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Drug Delivery by Hydrogels Objectives— 1. To understand the fundamentals of solute transport in hydrogels and apply that to measure the diffusivity of a drug in hydroxyethyl methacrylate hydrogel. 2. To prepare a macroporous pHEMA hydrogel and under the differences between a transparent and a macroporous pHEMA gel. Introduction In the last few decades, a number of novel approaches have been developed for controlled drug delivery of ophthalmic drugs. However, most treatments of ocular disease are still based on topical application of eye drops to the surface of the eye. Due to the short residence time, only about 1–5% of the applied drug penetrates the cornea and reaches the intraocular tissues. To maintain therapeutic levels of drug concentration, frequent instillation of drops with large drug loadings are required, which is inconvenient for patients. Moreover, the drug that gets absorbed in conjunctiva or in the nasal cavity eventually reaches other organs through the blood circulation leading to side effects. To overcome the drawbacks of eye drops, several ophthalmic drug delivery systems have been proposed such as suspension of nanoparticles, nanocapsules, liposomes, ocular inserts like collagen shields and Ocusert, and therapeutic contact lenses. Among these, contact lenses have been widely studied due to the high degree of comfort and biocompatibility. On instillation of medicated contact lens in the eye, drug diffuses through the lens matrix into the thin tear film named post-lens tear film (POLTF) trapped between the lens and the cornea, and the drug has a residence time about 30 min in the eye. An increase in the residence time leads to a significant increase in the bioavailability. Both mathematical models and clinical data suggest that the bioavailability for ophthalmic drug delivery can be as large as 50%, which is an order of magnitude larger than that for drops. In the previous experiment you prepared a pHEMA hydrogel, which is used as a contact lens. In this experiment, you will measure the diffusivity of a glaucoma drug timolol in the gel for the purpose of designing a contact lens for delivery of timolol to the eyes. Theory You have already learnt the basics of solute transport in hydrogels. You will use the same approach of loading and release to measure the diffusivity of timolol in the hydrogels. In this experiment, after loading a drug (timolol) in the hydrogel, the gel is soaked in pure PBS (buffer) for drug to be released. Under the assumptions that drug transport is diffusion controlled and that perfect sink conditions exist (that the concentration of solutes in the release medium is approximately equals to zero regardless of time), we can write the following equations for 1D Fickian diffusion: C 2C D t y 2 (1) Ct, y h 0 (2) C t , y 0 0 y (3) C y , t 0 Ci (4) Where C is drug concentration in gel, D is diffusivity, h = half thickness of gel and C i is the initial concentration of drug in gel. The above set of equations can be solved to: (5) Where RD (%) is the percentage of drug released. At short time interval, the equation can be simplified to: (6) From the slope of a plot of RD% vs sqrt (t), we can estimate diffusivity. In the previous experiment you measured conductivity to obtain the salt concentration in the solution. The drug timolol does not change the conductivity to the same extent as salt so an alternate approach must be used to measure its concentration. Here we will use UV-Vis spectroscopy which is a commonly used method for measuring concentrations. This technique relies of the interaction of the molecules with UV and visible spectrum of the light, typically from 190 nm to 1100 nm. The interaction of molecules with light in this range of the wavelengths typically leads to electronic transitions, which is manifested in the absorption spectra, which is a characteristic of the molecule. The absorption spectrum is a plot of the absorbance as a function of the wavelength. The absorbance (A) is measured by the UV-Vis spectrophotometer by measuring the intensity of the transmitted light I and then using the relationship 𝐼 = 𝐼0 10−𝐴 where I0 is the intensity of the incident light. The absorbance is linearly related to the concentration, A = εcl, where ε is the absorptivity of the molecule, c is the concentration, and l is the path length. To use the UV-Vis spectroscopy as an analytical method we must first prepare a calibration curve which related the absorbance to the concentration. The calibration curve can be prepared at any wavelength but typically the wavelength of the maximum absorbance is used to allow measurement of dilute solutions. By measuring the absorbance for a range of solutions one can obtain the calibration curve and then use that in future to convert the measured absorbance to the concentration. Procedure: A) To be done by TA 1 day before the experiment A1) Prepare 50 ml of 0.1 mg/ml timolol solution by mixing 0.005 g of timolol in 50 ml of PBS (buffer) and stirring it overnight. A2) Drug loading 1. Take 3 clean glass vials with caps and label them 1L, 2L and 3L. 2. After the gels have been extracted and dried, take 3 of the gel pieces and weigh them and note the weights. 3. Put 1 gel piece in each glass vial. 4. Add the drug solution. The volume of drug solution in ml = 100 x weight of dry gel in g. Note the volume of solution added. 5. Close the vials. Store them away from direct sunlight. B) Drug release: Experiment done by students B1) Setting the baseline for measuring drug concentration 1. Take a disposable cuvette and put approx. 1.5 – 2 ml of PBS (buffer) using a transfer pipette. Put this inside the cuvette slot in the UV-vis spectrophotometer. Set this as the baseline at a wavelength of 291 nm (absorption peak for timolol). 2. After the baseline is set, dispose the PBS and the cuvette. In another cuvette, add the original timolol solution and measure the absorbance. Note the absorbance of the loading solution (absloading = ) B2) Drug release 1. Take 3 clean glass vials with caps and label them 1R, 2R and 3R. 2. From the vials already containing the drug soaked gels, take vial labeled 1L and with a pair of tweezers, remove the gel. Wipe the gel surface very lightly with Kimwipes. Put this gel in vial 1R. Using the pipettes, add the given amount of PBS (buffer). This volume of buffer (ml) corresponds to 100 x wt. of gel (g). Start the stop watch. After removing the gel from vial 1L, close the vial and store it. 3. Do this for the remaining 2 gels sets. But have a gap of 5 minutes between the 3 gel releases. So the 2nd solution is added at t = 5 min and 3rd solution is added at t = 10 min. 4. At t = 15 min, remove approx. 1.5 ml of the solution from the 1 st vial 1R using a transfer pipette and add it to a cuvette. Measure the absorbance and using the transfer pipette, put it back as much as possible, again using the transfer pipette. 5. Repeat the point 4 for vial 2R at t = 20 min and for vial 3R at t = 25 min. 6. Repeat 4 and 5 at t = 30 min, 45 min, 60 min, 75 min and 90 min. 7. Now, measure the absorbance of the drug in the loading solution vials (1L, 2L and 3L) Record the data and filled in the blanks below. Time (Min) 15 30 45 60 Sample 1 Sample 2 Sample 3 75 90 Loading solution abs Put these values in the excel sheet. Follow the instructions given in the excel sheet to find the diffusivity value. Preparation of a macroporous pHEMA gel While transparency is a necessary requirement for gels designed to be contact lenses, other biomedical devices are not limited by this requirement. The pHEMA gel that you prepared is transparent because the pores in the gels are nanosized and so cannot scatter visible light. To avoid formation of pores in the gel it is critical to ensure that the initial formulation contains less water than what can be accommodated in the gel without pore formation. In several applications it is preferable for have a highly porous gel such as in tissue engineering where the pores provide the space for the cells to grow and migrate. If the polymerization solution contains excess water, i.e., more than the swelling capacity of the gel, the excess water will form pores in the gel leading to formation of the macroporous gel. These gels are opaque because the pores are bigger than the wavelength of light so they scatter the visible light. We will now learn how to prepare macroporous gels and measure some of the key properties. Procedure 1. Mix monomer HEMA (4 ml) to DI water (5 ml) and then add 5 ml of 1N NaCl. 2. Add 400 µl of crosslinker ethylene glycol dimethacrylate (EGDMA) and 10 mg of 3. 4. 5. 6. 7. the initiator TPO to the solution prepared and mixed by stirring for 20 minutes. Bubble Nitrogen for 15 minutes to remove the dissolved oxygen. Poured the solution in suitable beakers and photo polymerized by placing on UVB transilluminator for 40 min. Take the gel out and break a small piece. Weight the piece to determine the fully hydrated weight. Squeeze water out of the gel and then weight again to determine the mass of water that can be easily squeezed out. This water represents the water that was present in the connected pores in the gel. 8. Dry the gel piece by blowing air for 15 min or put the gel into the oven and measure the weight again. The weight loss during drying represents the weight of the water trapped in the isolated pores. 9. Determine the ratio of the water in the connected pores and that in the trapped pores. This ratio is a measure of the connectivity of the pores in the macroporous gel. 10. Determine the ratio of the total water and the dry gel weight. This is a measure of total swelling capacity of the gel. Do steps 1-9 with three samples. Use the composition given above for the first sample, and choose the other compositions on your own. You can also replace salt with sugar in one of the samples. Comment on the effect of composition on the properties of the gel. 𝑊0 −𝑊2 × 100% 𝑊0 After finishing this lab you should have learnt the basics of macroporous hydrogel preparation by free radical polymerization. Macroporous hydrogels find applications in a number of areas particularly related to tissue engineering. If you found this lab particularly interesting you should research applications of macroporous hydrogels and also various common hydrogels utilized in industry. Glaucoma is a major ophthalmic disease and the second largest cause of blindness. Research this disease to find out symptoms, effects and common treatments. Post lab exercise 1. Why macroporous gels opaque but the nanoporous pHEMA gels are transparent? 2. List some commercial drug delivery patches available in the market. 3. How does timolol treat glaucoma? How is timolol typically delivered to the glaucoma patients? 4. List other common drugs used for glaucoma therapy 5. What are the benefits of drug eluting devices compared to oral drug delivery for drugs with a high metabolism in the liver? Pre lab questions: 1. Write the differential equation that describes mass transport of molecules in hydrogels? 2. What is a perfect sink condition? 3. What are the units of diffusivity? 4. Why types of transitions contribute to absorbance spectrum in the UV range? 5. What determines whether a given gel is transparent or opaque? 6. What is a macroporous hydrogel and what are some of the common applications?