pH - Responsive Polymers and its Application in Drug Delivery System and Pharmaceutical Field

 

Nilmani Prasad Gupta1, Damodharan N2*

1II Year M.Pharm, Department of Pharmaceutics, SRM College of Pharmacy, SRM Institute of Science and Technology, Kattankulathur, Chennai –603202

2Department of Pharmaceutics, SRM College of Pharmacy, SRM Institute of Science and Technology, Kattankulathur, Chennai – 603202

*Corresponding Author E-mail: nilmani000@gmail.com, dharan75@gmail.com

 

ABSTRACT:

Stimuli-sensitive polymers which are also called as ‘smart polymers' are rapidly acquiring popularity in the field of self-regulated and control release drug delivery system. Control drug delivery system is used which enable to obtain better drug product with greater safety, efficacy, and reliability. Stimuli-responsive polymers (smart polymers) are the large molecules which in response to environmental factor like, light, heat, ionic and magnetic field reveals peculiar physiochemical changes. The review summarizes the recent development explaining different types of synthesis, its characteristics, the principle of working, and its application in various fields. Several polymers with its potential uses in control drug delivery, personal, human care, biological and membrane science as well as its application in the pharmaceutical field are explained below. They have been playing a vital role in various fields since last three decades. In the field of chemistry and biology, pH-sensitive materials having multi-characteristics nature makes a promising role. It also describes about an important use of pH-sensitive polymer in different therapy like gene therapy and the applicability of system as insulin delivery in consideration of physiochemical properties of these smart polymers. Apart of drug delivery,  It has also an important application  in  purification  and separation of  molecules like enzyme, protein, peptides (Chromatographic studies).

 

KEYWORDS: pH-sensitive polymer, Liposomes, Drug delivery, Polymethacrylic acid, poly (acrylic acid).

 

 


INTRODUCTION:

Control drug delivery system, the main aim is to convey drug at fixed rates for predefined timeframes, have been utilized to surpass the limitation of the conventional dosage form. In the area of control drug delivery, many remarkable improvements have been made even though more development is still to be done for treating numerous pathological issues like arrhythmias and diabetic disorder. In order to improve such a clinical problem, the drug must be conveyed according to pH response in the body.

 

 

In fact, if the drug could be regulated according to physiological requirements that precisely coordinate to the body and target the specific site. Additionally, techniques for releasing protein and peptide drugs require more improvement in the area of control drug delivery. Normal metabolic phenomenon (homeostasis) can be maintained by the existence of bioactive peptides in the body through a feedback mechanism. Active ingredients administered by this system would be more beneficial if it could detect the response induced by diseases, analyzed the degree of response and accordingly discharge appropriate measure of the drug through a feedback mechanism. According to physiological need, the coupling of drug release rate would be required by the system via feedback mechanism [1].

 

Gastrointestinal tract, various organ, tissues, and cell compartments have different pH values in the different region. For instance, the pH range lies about (1.5–3.5) in the stomach, (5.5–6.8) in the small intestine and a colon (6.4–7.0) [1].  On comparing pH range of blood, normal tissue (7.4) are higher than that of the tumor and inflammatory tissue, at acidic cell conditions, exhibit even diminished pH value about (5.5-6.0) in endosomes and (4.5–5.0) in lysosomes. The distinctive range of various cell compartments, organ and tissue would give an appropriate physiological response to pH-dependent drug delivery.  For targeting the drug at an appropriate site, discharge profile of pH-responsive drug delivery system provides a novel platform because in systemic circulation release of the drug is inhibited at physiological pH 7.4 which results in the release of drug at low PH condition (acidic) of the cancerous cell. There had been numerous literature review based on a dependent drug delivery system in recent years, considering organic/inorganic composite. There had been numerous advantage in terms of biocompatibility, withstand temperature and owing to definite morphology, size structure [2].

 

In pharmaceutical aspect, their preparation and characterization has significant role among polymer researcher in recent year due to their potential application. Now a days, there has been numerous use of biodegradable and hydrophilic polymers in control release drug delivery system. In this formulation the active ingredients are incorporated to the polymeric solution by means of physical and chemical bonds. Hence, solid microsphere can be synthesizes by using above principle thus, the drug will release in control manner from microsphere and dissolve slowly in body fluid. The subsequent release of drugs will be within predetermined window that has maximum efficacy, less limit of toxic level and a maximum value, below which the drug has significant effect. The physical and chemical nature of polymers has important roles in control release of active ingredients from bound polymer to body fluid and to the site of diseases. The polymer used for control drug delivery formulation are synthesized and studied well for its better use and performance. The polymers that are easy to process and are inactive in excipient are more preferable in such drug delivery formulation. Examples of such polymers are polyacrylic acid, polyacrylamide, polyethylene, polymethylmethacrylate, polymethacrylic acid and polyurethane [3-6].

 

Recently for specific biomedical application and targeting drug at specific site polymers like, polylactide – co – glycolides, polyglycolides and polyactides have been widely used because of its biocompatibility and degradability which break down into biological compatible compounds subsequently releasing active ingredients molecules at specific site. The molecules which are undesirable are excreted from body through metabolic route [3,7,8].

 

For particular site drug release, pH-responsive polymers play an important as excipient in different types of pharmaceutical formulation and drug delivery system which can be modified in order to produce desired ionic concentration. It produces desired ionic concentration in response to change in physiological condition of human body. Oral drug dosage forms pass from mouth to esophagus to stomach and subsequently travel to digestive system (gastrointestinal tract) have particular ionic and pH concentration. There may be existence of pH or ionic concentration gradient in plasma, blood, interstitial and intracellular compartments where drugs are distributed rapidly and reach immediately to systemic circulation after I.V. administration. Different modified dosage forms like prodrugs, liposomes, microchips are prepared in order to enhance therapeutic effects which respond to change in various stimuli [9].


 

Table 1: pH and ionic concentration in various physiological fluids

Physiological fluid

Volume (l)

pH

Sodium ion concentration (mEq/l)

Potassium ion concentration (mEq/l)

Chlorine ion concentration (mEq /l)

Bicarbonate Ion concentration (mEq/l)

Intracellular fluid

30

-

10

160

115

30

Interstitial fluid

10

-

150

5

110

30

Large intestine fluid

1.0-1.5

5.5-7.0

130

10

95

20

Small intestine Fluid

1.5

7.5-8.0

120

5

110

35

Saliva

1.5

6.0-7.0

30

20

30

15

Gastric Fluid

2.5

1.0-3.5 fasting

50 (H+,90)

10

110

0

Bile

0.5

7.8

140

5

105

40

Pancreatic fluid

0.7

8.0-8.3

140

5

60

90

plasma

3

7.4

140

5

100

30

 


 

 

pH - Responsive Polymers/ Mechanism:

pH- responsive polymers or smart polymers are the materials which change their dimension according to physiochemical or pH of the surrounding. According to the pH of the environment, materials may expand, constrict or change [10]. It is also a polyelectrolyte macromolecule that can dissociate to give polymeric ions when disintegrated in ionizing solvents like, water. This is due to the charges which are repulsive to each other and system swells when subjected to an appropriate solution. In any case, if the solvent anticipates polyelectrolyte ionization, the soluble chain stays in a solid, folded state (figure 1). In case, Crumpling of globules occurs on unionizing hydrophobic polyelectrolyte chains in a poor solvent resulting in precipitation from solution. Polyelectrolyte conduction occurs due to two kind of interaction, one is an interaction between hydrophobic surface energy and another is electrostatic repulsion among the charged ions. The intensity of Weak polyelectrolyte ionization can be managing ionic conformation of the aqueous vehicle and its pH range. In slight changes of the aqueous media, pH-responsive polymers significantly change its configuration [11].

 

 

Figure 1: Polybasic state depending on the ionization of ionic groups of ionic chain groups of pH-stimulus polymer

(ICTP-CSIC and CIBER-BBN, 2014, pp. 47-55)

 

Classification of pH-Responsive Polymer:

Polyacids and polybases are the two types of pH-responsive polymers, where polyacids has acid groups (such as –COOH and SO3H) and polybases having (-NH2) groups. They have same phenomenon of response just the stimulus differs [10, 12].

 

Acidic Responsive Polymer:

The phenomenon of releasing proton or accepting proton in respond to surrounding pH are shown by pH-responsive polymer. This is due to presence of weakly acidic (carboxylic acid) and basic (ammonia) groups in these polymer. The conformational change in the polymer results in swelling or dissolution is because of the ionization of functional group at certain pH range which is present along main chain and side chain of polymer. For instance, the dissociation constant (pKa) value of poly (acrylic acid) PAA is 4.25 and above that pH range, there is ionization of carboxylic acid (figure 2a).This guide to electrostatic repulsion between the chains which can associate with water resulting swelling. At minimal range, ionized behavior is shown by the cationic polyelectrolyte (N, N-dimethyl amino ethyl methacrylate) (PDMAEMA) (figure 2b). At low pH, constriction occurs due to protonation of acidic resulting ionization. But there will be swelling of negatively charge polymer due to increased pH value. Similarly, polybasic polymer exhibit inverse behavior where the ionization of alkaline group increases on decreasing pH value. Poly sulfonamides, poly (carboxylic acid) and poly (methacrylic acid) are the examples of pH-sensitive polymer with anionic groups [11, 13]. Different examples polymers with anionic groups are poly (carboxylic acids) as PAA, PMA, poly (sulfonic acids as PVSA, PAMPS, poly (phosphoric acids) as PVPA, PVBPA, poly (amino acids) as PASA, PLGA are given in figure 3.

 

 

Figure 2: pH-responsive polyelectrolyte configuration (a) poly(acrylic acid, (b)  (PDMAEMA) poly(N,N-dimethylaminoethyl methacrylate)

(ICTP-CSIC and CIBER-BBN, 2014, pp. 47-55)

 


 

Figure: 3 Chemical structure of acidic polymers

(Butun, Kocak and Tuncer, 2016, pg 144-176)

 


Alkaline Responsive  Polymer:

The pH range ~ 7-11 causes the ionization/deionization transitions of the weak polybases. At low pH values, the weak polybases that have amino groups present in the side chain accept proton and form polyelectrolytes to get released under alkaline conditions. Example, meth (acrylate), (meth) acrylamide, and vinylic polymers that have tertiary amine, morpholino, pyrrolidine, imidazole, piperazine and pyridine have been illustrated in (figure 4) [10]. The internal charge repulsion between the neighboring groups increases when the polybasic groups are protonated. This charge repulsion responsible for the swelling in the dimension of the polymer having this groups. These groups become less ionized at increased pH values, which reduces the charge repulsion and increases the polymer-polymer interaction, resulting in the diminished hydrodynamic diameter of the polymer. The pH-sensitive HGs that are abundantly used as carriers in drug delivery system are obtained by the utilization of those characteristics [11, 14].


 

 

Fig 4. Chemical structures of basic polymers

(Butun, Kocak and Tuncer, 2016, pg 144-176)

 


ph- Responsive natural polymers:

The utilization of natural biodegradable polymers prevails to be more fruitful due to:

·         Wide availability in nature

·         Good biocompatibility

·         Capacity to be readily fabricated by simple techniques [15]

This highlight the efficiency of most synthetic biodegradable polymers that have been developed for biomedical application [11,16]. pH-responsive self-healing gel system has been prepared using some natural polymers that offer standard efficacy [10,17-19]. The natural polymers that are abundantly used are dextran, hyaluronic acid, alginic acid, chitosan and gelatin (figure 5). These polymers can provide even better transporters for drug delivery if they undergo appropriate chemical modification. The grafting or joining of responsive polymers onto polysaccharides backbone is another famous development technique. The cross-linking agents have been used to develop hydrogels of these polymers in many research studies making the chitosan the most vaguely studied polymer of such species [10,20,21]. Table 2 natural origin polymers(FDA approved)according to their administration route are listed. [22]

 

Chitosan:

N- DE acetylation of chitin yields the chitosan which is a Polyaminosaccharide. Its composition and tight intramolecular H-bonding between amino groups and hydroxyl groups present on the structure of chitosan are responsible for its thermostability. Chitosan being a weak polybase used extensively in hydrogel smart delivery systems due to the presence of more amount amino groups on its chain that supports pH-sensitivity properties which is reversible. A protonation of the amino groups occurs at pH˂6.5 that makes chitosan soluble in water and inorganic acid, like formic, tartaric, acetic and citric acids [22,23]. In oral dosage formulation, it is used as an important excipient having good biocompatibility and minimal toxicity. An angle of repose of powder blend is effectively reduced by chitosan in comparison to traditional excipients (e.g. lactose, starch mannitol) which enhances the fluidity of the powder blend. Due to water uptake properties which provides potential benefit in using as a diluents, binder, lubricant, and disintegrant in preparation of pharmaceutical formulation [ 15,24,25]  Generally, a crosslinking technique by glutaraldehyde is used to achieve a particulate drug delivery [15, 26]. It has potential antibacterial property against a wide range of a microscopic organism. There is leakage of intracellular contents due to adherence of positively charged chitosan to the negatively charged cell wall. There is inhibition of mRNA responsible for the synthesis of proteins where chitosan bind with DNA of the microorganism. This phenomenon occurs by penetration of chitosan to the core of bacteria which interfere with mRNA and protein synthesis. Because of the property like antibacterial, it is mixed with different polymers while preparing pharmaceutical dosage forms [27, 28]. Due to gel-forming nature at low pH, the antiulcer and antacid property where ulcerogenic drugs like aspirin can be administered effectively in combination with chitosan [15, 29]. Chitosan plays important role in reducing gastric mucosal injury caused by diclofenac sodium [15, 30].

 

 

Alginates:

Alginates are hydrophilic polysaccharide carbohydrates derived from marine sources and widely found in nature. Due to easy fabrication into particulate carriers, susceptible to sterilization and storage have been used abundantly in controlled release drug delivery system [22, 31]. It composed of L – glucuronic acid and D –mannuronic acid which is an anionic block copolymers. There are two distinct ways where alginate can behave as stimuli-responsive polymer. The first one is by ionic interaction with divalent metal ions (ca2+) in which EDTA (chelating agent) or alkaline buffer (phosphate) can comfortably eliminate calcium divalent metal ions producing divalent calcium (ca2+)stimulus hydrogel system. The next way is by hydrogen bonding at minimal pH value (pH<2) regarding on pKa values for acidic groups of carboxylic acid in Mannuronic acid (pKa 3.38) and Glucoronic acid (pKa 3.65) [22, 32]. In the drug delivery system, the hydrophobically altered alginates have wide application. There is an enhancement in the efficacy and target action by encapsulating proteins and bioactive factor inside cross-linked alginates gels thus research has been for the development of alginate based protein drug delivery system [11, 33]. The pharmaceutical preparation which is prepared from the alginate based (alginate gels) have demerits of slow degradation and as well as have weak cell adhesion on alginate gel. The dosage forms synthesized via mixing sodium alginate and chitosan (natural polymers) have good encapsulation efficiency which results in improved discharge profiles of protein. Alginate-based preparation at low pH (stomach environment) constricts thus entrapped drug doesn’t discharge. For instance, insulin is susceptible to oral administration so, in order to improve liposomal technique is adopted where insulin is added to the liposome-forming Lipo-insulin preparation. This lipo-insulin system gains the ability to encapsulate in the alginate-based system. The conformational design and insulin potency will be protected via the liposomal hydrated medium and ease of penetration through the biological membrane will be enhanced by an outer region of lipid. Oral administration of lipo-insulin – loaded alginate – chitosan decreases the blood sugar level of rats having diabetic [11, 34, 35]

 

Hyaluronic acid:

Hyaluronic (Hyaluronate) is polysaccharide in nature, it composes of D – glucuronic and N – acetylglucosamine made up of disaccharide units connected by β (1,4) and β (1,3) glucosidic bonds. It can be found widely in a living organism (vertebrate organism), microorganism and bacteria. Due to its abundant existence, many pharmaceutical preparations utilize hyaluronic acid as excipient [11]. Hyaluronic acid extensively exist in synovial fluids and at the surface of cartilage. It is an important carbohydrate constituent present in extracellular matrix [22, 36]. Due to properties like, lubrication and shock absorber has been extensively used in osteoarthritis (joint pain) which enhances lubrication at joint surfaces. It also block chondrolysis of chondrocyte in cartilage and maintain cartilage matrix [22, 37]. Hyaluronic acid can play a major role. It has also been extensively for drug delivery [22, 36]. The matrix of hyaluronic acid is used with cross-linking with glutaraldehyde [22, 38], carbodiimide [22, 38], or polyethylene glycol diglycidylether (PEGDG) [22, 37] to inhibit rapid degradation and clearance. Many techniques have been invented for the formation of HA HGs complex having photo-cross-linking and disulfide – cross-linking because of its potential role in vivo and benefits in tissue engineering [11, 39]. There is the formation of semi-interpenetrating networks on the addition of HA to collagen and inside micro fluidic networks, adhesion of endothelial cell leads in the generation of blood vessel formation [11, 40].

 

 

Figure 5: Natural origin polymers.

 

Multi – responsive polymer:

The synthesis of different materials that counter concurrently to various stimuli like temperature, magnetic fields, pH etc, can be formulated and implanted additionally to single response polymer. A polymer that is more peculiar and governable can be synthesized by combining two or more properties. By copolymerization of monomers containing hydrophobic and ionizable functional groups along with monomers having magnetic group can result in temperature and pH-responsive polymers bearing magnetic properties. For instance, PMEMA and PDMA are the polymers having both temperature and pH-responsive properties. Numerous multi – responsive copolymer can be developed by merging two or more monomers that respond to different stimuli. By engineering one block that is pH-responsive and next block being temperature responsive, the multi-responsive polymer can be manufactured. Because of its lower critical solution temperature (320c) in water, PNIPAm is widely used as a thermo-responsive block [10, 41]. Few multi-responsive polymers are listed in Table 3 below

 

Table 2 :Drug products (FDA Authorized) and Its Inactive polymeric Ingredients

Polymers (Natural-origin)

Synthetic Polymers (Polyester-Based)

Human albumin ( for IV, SC, oral uses)

KOLLIDON VA 64 ( for oral use)

Starch (for oral, IM, IV, topical)

PEG ( for oral, respiratory, topical, IM, IV, Ophthalmic uses)

Hyaluronate ( for intraarticular, IM,  Intravitreal,topical uses)

PLGA (for IM, SC uses)

Collagen ( for topical use)

sodium pyrrolidone carboxylate ( for topical use)

Gelatin ( for IM, SC, IV, oral, topical use)

Poloxamer ( for oral, topical, IV ophthalmic, SC uses

Alginic acid ( for ophthalmic and oral uses)

PVA ( for auricular, IM, intraocular use)

Povidone ( for oral, intraarticular, IM, intrauterine, topical, SC, respiratory, ophthalmic uses)

Polyvinylpyrrolidone ethyl cellulose ( for oral use)

PLA ( for IM use)


 

Table 3: List of pH-sensitive multi – responsive polymer

Responsive to

Polymers

Type

Reference

Glucose, pH, and thermo

PDMA-co- PAAPBA

Microgel

42

Light, pH, and thermo

PDMA-co-PSP

Micelle

43,44

Glucose and pH

PVPBA-co-PDMAEA

Nanogel

45

Glucose and light

MePEG-b-(PNBA-co-PAAPBA

Micelle

46

pH and magnetic

PMAAc

Microgel

47

pH and electric

PAAc-co-PVSA

Microgel

48

pH and reduction

PEO-b-(PMAAc-g-Hyd)

Micelle

49

RPHA-g-coumarin

Micelle

50

Thermo and enzyme

PPDPMA-co-PTEGMA

Micelle

51

pH and thermo

PVI-co-PIMMA

Coplymer

52

PNIPAm-co-PDMA 

Nanogel

53

PEPyM

Macrogel

54

PNIPAm-b-PAAc

Micelle

55

PEG-b-P4VP-b-PNIPAm 

Micelle

56

PNIPAm-b-PDEA

Micelle

57

PDPA-b-PDMA-b-PDPA

Micelle

58

PDMA-b-PAAc

Micelle

59

PDMA-b-PDEA

Micelle

60

PDMA-b-PDPA

Micelle

61

[PMEO2MA-b-(PDEA-co-PTPHMA)]

Micelle

62

PEO-b-[PGMA-g-(PDEA)(PMEO2MA)]

Micelle

63

PMAAc-co-PNIPAm

Yolk/Shell

64

PDMA-b-PMPS

Micelle

65

PNIPAm-b-PLGA

Micelle

66

pH, thermo and salt

PDEMA

Microgel

67

PDEA-b-PMEMA

Micelle

68

PQDMA-b-PMEMA

Micelle

69

PβDMA-b-PMEMA

Micelle

70

 


Techniques for the preparation of ph-responsive polymers:

Reversible addition – fragment chain transfer(RAFT) polymerization, nitroxide – mediated radical polymerization(NMP), atom transfer radical polymerization (ATRP), Group exchange polymerization (GTP), anionic polymerization, cationic polymerization, free radical polymerization are the various polymerization techniques for preparation of vinyl-based pH-responsive polymers [10,71].Emulsion polymerization is one of the most frequent and well known synthetic routes for the preparation of pH-sensitive polymeric system, particularly microgel system. Emulsion polymerization, in contrast to bulk, solution or suspension alludes a unique procedure that adopts radical chain polymerization method to obtain latexes of narrow size distribution. Monomers (s), water – dissolvable initiator and emulsifier are the most common ingredients in emulsion polymerization [72, 73]. Surfactants play a vital role in shortcomings of emulsion polymerization at the point of phase separation, which should be removed at the end of the emulsion polymerization. There may be the formation of coagulants or flocculants of the latex due to the removal of surfactant either by dialysis or desorption method [72, 74]. Well – defined, core-shell nanoparticles can be synthesized by using this kind of emulsion polymerization. The prepared core-shell NPs contains poly (methyl methacrylate) (PMMA) core and P(MMA-co-EA) shell [11,75]. Production of latexes with high solid content, semi-batch emulsion polymerization procedure has been utilized in industry. For instance, through semi-batch emulsion polymerization using aerosol OT surfactant commercial hydrophobically altered base- soluble/ swellable emulsion ( HASE) were synthesized [72,76,77]. The base/ alkali soluble polymer contains a polymer backbone comprising Methacrylic acid (MAA) and Ethyl acetate (EA) of hydrophobic macromonomer to its backbone [72, 76, 78]. They are as a colloidal particle at low pH and the hydrophobic macromonomers form the viscous solution at high pH at which they are soluble. A little amount of cross-linker are introduced and the swelling/de swelling characters can be controlled by MAA and cross-linker contents in case of hydrophobically altered basic – swell able polymers [72,79]. Anionic polymerization and group transfer polymerization are another controlled polymerization technique utilized for the production of well-characterized pH-responsive polymers. Methacrylates are produced by the most appropriate polymerization system, group transfer polymerization. The utilization of this system is restricted due to strict reaction condition which is not appropriate for all monomers, for example, DMA[10, 80, 81, 82], DEA[10, 60, 82, 83], DPA[10, 61, 84, 58], and MEMA[10, 61, 84, 83, 85], have been produced utilizing GTP in diverse structures, for example, block[10, 61,  80, 81], star[10, 86], branched [10, 82] etc. In GTP, functional monomer like methacrylic acid can be used because of their labile protons that end polymerization. So, functional group should be masked using protecting groups to carry on polymerization that are promptly changed over back to functional species [10,80, 87]. CRP (chain polymerization) carry on even in the absence of termination reaction and chain transfer reaction. ATRP, NMP, and RAFT are noticeable among CRP technique in the production of pH-responsive polymers. For the controlled polymerization of various vinyl and acrylic monomers under the mild condition, ATRP is one of the most powerful controlled/living radical polymerization system [11, 88]. Due to impurities like moisture sensitivity and functional group resistivity, ATRP possesses resistance to these impurities. It has few limitations on the polymerization of acrylamide and its derivative, unlike ionic polymerization. Also, it has another advantage of ATRP, the polymers synthesized by ATRP technique can be used as large-scale initiator for further additional steps. The various architecture like block [10, 89], star [10, 90-92], gradient [10, 89, 93], brushes [10, 94, 95] and branch (co)polymers [10, 96] can be easily produced by ATRP technique so, this technique has been often utilized in the production of pH-responsive polymers.

 

In 1980, the first utilization of addition – fragmentation transfer agents were used to control radical polymerization [10, 97, 98, 99]. The well – defined (structured) macromolecular designs polymers with moderately low pol–dispersity index can be synthesized by Reversible addition-fragmentation chain transfer (RAFT) radical polymerization [11, 100, 101]. The achievement of control characters by RAFT polymerization is due to reversible chain transfer which reduces the number of radicals and subsequently diminishes the possibility of termination reactions [11, 102]. By ATRP and RAFT techniques, a polymer having mono – or multifunctional end groups can be synthesized. Different polymeric materials can be synthesized by modifying the groups in polymers. For instance, non – ionic PG2MA –b- PHPMA diblock copolymer has been prepared by Armes' group exhibiting pH-responsive characteristics. This behavior is because of the carboxylic acid RAFT agent which is used in the synthesis of polymers [10, 103]. The surface-initiated atom transfer radical polymerization (SI – ATRP) and surface initiated reversible addition – fragmentation chain transfer (SI- RAFT) are often used in the preparation of pH responsive polymeric brushes by simple adjustment of silicon and gold surfaces with ATRP initiator. By utilization of emulsion polymerization procedure distinctive size pH-responsive crosslink hydrogels (micro and nano-) can be prepared [10, 104, 105, 106, 107]. Well-characterized property and the approaches to get pH-responsive can be synthesized by these techniques, the polymeric chain may be linear homo or copolymers, amphiphilic block copolymers in a structure that form micelles, microgels, HGs, micro- or nanoparticles.

 

Applications:

ph – Responsive polymers and drug delivery system:

The human body has been designed to demonstrate a various range of pH (table 4). This range of pH can be utilized to target medicinal agents or drugs to a particular organ, body area, or the specific site to hit the target.

 

Table 4:  pH values from several tissues and cell compartments

Cell / tissue compartment

pH

Tumor – extracellular medium

6.2 – 7.2

Golgi complex

6.4

Colon

7.0 – 7.5  

Lysosome

4.5 – 5.0  

Duodenum

4.8 – 4.2

Stomach

1.0 – 3.0

Blood

7.4 – 7.5 

 

The ideal pharmaceutical systems, i.e., pH-sensitive polymers utilize these conditions to carry the drugs to specific parts like colon [108]. Enteric polymers are commonly used because they resist degradation in an acidic environment (low pH of the stomach) and release the drug in the alkaline medium of intestine due to the formation of salt. Commercially, many such polymers are already manufactured and have high demands like CAP produced by Wako Pure Chemicals Ltd,  Eudragil-L, Eudragit-S produced by Rohm Pharma, GmBH (modification of methacrylic acid and methyl methacrylate) or CMEC produced by Freund Sangyo Co. Ltd., HP-50, and ASM from Shin- Etsu Chemical Co. Ltd(cellulose derivative),. Numerous polysaccharides have also been studied and the research is transforming into fruitful results. For example, polysaccharides like cyclodextrin, chondroitin sulfate, dextran, amylose, guar gum, pectin, chitosan, inulin have been experimented[109, 110,111].

 

A study/experiment by Mishra [112, 113] has revealed that HPMC-AS and Eudragit-P4135 F can be formulated into nanoparticles which carry a trait of acidic resistance or enteric coating that ensures delivery of drug to a specific site where there is a colon. Mishra tried formulating Metoprolol succinate with HPMC-AS and Eudragit-P4135 F which resulted in pH-sensitive nanoparticles that could be used as a targeted drug delivery system specifically for a colon. The delivery of drugs, proteins, peptides, etc., to a specific site, can be facilitated using different formulations that involve the use of pH-sensitive polymers. The pharmacological substances that are deteriorated or have negligible absorption in the acidic medium of the stomach and pH of intestine whereas favored by the gentle conditions of the colon can be produced using different pH-responsive polymers. These type of formulations can be useful for the local pathologies of the colon and systemic delivery. Apart from the targeted delivery, pH-sensitive polymer like Thermocoat L30D55 has been known to protect the products from environmental factors like temperature, humidity, light, enhancing the shelf life of products. PH-regulated Tulsion microspheres targeting the drug delivery in the colon is prepared using Thermocoat L30D55. Microspheres were prepared by quasi-emulsion spherical crystallization method with a combined mechanism of release. The major contributing factors for drug release were specific biodegradability of polymer and pH-dependent release [112, 114].

 

Another colon targeting formulation based on the pharmacokinetic study was done by Shi et. al., [112, 115] in which P9LE-IA-MEG) hydrogel microspheres were developed to show colon targeting property and efficacy in ulcerative colitis. Similarly, Agrawal et. al., [112, 116] used Eudragit L100, S100 to prepare the microspheres of Capecitabine as a therapy for colorectal cancer. This formulation aimed is to improving patient compliance and decrease the frequency of dosing.

 

pH sensibility is presented by a number of naturally occurring polymers like chitosan, albumin, gelati. From chitin, a cationic amino polysaccharide can be derived, i.e., chitosan. It is soluble in water at pH 6.2 acting as a cationic polymer and transforms into an aqueous gel as the pH increases. Since it has this mucoadhesive gel property, it can be utilized in oral or mucosal drug delivery. Chitosan has a positive charge [108, 117] it can also carry DNA (-ve charge) by fusion into its amino groups. Chitosan/glycerophosphate is a better option pharmaceutical system for development of efficient implants, because of its permeability as well as enhanced capability to control the release of drugs and macromolecules with poor water solubility. The insertion of paclitaxel in the glycerophosphate system of chitosan enhances the delivery of the drug at a sustainable rate which improves the inhibition of growth of cancerous cells EMT-6 [108, 118].

 

Gene carriers:

pH-sensitive polymers can be encouragingly used as non-viral gene carriers because the incorporation of naked DNA into cells is a tough job as the DNA is negatively charged and is massive in physiological conditions. For the gene delivery, DNA has to be condensed in charge balanced nanoparticles which are facilitated by gene delivery methods assisted by chemical means. Two major types are; one is liposome and the other is polycation. Elaboration on the use of poly (L-lysine) (PLL) and poly (ethylenimine) (PEI) as the best applicants for non-viral gene delivery has been reviewed by Godbey and Mikos [109, 119]. PEI can form complexes by condensing DNA in solution, that can easily be taken up by many cell types through endocytosis because it is a highly polycationic (synthetic) polymer. As mentioned earlier, Chitosan has also been extensively used as a DNA carrier, being biocompatible and resorbable cationic amino polysaccharide [109, 120, 121].

 

Hoffman's group has committed incredible efforts to the molecular machine of some viruses and pathogens and acquired novel targeted structures to effectively induce biomolecules to targeted intracellular sites. Fluctuations in the pH gradient of the endosomal region are detected by the molecular machine which in turn destabilizes the endosomal layer making it prone to destruction. Upgradation of the protein or DNA transportation to the cytoplasm from intracellular sites like endosome is carried out by this mechanism [11, 122, 123]. Besides that, another accessible technique is by grafting of a lipidic double-layered system (liposome) with a pH-responsive polymer (cationic), which holds the DNA molecules as a part of its interior system. In this manner, the balance of the negative charges of DNA is maintained by cationic polymers and then compress it to obtain nanoparticles having about 100nm diameter. Through a different mechanism than that of cationic polymers, the efficiency of DNA molecules is enhanced by the use of anionic polymers. Transformation of the hydrophilic state to a hydrophobic/lipophilic state is a characteristic property demonstrated by the anionic polymers which make the endosome layer to be unstable resulting in disruption [108, 124].

 

 

To enhance the condensation of the nucleic acid molecules, an additional cationic polymer is attached to the particle formed by the physical or chemical mixture of anionic polymers and DNA. The formed particles, therefore enter the particular cells by endocytosis and get changed to a lipophilic state causing the endosome layer to rupture, consequently delivering the content. The anionic polymer PPAA (polypropyl acrylic acid) or PEAA (poly ethacrylic acid) form the nanoparticle that enhances the stability of the formulation and promotes DNA transfection. PEAA (poly ethylacrylic acid) and PPAA (polypropyl acrylic acid) are the pH-responsive polymers used to carry genes. When the pH decreases to value between 5 and 6, PPAA and PEAA have enhanced hemolytic activity but do not confer any blood cell disorders at pH 7.4 [108, 125, 109]. They utilize hydroxyproline (collagen, gelatin, and different peptides) blended with a biodegradable polycationic polyester polymer named poly (trans-4-hydroxy-L-proline ester) to form a macromolecule along with DNA condensation and permitted the gene transfection into mammal’s cells [108,109]. Doxorubicin blended with copolymer poly (ethylene glycol)-poly (aspartame-hydrazine-doxorubicin) [(PEG-p (Asp-Hid-Dox)] produced polymeric micelles that are pH sensitive. This experimented formulation released the drug when pH decreased to a value less than 6 but retention of drug and the genes at a physiological pH was observed.

 

Glucose-responsive polymers for insulin delivery/biosensor:

Development of an insulin delivery system/technique for the treatment of diabetic patients is a popular application of pH-sensitive polymers [11, 126]. Unlike other drugs, what makes insulin delivery more difficult is the delivery of an accurate amount at the exact time of need. The enzyme glucose oxidase was studied and the pH-responsive polymers that form a covalent bond with the enzyme were developed as a pharmaceutical system for the delivery of insulin [108, 127]. The mechanism that triggers the release of insulin in this pharmaceutical system goes like this: Change in pH caused by the formation of glucuronic acid due to oxidation of glucose by glucose oxidase, makes the pH-sensitive hydrogel change its volume, expanding and releasing of insulin. It is done by using the pH-sensitive polycationic polymers like poly (2-diethylaminoethyl methacrylate) (PDEAEMA) to enhance the membrane’s permeability, facilitate the insulin delivery as a result of a decrease in pH value of the medium [108, 128]. Ionization of the polymer in an acidic environment is responsible for this increment in permeability.

 

Insulin-releasing beads were prepared using polymers that are sensitive to both pH as well as temperature. An example of such is P (NIPAA-co-BMA-co-AA) prepared by mounting it in an aqueous solution of appropriate pH [11, 129]. The beads were insoluble at acidic pH and hence the stomach experienced no drug release. Unlike in acidic pH, they low molecular weight hydrophilic polymer beads revealed a hump-like profile at normal body temperature and pH 7.4, consequently, dissolving in a 2 hour duration (bead dissolution – controlled release mechanism) whereas the macromolecular polymeric beads of hydrophilic nature expand and delivered insulin sustainably for the duration of 8 hours. Addition of an intermediate step in which an analyte gets transformed into pH fluctuation substance can prolong the applicability of pH-sensitive hydrogel for the sensor like in the hydrogel-based PCO2 sensor. In this pharmaceutical system, the release of CO2 gas forming carbonic acid in water. Due to this, there is a changing pH of the system and consequently in the volume of pH-sensitive HGs [11, 130].

 

Takamaya K., Morishita M., Nagai T., Lowman A.M., collectively described the modified insulin delivery using pH-responsive polymers [108, 131]. These authors worked on the development of insulin delivery and were successful in formulating microparticle P( MMA- g – EG)  with poly (methacrylic acid) –g poly( ethylene glycol) which in acidic support the delay of insulin delivery through the gut whereas the delivery is rapid in neutral or alkaline environment AA ( ACRYLIC ACID) is another pH-responsive polymer employed in insulin delivery. Another formulation was by Foss et.al. ( 2004), in which the group developed nanoparticles of polyacrylic acid (AA) – g- PEG for delivery of insulin by oral means and concluded that AA becomes hydrophilic due to ionization at pH above the pKa of 4.5 [108,  132]. 

 

Additional applications:

Chromatographic studies:

Apart from drug delivery, pH-responsive polymers can be applied to the purification and separation technology. Chromatographic systems are used to separate various molecules like peptides, enzymes, proteins, etc. The change in environmental pH causes either protonation or deprotonation of pH-responsive polymers because they contain alkaline or acidic groups such as amine and carboxylic acids attached to the hydrophobic backbone. The protein separation by pH-sensitive polymers is via electrostatic interactions because these polymers can readily interact with proteins that are oppositely charged by complexation consequently resulting in precipitation. Recovery of the precipitated proteins is possible by changing the pH of the medium. Both acidic and basic polymers have been used in preparing pH-responsive chromatographic materials. The acidic polymers used are PMAAc, PAMPS, PAAc, PLL, etc., and the basic polymers used are PDMA, PVI, PDMAPAm, P4VP, PANMP, etc [10, 133].

Future progression/ perspectives:

The use of biomaterials in upcoming future focus towards the improvement and clinical utilization of smart materials allowing better control over occurrence in a post-implantation. Modification pH, ionic strength or other molecular interaction, the material can be controlled by a host cell. The utilization of supramolecular assemblies of sensitive polymers (example, cross-linking or shell) is done to achieve structural stability for a longer time. Development and incorporation of detection design having high sensitive and particular responses into sensitive matrix polymers, aimed at detecting and differentiating minimal fluctuations in the concentration of glucose and bioactive molecules along with pH, the temperature should be further developed. The improvement of pH-sensitive polymers is primarily focused on the system able to select and identify various analyses at the same time. Incorporation of detecting and identifying quality in medical device remains a challenge to consolidate material response which guarantees that these ideal smart materials achieve their application potential both in vitro and in vivo. The thorough investigation of in vivo uses are being explored, with promising work towards treatment therapy and targeted drug delivery system. The consolidation of distinctive properties of multi- responsive polymers, will give rise to new methodologies, augmenting both efficacy specificity of cell focusing, cell responsiveness, and drug delivery. The achievement of a specific application, appropriate copolymerization, cross-linking and ligand connection the characteristics of smart materials should be tailored. The production of smart materials by ideal techniques are so far giving a new strategy for delivery of the drug, neuronal, tissue engineering for regenerative medicines. Before their appropriate application for clinical treatment, the future trend should be centered on optimizing the exact necessity of this material.

 

CONCLUSION:

Different techniques in the area of pH-sensitive polymers and their uses as a drug delivery agent, gene carrier, and biosensor has been adopted for synthesis acid/alkaline responsive polymers. Acid-sensitive drugs and colon drug delivery products can be prevented and improve their pharmacokinetic/ pharmacodynamics properties by utilization of smart polymers. In the area of gene carriers, pH-responsive polymers system properties and application has been used as one of the promising application. Looking at applied perspectives viewpoints, the pH-responsive system has been thoroughly studied, such system can be synthesized via controlled polymerization or Free radical polymerization techniques. All the above techniques and application depicts promising results giving an area for development in the upcoming future. pH-sensitive polymers have many pros as modified and controlled release pharmaceutical dosage forms, reducing toxicity, bizarre reaction and side effects by releasing and distributing the drugs at the appropriate site. This type of pharmaceutical system precisely reduce the therapeutic dose and improve the patient compliance. Such a system has more advantages in addition to the above that is easy production, cost-effective which is an inspiration for a pharmaceutical company.

 

Abbreviations:

MAA            Methacrylic acid

MePEGA     Poly(methoxypolyethylene glycol acrylamide

P4VP            Poly(4-vinylpyridine)

PAA             poly acrylic acid

PAAPBA     Poly(3-acrylamidophenylboronic acid)

PDEA           Poly[(2-diethylamino)ethyl methacrylate]

PDMA          Poly[(2-dimethylaminoethyl) methacrylate]

PDMAEMA N, N-dimethylaminoethyl methacrylate

PDPA           Poly(2-diisoprophylamino)ethyl methacrylate

PEAAc         Poly(ethyl acrylic acid)

PEG              Polyethylene glycol

PEGDG        Polyethylene glycol diglycidylether

PEO              Polyethylene oxide

PEPyM         Poly(N-ethylpyrrolidine methacrylate)

PG2MA        Poly(glycerol monomethacrylate)

PGMA          Poly(glycidyl methacrylate)

PHPMA        Poly[N-(2-hydroxypropyl)methacrylate]

PIMMA        Poly[2-(isobutyramido)-3-methylbutyl methacrylate]

PLA              Polylactide

PLGA           Poly(L-glutamic acid)

PLL              Poly(L-lysine)

PMAAc        Poly(methacrylic acid)

PMEMA       Poly(2-N-morpholinoethyl)methacrylate

PMEO2MA  Poly[2-(2-methoxyethoxy)ethyl methacrylate]

PMPS            Poly[3-(trimethoxysilyl)propyl methacrylate]

PNIPAm        Poly(N-isopropylacrylamide)

PPAA            Poly(propylacrylic acid)

PPDPMA       Poly[N-2(3-pentadecylphenoxy)ethyl methacrylamide]

PSP                Poly(spiropyan-functionalized

PTEGMA      Poly[2-(2-(2-methoxyethoxy)ethoxy)ethyl methacrylate]

PVA               Polyvinyl alcohol

PVI                 Poly(N-vinylimidazole)

PVPBA          Poly(vinylphenyl boronic acid)

PVSA             Poly(vinylsulfonic acid)

RPHA            Reducible poly(β-hydroxy amine)s

QDMA           Quaternized DMA

βDMA            Sulfobetaine DMA

 

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Received on 24.09.2018            Modified on 21.10.2018

Accepted on 03.11.2018           © RJPT All right reserved

Research J. Pharm. and Tech 2019; 12(2):944-958.

DOI: 10.5958/0974-360X.2019.00159.8