aqueous carboxymethyl gum kondagogu as vehicle for ocular delivery
TRANSCRIPT
RESEARCH ARTICLE
Aqueous carboxymethyl gum kondagogu as vehicle for oculardelivery
Ashok Kumar • Munish Ahuja
Received: 28 November 2013 / Accepted: 3 February 2014
� The Korean Society of Pharmaceutical Sciences and Technology 2014
Abstract Aqueous solutions of carboxymethyl gum
kondagogu (CMGK), an anionic bioadhesive polymer were
evaluated as vehicles for ophthalmic delivery using tro-
picamide as a model drug. Aqueous ophthalmic solution of
tropicamide (1 %, w/v) in CMGK (5 %, w/v) dispersions
were formulated. The aqueous CMGK vehicle, formulated
tropicamide eye drops and commercial tropicamide for-
mulations were assessed comparatively for ex vivo ocular
tolerance using hen’s egg chorioallantoic membrane assay.
The results indicated ocular tolerability of aqueous CMGK
vehicle. The results of comparative ex vivo corneal per-
meation study of tropicamide from the aqueous CMGK
vehicle (5 %, w/v) conducted across isolated goat cornea
revealed a no significant difference in the corneal perme-
ation of tropicamide from the CMGK vehicle based for-
mulation as compared to the commercial formulation.
Further, the results of in vivo mydriatic response study
conducted in rabbits revealed a non significant difference
in the mydriatic response of tropicamide from the aqueous
CMGK vehicle and commercial formulations. In conclu-
sion, CMGK can be used as an ocularly tolerable polymer
for formulating ophthalmic dosage forms.
Keywords Carboxymethyl gum kondagogu �Ophthalmic vehicle � Tropicamide � HET-CAM assay �Mydriatic response � Corneal permeation
Introduction
Ophthalmic drugs are generally administered as eye drops.
Controlled delivery of drug to the eye is a difficult task
since drugs administered as eye drops have low bioavail-
ability. Normal ocular protective mechanisms such as
blinking and tear drainage promote rapid clearance and
reduced bioavailability resulting in shorter duration of
pharmacological response (Maurice 1987). The ocular
residence time of most solution dosage forms ranges
between 5 to 25 min (Vandamme and Brobeck 2005; Chrai
and Robinson 1974). Only 1–10 % of topically applied
drug is absorbed (Nanjawade et al. 2007) due to drainage
through nasolacrimal duct (Sieg and Robinson 1977). One
of the approaches used to overcome the drawback of
shorter pre-corneal residence time is to use bioadhesive
dosage forms, which by virtue of their mucoadhesive
properties will be retained in the conjunctival sac providing
prolonged retention of drug for ocular absorption (Kaur
et al. 2012).
Gum kondagogu is an anionic gum obtained by tapping
from the tree of Cochlospermum gossypium DC (Family
Bixaceae). It consists of arabinose, galactose, galacturonic
acid, glucuronic acid, b-D-glucose, fructose, mannose and
rhamnose, with sugar linkage of (1 ? 2) b-D-Gal p,
(1 ? 6) b-D-Gal p, (1 ? 4) b-D-Glc p, 4-O-Me-a-D-Glc p,
(1 ? 2) a-L-Rha (Vinod et al. 2008). Carboxymethyl
functionalization of gum kondagogu increases its anionic
character reduces viscosity and improves its ionic gelling
behavior. Further, it was found that carboxymethyl gum
kondagogu (CMGK) possess 22-fold higher mucoadhesive
strength than gum kondagogu as determined by tensile test
profiles (Kumar and Ahuja 2012).
Tropicamide is a weakly basic antimuscarinic agent
which is indicated for inducing mydriasis and cyclopegia
A. Kumar � M. Ahuja (&)
Drug Delivery Research Laboratory, Department of
Pharmaceutical Sciences, Guru Jambheshwar University of
Science and Technology, Hisar 125001, Haryana, India
e-mail: [email protected]
123
Journal of Pharmaceutical Investigation
DOI 10.1007/s40005-014-0120-9
during eye surgery and in dilated fundoscopic examination.
It is applied topically as aqueous eye drops (0.5–1 %, w/v).
It acts by blocking the muscarinic M4 receptors thereby
dilating the pupil and preventing the eyes to accommodate
to near vision allowing thorough examination of the eye
(Bartlett and Jaanus 2007). During earlier studies bioad-
hesive polymers such as carboxymethyl cellulose, hyalu-
ronic acid, and polyacrylic acid have been tested to
improve the mydriatic response of tropicamide (Herrero-
Vanrell et al. 2000).
In an earlier study CMGK was observed to be a prom-
ising bioadhesive polymer and was evaluated for formu-
lation of bioadhesive beads for oral delivery of metformin
(Kumar and Ahuja 2012). In the present investigation the
CMGK has been tested for ex vivo ocular tolerance using
hen’s egg chorio-allantoic membrane assay (HET-CAM).
Further, it was employed as a vehicle for formulation of
tropicamide eye drops. Formulated eye drops were evalu-
ated for corneal permeation characteristics with marketed
formulation of tropicamide. Finally, the in vivo mydriatic
response was measured in rabbits.
Materials and methods
Materials
CMGK (degree of substitution 0.2) was synthesized in our
laboratory as reported earlier (Kumar and Ahuja 2012).
Tropicamide was obtained as gift sample from Optica
Pharmaceuticals (Yamunanagar, India). Sodium hydroxide
and methanol were procured from Sisco Research Labo-
ratory (Mumbai, India). Commercial formulation of eye
drop (Tropicacyl�, Sunways India Pvt. Ltd., Mumbai,
India) was purchased from local pharmacy (Hisar, India).
Ten-days old fertilized hen’s egg were purchased from
Kundan Farms (Bhiwani, India). Albino rabbits were pro-
cured from disease free small animal house of Lala Lajpat
Rai University of Veterinary and Animal Sciences (Hisar,
India). All other chemicals used were of reagent grade and
were used as received.
Preparation of tropicamide ophthalmic formulations
(1 %, w/v)
Required amount of the tropicamide was added to aqueous
dispersion of CMGK (5 %, w/v) with the aid of stirring.
The pH of the dispersion was adjusted 4–5 by adding dilute
HCl drop by drop, to completely dissolve the tropicamide
(whqlibdoc.who.int/hq/1990/2.pdf). The solution were
made isotonic by adding sodium chloride and sterilized by
autoclaving at 121 �C for 15 min, at 15 lbs/in2.
Ex vivo ocular tolerance
Ocular tolerance of tropicamide (1 %, w/v) ophthalmic
formulation prepared using CMGK (5 %, w/v) vehicle,
commercially available tropicamide (1 %, w/v) formula-
tion (Tropicacyl�), aqueous CMGK (5 %, w/v) vehicle and
control solutions of irritant (NaOH) and non-irritant (NaCl)
was assessed employing HET-CAM assay (Ahuja et al.
2006). Ten days old fertilized hen’s eggs with an air sac
and live embryo as observed by candling were used for
HET-CAM assay. Egg shells were opened and the shell
membrane was carefully removed without injuring any
blood vessel using tapered forceps. Aliquots (0.5 ml) of the
various test samples were applied over CAM and observed
for next 5 min for the signs of irritation such as haemor-
rhage, vasoconstriction and coagulation (Jimenez et al.
2010). The study was carried out in triplicate. The time of
appearance of irritation was noted and potential irritation
(PI) score were calculated as follows:
PI ¼ ð301� hÞ � 5
300þ ð301� vÞ � 7
300þ ð301� cÞ � 9
300;
ð1Þ
where h, v and c represent time of appearance of haem-
orrhage, vasoconstriction and coagulation in seconds,
respectively. The PI values were assigned as 0–0.9: non
irritant, 1–4.9: slight irritant, 5–8.9: moderate irritant, and
9–21: severe irritant.
Viscosity
Viscosity of commercial formulation of tropicamide 1 %,
w/v (Tropicacyl�) and formulated tropicamide ophthalmic
solutions (1 %, w/v) was measured using an Ostwald
viscometer.
Ex vivo corneal permeation
Corneal permeation characteristics of formulated tropica-
mide (1 %, w/v) eye drops were evaluated comparatively
with commercial ophthalmic tropicamide formulation
(Tropicacyl�) using isolated goat cornea as a model
(Yadav and Ahuja 2010). Freshly excised whole goat
eyeball was transported from the local butcher shop to the
laboratory in cold normal saline within an hour of
slaughter. Cornea was carefully excised along with
2–4 mm of scleral tissue. The tissue was cleaned and
washed with cold normal saline till free from proteins as
determined by washing with Folin–Ciocalteu’s phenol
reagent. Isolated cornea was mounted between the clamped
donor and receptor compartments of modified-Franz dif-
fusion cell, with endothelial side facing the receptor and
A. Kumar, M. Ahuja
123
epithelial side facing the donor. The receptor compartment
consisted of 11 ml of Sorensen phosphate buffer (pH 7.2)
solution maintained at 35 ± 0.5 �C under magnetic stir-
ring. The corneal area available for permeation was
0.95 cm2. One milliliter of test formulation was placed in
the donor compartment over the cornea. An aliquot (3 ml)
of the sample was withdrawn from receptor compartment
after 2 h and analyzed for the contents of tropicamide by
measuring absorbance at 257 nm in a double beam UV–
Visible spectrophotometer (Cary 5000, Varian, Australia).
The study was conducted using paired corneas i.e., one
cornea of the animal was used for the permeation of for-
mulated eye drops and the contralateral cornea was used
for commercial formulation. Corneal hydration levels were
determined by removing the scleral tissue from the cornea
at the end of experiment and weighing, followed by
overnight soaking in methanol to dehydrate and drying in
an oven at 90 �C and weighing again.
In vivo mydriatic activity
Tropicamide eye drops formulated in CMGK vehicle were
evaluated comparatively with the commercial eye drops
(Tropicacyl�) formulation for in vivo mydriatic activity
using healthy adult rabbits (Gupta et al. 2007). The pro-
tocol of the in vivo mydriatic activity was designed and an
approval of institutional animal ethics committee (CPC-
SEA Register number 436) was obtained. Three healthy
adult albino rabbits either male or female, weighing 1–
1.5 kg were used in the study. Each rabbit was acclimated
in the light of the laboratory 1 h prior to administration of
eye drops. Rabbits were placed in restraining boxes in the
normal upright position in a room with constant light, such
that their head and eye movements were allowed after
instillation of dose. One drop of the formulated eye drop
was carefully instilled into the lower cul-de-sac region of
left eye of the rabbit whereas one drop of commercial
formulation was instilled into the right eye of the rabbit.
The second and third doses of eye drops were instilled at an
interval of 15 min. Pupil diameter measurements were
taken photographically at appropriate time intervals. Pupil
diameters were measured from the photographs using rul-
ers in the Adobe photoshop. Mydriatic response intensity
(I) was calculated as follows:
I ¼ dt � do; ð2Þ
where I is the mydriatic response intensity, dt is the pupil
diameter at time t, and do is the pupil diameter at time
t = 0.
Area under the mydriatic response intensity versus time
curve (AUC) was calculated using NCSS version 9.0.2
software (NCSS LLC).
Results and discussions
CMGK was earlier found to exhibit bioadhesive property
and was employed for preparing bioadhesive beads (Kumar
and Ahuja 2012). In the present study aqueous solutions of
CMGK (5 %, w/v) have been explored as bioadhesive
vehicle for ocular delivery employing tropicamide as a
model drug. Tropicamide is a poorly water soluble, weakly
basic drug with pKa of 5.2 (Florey and Brittain 2003). Its
solutions are prepared by adjusting the pH of the solution
to acidic range (pH 4–5), which may enhance its irritation
potential. Thus, the sterile tropicamide (1 %, w/v) eye
drops were formulated using CMGK (5 %, w/v) as bio-
adhesive vehicle. CMGK apart from its bioadhesive action
also acts as viscosity modifier. Viscolizers are commonly
added to ophthalmic formulations as they are generally
believed to increase ocular bioavailability by prolonging
pre-corneal residence time (Malhotra and Majumdar 2001).
The viscosity of formulated and commercial tropicamide
ophthalmic solutions was found to be 1.079 and 4.858 cps,
respectively. However, the more viscous tropicamide
ophthalmic solution using higher concentrations of CMGK
Fig. 1 Comparative ex vivo
ocular irritation potential of
carboxymethyl gum kondagogu
(CMGK) vehicle, test and
market formulation of
tropicamide, sodium hydroxide
(irritant control), sodium
chloride (non-irritant control)
Kondagogu as vehicle for ocular delivery
123
could not be formulated as the acidic nature of tropicamide
solutions i.e., pH 4–5 resulted in precipitation of anionic
polymer above the concentration of 5 % (w/v).
The formulated tropicamide ophthalmic solutions were
comparatively evaluated for ocular tolerance with CMGK
aqueous solution (vehicle control) and Tropicacyl� (com-
mercial formulation) employing HET-CAM. HET-CAM
study is an alternate tool to Draize’s rabbit eye test for
assessment of ocular tolerance (Leupke 1985).The PI
scores (Fig. 1) of testing of CMGK (5 %, w/v) vehicle for
ocular tolerance revealed the CMGK vehicle to be non-
irritant. Further the commercial formulation (Tropicacyl�)
and the test formulation of tropicamide were also found to
be non-irritant.
The excellent ocular tolerances of CMGK vehicle and
tropicamide formulation prompted us to test the corneal
permeation characteristic of tropicamide from the formu-
lated and commercial eye drops formulation. The study
was conducted using paired corneas to minimize the bio-
logical variation. Table 1 presents the results of ex vivo
corneal permeation study of tropicamide formulations. The
results show that 3.285 ± 0.159 % of tropicamide perme-
ated from the CMGK vehicle based formulation, while
2.680 ± 1.024 % of tropicamide permeated from the
commercial formulation (Tropicacyl�).
Tropicacyl� contains chlorbutanol (0.5 %, w/v) as the
preservative and its viscosity indicates the presence of vi-
scolizer. Chlorbutanol is an alcohol based preservative with
broad-spectrum antimicrobial action. It has been reported
to disorganise the lipophilic corneal ephithelia (Noecker
2001) and has earlier been observed to enhance the corneal
permeation of ibuprofen (Gupta and Majumdar 1997). The
higher corneal hydration in Tropicacyl� treated eye drops
can be attributed to the presence of chlorbutanol. Corneal
hydration levels within the range of 75–80 % are consid-
ered normal, while 3–7 % units above the normal value
indicate damage to corneal epithelium or endothelium.
Since the corneal hydration levels in the present study are
within the range, the corneal integrity is not affected.
However, no preservative was employed in the test for-
mulation as our objective was to evaluate aqueous solu-
tions of CMGK as ophthalmic vehicle. Since, there was no
difference in the pre-corneal contact time of the formula-
tions with the corneal tissue during ex vivo corneal study,
the differences in the corneal permeation of tropicamide
from two formulations can be attributed to viscosity dif-
ferences and to the characteristic of polymers employed.
The decreased permeability from viscous vehicles can be
explained by Stoke’s–Einstein relation, which describes
diffusion coefficient as inversely related to viscosity
(Ahuja et al. 2006). Earlier studies conducted using
Table 1 Corneal permeation, viscosity and corneal hydration of test
and market formulation
Formulations Cumulative permeation
(%) 120 minaCorneal
hydration (%)aViscosity
(cps)a
Test
formulation
3.285 ± 0.159 75.71 ± 0.16 1.079
Market
formulation
2.680 ± 1.024 77.13 ± 0.76 4.858
a Values are mean ± SD (n = 3)
Fig. 2 Pupillary size increment
of rabbit eye against the
tropicamide formulation as
function of time
A. Kumar, M. Ahuja
123
different polyanionic mucoadhesive polymeric, iso-viscous
vehicles revealed different ophthalmic bioavailability
which was attributed to surface spreading characteristics.
Differing spreading characteristics of mucoadhesive poly-
mers may result in differing degree of contact at molecular
level between the mucoadhesive polymer and the mucin
coat over the corneal epithelial membrane which manifests
in different ophthalmic bioavailability (Kaur and Smitha
2002). Similar factors may be responsible for corneal
penetration of tropicamide from CMGK vehicle.
Formulated eye drops were further evaluated for their
therapeutic performance by measuring in vivo mydriatic
response in rabbits. The results of change in pupillary
diameter of eye treated with formulated and commercial
tropicamide formulations are presented in Fig. 2, which
shows the increment in pupillary size of eye treated with
tropicamide formulation as the function of time. It can be
observed from the results that it took 30 min to achieve the
steady state diameter and 180 min to achieve the maximum
pupillary response. The mean maximum mydriatic
response intensity (Imax) was 7.83 ± 2.47 mm in the
CMGK formulation while 9.33 ± 1.44 mm in commercial
formulation. Thus an average increase in the viewing area
of the pupil was 48.21 and 68.39 mm2 in eye treated with
formulation and commercial eye drop. Thus area under the
mydriatic response curve (AUC) was calculated to be
10,108.7 and 11,731.2 mm2 for CMGK and commercial
formulation treated eye, respectively. The results indicate
slightly higher Imax and AUC in commercial formulation
compared to the CMGK formulation treated eye. However
statistical analysis of the data by applying ‘paired t-test’
revealed no significant difference between AUC of com-
mercial and market formulation.
The slight differences in the mydriatic responses of two
ophthalmic formulations may be attributed to differing
viscosities. Earlier studies comparing mydriatic response of
tropicamide conducted using differing iso viscous poly-
meric vehicles showed contrary results in rabbits and
humans, which were attributed to inter-species differences
in blinking activity (Saettone et al. 1984). However, no
comparative conclusion between the mydriatic efficacies of
two formulations can be drawn due to differing viscosities
of the two formulations. Further studies incorporating vis-
cosity modifiers and antimicrobial preservatives in CMGK
vehicles are required to comment more on this aspect.
Conclusion
A bioadhesive tropicamide eye drop formulation was pre-
pared employing CMGK (5 %, w/v) as a bioadhesive
polymer. The formulation was found to be non-irritant as
evaluated by HET-CAM assay. The result of ex vivo
corneal permeation study and in vivo mydriatic response
study revealed a comparable mydriatic response between
test and commercial formulation. It can be concluded from
the results that CMGK can be employed as an ocularly
tolerable bioadhesive polymer for formulating bioadhesive
ocular dosage forms.
Acknowledgments The authors are grateful to Indian Council of
Medical Research, New Delhi for providing the Senior Research
Fellowship (SRF) to Mr. Ashok Kumar vide Grant number 45/99/
2009/PHA/BMS. All institutional and national guidelines for the care
and use of laboratory animals were followed.
Conflict of interest All authors (Ashok Kumar and Munish Ahuja)
declare that they have no conflict of interest.
References
Ahuja M, Dhake AS, Majumdar DK (2006) Effect of formulation on
in vitro permeation of diclofenac from experimental and
marketed aqueous eye drops through excised goat cornea.
Yakugaku Zasshi 126(12):1369–1375
Bartlett J, Jaanus S (2007) Clinical ocular pharmacology, 5th edn.
Butterworth-Heinemann, Boston, pp 125–138
Chrai SS, Robinson JR (1974) Corneal permeation of topical
pilocarpine nitrate in the rabbit. Am J Ophthalmol 77(5):
735–739
Florey K, Brittain HG (2003) Tropicamide, profiles of drug
substances, excipients and related methodology, vol 30. Elsevier
Academic Press, New York
Gupta M, Majumdar DK (1997) Effect of concentration, pH, and
preservative on in vitro transcorneal permeation of ibuprofen and
flurbiprofen from non-buffered aqueous drops. Indian J Exp Biol
35(8):844–849
Gupta A, Sharma SK, Ahuja M (2007) In vitro and in vivo evaluation
of gellan based ocular inserts of phenylephrine. Acta Pharm Sci
49:55–63
Herrero-Vanrell R, Fernandez-Carballido A, Frutos G, Cadorniga R
(2000) Enhancement of the mydriatic response to tropicamide by
bioadhesive polymers. J Ocul Pharmacol Ther 16(5):419–428
Jimenez N, Galan J, Vallet A, Egea MA, Garcia ML (2010) Methyl
trypsin loaded poly(D, L-lactide-coglycolide) nanoparticles for
contact lens care. J Pharm Sci 99(3):1414–1426
Kaur IP, Smitha R (2002) Penetration enhancers and ocular bioad-
hesives: two new avenues for ophthalmic drug delivery. Drug
Dev Ind Pharm 28(4):353–369
Kaur H, Ahuja M, Kumar S, Dilbaghi N (2012) Carboxymethyl
tamarind kernel polysaccharide nanoparticles for ophthalmic
drug delivery. Int J Biol Macromol 50(3):833–839
Kumar A, Ahuja M (2012) Carboxymethyl gum kondagogu: synthe-
sis, characterization and evaluation as mucoadhesive polymer.
Carbohydr Polym 90(1):637–643
Leupke NP (1985) Hen’s egg chorioallantoic membrane test for
irritation potential. Food Chem Toxicol 23:287
Malhotra M, Majumdar DK (2001) Permeation through cornea.
Indian J Exp Biol 39:11–24
Maurice DM (1987) In: Saettone MF, Bucci M, Speiser P (eds)
Ophthalmic drug delivery: biopharmaceutical, technological and
clinical aspects. Liviana Press, Padova, pp 19–26
Nanjawade BK, Manvi FV, Manjappa AS (2007) In situ-forming
hydrogels for sustained ophthalmic drug delivery. J Control
Release 122(2):19–134
Kondagogu as vehicle for ocular delivery
123
Noecker R (2001) Effect of common ophthalmic preservatives on
ocular health. Adv Ther 18:205–215
Saettone MF, Giannaccini B, Ravecca S, La Marca F, Tota G (1984)
Polymer effects on ocular bioavailability—the influence of
different liquid vehicles on the mydriatic response of tropica-
mide in humans and in rabbits. Int J Pharm 20(1):187–202
Sieg JW, Robinson JR (1977) Vehicle effects on ocular drug
bioavailability II: evaluation of pilocarpine. J Pharm Sci
66(9):1222–1228
Vandamme TF, Brobeck L (2005) Poly(amidoamine) dendrimers as
ophthalmic vehicles for ocular delivery of pilocarpine nitrate and
tropicamide. J Control Release 102(1):23–38
Vinod VTP, Sashidhar RB, Suresh KI, Rama Rao B, Vijaya Saradhi
UVR, Prabhakar Rao T (2008) Morphological, physico-chemical
and structural characterization of gum kondagogu (Cochlosper-
mum gossypium): a tree gum from India. Food Hydrocoll
22(5):899–915
whqlibdoc.who.int/hq/1990/2.pdf. Accessed 5 July 2013
Yadav M, Ahuja M (2010) Preparation and evaluation of nanopar-
ticles of gum cordia, an anionic polysaccharide for ophthalmic
delivery. Carbohydr Polym 81(1):871–877
A. Kumar, M. Ahuja
123