Log in

In vitro and in vivo evaluation of dual Clofazimine and Verapamil loaded PLGA nanoparticles

  • Original Research Article
  • Published:
Indian Journal of Clinical Biochemistry Aims and scope Submit manuscript

Abstract

Combination therapy may counter the risk caused by efflux pumps mediated resistance developed by mycobacteria with a concomitant increase of the bactericidal effect of anti-TB drugs. In the present study, combination of two drugs in a nanoformulation was prepared. Clofazimine targets type 2 NADH dehydrogenase of the electron transport chain, and Verapamil inhibits various mycobacterial efflux pumps. The nanotechnology approach was adopted to overcome limitations associated with administration of free form of drugs by using poly (D, L-lactic-co-glycolic acid) as a polymer. Nanoparticles were prepared by oil/water single emulsion solvent evaporation procedure and characterized by various techniques. The results thus highlighted that developed nanoparticles were spherical with nano range size (200-450 nm). Fourier transform infrared spectroscopy revealed successful encapsulation of drugs in developed nanoformulations. Drugs in combination showed higher encapsulation efficiency and percentage drug loading capacity as compared to individual drug nanoformulations. Also, reduced toxicity of nanoformulation was observed in hemolysis assay as compared to free drugs. Ex-vivo analysis demonstrated efficient uptake of rhodamine encapsulated nanoparticles by THP-1 cells, while in-vivo results revealed sustained drug release of nanoformulation as compared to free drugs in combination. Therefore, we were able to achieve development of a single nanoformulation encapsulating Clofazimine and Verapamil in combination. Based on these findings, future studies can be designed to explore the potential of co-encapsulated Clofazimine and Verapamil nanoparticles in management of tuberculosis.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price includes VAT (Canada)

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6

Similar content being viewed by others

Data Availability

The generated or analyzed data during the study has been included in this article.

7. References

  1. Yang TW, Park HO, Jang HN, Yang JH, Kim SH, Moon SH, et al. Side effects associated with the treatment of multidrug-resistant tuberculosis at a tuberculosis referral hospital in South Korea: a retrospective study. Medicine. 2017;96(28).

  2. Islam MM, Hameed HA, Mugweru J, Chhotaray C, Wang C, Tan Y, et al. Drug resistance mechanisms and novel drug targets for tuberculosis therapy. J Genet Genomics. 2017;44(1):21–37.

    Article  CAS  PubMed  Google Scholar 

  3. Te Brake LH, de Knegt GJ, de Steenwinkel JE, Van Dam TJ, Burger DM, Russel FG, et al. The role of efflux pumps in tuberculosis treatment and their promise as a target in drug development: unraveling the black box. Annu Rev Pharmacol Toxicol. 2018;58:271–91.

    Article  CAS  PubMed  Google Scholar 

  4. Gupta S, Tyagi S, Almeida DV, Maiga MC, Ammerman NC, Bishai WR. Acceleration of tuberculosis treatment by adjunctive therapy with verapamil as an efflux inhibitor. Am J Respir Crit Care Med. 2013;188(5):600–7.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  5. Gupta S, Cohen KA, Winglee K, Maiga M, Diarra B, Bishai WR. Efflux inhibition with verapamil potentiates bedaquiline in Mycobacterium tuberculosis. Antimicrob Agents Chemother. 2014;58(1):574–6.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Chen C, Gardete S, Jansen RS, Shetty A, Dick T, Rhee KY, et al. Verapamil targets membrane energetics in Mycobacterium tuberculosis. Antimicrob Agents Chemother. 2018;62(5):e02107-17.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Yano T, Kassovska-Bratinova S, Teh JS, Winkler J, Sullivan K, Isaacs A, et al. Reduction of clofazimine by mycobacterial type 2 NADH: quinone oxidoreductase: a pathway for the generation of bactericidal levels of reactive oxygen species. J Biol Chem. 2011;286(12):10276–87.

    Article  CAS  PubMed  Google Scholar 

  8. Nugraha RV, Yunivita V, Santoso P, Aarnoutse RE, Ruslami R. Clofazimine as a treatment for multidrug-resistant tuberculosis: a review. Sci Pharm. 2021;89(2):19.

    Article  CAS  Google Scholar 

  9. Nasiruddin M, Neyaz M, Das S. Nanotechnology-based approach in tuberculosis treatment. Tuberc Res Treat. 2017;2017:4920209.

    PubMed  PubMed Central  Google Scholar 

  10. Moin A, Raizaday A, Hussain T, Nagshubha B. Development and optimization of dual drugs (Isoniazid and moxiflox-acin) loaded functional PLGA nanoparticles for the synergistic treatment of tuberculosis. Curr Drug Deliv. 2016;13(7):1034–52.

    Article  CAS  PubMed  Google Scholar 

  11. McCall RL, Sirianni RW. PLGA nanoparticles formed by single-or double-emulsion with vitamin E-TPGS. J Vis Exp. 2013: e51015.

  12. Niwa T, Takeuchi H, Hino T, Kunou N, Kawashima Y. In vitro drug release behavior of D, L-lactide/glycolide copolymer (PLGA) nanospheres with nafarelin acetate prepared by a novel spontaneous emulsification solvent diffusion method. J Pharm Sci. 1994;83(5):727–32.

    Article  CAS  PubMed  Google Scholar 

  13. Song X, Zhao Y, Wu W, Bi Y, Cai Z, Chen Q, et al. PLGA nanoparticles simultaneously loaded with vincristine sulfate and verapamil hydrochloride: systematic study of particle size and drug entrapment efficiency. Int J Pharm. 2008;350(1–2):320–9.

    Article  CAS  PubMed  Google Scholar 

  14. Laxmi MP, Vusuvandla G. Development and Validation of RP-HPLC method for the simultaneous estimation of Verapamil Hydrochloride and Trandolapril in bulk and pharmaceutical dosage forms. Asian J Pharm Anal Med Chem. 2016;4(1):38–46.

    Google Scholar 

  15. Queiroz RH, Pereira RC, Gotardo MA, Cordeiro DS, Melchio E Jr. Determination of clofazimine in leprosy patients by high-performance liquid chromatography. J Anal Toxicol. 2003;27(6):377–80.

    Article  CAS  PubMed  Google Scholar 

  16. Sun SB, Liu P, Shao FM, Miao QL. Formulation and evaluation of PLGA nanoparticles loaded capecitabine for prostate cancer. Int J Clin Exp Med. 2015;8(10):19670–81.

    CAS  PubMed  PubMed Central  Google Scholar 

  17. Surolia R, Pachauri M, Ghosh PC. Preparation and characterization of monensin loaded PLGA nanoparticles: in vitro anti-malarial activity against Plasmodium falciparum. J Biomed Nanotechnol. 2012;8(1):172–81.

    Article  CAS  PubMed  Google Scholar 

  18. Williams K, Minkowski A, Amoabeng O, Peloquin CA, Taylor D, Andries K, et al. Sterilizing activities of novel combinations lacking first- and second-line drugs in a murine model of tuberculosis. Antimicrob Agents Chemother. 2012;56(6):3114–20.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  19. Gupta PK, Pappuru S, Gupta S, Patra B, Chakraborty D, Verma RS. Self-assembled dual-drug loaded core-shell nanoparticles based on metal-free fully alternating polyester for cancer theranostics. Mater Sci Eng C Mater Biol Appl. 2019;101:448–63.

    Article  CAS  PubMed  Google Scholar 

  20. Liu Y, Gao J, Du J, Shu W, Wang L, Wang Y, Xue Z, Li L, Xu S, Pang Y. Acquisition of clofazimine resistance following bedaquiline treatment for multidrug-resistant tuberculosis. Int J Infect Dis. 2021;102:392–6.

    Article  CAS  PubMed  Google Scholar 

  21. Falzon D, Jaramillo E, Schünemann HJ, Arentz M, Bauer M, Bayona J, et al. WHO guidelines for the programmatic management of drug-resistant tuberculosis: 2011 update.

  22. Hartkoorn RC, Uplekar S, Cole ST. Cross-resistance between clofazimine and bedaquiline through upregulation of MmpL5 in Mycobacterium tuberculosis. Antimicrob Agents Chemother. 2014;58(5):2979–81.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Anderson JM, Shive MS. Biodegradation and biocompatibility of PLA and PLGA microspheres. Adv Drug Deliv Rev. 1997;28(1):5–24.

    Article  CAS  PubMed  Google Scholar 

  24. Chaves LL, Lima SA, Vieira AC, Barreiros L, Segundo MA, Ferreira D, et al. Development of PLGA nanoparticles loaded with clofazimine for oral delivery: Assessment of formulation variables and intestinal permeability. Eur J Pharm Sci. 2018;112:28–37.

    Article  CAS  PubMed  Google Scholar 

  25. Sahoo J, Murthy PN, Biswal S. Formulation of sustained-release dosage form of verapamil hydrochloride by solid dispersion technique using Eudragit RLPO or Kollidon® SR. AAPS PharmSciTech. 2009;10(1):27–33.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  26. Gebreel RM, Edris NA, Elmofty HM, Tadros MI, El-Nabarawi MA, Hassan DH. Development and Characterization of PLGA Nanoparticle-Laden Hydrogels for Sustained Ocular Delivery of Norfloxacin in the Treatment of Pseudomonas Keratitis: An Experimental Study. Drug Des Devel Ther. 2021;15:399–418.

    Article  PubMed  PubMed Central  Google Scholar 

  27. Valetti S, **a X, Costa-Gouveia J, Brodin P, Bernet-Camard MF, Andersson M, et al. Clofazimine encapsulation in nanoporous silica particles for the oral treatment of antibiotic-resistant Mycobacterium tuberculosis infections. Nanomedicine. 2017;12(8):831–44.

    Article  CAS  PubMed  Google Scholar 

  28. Song XR, Cai Z, Zheng Y, He G, Cui FY, Gong DQ, et al. Reversion of multidrug resistance by co-encapsulation of vincristine and verapamil in PLGA nanoparticles. Eur J Pharm Sci. 2009;37(3–4):300–5.

    Article  CAS  PubMed  Google Scholar 

  29. Zhang Y, Feng J, McManus SA, Lu HD, Ristroph KD, Cho EJ, et al. Design and solidification of fast-releasing clofazimine nanoparticles for treatment of cryptosporidiosis. Mol Pharm. 2017;14(10):3480–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  30. Jonderian A, Maalouf R. Formulation and in vitro interaction of rhodamine-B loaded PLGA nanoparticles with cardiac myocytes. Front Pharmacol. 2016;7:458.

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Acknowledgements

None.

Author information

Authors and Affiliations

Authors

Contributions

All authors contributed to the study’s conception and design. Bhavneet Kaur and Maninder Kaur performed material preparation, data collection, and analysis. Priyanca Ahlawat analyzed and interpreted the FTIR data. Bhavneet Kaur wrote the first draft of the manuscript and all authors commented on previous versions of the manuscript. Sadhna Sharma assisted in writing the manuscript and designing the whole study. All authors have read and approved the manuscript.

Corresponding author

Correspondence to Sadhna Sharma.

Ethics declarations

Ethical Disclosure

An approval was obtained from Institute Animal Ethical Committee (IAEC no.90/IAEC/627) for using Balb/c mice. All experimental procedures were performed in accordance with the institution’s ethical standards or practice.

Competing interests

Authors have no competing interests to disclose.

Financial Disclosure

This article received no sources of funding.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Electronic supplementary material

Below is the link to the electronic supplementary material.

Supplementary Material 1

Supplementary Material 2

Supplementary Material 3

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Kaur, B., Kaur, M., Ahlawat, P. et al. In vitro and in vivo evaluation of dual Clofazimine and Verapamil loaded PLGA nanoparticles. Ind J Clin Biochem 38, 466–474 (2023). https://doi.org/10.1007/s12291-022-01062-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12291-022-01062-8

Keywords

Navigation