Article Journal of Pharmaceutical Sciences and Pharmacology Copyright © 2014 American Scientific Publishers All rights reserved Printed in the United States of America Vol. 1, 131–140, 2014 www.aspbs.com/jpsp Structure-Toxicity Relationship of Chemically Modified Chitosan as an Oral Protein Drug Delivery Carrier Subrata Biswas1 , Mainak Chattopadhyay2 , Kalyan Kumar Sen3 , Malay Kumar Saha1 , and Himangshu Sekhar Maji2 ∗ 1 National Institute of Cholera and Enteric Diseases, Indian Council of Medical Research, Beliaghata, Kolkata 700010, India Bengal School of Technology, Sugandha, Delhi Road, Hooghly 712102, West Bengal, India 3 Gupta College of Technological Sciences, Ashram More, G.T. Road, Asansol 713301, West Bengal, India 2 N,N,N-Trimethylated chitosan has been extensively used as an absorption enhancer for macromolecules and as a mucosal vaccine carrier. Both of these properties are molecular weight (MW ) and degree of quaternization (DQ) dependent. The aim of the present study was to evaluate the impact of some synthesized trimethylated chitosan with various MW and DQ on biological systems in terms of biocompatibility and providing guidelines for the rational design of chitosan derivatives for effective and safe drug delivery. For this purpose, cytotoxicity in HT29 cell line was monitored using the MTT assay and the release of the cytosolic enzyme lactate dehydrogenase (LDH). Microscopic observation was carried out as indicators for blood cell compatibility. Furthermore, haemolysis was quantified spectrophotometrically for evaluation Delivered Ingenta to: study ? of haematotoxicity. Two polymer doses were used for subby acute toxicity in BALBc mice. After oral administration, IP: 5.10.31.211 On:Signs Thu, of 15toxicity Jun 2017 animals were monitored over 28 days and necropised. were15:09:52 evaluated via mortality and histopathology Copyright: American Scientific Publishers of liver, kidney and spleen. The magnitude of the cytotoxic effects all chitosan derivatives were found to be concentration dependent. Higher concentration of trimethylated chitosan with 22% DQ and native chitosan did not cause significant abnormalities among experimental group of mice, whereas, trimethylated chitosan with higher DQ as 50% and 61% may lead to concentration dependent cytotoxicity, hematotoxicity and increased renal and hepatotoxicity. All assays yielded comparable results and concluded cationic charge density of the chitosan derivatives seems as key parameters for the interaction with the cell membranes and consequently the cell damage. These results indicate that structure-toxicity relationship is necessary to optimize the degree of modification of chitosan for the development of biocompatible and biodegradable derivatives. KEYWORDS: Biocompatible, Cytotoxicity, Haemolysis, Histopathology, Sub-Acute Toxicity, Trimethyl Chitosan. INTRODUCTION Chitosan (CS) is a natural linear polysaccharide consisting of 1 → 4-D-glucosamine and 1→ 4-N -acetyl Dglucosamine units and is obtained by partial deacetylation of the natural polymer chitin [Aspden, 1996; van der Lubben, 2003]. It can be found in a variety of forms differing in size (average molecular weight; MW ) and degree of deacetylation (DD). It has gained increasing attention in the field of drug delivery system due to its favourable biological properties, such as non toxicity, biodegradability, mucoadhesive properties and biocompatibility [Kumar, ∗ Author to whom correspondence should be addressed. Email: [email protected] Received: 2 January 2014 Accepted: 28 February 2014 J. Pharm. Sci. Pharmacol. 2014, Vol. 1, No. 2 2004; Agnihotri, 2004]. However, solubility of CS only restricted to acidic solution limits its applications to bioactive agents such as gene delivery carriers, peptide carriers and drug carriers [Kotze, 1999]. Partial quaternization of CS’s primary amine groups has been used to obtain a CS derivative that is soluble at physiological conditions. N ,N ,N -Trimethylated chitosan (CS TM) has been shown to have mucoadhesive properties, penetration enhancing properties and therefore, can be applied to delivery of hydrophilic macromolecules, such as peptides and proteins [Sandri, 2005]. This capability as enhancer is due to opening the tight junctions between adjacent epithelial cells through interactions between the protonated (positively charged) amino groups on the C-2 position and the negatively charged sites on the cell membrane and/or in the tight junctions [Hamman, 2003]. 2333-3715/2014/1/131/010 doi:10.1166/jpsp.2014.1016 131 Structure-Toxicity Relationship of Chemically Modified Chitosan as an Oral Protein Drug Delivery Carrier Biswas et al. Several studies have been performed to determine the the reduction of NAD+ by LDH. The resulting reduced optimal degree of quaternization (DQ) for either transepNADH/H+ is utilized in the stoichiometric conversion ithelial delivery of low molecular weight drug molecules of a tetrazolium salt 2-(4-iodophenyl)-3-(4-nitrophenyl)-5and/or proteins, or to increase transfection potential of phenyltetrazolium chloride (INT) [Weyermann, 2005]. The complexes of CS TM with plasmid DNA. It has been LDH test provided information on the effects of polymers shown that CS TM with higher DQ would display optiafter short incubation times. The HT 29 human epithelial mum mucoadhesive and penetration enhancing properties cell line was selected in the present study as a convenient [Verheul, 2008]. These chemically modified polymers need in vitro model to assess polymer toxicity. Changes in cell to be biocompatible, non-toxic, non-immunogenic, and morphology and erythrocyte aggregation were also used biodegradable, with a high drug-carrying capability and as indicators of cell survival by microscopic investigation. controlled release of drugs at the target site [Sgouras, Furthermore, the blood compatibility of the modified poly1999]. The term “biocompatibility” encompasses many mers was quantified by spectrophotometric measurement different properties of the materials, however, three difof haemoglobin release from erythrocyte after polymer ferent aspects of the biomaterial screening refers to their treatment. In vivo exposure to polymers is likely to have in vitro cytotoxicity, blood-compatibility behaviour and potential impact on the liver, spleen and kidney since expoin vivo sub-acute toxicity [Jintapattanakit, 2008; Kean, sure to these particles is likely to occur through ingestion, 2010; Amidi, 2010]. distribution and clearance by the liver, spleen and kidney In this study, two different MW of CS and its and acute toxicity was investigated in Swiss albino mice trimethyalted derivatives of different DQ considered as via organ histopathology. drug delivery systems were examined in terms of bioThe toxicity end points selected in the current study repcompatibility and biodegradation, especially for oral proresent vital biological functions of the mammalian system tein delivery. These polymers are used to form neutral as well as provide a general sense of toxicity in a relatively or positively charged complexes with protein due to elecshort time. The results described in this paper provide trostatic interactions [Leclercq, 2003]. Polycation-protein information of in vitro and in vivo toxicity of two different complexes were usually found to be less cytotoxic than molecular weight of CS with different DQ, thereby propolymers [Cherng, 1996]. But administration of polymerviding guidelines for the rational design of CS derivatives drug complexes to blood can result in their dissociafor effective and safe drug delivery. Delivered by Ingenta to: ? tion and aggregation due to interactions with erythrocytes IP: 5.10.31.211 On: Thu, 15 Jun 2017 15:09:52 and plasma proteins yielding non-complexed polycations Copyright: American Scientific Publishers MATERIALS AND METHODS [Fischer, 2003]. The free polymer then interacts with cell Materials membranes, extracellular matrix proteins and blood comHigh molecular weight CS (CS HMW) (MW 310– ponents leading to undesired side effects [Kircheis, 2001]. 375 kDa) and middle molecular weight CS (CS MMW) CS TM administered orally can be absorbed through gastro (MW 190–300 kDa) were purchased from Sigma intestinal tract (GIT), then degraded gradually in blood and Aldrich, USA. DMEM (Dulbecco’s Modified Eagle’s liver, and finally discharged from the body through urine Medium) and HEPES [N -(2-hydroxyethyl piperazine-N [Dong, 2010]. It is necessary for the acknowledgement of (2-ethanosulphonic acid)] were procured from Sigma CS TM’s biological safety to study whether it has effects (USA). 96-well flat bottom polystyrene plate was puron relevant systems and organs after being absorbed and chased from Nunc (Denmark). Ultrapure water (MilliQ, degraded gradually in vivo. CS degradation rate can be Waters, USA) was used to prepare all solutions and freshly affected by the polymer’s MW and degree of substitution prepared solutions were used in all experiments. [Kean, 2010]. Human intestinal epithelial cell (HT 29) were cultured Different techniques were used to measure changes and maintained in DMEM with supplemented with 10% in cell viability and interactions with erythrocyte. fetal bovine serum and 1% antibiotic-antimycotic solution The MTT (3-[4,5-dimethylthiazole-2-yl]-2,5 diphenyltetra(Invitrogen, Carlsbad, CA). Cells were maintained in 5% zolium bromide) assay was selected to determine detriCO2 at 37 C humidified incubator for 10 days. mental intracellular effects on mitochondria and metabolic Specific pathogen-free male BALB/c mice (6 weeks old, activity and is frequently used for screening of cytotoxicity 22–25 g) and male New Zealand rabbits weighing 2.0– [Mosmann, 1983]. MTT is oxidized by mitochondrial 2.5 kg were obtained from the animal house of Gupta dehydrogenases in living cells and gives a dark purple College of Technological Sciences (GCTS), India were formazan product. Damaged or dead cells show little or used. They were kept into individual cages with autoclaved no dehydrogenase activity [Klajnert, 2006]. Membrane food and water ad libitum. All animals were housed in damage effects caused by polymer were analyzed by the an aseptic room with 12 h light/dark cycle and temperarelease of the cytosolic enzyme lactate dehydrogenase ture of 20 ± 2 C. Animals were acclimated to the new (LDH) which is a potential site of interaction of cationic environments for 1 week before being used for immunizamacromolecules [Chokakulnimitr, 1995]. The LDH activtion. Animal study protocol was reviewed and approved by ity is determined in an enzymatic test and based on 132 J. Pharm. Sci. Pharmacol. 1, 131–140, 2014 Biswas et al. Structure-Toxicity Relationship of Chemically Modified Chitosan as an Oral Protein Drug Delivery Carrier the Institutional Animal Care and Use Committee, GCTS, India. Synthesis and Determination of DQ of CS TM The two-step reaction pathway to synthesize CS TM with a various DQ is based on the method published by Verheul et al., with some modifications [Verheul, 2008]. In the first step N -alkyl CS was prepared by introducing a methyl group into the amine group of CS via Schiff’s base followed by reducing the C N bond, in the next step methyl iodide was used to produce CS-TM. CS-TM products synthesized were analyzed by 1 H-Nuclear Magnetic Resonance (1 H-NMR) spectroscopy (Bruker, Germany). The NMR spectrum of CS TM was obtained by dissolving 5 mg of each sample in 750 l of D2 O at 80 C. The DQ was calculated using data obtained from the 1 H-NMR spectra using the following equations [Sieval, 1998; Polnok, 2004; Amidi 2006] DQ = CH3 3 /H × 1/9 × 100 In Situ Cytotoxicity (Lactate Dehydrogenase (LDH) Assay) The LDH assay was performed according to the method described by Baba et al. [Baba, 2005]. HT-29 cells were seeded into 96-well microplates (Nunc) at a density of 3000 cells/cm2 . After 24 h cell culture, medium was removed and replaced by fresh medium containing CS and its derivatives at concentration of 0.25, 1, 4 mg/ml were added. The cells were incubated for 1 h at 37 C. After incubation the culture supernatants were harvested to carry out the LDH assay. Fifty l of the culture supernatant from each well were transferred to the corresponding well in another microtitre plate. The LDH activity of the supernatant was measured utilizing a commercial kit (Sigma Aldrich, USA) according to the manufacturer’s instruction. The absorptions were measured in triplicate at 490 nm, with a background correction at 690 nm, using a microplate ELISA reader (Multiscan). Controls were performed with 0.1% (w/v) Triton X-100 (Sigma) and set as 100% LDH release. The relative LDH release is defined by the ratio of LDH released over total LDH in the intact cells. The percent cell viability was calculated after incubation with polymers from the release of LDH in the supernatants, measured spectrophotometrically by absorbance at 490 nm: Here CH3 3 is the integral of the chemical shift of the N -trimethyl amino group at 3.3 ppm attributed to the nine hydrogen atoms of the methyl groups pertaining to trimethylated amino groups. [H] is the integral of the H-1 peaks between 4.7 and 5.7 ppm; the signal related to the protons attached to the carbon of the glucosamine unit of Delivered by Ingenta to: ? − c the glucopyranose ring. × 100% Cell viability % = 100 − IP: 5.10.31.211 On: Thu, 15 Jun 2017 15:09:52 100% − C Copyright: American Scientific Publishers In Vitro Cytotoxicity (MTT Assay) where is the absorbance of the sample incubated with a The MTT assay was performed according to the method polymer, C is the absorbance of the culture supernatant described by Mosmann [Mosmann, 1983]. HT 29 cells without polymer, and 100% is the absorbance of the samwere seeded into 96-well microplates (Nunc) at a density 2 of 3000 cells/cm . The medium was removed 24 h after ple treated with Triton X-100. Thus, the percentage cell plating and fresh media containing CS and its derivatives viability equals 100% if there is no release of LDH. at concentrations of 0.25, 1.0 and 4.0 mg/ml were added. After incubation for 1 h the medium was discarded, the Haemolysis Test cells were washed twice with phosphate-buffered saline The haemolytic activity of the polymers was investigated and 50 l of 5 mg/ml MTT (Sigma Aldrich, USA) solution according to Parnham and Wetzig [Parnham, 1993]. Whole in PBS were added to each well. The plates were incublood from rabbit was diluted with 3% sodium citrate solubated in a humidified atmosphere of 5% CO2 at 37 C for tion. Erythrocytes were separated from the plasma and leu6 h and the formazan crystals were dissolved by adding cocytes by centrifugation (5000× g, 5 min) (Sorval Legend 100 l dimethyl sulfoxide (DMSO) to each well. The X1R, Germany) at 4 C, washed three times with phosabsorptions were measured in triplicate at 570 nm, with phate buffered saline (PBS) and resuspended in saline to a background correction at 630 nm, using a microplate achieve 2% (v/v) erythrocyte dispersion. They were used ELISA reader (Multiscan). Results were recorded as perimmediately after isolation. centage absorbance relative to untreated control cells. The To study the effects of CS and its derivatives on haemolcytotoxicity assay results were used to calculate cell viaysis, the red blood cells were suspended at three differbility after incubation with polymers as follows: ent concentrations of polymer 0.25, 1.0, 4.0 mg/ml in x PBS at a haematocrit of 1% and incubated for 30 minutes Viability % = × 100% xc at room temperature (20 C). The incubated suspensions were centrifuged at 1000× g, 5 minutes. For reference, Where x is the absorbance in a well containing a parred blood cells were treated with double-distilled water, ticular polymer concentration and xC is the absorbance which effects 100% haemolysis. The haemolytic index for untreated control cells. All experiments were run four was determined from the released haemoglobin in the times. J. Pharm. Sci. Pharmacol. 1, 131–140, 2014 133 Structure-Toxicity Relationship of Chemically Modified Chitosan as an Oral Protein Drug Delivery Carrier supernatants, measured spectrophotometrically (Mecasys Optizen, Korea) by absorbance at 540 nm: haemolytic index % = 100 − − c × 100% 100% − C where is the absorbance of the sample incubated with a polymer, C is the absorbance of the sample treated with phosphate-buffered saline, and 100% is the absorbance of the sample treated with Triton X-100. Thus, the haemolytic index equals 100% if there is no release of haemoglobin. The polymers themselves contributed no more than 1% of the absorbance at 540 nm. The experiments were run in triplicate and were repeated twice. Biswas et al. objective of X40 magnification. Histopathology changes were observed and grouped based on vascular changes and necrotic changes. Statistical Analysis Data were expressed as mean values ± standard deviation (SD). The effect of the degree of quaternization and molecular weight on the cell viability compared to native CS was assessed with the aid of SPSS 16.0 (SPSS Inc., Chicago, USA) with the significance level set at p < 0 05. Paired sample t-test for pair-wise comparison was performed at each concentration of the CS HMW, CS LMW and their various DQ. Samples that were not normally distributed were tested using the Mann Whitney test. Erythrocyte Aggregation Assay The erythrocyte aggregation potential of CS derivatives RESULTS was investigated according to the reported procedure of Synthesis and Determination of the DQ of CS TM Zhang et al. [Zhang, 2008]. A 2% (v/v) stock suspension CS TM was synthesized based on reaction of CS with of erythrocytes was prepared for the study. CS and its difCH3 I. The successful incorporation and analysis of the ferent derivatives at concentrations of 0.25, 1 and 4 mg/ml spectra of quaternized derivatives of CS was based on the 1 of 1 ml were added into 1 ml of erythrocyte dispersion H NMR assay and was used to determine the DQ (percent and incubated for 1 h at room temperature. A 20 l samof trimethylated amine groups) of synthesized CS TM. ples was placed on a glass plate and agglutination was The hydrogen (H1) peak bonded to the anomeric carbon observed using a Carl Zeiss phase contrast microscope at 5 3 < < 5 5 ppm, the hydrogen (H3, H4, H5, H6) (Carl Zeiss, Germany) equipped with an objective of X40 peaks bonded to the 2nd carbon of the glucosamine unit magnification. at 3.7 ppm and the methyl hydrogen peak of acetamido Delivered by Ingenta to:2.6 ? ppm were determined (Fig. 1). According to group at IP: 5.10.31.211 On: Thu, 15 15:09:52 Sub-Acute Toxicity theJun peak2017 assignment and intensity, the DQ of synthesized Copyright: American Scientific Publishers CS TM was calculated. The NMR findings pertaining to Fifty four male mice were exposed to CS and CS TM CS are close to that of Britto et al. [Britto, 2004]. Dimethywith two different doses by oral gavages in 0, 7, 14, lated amine peak at 2.5 ppm and trimethylated amine 21 days interval to examine the morphological and patho(quaternized amine) peak at 3.7 ppm were observed in logical changes which were labelled as M1A, M1B, NMR spectrum of CS TM. The NMR data of CS TM are M2A M4B; N1A, N1B, N2A N4B. After 28 days in accordance with the results of the other work [Sieval, (Table I), they were anesthetized by i.p. phenobarbitol at 1998; Britto, 2007]. 48 h and autopsied. The organs such as liver, kidney and spleen were stripped out. All of the organs were immeCytotoxicity (MTT Assay) diately fixed in 10% formalin. The tissues of organ samples were embedded in paraffin blocks, then sliced and The in vitro cell metabolic activity of different molecuplaced onto glass slides. After histological haematoxylin lar weight of CS and its derivatives was analyzed in HT and eosin (H–E) staining, the slides were observed and 29 cells by MTT assay. The cell viability percentage was the pictures were taken using a Carl Zeiss phase condetermined after 6 h of incubation with a series of concentrast microscope (Carl Zeiss, Germany) equipped with an tration (0.25, 1, 4 mg/ml). The results indicated that both Table I. Exposed doses for CS and CS TM used in the animal experiment. Experimental group M1A M1B M2A M2B M3A M3B M4A M4B Polymer used Dose (mg/kg) Experimental group Polymer used Dose (mg/kg) CS-HMW CS-HMW CS-HMW-TM-24 CS-HMW-TM-24 CS-HMW-TM-48 CS-HMW-TM-48 CS-HMW-TM-61 CS-HMW-TM-61 108 540 108 540 108 540 108 540 N1A N1B N2A N2B N3A N3B N4A N4B CS-MMW CS-MMW CS-MMW-TM-22 CS-MMW-TM-22 CS-MMW-TM-50 CS-MMW-TM-50 CS-MMW-TM-61 CS-MMW-TM-61 108 540 108 540 108 540 108 540 Notes: Abbreviations: CS: Chitosan; HMW: High molecular weight; MMW: Middle molecular weight; TM: Tri methylated. 134 J. Pharm. Sci. Pharmacol. 1, 131–140, 2014 Biswas et al. Structure-Toxicity Relationship of Chemically Modified Chitosan as an Oral Protein Drug Delivery Carrier Figure 1. 1 H NMR spectra of (A) CS HMW TM 24 DQ%, (B) CS HMW TM 61 DQ%, (C) CS MMW TM 22 DQ%, (D) CS MMW TM 61 DQ%. The solvent proton resonates at 4.7 ppm. CS HMW (% cell viability 83 03 ± 5 40) and CS MMW (% cell viability 85 18 ± 1 80) had minimal effects on HT 29 cells even at higher concentration of 5 mg/ml, suggesting the relatively non toxic nature of native CS (Table II). No significant difference in cytotoxicity was observed between CS HMW and MMW-derivatives (p = 0 298). Interestingly, the interaction between cell metabolic activity and polymers were found to be influenced by the degree of quaternization (p < 0 05). Compared with native CS (83 03 ± 5 41) at higher concentration, it is observed CS with 20% DQ did not exhibit significant toxicity (76 76 ± 5 35) while CS with 50% DQ (42 78 ± 5 94) and CS with 60% DQ (42 61 ± 4 87) showed significant toxicity. Such result appears that the cytotoxicity of CS is related to the charge density of the molecule, toxicity increases with increasing positive charge density of quaternized polymer. The result also showed that, all CS derivatives affected the metabolic activity in a concentration dependent manner (p < 0 01). The viability of the cells treated with CS HMW with 61% DQ at 0.25 mg/ml was significantly decreased when treated with the same at 4 mg/ml (76 89 ± 9 02 vs. 41 2 ± 5 53, p < 0 01). Cytotoxicity (LDH Assay) The damage of cell membranes, as the initial point of interaction with polymers, was analyzed in HT 29 cells by LDH assay. The results demonstrated that exposure to different molecular weight of CS and its derivatives for 1 h resulted in concentration-dependent increase in LDH leakage (p < 0 05) and did not produce significant cytotoxicity up to the concentration of 0.25 mg/ml Delivered by Ingenta to: ? Table II. Percentage cell viability byIP: MTT assay and LDH assay,15 percentage 5.10.31.211 On: Thu, Jun 2017haemolytic 15:09:52index after incubation with different concentrations of chitosan and their trimethylated derivatives (Mean ± SD, nPublishers = 6). Copyright: American Scientific Concentration (mg/ml) % Cell viability (MTT assay) % Cell viability (LDH assay) % Haemolytic index 0.25 1.00 4.00 0.25 1.00 4.00 0.25 1.00 4.00 96.95 ± 2.45 88.91 ± 4.91 83.03 ± 5.41 97.96 ± 1.80 94.17 ± 1.39 85.18 ± 4.02 91.36 ± 2.38+ 83.58 ± 5.61 76.76 ± 5.35 94.30 ± 2.90 90.04 ± 4.11 88.72 ± 5.38 97.41 ± 2.07 94.43 ± 5.27 84.60 ± 6.42 95.15 ± 2.03 92.76 ± 3.55 88.09 ± 4.13 96.30 ± 1.51 94.19 ± 3.13 88.06 ± 5.66 91.32 ± 6.71 82.30 ± 4.97+ 77.87 ± 6.52+ 91.01 ± 5.89 90.31 ± 3.10 79.10 ± 5.16+ CS-HMW-TM-48 0.25 1.00 4.00 82.42 ± 6.58+ 62.10 ± 7.43+ 48.78 ± 5.94+ CS-HMW-TM-61 0.25 1.00 4.00 76.76 ± 5.35+ 60.65 ± 3.67+ 42.61 ± 4.87+ 81.98 ± 7.53+ 63.11 ± 6.91+ 47.94 ± 5.45+ 76.89 ± 9.02+ 59.31 ± 9.46+ 41.20 ± 5.53+ 85.59 ± 4.63+ 77.88 ± 4.18+ 71.09 ± 6.67+ 81.57 ± 7.42+ 74.18 ± 3.05+ 66.82 ± 6.97+ CS-MMW-TM-22 0.25 1.00 4.00 93.69 ± 4.01 86.23 ± 3.40∗ 80.60 ± 5.60# CS-MMW-TM-50 0.25 1.00 4.00 89.24 ± 2.91∗ 77.97 ± 5.36∗ # 65.92 ± 6.85∗ # 93.49 ± 4.16∗ 86.89 ± 6.11∗ 80.47 ± 5.49 90.03 ± 6.12 79.22 ± 6.01∗ # 65.28 ± 5.00∗ # 92.04 ± 2.96∗ 88.61 ± 4.30 81.26 ± 4.93∗ 84.28 ± 8.01∗ 78.39 ± 3.42∗ 73.22 ± 3.36∗ CS-MMW-TM-61 0.25 1.00 4.00 82.67 ± 4.70∗ 68.22 ± 7.66∗ 52.35 ± 7.16∗ # 82.57 ± 6.95∗ 69.79 ± 7.24∗ 51.60 ± 5.97∗ # 79.63 ± 2.91∗ 71.32 ± 2.98∗ # 66.38 ± 5.39∗ Group CS-HMW CS-MMW CS-HMW-TM-24 Notes: +p < 005 in comparison with group A (HMW), ∗ p < 005 in comparison with group B (MMW); # p < 005 in comparison with group C (HMW-CS-TM). Abbreviations: CS: Chitosan; HMW: High molecular weight; MMW: Middle molecular weight; TM: Tri methylated. J. Pharm. Sci. Pharmacol. 1, 131–140, 2014 135 Structure-Toxicity Relationship of Chemically Modified Chitosan as an Oral Protein Drug Delivery Carrier (Table II). An appreciable increase of membrane leakage was observed with degree of quaternization. For CS TM-23, CS TM-49 and CS TM-61 when treated with 5 mg/ml, the cell viability decreased by 8.6% (79 17 ± 5 90, p = 0 686), 34.6% (56 61 ± 10 34, p < 0 05) and 46.5% (46 40 ± 7 72, p < 0 001), compared to native CS (86 66 ± 6 05). Haemolysis Test The interactions of the CS and their derivatives with negatively charged membranes have also be studied by haemolysis experiments. The release of haemoglobin was used to quantify the erythrocyte membrane-damaging properties of the polymers. As 100% and 0% values we used Triton X-100 and phosphate-buffered erythrocytes, respectively. Erythrocytes were incubated with three different Biswas et al. polymer concentrations in the range of 0.25–4 mg/ml for 30 min. Under these conditions, CS and their derivatives showed no haemolytic effects up to 0.25 mg/ml indicating no detectable disturbance of the red blood cell membranes (88 20 ± 7 51). Consistent with the MTT assay and LDH assay, the interaction between erythrocyte cell membrane and polymers were found to be influenced by the degree of quaternization (p < 0 001) and concentration (p < 0 05) (Table II). For CS TM-23, CS TM-49 and CS TM-61at 5 mg/ml, the haemolytic index decreased by 9.0% (80 18± 4 94, p = 0 232), 18.1% (72 15 ± 3 53, p < 0 001) and 24.4% (66 60 ± 5 95, p < 0 001), compared to native CS (88 07 ± 4 73). Erythrocyte Aggregation Assay In order to investigate the interaction of the CS and their derivatives with erythrocytes, an erythrocyte aggregation assay was performed. As shown in Figure 2, there was no aggregation between the cells in the sample treated with phosphate buffered saline. Furthermore, when cells were incubated in the presence of either CS or CS with 20% DQ, no aggregation was observed (Figs. 2(C), (D), (F)). However, the addition of CS with 51% DQ (Fig. 2(H)), Delivered by Ingenta to: ? IP: 5.10.31.211 On: Thu, 15 Jun 2017 15:09:52 Copyright: American Scientific Publishers Figure 2. Agglutinations of CS HMW and CS MMW with various DQ at different concentrations with erythrocytes and agglutinations were observed by microscopy. (A) Phosphate buffered saline, (B) Triton X-100, (C) CS HMW at 4 mg/ml, (D) CS HMW with 22% DQ at 1 mg/ml, (E) CS HMW with 61% DQ at 4 mg/ml, (F) CS MMW with 22% DQ at 0.25 mg/ml, (G) CS MMW with 51% DQ at 1 mg/ml, (H) CS MMW with 61% DQ at 4 mg/ml. 136 Figure 3. The microscopic pictures (H and E magnification ×100) show the pathological changes in liver tissues of experimental mice treated with (A) sterilized saline, (B) CS HMW at higher dose, (C) CS MMW at higher dose, (D) CS HMW with 24% DQ at lower dose, (E) CS HMW with 61% DQ at higher dose, (F) CS MMW with 61% DQ at higher dose. J. Pharm. Sci. Pharmacol. 1, 131–140, 2014 Biswas et al. Structure-Toxicity Relationship of Chemically Modified Chitosan as an Oral Protein Drug Delivery Carrier the aggregation level was drastically increased and incubation with CS of 61% DQ caused severe aggregation and lysis due to high positive charge density of the polymer (Figs. 2(E), (G)). Histopathological Examination In mice exposed to saline, necropsy and histopathological examinations of the mice showed well defined histological structure without any signs of vascular and inflammatory changes. The histopathology analysis of the liver revealed signs of toxicity after administration of CS with DQ 50% or CS with DQ 61% resulted in mild vascular and inflammatory changes with congested sinusoids and centrilobular necrosis (Fig. 3). However, even at higher doses of CS or CS with DQ 22%, there was no significant finding observed in liver histology. Normal histology of the glomerulus and tubules was found in kidney tissue of mice that received saline only (Fig. 4(A)). In mice treated with CS or CS with 22% DQ; there were no vascular or inflammatory changes after 28 days of administration. Treatment with higher doses of CS with 61% DQ resulted mild vascular and inflammatory changes with signs of vascular congestion, tubular Figure 5. The microscopic pictures (H and E magnification ×100) show Delivered by Ingenta to: ? the pathological changes in spleen tissues of experimental treated with (A) sterilized saline, (B) CS IP: 5.10.31.211 On: Thu, 15 Jun 2017mice 15:09:52 HMW at higher dose, (C) CS MMW at higher dose, (D) CS HMW Copyright: American Scientific Publishers with 24% DQ at lower dose, (E) CS HMW with 61% DQ at higher dose, (F) CS MMW with 61% DQ at higher dose. necrosis and glomerular atrophy, which is a degenerative phenomenon. The histology assessment in the spleen did not reveal any vascular changes in the saline treated or CS treated mice (Fig. 5). DISCUSSION Figure 4. The microscopic pictures (H and E magnification ×100) show the pathological changes in kidney tissues of experimental mice treated with (A) sterilized saline, (B) CS HMW at higher dose, (C) CS MMW at higher dose, (D) CS HMW with 24% DQ at lower dose, (E) CS HMW with 61% DQ at higher dose, (F) CS MMW with 61% DQ at higher dose. J. Pharm. Sci. Pharmacol. 1, 131–140, 2014 A primary objective of oral delivery systems is to protect protein and peptide drugs from acid and luminal proteases in the GIT [Park, 2011]. Facile chemical modification is one of CS’s great strength, enabling its optimization to be effectively used as carrier in oral drug delivery [Aranaz, 2010]. Amphiphilic CS derivatives are widely proposed for their use in pharmacy and biomedicine, but neither CS nor its derivatives have yet been approved by the U.S. FDA. Studies regarding the biocompatibility and toxicity of chemically modified CS derivatives become now one of the important key factors for the rational design as desired pharmaceutical excipients. HT-29 cells, an intestinal epithelial cell line, have been widely used for cytotoxicity study [Watson, 1994; Sergent, 2012]. Although different assay techniques were used, the results of the polymers with regard to their cytotoxicity were correlated [Fischer, 2003; Baba, 2005]. MTT 137 Structure-Toxicity Relationship of Chemically Modified Chitosan as an Oral Protein Drug Delivery Carrier Biswas et al. and LDH assay gave similar results, since loss of memdose as 540 mg/kg. The MW and hydrophilicity of CS brane integrity after 1 h (LDH assay) was always folcan be considered as a critical factor for the absorption lowed by a decrease of mitochondrial function (MTT of the CS in mice after oral administration [Chae, 2005]. assay) after exposure of the polymer [White, 1998]. Absorbed CS was distributed to all organs such as liver, The severe membrane damage caused by CS with 61% kidney, blood, spleen and so on [Zeng, 2008]. All aniDQ at 1 h resulted a loss of the metabolic activity at mals survived the duration of the study, with no signif6 h. Similarly, exposure to native CS of both molecular icant changes of body weight and food consumptions. weight and their DQ with 22% even at higher concenPathological changes on kidney and liver were observed tration (4 mg/ml) did not change the release of LDH or in mice exposed to CS with higher DQ (e.g., mild vascumetabolic activity demonstrating their good cell compatilar and inflammatory changes with signs of vascular conbility. Charge density resulting from the number and the gestion, tubular necrosis etc.) but they were not found in three-dimensional arrangement of the cationic residues is mice exposed to native CS or CS with lower DQ. There an important factor for cytotoxicity [Ryser, 1967; Singh, were no signs of toxicity in the spleen in all groups of 1992]. Although it has been demonstrated that increase in mice. cytotoxicity is a function of molecular weight [Morgan, 1988; Haensler, 1993; Fischer, 1999], no significant difCONCLUSION ference was observed between CS HMW and CS LMW The native CS of two different MW and their trimethyin our experiment. Concentration of the polymer signiflated derivatives with various degree of quaternization icantly affects cell viability (p < 0 01) and therefore is an important bio safety consideration used as an excipient show a linear correlation between DQ and concentra[Do, 2008]. tion with toxicity. Although, CS with 61% DQ seems to Aggregation, crenation, haemolysis and coagulation of show much more effective physicochemical properties than red blood cells induced by polymer treatment would the lower DQ as a drug carrier, it has higher toxicity; largely restrict the safety application of polymers as therefore its use as an excipient in a biological matrix drug carriers [Cui, 2012]. Quaternized CS derivatives should be considered carefully and it should be replaced by possess positive charge density and can easily interact lower DQ derivatives with appropriate concentration when with negatively charged erythrocyte membrane, resulting possible. haemolysis and toxicity. Therefore analysis forDelivered blood com-by Ingenta to: ? IP: 5.10.31.211 On: Thu, 15 Jun 2017 15:09:52 patibility of synthesized CS derivatives are highly neces- Scientific Copyright: American ConflictPublishers of Interests sary. Most in vitro studies of polymer-induced haemolysis The authors declare that they have no competing evaluate the percent haemolytic index by spectrophotointerests. metrically detecting plasma free haemoglobin derivatives after incubating the particles with blood [Dutta, 2007; Acknowledgments: The authors thank Professor Dobrovolskaia,2008]. 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