aFaculty of Pharmaceutical Sciences, Naresuan University, Phitsanulok, Thailand, bThe Center of Excellence for Innovation in Chemistry (PERCH-CIC), Commission on High Education, Ministry of Education, Thailand, cThe Center of Excellence in Medical Biotechnology, Naresuan University, Phitsanulok, Thailand
Email: wareet@nu.ac.th
Received: 16 May 2017 Revised and Accepted: 13 Jul 2017
ABSTRACT
Objective: To develop and characterize Piper retrofractum extract loaded nanostructured lipid carriers (PRE loaded NLCs) for topical oral cavity administration to enhance bioavailability and stability of piperine.
Methods: PRE loaded NLCs were prepared with a hot high-pressure homogenization technique followed by coating the particle surface with mucoadhesive polymers; polyethene glycol 400 (PEG) and polyvinyl alcohol (PVA). The physicochemical properties in terms of particle size, polydispersity index, zeta potential, drug entrapment efficiency, in vitro drug release profile and antimicrobial activities were examined. In vitro, mucoadhesion studies were assessed by the wash-off test. The physicochemical stabilities of mouth spray containing PRE loaded NLCs were investigated by kept at room temperature and 4 °C for 6 mo.
Results: The PRE loaded NLCs showed spherical shape with a mean particle size of ~100-120 nm and zeta potential of ~-24 mV. Up to 90% drug entrapment efficiency was achieved. PEG-NLCs and PVA-NLCs showed a strong interaction with porcine buccal mucosa than uncoated-NLCs. All PRE loaded NLCs formulations revealed fast release characteristics and effective against Streptococcus mutans and S. sanguinis. The mouth spray containing PRE loaded NLCs showed good physical stability without particle aggregation. In addition, the chemical stability of piperine in NLCs was significantly improved during storage at both storage conditions compared to its solution form.
Conclusion: The developed PRE loaded polymer coated-NLCs showed high potential to use as a local drug delivery system for reducing the bacterial growth in the oral cavity.
Keywords: Nanostructured lipid carriers, Mucoadhesive, Piper retrofractum, Piperine
© 2017 The Authors. Published by Innovare Academic Sciences Pvt Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/)
DOI: http://dx.doi.org/10.22159/ijpps.2017v9i9.19382
Oral biofilm is a progressive and dynamic process of bacterial adhesion and colonization on the tooth and oral cavity surface. Several reports identify Streptococcus mutans and S. sanguinis as the main contributor in biofilm formation. These bacteria adhere well to the tooth surface and produce a high amount of acid as well as extracellular polysaccharides (sticky glucan) resulting in demineralization of the enamel and further dental plaque formation that can lead to dental caries and periodontitis [1-3]. Thus, in order to prevent these common oral mouth infectious diseases, several methods have been applied to remove bacteria in oral cavities and prevent bacterial recolonization by mechanical cleansing and/or the application of antiseptic agents. Unfortunately, the long term use of antiseptic agents (such as chlorhexidine and hydrogen peroxide) can lead to undesirable side effects such as alterations in taste sensation, burning sensation, and teeth staining [4-6].
This has resulted in a move away from using antiseptic agents towards the use of botanical extracts which possess antimicrobial activities with low side effects. One botanical extract of particular interest in our study was Piper retrofractum fruit extract (PRE), a rich source of alkaloids, especially piperine. Several studies report that piperine is effective against microorganisms including S. mutans [7, 8]. However, the most common oral hygiene products are usually marketed in the solution form. This dosage form does not ensure an adequate drug concentration at the infected area because of the rapid clearance of active substance leading to low therapeutic efficiency. In order to maintain a sufficient therapeutic level, this formulation requires a frequent application which leads to poor patient compliance and increases local side effects due to the high concentration of the drug on the application site [9]. These limitations can be overcome with nanostructured lipid carriers (NLCs). NLCs improve therapeutic efficiency of the drug by prolonging the drug retention time on the buccal mucosa tissue [10], and by providing controlled drug release near the disease area.
Of interest also are mucoadhesive polymers which have been extensively used as a surface modifier of particulate drug carriers to enhance the bioavailability of the drugs by further intimate contact with mucus layer, which prolong the residence time as well as localizing the drug to a specific region [9]. Polyethylene glycol 400 (PEG) and polyvinyl alcohol (PVA) are widely used as mucoadhesive polymers. They are hydrophilic, biodegradable, less toxicity and presented with a hydroxyl group that could interact with the oligosaccharide chain of mucin [12-14].
Accordingly, this study aimed to develop and characterize PRE loaded uncoated-NLCs and polymer coated-NLCs. Their physicochemical properties in terms of particle size, zeta potential, drug entrapment efficiency, in vitro drug release profile, and mucoadhesiveness to the porcine buccal mucosa were examined. Their antimicrobial activities were also determined. In addition, the physicochemical stabilities of mouth spray containing PRE loaded NLCs were investigated.
Materials
Brain heart infusion (BHI) was purchased from Himedia Laboratories Pvt. Ltd. (Adjani, India). Glyceryl monostearate (GMS), Lexol® GT-865 (medium chain triglyceride, MCT), menthol, myristic acid, poloxamer 407, polyethylene glycol 400 (PEG), and sodium benzoate were purchased from Namsiang Trading Co., Ltd. (Bangkok, Thailand). Polyvinyl alcohol (PVA) was purchased from Ajax Finechem Pty Ltd. (Seven Hills, Australia). Porcine buccal tissues were obtained from Bangrakam slaughter house (Phitsanulok, Thailand). Potassium dihydrogen phosphate (Lot No. 070M0019) and standard piperine (>99% piperine) (Lot No. U13423V) were purchased from Sigma-Aldrich Co. (Missouri, USA). S. mutans (ATCC25175T) and S. sanguinis (ATCC10556) were obtained from the National Institute of health, Department of Medical Sciences (Bangkok, Thailand). Span 20 was obtained from Merck (Darmstadt, Germany). Tween 80 was purchased from S. Tong Chemical (Bangkok, Thailand). Triphenyl tetrazolium chloride (TTC) was purchased from AppliChem GmbH ITW Company (Darmstadt, Germany). All solvents were of analytical grade.
Methods
Preparation of Piper retrofractum fruit extract (PRE) and piperine content analysis
Dried fruits of P. retrofractum, obtained from Manora Dispensary drug store, Phitsanulok, Thailand, were ground into powder and macerated with 95% ethanol at ambient temperature for 3 d. The extract was filtered and evaporated under reducing pressure condition. The percentage of yield was calculated (Equation 1). The amount of piperine in the extract was analyzed using high-performance liquid chromatography (HPLC). An HPLC system (Shimadzu, Kyoto, Japan) equipped with a reverse-phase C18 column (USP, 4.6 x 150 mm i.d., 5 µm, Vertical® Thailand) was used. The mobile phase consisted of acetonitrile and 25 mmol potassium dihydrogen phosphate (65:35). The flow rate was at 1.0 ml/min and detection wavelength was 340 nm. All data were processed with the LC solution® software (Shimadzu, Kyoto, Japan) [15].
(1)
Preparation of PRE-loaded mucoadhesive NLCs
PRE-loaded uncoated-NLCs were prepared with a hot high-pressure homogenization technique using Microfluidizer (Microfluidics Corporation, Massachusetts, USA). The oil phase was composed of myristic acid, GMS, Lexol® GT-865, and Span 20. The water phase was composed of PRE, Tween 80, propylene glycol, ethanol, and deionized water (DI water). The oil phase and water phase were separately heated to 80 °C. The water phase was then poured into the oil phase and homogenized using a high shear homogenizer (IKA, Staufen, Germany) at 8000 rpm for 1 min. The resulting hot pre-emulsion was processed through a high-pressure homogenizer (HPH) at 500 bar for 3 cycles, then, cooled down to ambient temperature to obtain PRE loaded NLCs dispersion. Finally, the prepared uncoated-NLCs were washed three times with DI water using an ultrafiltration cell fitted with an MWCO 100 kDa membrane (Millipore, Massachusetts, USA).
Separately from the uncoated-NLCs, 2 formulations of polymer coated-NLCs; PEG-NLCs, and PVA-NLCs were also fabricated by an adsorption technique. PEG or PVA solution (1% w/v) was added to the uncoated-NLC dispersed at a volume ratio of 1:1 and stirred at 500 rpm for 30 min (WiseStir, Wertheim, Germany). The NLCs were then washed with DI water as described above.
Physicochemical properties of PRE loaded NLCs
Morphology
The morphology of the PRE loaded NLCs was examined using a transmission electron microscope (TEM, Philips, Oregon, USA). An aliquot of the PRE loaded NLCs was diluted in 10 ml of DI water, and a 20 µl sample was directly deposited on a carbon-coated 300 mesh copper grid and stained with 10 µl of uranyl acetate solution (0.5% w/v). Excessive solution was removed by Whatman no. 1 filter paper and allowed to air-dry. The specimens were kept in a desiccator until required.
Mean particle size and polydispersity index
The mean particle size and polydispersity index of the NLCs dispersion were characterized by dynamic light scattering (DLS) employing a ZetaPALSanalyzer (Brookhaven Instruments Corporation, New York, USA), which was equipped with a 35 mW helium-neon laser diode operating at 632.8 nm and a BI-200SM Goniometer connected to a BI-9010AT digital correlator. All samples were diluted with DI water. The particle size of each sample was measured at 25 °C at a detection angle of 90° and run for ten times of measurement. The particle size analysis data were evaluated using the hydrodynamic diameter and the measurement was performed in triplicate.
Zeta potential
Zeta potential was determined by phase analysis light scattering with a ZetaPALS analyzer. The measurement was performed at 14.8° to the incident light. All samples were diluted with DI water in a volume ratio of 1:3 in 10 mm diameter cell. Data were collected for 10 cycles and each sample was determined in triplicate. The zeta potential was calculated from the electrophoresis mobility based on the Smoluchowski equation included in the software of the system.
Piperine incorporation efficiency
The amount of piperine incorporated in the NLCs was determined by the centrifugation method. Piperine was extracted from the particles by ethanol with sonication for 1 min at room temperature and then centrifuged at 14,000 rpm for 30 min. The amount of piperine in the supernatant was analyzed by HPLC as described above. Each sample was determined in triplicate. The percentage of piperine incorporated in the NLCs was calculated by the following equation 2.
(2)Evaluation of mucoadhesive properties
The mucoadhesive properties of the PRE loaded NLCs was investigated by the in vitro wash-off method using porcine buccal mucosa, obtained from a local slaughterhouse. The buccal mucosa tissue was separated from the underlying connective tissue with tweezers and surgical scissors, and kept in cold phosphate-buffered saline (pH = 7) until used (<8 h). A piece of porcine buccal tissue (1 cm2) was mounted on a glass slide with glue. Then 25 µl of the PRE loaded NLCs (containing piperine 35 µg) was spread on the porcine buccal mucosa and allowed to equilibrate for 2 min. The tissue was then exposed to a continuous flow of artificial saliva at 37 °C, at a flow rate of 0.5 ml/min with a peristaltic pump (Cole-Parmer GmbH, Wertheim, Germany). A 6 ml sample of the flushed artificial saliva was taken at predetermined time intervals of 15, 30, 60, 120 and 180 min. Finally, the piperine in the flushed artificial saliva was extracted using 2 ml of benzene and the benzene was further eliminated with a speed vacuum concentrator (Labconco Corporation, Missouri, USA) at 40 °C for 50 min. The dried residue was re-dissolved in 500 µl of mobile phase and the amount of piperine was determined by HPLC. The percentage of piperine retained on the tissue was calculated by following equation 3.
(3)Where: piperinewashed off = the amount of piperine that flushed by artificial saliva.
piperineinitial = initial amount of piperine in PRE loaded NLCs
In vitro drug release studies
In vitro drug release of the PRE loaded NLCs was studied by the shake-flask method. Since piperine compound has a poor aqueous solubility, the artificial saliva containing 0.5% (v/v) of Tween 80 was used as a dissolution medium to provide the sink condition. The medium was allowed to equilibrate in an orbital shaker at 37±0.5 °C for 30 min before use. A 100 µl of PRE loaded NLCs, contained piperine 125 µg, was added into 7 ml of medium and constantly shaken at 100 rpm, 37±0.5 °C. An aliquot of 300 µl of the sample was taken at time intervals of 5, 10, 15, 30, 60, 120, 180, and 360 min. The selected samples were then centrifuged at 18,000 rpm for 30 min and the supernatant was assayed for the amount of piperine released using HPLC as described above.
Antimicrobial activity of PRE and PRE loaded NLCs
The antibacterial activities of the tested samples were investigated against S. mutans and S. sanguinis. The broth microdilution method was used to determine the minimum inhibitory concentration (MIC). A stock solution of PRE was prepared by dissolving PRE in BHI broth composed of 0.25% (w/v) of Tween 80 and 5% (w/v) of dimethyl sulfoxide (DMSO). Then two-fold serial dilution of the PRE stock solution was performed in a 96-well plate with BHI to obtain a piperine concentration range from 1000 to 0.48 µg/ml. An aliquot of 20 µl of bacterial inoculum was added, 106 CFU/ml, into each well and incubated at 37 °C for 24 h, under anaerobic conditions. The bacterial growth was detected by adding 20 µl of TTC (0.2% (w/v)) in each sample well and incubated at 37 °C for 1 h. The development of red color indicates bacterial growth, and the absence of the color means inhibition of bacterial growth. The positive control (chlorhexidine) and solvent control were also tested in the same way. All NLC formulations were also studied for antibacterial activity similar to the tests for free PRE mentioned above. In addition, the blank NLCs was employed as a control to ensure that the NLC had no effect on bacterial growth. All of the MIC determinations were performed in triplicate.
Preparation of mouth spray containing PRE loaded NLCs
Mouth sprays were prepared by the beaker method. The water phase composed of sodium benzoate, sodium saccharin, menthol, poloxamer 407, propylene glycol, and DI water. All ingredients were mixed by a magnetic stirrer until homogenous. Spearmint oil and peppermint oil were then added and stirred at 500 rpm for 30 min. Finally, the PRE loaded NLC dispersions were added and mixed to obtain 0.1% (w/w) piperine.
Physicochemical stability of NLCs in mouth spray solution
The mouth spray containing PRE loaded NLCs were stored at room temperature and 4 °C in a well closed container and protected from light. An aliquot of each sample was taken at intervals of 1, 3, and 6 mo to investigate the mean particle size, zeta potential, and the piperine remaining. Each sample was carried out in triplicate. A mouth spray containing PRE was used as a control. This formulation was obtained by simply replacing the PRE loaded NLCs with PRE.
Statistical analysis
The results were expressed as mean±standard deviation (SD). Differences between the groups were compared by one-way ANOVA followed by Tukey’s post hoc test. The results were considered to be statistically significant at *P<0.05.
Preparation of PRE and piperine content analysis
Preparation of PRE using the method described above produced the extract with the yield of 16.32±0.48% (w/w) compared to the dried powder weight. The appearance of the extract was a dark viscous liquid. Based on HPLC analysis, piperine was found as the major compound in PRE with 20.94±2.46% (w/w).
Physicochemical properties of PRE loaded mucoadhesive NLCs
The mean particle size of the unloaded NLCs was in the range of 70-90 nm with a polydispersity index of<0.3 indicating a narrow size distribution, and exhibited negatively charged with a zeta potential of ~-24 mV (table 1). The entrapment of the piperine produced a marginal effect on the mean particle size. Piperine loading led to an increase in the mean particle size to 100-120 nm but did not affect the zeta potential and polydispersity index. Furthermore, the mean size of PRE loaded NLCs (uncoated-NLCs) was increased from 100 nm to ~ 120 nm after coating with mucoadhesive polymers. In addition, the piperine incorporation efficiency was found to be higher than 90%.
Table 1: Physicochemical characteristics of blank NLCs and PRE loaded NLCs.
Formulations | Blank NLCs | PRE loaded NLCs | |||||
Mean size (nm)±SD |
PI±SD | ZP (mV)±SD |
Mean size (nm)±SD |
PI±SD | ZP (mV)±SD |
%EE±SD | |
Uncoated-NLCs | 72±4 | 0.17±0.02 | -25.3±1.6 | 104±4 | 0.13±0.04 | -24.5±2.5 | 97±2 |
PEG-NLCs | 92±3 | 0.16±0.02 | -25.0±1.7 | 125±4 | 0.17±0.03 | -25.0±2.6 | 95±1 |
PVA-NLCs | 92±4 | 0.19±0.02 | -24.2±2.4 | 128±6 | 0.17±0.01 | -25.4±2.1 | 95±3 |
PI: polydispersity index; ZP: zeta potential; EE: entrapment efficiency; SD: standard deviation for n = 3.
TEM micrographs revealed that PRE loaded uncoated-and polymer coated-NLCs were spherical in shape and uniformly distributed. In the case of PEG-NLCs and PVA-NLCs, as shown in fig. 1B and 1C, respectively, the light gray appeared on the outer layer of the particle was attributed to the polymer coating on the outer surface particles. The particle size of polymer coated-NLCs (~ 120 nm) was found to be slightly larger than uncoated-NLCs (~ 100 nm). The result from TEM was similar to that obtained by DLS.
Fig. 2: Mucoadhesive properties of () PRE, and PRE loaded () uncoated-NLCs, () PEG-NLCs, and ( ) PVA-NLCs. Error bars indicate SD for n = 3.
4.3 Evaluation of mucoadhesive properties
Instillation of free PRE on the buccal mucosa resulted in significant loss of piperine after 15 min of fluid flow (>90%), and only 2% of piperine remained on buccal mucosa after 180 min (fig. 2). However, on the instillation of uncoated-NLCs and polymer coated-NLCs exhibited superior retention to the porcine mucosa.
After 15 min of fluid flow, uncoated-NLCs showed ~ 40% piperine remaining on the buccal mucosa and after 180 min only ~ 18% remained. The surface modification with PEG and PVA showed greater mucoadhesiveness than uncoated-NLCs. Over 66% of piperine remained on buccal mucosa after 15 min and ~ 47% of piperine remained after 180 min of fluid flow.
Fig. 2: Mucoadhesive properties of () PRE, and PRE loaded () uncoated-NLCs, () PEG-NLCs, and () PVA-NLCs. Error bars indicate SD for n = 3
In vitro drug release studies
Artificial saliva containing Tween 80 was used as a dissolution medium to provide sink condition because of the piperine’s low water solubility. The solubility of piperine in dissolution medium was ~ 350 µg/ml. All NLC formulations showed a fast release profile with a burst release in the first 5 min (fig. 3). The uncoated-NLCs exhibited ~ 40% piperine released in the first 5 min and ~ 60% in 60 min, whereas the PEG-NLCs and PVA-NLCs showed higher piperine released of ~ 55% and ~ 70% after 5 and 15 min, respectively. Obviously, PEG-NLCs and PVA-NLCs showed the higher initial drug released than uncoated-NLCs (*P<0.05).
The drug release pattern suggested that most of the piperine, ~ 70%, was localized at or near the particle surface with ~ 30% of the piperine entrapped inside the NLCs lipid matrix.
Fig. 3: The drug released profiles of PRE loaded () uncoated-NLCs, () PEG-NLCs, and () PVA-NLCs. Error bars indicate SD for n = 3
Antimicrobial activity of PRE and PRE loaded NLCs
The free PRE and PRE loaded NLCs were active against the tested bacteria (table 2). The MIC value of free PRE, based on the piperine content, against S. mutans and S. sanguinis were 125 and 250 µg/ml, respectively, while all NLC formulations showed the higher MIC value for all tested bacteria at 1000 µg/ml (table 2). This result was attributed to the tightly entrapped of piperine in particles and incomplete release into the culture medium. Nevertheless, the blank NLCs and solvent showed no effect against the tested bacteria (data not show). Therefore, the antibacterial activity of PRE loaded NLCs was resulted from piperine.
Physicochemical stability of NLCs in mouth spray solution
After 6 mo storage at room temperature, the mean particle size and zeta potential showed no significant difference compared with a freshly preparation (table 3). The mean particle size was practically unchanged at ~ 100-120 nm. On the other hand, the mean particle size of all NLC formulations tends to be of a larger size after being stored at 4 °C for 1, 3 and 6 mo suggesting an aggregation process of the nanoparticle. In addition, TEM micrographs revealed that the particle shape changed from spherical to palette after storage at 4 °C (table 4). Nevertheless, the zeta potential was not changed significantly under both storage conditions.
Table 2: Minimum inhibitory concentration (MIC) of PRE, PRE loaded NLCs, and chlorhexidine against oral pathogens determined by broth microdilution method
MIC (µg/ml) | ||
S. mutans | S. sanguinis | |
PRE | 125 | 250 |
Uncoated-NLCsPEG-NLCsPVA-NLCs | 100010001000 | 100010001000 |
Chlorhexidine | 7.8 | 7.8 |
Note: the MIC value of PRE and PRE loaded NLCs were based on the concentration of piperine.
Table 3: The mean particle size and zeta potential of PRE loaded NLCs in mouth spray after storage for 6 mo at room temperature and 4 °C in the absence of light
Storage temperature | Mean size (nm)±SD | Zeta potential (mV)±SD | ||||
Uncoated-NLCs | PEG-NLCs | PVA-NLCs | Uncoated-NLCs | PEG-NLCs | PVA-NLCs | |
Initial | 109±0 | 117±0 | 112±4 | -25.3±0.8 | -24.9±2.6 | -25.4±2.0 |
After storage at RT | ||||||
1 mo | 112±11 | 122±4 | 117±2 | -25.8±1.8 | -24.0±2.9 | -25.5±0.5 |
3 mo | 106±6 | 117±3 | 117±2 | -23.7±1.9 | -23.3±0.9 | -25.5±0.5 |
6 mo | 114±7 | 123±5 | 119±5 | -25.1±2.7 | -23.1±2.9 | -23.9±3.1 |
After storage at 4 °C | ||||||
1 mo | 226±5 | 227±5 | 246±3 | -24.2±1.8 | -23.6±2.0 | -24.7±2.3 |
3 mo | 285±5 | 294±4 | 316±4 | -25.3±2.1 | -23.3±0.9 | -23.9±3.1 |
6 mo | 282±2 | 301±13 | 398±7 | -24.2±1.3 | -24.3±1.9 | -23.9±0.8 |
Note: SD = standard deviation for n = 3; RT = room temperature.
Table 4: Transmission electron micrographs of PRE loaded NLCs after storage at room temperature and 4 °C for 6 mo
Formulation | Room temperature | 4 °C |
Uncoated-NLCs | ||
PEG-NLCs | ||
PVA-NLCs |
The chemical stability was also investigated in term of piperine remaining. The piperine content of mouth spray formulations significantly decreased in both storage conditions (fig. 4). The mouth spray containing free PRE showed ~ 77% piperine remaining after 1 mo storage and further decreased to ~ 50 % after 6 mo in all storage conditions. On the other hand, the mouth spray containing PRE loaded NLCs showed excellent potential for piperine protection, which increased the percentage of piperine remaining up to >80% and >70% after 1 and 6 mo storage, respectively, at both room temperature and 4 °C.
A
B
Fig. 4: Percentage of piperine remaining after 6 mo storage of PRE and PRE loaded NLCs at (A) room temperature and (B) 4 ºC. Error bars indicate SD for n = 3.
Dental caries and periodontitis are infectious diseases caused by oral pathogens that could be prevented by antibacterial agents. Unfortunately, the chemical antimicrobial agent may lead to undesirable side effects. Hence, the trend has shifted to botanical extracts. However, their therapeutic efficiency is hampered by short residence time from the site of application due to saliva flow and oral muscular functions. Thus, to improve its therapeutic efficacy, NLCs would be a desirable approach. This study demonstrated that mucoadhesive polymer coated-NLCs exhibited promising potential actions for local oral cavity drug administration.
PRE loaded NLCs were successfully prepared by a hot high-pressure homogenization technique. Then, the particle was further coated with mucoadhesive polymers to improve the bioavailability of the drugs by prolonging the residence time on the mucosa. PEG and PVA were believed to attach to the particle surface via hydrogen bonding and acted as a steric stabilizer preventing particle aggregation [16, 17]. The mean particle size of PEG-NLCs and PVA-NLCs was slightly increased, 120 nm, as compared to uncoated-NLCs, 100 nm, suggesting the success of the polymer coating process. Further evidence of polymer coating is consistent with their TEM micrographs that exhibit a light gray layer on the outer layer.
As expected, all NLC formulations exhibited greater adherence to the porcine buccal mucosa as compared to free PRE confirming their mucoadhesive properties. The particle size and the nature of coated polymer are the main parameters affecting mucoadhesive potential. In general, the mucosa tissue is coated with a mucus gel layer composed of glycoprotein fibers mesh that could physically trap small particle sizes of<200 nm [18, 19]. As a consequence, the uncoated-NLCs with mean particle size ~ 100 nm could be immobilized within the mucus layer, and thus, avoid elimination by the fluid flow. Furthermore, PEG-NLCs and PVA-NLCs showed a 2-fold greater mucosa adhesion than uncoated-NLCs. Their strong mucoadhesive properties were attributed to the PEG and PVA hydrophilic nature with a high hydroxyl content. Upon particle contact with buccal mucosa tissue, their small size of ~ 120 nm could facilitate them to diffuse into the mucus layer. At the same time, the polymer chain could diffuse and interpenetrate into the mucus gel resulting in the entanglement with mucin, and subsequently, interacting with mucin via hydrogen bonding [12, 20]. Based on these results, PEG-NLCs and PVA-NLCs exhibited a strong mucoadhesion affinity for porcine buccal mucosa. Therefore, the particles could be retained on the buccal mucosa for an extended period of time. This could increase drug concentration at the target site leading to improved therapeutic efficiency of loaded drugs.
In vitro drug release profile of NLCs was determined as it is crucial for an effective local oral drug delivery system. A similar drug release profile was observed for both uncoated-NLCs and polymer coated-NLCs. All formulations illustrated a rapid burst release in the first 5 min. The high initial burst release of piperine was attributed to most of the piperine located at or nearby the particle surface. This phenomenon may be caused by the preparation process. During the heating process, the water solubility of piperine increased, and piperine, in lipid melted droplets were able to diffuse into the water phase. However, in the cooling process, the water solubility of piperine decreased resulting in a re-partition of piperine back into the lipid phase. At the same time, the molten lipid is solidified, thus, the drug could be accessed only in the liquid outer shell and on the particle surface [21]. Interestingly, after 30 min, only 70% of the piperine was released and remained constant for 360 min. The incomplete drug released may be explained by a slow diffusion of piperine from oil nano compartment into the solid lipid matrix before releasing into the medium. Due to the high amount of MCT, 57% of the total lipid phase, the oil was separated as fine droplets being incorporated into the solid lipid matrix during the cooling process leading to the formation of multiple type NLCs [21].
PEG-NLCs and PVA-NLCs showed higher amounts of piperine released than uncoated-NLCs after the first 5 min, *P<0.05. It could be postulated that the mucoadhesive polymers enhance drug release by two mechanisms. First, the mucoadhesive polymer could interact with piperine by hydrogen bonding and is localized at the particle surface thereby being responsible for the initial burst release. Second, the water-soluble property of these polymers might further help the piperine leach out from the particle surface to the dissolution medium [22, 23]. The initial burst release of PRE loaded NLCs could be considered as an advantage to provide a sufficient therapeutic dose for inhibiting bacterial growth in a timely manner. Interestingly, in vitro antibacterial studies have revealed that all NLC formulations are effective against both tested bacteria. However, the PRE loaded NLCs showed 8-fold higher MIC value against S. mutans, and 4-fold higher value against S. sanguinis than the free PRE. The blank NLCs showed no antibacterial activity indicating that the piperine released from NLCs is responsible for antibacterial activity. However, the observed higher MIC value of the NLCs suggests that the incomplete release of piperine from the particles is due to the culture medium not providing sink conditions whereas the dissolution medium did. Nevertheless, this observation could be clinically useful because of the intrinsically low water solubility of piperine which could provide a sustained release effect. In addition, all NLC formulations demonstrated strong mucoadhesive properties to the buccal mucosa tissue. This property could reduce the biofilm formation by a competitive adhesion between the nanoparticles and the bacteria to the buccal mucosa tissue. Ahn et al. showed that the silver nanoparticles can reduce adhesion of the S. mutans on experimental composite adhesives [24]. Additionally, Chávez de Paz et al. showed that chitosan nanoparticles were capable of reducing the adhesion and penetration of S. mutans through the biofilm structure at neutral pH [25].
The physical stability of NLCs is the main concern due to their instability in the liquid medium. The developed mouth spray containing PRE loaded NLCs showed good physical stability with no evidence of particle aggregation or precipitation when stored at room temperature. Surprisingly, the mean particle size progressively increased with time and the particle shape transformed to be platelet-like when kept at 4 °C. This phenomenon can be described by polymorphic transformation of the inner lipid matrix of NLCs. Jenning et al. reported that the low temperature could induce the polymorphic transition of MCT from the amorphous form (-form) to crystallized form (-form), leading to the transformation of spherical to platelet shaped particles [26, 27]. In addition, Helgason et al. stated that the surfactants required to cover and stabilize the newly created interfaces may not be able to diffuse rapidly enough to adsorb at the newly formed lipid crystalline interfaces, leading to increased mean particle size due to flocculation [28].
The chemical stability of piperine in nanoparticles is also an important issue. Piperine is susceptible to degradation by oxidation and hydrolysis [29]. As expected, all NLC formulations showed excellent piperine protection, more than its solution form, demonstrating the protective effects of the solid matrix. This improvement of piperine stability is attributed to the lipid matrix preventing or reducing the diffusion of the aqueous medium into nanoparticles. These results indicate that NLCs improve piperine stability. However, the amount of piperine incorporated into the NLCs also decreased after 6 mo storage. The degradation of the piperine during storage in the mouth spray formulations was a result of the piperine released from the NLCs into the mouth spray solution. Hence, the addition of an antioxidant into the mouth spray formulation would improve the chemical stability of the piperine.
In conclusion, uncoated-NLCs and polymer coated-NLCs all showed spherical shape with a mean particle of ~ 100 to ~ 120 nm and zeta potential of ~-24 mV with a high entrapment efficiency of>90%. The developed NLC formulations have greater mucoadhesive properties than the free PRE. In addition, PEG-NLCs and PVA-NLCs showed strong adherence to the porcine buccal mucosa, twice that of the uncoated-NLCs. The ability of PEG-NLCs and PVA-NLCs adhering on the mucosal surface improves the therapeutic efficiency of PRE and/or other drugs by prolonging the residence time of the drug delivery system to the buccal mucosa tissue. In addition, this particulate system is potentially more effective in inhibiting the growth of bacteria in the oral cavity leading to retardation or prevention of biofilm formation. Although showing the rapid drug release pattern, the NLCs is clinically useful because of the intrinsically low water solubility of piperine providing a sustained release effect. In addition, the PRE loaded NLCs showed good effectiveness against S. mutans and S. sanguinis with an MIC value of 1000 µg/ml. Furthermore, the chemical stability of piperine in a mouth spray containing PRE loaded NLCs was significantly improved over free PRE in the mouth spray formulation. As well PRE loaded NLCs showed good physical stability without particle aggregation after 6 mo storage at room temperature. Based on our results, we are confident that developed PRE loaded NLCs is highly advantageous for the prevention of dental caries and periodontitis disease, furthermore, the developed NLCs are a good choice for use in the local oral mucosa drug delivery system.
The authors gratefully acknowledge Naresuan University and Center of Excellence for Innovation in Chemistry (PERCH-CIC) for the financial support of this work. Special thanks to the Faculty of Pharmaceutical Sciences, Naresuan University for providing the necessary facilities. Many thanks to Mr. Roy Morien of the Naresuan University Language Centre for his editing assistance and advice on English expression in this document.
Srichaivatana K makes substantial contributions to acquisition of data, analysis and interpretation of data and drafting the article. Ounaroon A participates in concept, and data analysis and interpretation. Tiyaboonchai W participates in concept, guidance, critical review, and article revision.
All authors have none to declare
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