactant(Tween 80)andco-surfactant 1 (Labrasol )weredeterminedfromtenaryphasediagrams.Theoptimizedcompositioncon- 1 1 sistedofanoilphase(Labrafil M1944;63.5mL,andLabrasol ;9.39mL)andanaqueous 1 phase(Tween 80;27.9mL).Noscapine(5.0g)wasdissolvedinchloroform(5.0mL)andthen dispersedinanoilphasecomprisingLabrafilM1944andLabrasol(astheoilandco-surfactant respectively).Thenoscapine-oildispersionwaseitheremulsifiedinanaqueousphase(consist- 1 ingofTween 80andwater)toformself-microemulsifyingdrugdeliverysystems(Nos- SMEDDs)orinjectedintoaspray-dryer.Spray-dryingwascarriedoutbymixingtheaqueous andoilphaseswithinaheated(110°C)nitrogenatmosphereinthedryingchamberofaPulvis Mini-SprayGS-310(YamatoScientificAmerica,USA).Theaqueousphase(comprising 1 1 Tween 80andHPMCcolloid(10%w/v),orTween 80andHPMC-MannosamineHCl (1.0%w/v)colloidwasinductedintoa1550AutoJetModularSpraySystem(SprayingSystems Co.,Wheaton,IL)andtheatomizedmixturefedthroughchannel1whereastheoilphasewas simultaneouslyfedthroughchannel2ofthedualspraynozzleandatomizedintofineoildrop- lets.Coatingofoildropletsbycolloidalaqueousphaseoccursinthedryingchamberunder PLOSONE|DOI:10.1371/journal.pone.0146804 January12,2016 3/20 OralNoscapineFormulationforEnhancedBioavailability pulseflowwithresultantnoscapineself-emulsifyingsoliddispersiblemicroparticles(Mann- Nos_SESDsorNos_SESDs). Validationofnanoparticlesandmicroparticles Nos_SMEDDsandMann-Nos_SMEDDsandNos_SESDsandMann-Nos_SESDswerechar- acterizedforsize,polydispersity(PDI),zetapotential,andentrapmentefficiency.Particle sizeandzetapotentialofnoscapineformulationsweredeterminedusingaNicomp380ZLS (ParticleSizingSystems,PortRichey,FL).SMEDDs(10μL),orSESDs(2.0mg)weredis- persedindouble-distilledwaterto4.0mLinacuvetteandparticlesize,PDI,andzetapoten- tialreadingstaken.Entrapmentefficiency(EE)ofSMEDDsandSESDswasdeterminedby centrifugationofformulationusingavivaspincolumnwithmolecularweightcut-off (MWCO)of10kDa.ThefiltratewascollectedandelutedoveraC18columnbyHPLC(see BioanalysisMethod).EEwasestimatedaccordingto,EE(%)=[(W —W)/W ]×100, n r n where,W =weightofNosinSMEDDsorSESDs,andW =weightofNosinfiltrate.Deter- n r minationofEEforSESDswasdonebydissolving10mgofsamplein250μLofaceticacidin amicrocentrifugetube.Thesamplewasvortexedandcentrifugedat12,000×gfor5min. Theaqueousphasewascollectedand0.75mLNaOH(4M)addedtoprecipitateNos.The samplewascentrifugedat14,000×gfor15minandthesupernatantdiscarded.Theprecipi- tatewasdissolvedinacetonitrileandelutedoveraC18columnbyHPLC.Determinations weredoneintriplicatesforeachformulation. Releaseofnoscapinefrommicroparticles Thedissolutionofspray-driednoscapinemicroparticles(i.e.Nos_SESDsandMann-Nos_ SESDs)wasinvestigatedunderUSPguidelinesfordelayedreleasedosageformsinaVanKel 7000DissolutionSystem(Varian,Cary,NC)usingtheUSPDissolutionApparatus1basket method.Theglassvesselwasfilledwith0.75Lofdissolutionmedium(i.e.0.1NHClbuffer, pH2.0)andallowedtoequilibrateat37°C.Nos_SESDsorMann-Nos_SESDs(0.5g)was placedinthemeshbasketandrotatedat50rpmfor2hr.Sampling(2.0mL)wasdonefromthe dissolutionmediumat5,10,15,20,30,45,60,90and120min.Volumecorrectionwasmain- tainedbyreplacingthealiquotvolumewithanequalvolumeoffreshdissolutionmedium.A volumeof0.25Lof0.2MNa PO4wasaddedtothedissolutionmediumandthepHadjusted 3 to6.8at120min.Samplingandvolumecorrectionwascontinuedat4,6,20,and24hr.The sampleswereloadedontoaC18columnforHPLCanalysis.Cumulativeconcentrationwas normalizedagainstinitialconcentrationandpresentedasPercentDrugReleasevsTime. Determinationsweredone2×intriplicates. NoscapinetransportacrossCaco-2monolayers At80%confluence,Caco-2cellsweredetachedwithtrypsin/EDTAandwashed2×withPBS. Cellsuspensions(105cellspermL)wereseededintheapicalcompartmentofaCorning1 Costar1Transwell1permeablesupportinsertwithpolycarbonatemembrane(0.4μmpore size)ina12-wellplateformatusing0.5mLvolume.Cellsweremaintainedfor21dayswith mediachangesonalternatedaysfor14daysanddailyclosetoconfluence.Formationand integrityofCaco-2monolayerandtightjunctionsweremonitoredbytransepithelialelectri- calresistance(TEER=200–300O(cid:3)cm2usingaMillicell1ERS-2Volt-OhmMeter(Millipore, Billerica,MA).TEERbelow190O(cid:3)cm2wasdiscarded.Drug-freebuffer(HBSS-HEPES)was addedtothedonor(pH6.5)andacceptor(pH7.4)compartmentsinahumidified(5%CO ), 2 pre-warmed(37°C)incubatorfor10minforpreconditioning.Samplesolutionwasaddedto donororacceptorcompartmentforflux:apical-basolateralorefflux:basolateral-apical PLOSONE|DOI:10.1371/journal.pone.0146804 January12,2016 4/20 OralNoscapineFormulationforEnhancedBioavailability estimates(i.e.A-B,B-Arespectively),anddrug-freebuffertocountercompartmentforsam- plingat15,30,45,60,90,and120min.Transportwascarriedoutonanorbitalshaker(50 oscillations/min)tominimizetheeffectofanaqueousboundarylayer.Thedirectionaltrans- portoftotalnoscapine(i.e.freeNos+SMEDDentrappedNos)wasestimatedbyliquid extractionwithtert-methylbutyletherandquantificationbyHPLC.Theapparentpermeabil- ity(P )ofNosusingthisdeliverysystemwascomputedatequilibrium(steady-stateflux) app accordingto:P (cm/s)=(ΔQ/Δt)×[(1/Q )×(1/A)]×V,whereΔQ/Δt=discretediffer- app ss r enceinreceivermasspertimeinterval(μg/s);Q =massofdrugindonorchamberatsteady ss state(μg);t=time(s);A=areaofmembraneinsert(cm2);V =volumeofsolutionreceiver r chamber(cm3).ThenetfluxdirectionoftotalNosacrossCaco-2monolayerswasestimated fromanEffluxRatio(ER)=(P B-A)/(P A-B).Experimentswererepeated2×andPapp app app estimatesdoneintriplicatesforeachgroup. Bioanalysismethod Noscapine(Nos)stocksolution(1.0mg/mL)waspreparedbydissolvingNosinacetonitrile. WorkingsolutionsofNoswerepreparedbydilutingtheprimarystocksolutiontoobtain 2.5,5,10,25.0,50.0,and100.0μg/mL.Plasmacalibrationstandards(0.4,0.5,1.0,2.0,10.0, and20.0μg/mL)werepreparedindrug-naiveratplasmaobtainedfromSprague-Dawley (SD)rats.Ratplasma(160μL)wasspikedwithNosworkingsolution(40μL)andvortexed for1min.Noswasextractedbyadding100μLtert-methylbutylethertothemixtureand vortexingfor1min.Theorganicphasewasseparatedandthesolventevaporated.Quality control(QC)sampleswerepreparedsimilarlytoobtainplasma-drugconcentrationof0.4, 1.0,and10.0μg/mLcorrespondingtolow,intermediate,andhighQCrespectively.Samples werecentrifugedat12,000×gfor15minandthesupernatantcollected.Mobilephasecon- sistingof20mMammoniumacetate(pH4.5):water(65:35)waspreparedandfilteredusing a0.45μmfilter.Sampleswereinjected(0.1μL)intoaSymmetry1C18columnconnectedto aWaters1HPLCunderisocraticflowof1.0mL/minanddetectioncarriedoutatλ of max 232nm.HPLCrunsweredone3×foreachsampleandthesamemethodwasutilizedforall analysesinthisstudy. Ethicsstatement TheprotocolsforinvivoexperimentswereapprovedbytheInstitutionalAnimalCareandUse Committee(IACUC)ofFloridaA&MUniversity. PharmacokineticsinSprague-Dawleyrats Sprague-Dawleyrats,withmeanweightof250g,weredividedinto4groups(n=3)andgiven eitherasingledoseofNoscapine(Nos)asanintravenousbolusat2.0mg/kg,ororallyat10 mg/kg,aseitherNosincornoil,Nos_SESDsorMann-Nos_SESDs.TheI.V.dosewasprepared bydissolvingNosina0.1mLvolumeofPBS(pH4.5)andthenadministeredbytailveininjec- tionwhereasoraldosesweregivenbygavage.Bloodsampleswerecollectedintoheparinized tubesat0.167,0.5,1,4,8,and24hr.Thesampleswerecentrifugedat12,000×gfor15min,the plasmacollectedandanalyzedasdescribed(seeBioanalysisMethod).Aconcentration-time plotofNoswasobtainedandthedataanalyzedbysimultaneousI.V.andOralnonlinear regressionofpooleddataofallanimalsineachgrouptoobtainpharmacokineticparameters foratwocompartmentmodelwithvascular(I.V.)extravascular(oral)input.Thedrug PLOSONE|DOI:10.1371/journal.pone.0146804 January12,2016 5/20 OralNoscapineFormulationforEnhancedBioavailability concentrationwasdescribedbydifferentialequationsaccordingto: dA DOSE ¼Ka(cid:4)F(cid:4)A dt DOSE dA C ¼Ka(cid:4)F(cid:4)A þ K (cid:4)A (cid:5)K (cid:4)A (cid:5)Ke(cid:4)A dt DOSE 21 P 12 C C dA P ¼K (cid:4)A (cid:5) K (cid:4)A dt 12 C 21 P A ¼C (cid:4)V C P C K ¼Q=V 12 C K ¼Q=V 21 P Ke¼CL=V C A ð0Þ ¼ administereddose DOSE A ð0Þ ¼ 0 C TheVsswasthemodelestimatedsumofvolumeofcentral(Vc)andtissue(Vp)compart- ments,whereasCmaxandTmaxwerecalculatedwithstandardformulasusingthepharmaco- kineticparameters. H1650SPandH1650MPspheroidformation H1650SPorH1650MPcellsuspensionsinserum-freemediawereseededat104cellsperwell 1 ina24-wellLipidure -CoatMulti-Dishplate(NOFCorporation,Japan)upto7daysfor3D culture,changingmediaonalternatedays.Spheroidformationwasobservedondays3,5,and 7inbright-fieldusinganOlympusBX40fluorescencemicroscopeconnectedtoaDP71camera (Olympus,Japan)at40×magnification.Thespheroidsurfaceareawasestimatedusingthe ImageJsoftware(NationalInstitutesofHealth,Bethesda,MD).Resultswereexpressedasmean surfacearea±standarddeviationofatleast3replicatesoftwoexperimentseach. Cellviability Thecellviabilityassaymethodwasaspreviouslydescribed[25,26].Briefly,H1650MP,H1650 SP,orH460cellswereseededina96-wellformat(1×104perwell)andincubatedfor16–18 hr.Treatmentwascarriedoutwithdifferentconcentrationsofcisplatinand/ornoscapineand incubatedfor72hr.Cellviabilitystudiesforcombinationsofnoscapineandcisplatinwere donebyvaryingtheconcentrationsofcisplatinwithfixedconcentrations(5and20μM)of noscapineandincubatingfor72hrpost-treatment.ThecellswerewashedwithPBS2×and fixedin0.1mLglutaraldehydesolution(0.025%w/v)andincubatedat37°Cfor30min.Glu- taraldehydewasremovedand1μLof(0.01%w/v)crystalvioletsolutionwasaddedandincu- batedfor15minatroomtemperature.Theplateswerewashedandair-driedfollowedbythe additionofdisodiumhydrogenphosphatesolution.Theabsorbanceofthedissolvedcrystal violetwasreadat540nmandthecellviabilitycalculatedasapercentageofuntreatedcontrols. Determinationsofcellviabilityweremadeatleast3×andthedatapresentedasaplotofcell viabilitywithlogdoseoftreatment.TheIC ofeachdrugwascomputedwhereappropriateby 50 regressionandpresentedasmeanIC ±SD.Similarly,theeffectof20μMnoscapinebasein 50 PLOSONE|DOI:10.1371/journal.pone.0146804 January12,2016 6/20 OralNoscapineFormulationforEnhancedBioavailability Nos_SESD,Mann-Nos_SESD,andtheircombinationwithdifferentconcentrationofcisplatin onthecell72-hrviabilityofH1650SPcellswasinvestigated.The20μMequivalentweightof Nos_SESD(26.70μg)andMann-Nos_SESD(25.80μg)permlofsolvent(RPMI1640)media wereaddedtoH1650SPcellstreatedwithandwithoutdifferentconcentrationscisplatinto obtainatotalnoscapinebaseconcentrationof20μMin200μLfinalvolume.Thecellswere incubatedfor72hrandanalyzedforcellviabilityusingthecrystalvioletassay.IC valuesrep- 50 resentingmean±SDoftriplicateassayswereestimated. OrthotopicH1650NSCLCtumormodelinNu/Numice FemaleNu/Numice,sixweeksold(Harlan,Indianapolis,IN)wereplacedunderisoflurane- inducedanesthesiaunderasepticconditions.Leftlateralchestwasdousedwithiodineand cleanedwithanalcoholswab.Asmalllateralincision(~5mm)wasmadetotheleftchestin 1 theplaneoftheleftfore-limbjustbelowthescapula.Acellsuspension-filledB-D 1mL 1 latexfreesyringeconnectedtoa27-gaugeSurflo wingedinfusionsetwasusedtodeliveran inoculumof1×104H1650SP(n=29)orMP(n=1)cellsin0.1mLserum-freeDMEM: F12,throughthesixthintercostalspaceintotheleftlung.Incisionswereclosedwithsurgical skinclipsandanimalsobservedforfullmotorandcognitiverecovery.Miceweremaintained for30daysfordevelopmentoflungtumorverifiedbydissectionofamouse(bearingH6150 SPorMPtumorseach)foranatomicalobservationandextractionoftumorlysateforwest- ernblot. AntitumorevaluationofnoscapineinNu/Numice Animalswererandomizedinto7groups(n=4)of(i)untreated,(ii)Cisplatin,(Cis)(2mg/kg/ biweeklyI.V.,),(iii)Nos_SESDs(300mg/kg/day),(iv)Mann-Nos_SESDs(150mg/kg/day),(v) Mann-Nos_SESDs(300mg/kg/day),(vi)Mann-Nos_SESDs(150mg/kg/day)+Cis(2mg/kg/ wkI.V.),and(vii)Mann-Nos_SESDs(300mg/kg/day)+Cis(2mg/kg/wk,I.V.,).Doseswere selectedbasedonpreviousstudiesinourlaboratory[2,4,27,28].Treatmentwasstartedonday 8post-inoculationandcontinuedfor14daysconsistingofdailyoraladministrationofNosfor- mulationsandintravenousinjectionsofCissolution(biweeklyasasingletreatmentorweekly incombinationwithNos_SESDs).CissolutionsweremadebydispersingCisinnormalsaline undersonicationandpHadjustedto7.4toobtaina1.0mg/mLsuspension.Tocheckforevi- denceoftoxicity(weightloss>25%)orunreasonabletumorburden,theanimalswereweighed weekly.Themicewerefedwithfoodandwateradlibitum.MiceweresacrificedunderCO - 2 inducedhypoxiaandlungtumorsresected.Tumorgrowthinhibitionwasestimatedfromlung weightandtumorweight. Statisticalanalysis Analysesofnanoparticlecharacterization,spheroidformation,cellviability,westernblot,lung 1 andtumorweightsweredoneusingGraphPadPrism 5.0(GraphPadSoftware,Inc.).Caco-2 permeationdataanalysiswasdoneinMicrosoftExcel.Pharmacokineticdatawereanalyzed 1 usingWinNonlin (Pharsight,Cary,NC).Differencesbetweenmeanswereanalyzedby unpairedt-testorOne-wayANOVA,andconsideredsignificantatP<0.05.Differencesacross groupmeanswereanalyzedbyOne-wayANOVA.Comparisonsbetweengroupswereana- lyzedbyTukey’stest.Datawerepresentedasmean±SDexceptotherwisestated. PLOSONE|DOI:10.1371/journal.pone.0146804 January12,2016 7/20 OralNoscapineFormulationforEnhancedBioavailability Table1. CharacterizationofNoscapineself-microemulsifyingdrugdelivery(SMEDD)andself-emulsifyingsoliddispersible(SESDs)formulations fororaldelivery. Sample ParticleSize(nm) PolydispersityIndex,PDI Zeta-Potential,ζ(mV) EntrapmentEfficiency,EE(%) BlankSMEDD 230.91±6.33 0.26±0.002 -16.50±0.82 - Nos-SMEDD 246.33±3.79 0.303±0.005 -18.17±0.68 32.36±4.28 Mann-Nos_SMEDD 238.52±4.88 0.361±0.002 -18.69±0.91 35.02±6.56 Sample ParticleSize(μm) PolydispersityIndex,PDI Zeta-Potential,ζ(mV) EntrapmentEfficiency,EE(%) BlankSESDs 5.84±3.63 0.316±0.002 -12.18±1.32 - Nos-SESDs 6.42±5.03 0.293±0.003 -10.62±0.83 30.96±4.66 Mann-Nos_SESDs 6.60±3.16 0.266±0.003 -12.40±1.61 32.05±3.72 Noscapinewasformulatedinaself-microemulsifyingdrugdelivery(SMEDD)systemwithandwithmannosamine(Mann)andspray-driedtoobtainself- emulsifyingsoliddispersible(SESD)particles.Particleswerecharacterizedforsize,polydispersity,zetapotential,andentrapmentefficiencyasshownin MaterialsandMethods.Dataarepresentedasmean±SDofatleast3analyses.Differencesobservedwerenotsignificant(onewayANOVA,P<0.05). doi:10.1371/journal.pone.0146804.t001 Results Spray-driedmannosamine-coatedself-emulsifyingcarriersproduce stablesolidmicroparticles Validityofinvivodatawillbedependentonaccuratecharacterizationofstableparticles.Opti- mizationoftheternarysystemconsistingofoil(LabrafilM1944),surfactant(Tween80)and co-surfactant(Labrasol)resultedinasuitablecompositionbyweightof62.8%and9.3%and 27.9%respectively.StableSMEDDsresultedfrommixingthecomponents(1–3parts)and dispersingindistilledwater(7–9parts).ResultsofSMEDDandSESDscharacterizationare presentedinTable1.BlankSMEDDS,Nos_SMEDDs,andMann-Nos_SMEDDsweremondis- perse(PDIof0.260±0.002,0.303±0.005,and0.361±0.002respectively)withmeanhydrody- namicdiametersof230.91±6.33,246.33±3.79,and238.52±4.88nmrespectively.Negative surfacechargesof-16.50±0.82,-18.17±0.68,and-18.69±0.91mVwererecordedforBlank SMEDDs,Nos_SMEDDs,andMann-Nos_SMEDDsrespectively;allofwhichwerewithinthe rangefornanoparticleemulsionstability.EntrapmentefficiencyofnoscapineinNos_ SMEDDsandMann-Nos_SMEDDswere32.36±4.28%and35.02±6.56%(n=3)respectively, whichenabledaccuratecalculationofdoses.ParticlesizeforBlank-SESDs,Nos_SESDs,and Mann-Nos_SESDswere5.84±3.63,6.42±5.03,and6.60±3.16μmrespectively;theSESDs showednarrowdistributioninparticlesizewithpolydispersityindicesof0.316±0.002,0.293 ±0.003,and0.266±0.003respectively.Zetapotentialwas-12.18±1.32,-10.62±0.83,and-12.40 ±1.61mVforBlankSESDs,Nos_SESDs,andMann-Nos_SESDsrespectively.Entrapmenteffi- ciencyofnoscapineinNos_SESDsandMann-Nos_SESDswere30.96±4.66and32.05±3.72% respectively. Mannosylatedmicroparticleretains50%oforalnoscapinethrough6 hours Theaqueousreleasecharacteristicsofspray-driedNos_SESDsandMann-Nos_SESDswere investigatedusingtheUSPApparatus1methodfordelayed-releasedosageformsundergastric andintestinalconditions(i.e.pH2.0and6.8respectively)(Fig1).AtgastricpH,amaximumof 29.4%ofNos_SESDsversus16.4%ofMann-Nos_SESDswasobservedattheendof2hr(Fig 1a).AtintestinalpH,51.3%and44.4%ofnoscapinewasreleasedfromNos_SESDsandMann- Nos_SESDsrespectivelywithinthenext4hr(Fig1a).Noscapinereleasefrombothformula- tionswasalmost100%at24hours.Thedatawerefittedintozero-order,first-order,and PLOSONE|DOI:10.1371/journal.pone.0146804 January12,2016 8/20 OralNoscapineFormulationforEnhancedBioavailability Fig1.Mannosylatedmicroparticleretaines50%oforalnoscapinein6hours.(a)ThedissolutionrateandreleaseoftotalnoscapinefromHPMC-coated spray-driedNos_SMEDDandMann-Nos_SMEDDareshowninsimulatedgastric(pH2.0)andintestinal(pH6.8)buffersfrom5minto24hr.Resultswere presentedasmeanpercentofNosreleasevstime.(b)KineticreleaseofNos_SMEDDandMann-Nos_SMEDDshowingHiguchirelationshipofdrugamount releasedfromsolidmicroparticleintodissolutionbufferagainstsquarerootoftime.Straightlineequationobtainedbylinearregression.Bothformulations werelinearwithR2rangingbetween0.9905and0.9968.Datarepresents6replicatesofexperimentsrepeated2×anddifferenceswerenotconsidered significant. doi:10.1371/journal.pone.0146804.g001 PLOSONE|DOI:10.1371/journal.pone.0146804 January12,2016 9/20 OralNoscapineFormulationforEnhancedBioavailability Higuchikineticmodelsfortimepredictability,andshowedthehighestfidelitytotheHiguchi relationshipwhereQ(Mass)=K ×t1/2.Aplotofconcentrationofdrugreleasedagainstsquare H rootoftimeproducedlineardiffusionprofilesforNos_SESDsandMann-Nos_SESDs describedbytheequationsQ=2.124t1/2–0.254(R2=0.997)andQ=3.308t1/2–2.153(R2= 0.991)respectively(Fig1b). Mannosylatedmicroparticlesaturatesnoscapinetranscytosis Thepermeationresultsacrosscaco-2monolayersareshowninFig2.Theestimatedapparent permeability(Papp)fortotalnoscapinefromNos_Solution,Nos_SMEDD,andMann-Nos_S- MEDD,revealedthattheconstantfortranscytosiswashighestusingthemannosylatedformu- lation.Theapical/donor(pH6.5)tobasolateral/acceptor(pH7.4)permeabilityoftotal noscapinewaslowinNos_Solution(2.50±0.17×10−6cm/s)comparedtoNos_SMEDD(3.43 ±0.13×10−6cm/s),andMann-Nos_SMEDD(4.94±0.18×10−6cm/s).Aplotofconcentration vstimefortotalnoscapineinNossolutionandNos_SMEDDwereapproximatelylinearthere- fore,estimationoftheirPappwasbasedontheassumptionofratesaturationandzero-order kinetics.ThetimecourseoftotalnoscapinetransportfromMann-Nos_SMEDDSfollowed first-orderkineticswithapparentreceptorsaturation(Fig2b).Thedifferencesinthesecretory transportoftotalNoswasintheorderofNossolution(13.66±1.01×10−6cm/s)>>>Nos_S- MEDDS(5.50±0.65×10−6cm/s)>>Mann-Nos_SMEDDS(1.03±0.15×10−6cm/s)(Fig2c). Inparallelorder,effluxratios(ER)followedthehierarchyofNossolution(5.46)>>>Nos_S- MEDD(1.61)>>Mann-Nos_SMEDD(0.21±0.13),indicatingthemannosylatedmicroparti- clewasleastsubjecttoefflux(Fig2d). Mannosylatedmicroparticleshavedelayedabsorptionandhigher bioavailability Plasmadrugconcentration-timeplotforeachformulationisshowninFig3.Pharmacokinetic parameterswereobtainedbynonlinearregressionofplasmaconcentrationvstimedatapoints usingtwo-compartmentalanalysesofintravenousandoralinputofnoscapineareshownin Table2.IntravenousbolusinjectionofNoscapinesolutionat2mg/kgwasdistributedintothe peripheral/tissuecompartmentatarateof3.867h-1(k12);therateofdrugtransportfromthe peripheralcompartmentintothecentralcompartment(k21)andrateofdrugeliminationwere 4.677h-1each.Totalvolumeofdrugdistributionatsteadystate(Vss)was1856.442mL,and thevolumeofdistributioninthecentral(Vc)was1016.209mL.Therateofsystemicclearance (Cl)was46.524mL/hwithaneliminationhalf-life(T1/2)of15.137handareaunderthecon- centration-timecurve(AUC )of3.925μg(cid:3)h/mL.Oralformulationofnoscapineincornoilat 0-4 adoseof10mg/kgwascharacterizedbyanabsorptionrate(ka)of5.161h-1withahalf-lifeof drugabsorption,T1/2,absof0.134h.Therateofdrugelimination,kelwas0.301h-1withater- minalhalf-life,T1/2eliminationof2.302h.Themaximumplasmadrugconcentration,Cmax was0.945μg/mLandthetimetoreachmaximumconcentration,Tmaxwas0.585h.Thearea underthecurvewas3.812μg(cid:3)h/mLandtheabsolutebioavailabilitywas19.424%.At10mg/kg oraldose,Nos_SESDtheka,T1/2abs,kel,andT1/2eliminationwere4.729h-1,0.147h,0.160 h-1,and4.331hrespectively;theCmax,Tmax,AUC,andabsolutebioavailabilitywere 1.627μg/mL,0.742h,5.191μg(cid:3)h/mL,and26.451%respectively.Theka,T1/2abs,kel,andT1/ 2eliminationoforalMann_Nos_SESDwere0.636h-1,1.090h,0.101h-1,and6.861hrespec- tively;theCmax,Tmax,AUC,andabsolutebioavailabilitywere1.308μg/mL,3.439h, 7.274μg(cid:3)h/mL,and36.927%respectively. PLOSONE|DOI:10.1371/journal.pone.0146804 January12,2016 10/20

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(inStem), National Centre for Biological Sciences (NCBS), Bangalore, India, Funding: This study was funded by a P20MD006738 a colon cancer carcinoma cell (Caco-2) model, (c) pharmacokinetic plasma exposure in orally.
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