1. Introduction
Triamcinolone acetonide (TA) is a glucocorticoid and is commonly used to treat various ophthalmic conditions, including macular edema, age-related macular degeneration, and proliferative vitreoretinopathy by intravitreally injecting a trimethoprim suspension. However, TA is easily susceptible to retinal detachment, retinal hemorrhage, endophthalmitis, and other adverse effects induced by high-dose administration. Consequently, identifying a suitable drug delivery system is critical to addressing this problem. Ophthalmic preparations for topical administration are delivered to intraocular tissues through the corneal, conjunctival, and uveo-scleral routes [
1,
2]. The cornea is the most significant static barrier in the front of the eye. It is divided into epithelial, anterior elastic, stromal, posterior elastic, and endothelial cell layers, of which the corneal epithelial and stromal layers are the main barriers to drug delivery [
3,
4]. The corneal epithelium comprises 3–6 tightly connected layers of lipid-rich epithelial cells behaving as a barrier against most drugs, thereby retaining most drugs in the epithelium [
2,
5,
6]. Therefore, prolonging the retention time of the drug in the cornea to reduce the loss of the drug due to tear flushing, thus improving the ocular surface, can enhance the permeability of the drug in the ocular tissue for effective delivery to the target site [
7,
8]. The biocompatible and biodegradable polymeric material PLGA has been approved by the FDA for ocular drug delivery systems and is the most commonly used among nanocarrier systems [
9]. Cell-penetrating peptides (CPPs), usually short peptides with high permeability in biological membranes, could facilitate the intracellular delivery of hydrophilic proteins and nucleic acids. Jiang et al. [
10] designed a flexible octopus-like octavalent penetrating protein (8VP). It had a multi-armed PEG core and penetrating binding proteins at both ends of the PEG arm as extension tentacles for facilitating the concentration and delivery of therapeutic nucleic acids. The 8VP stably compressed siRNA into polymorphs less than 100 nm in size and positively charged, enhancing cellular uptake efficiency by nearly 100% and transfection rates by more than 75%. When 8VP was injected inside the conjunctival capsule, it rapidly distributed siRNA within the retina through a non-corneal pathway, and the retention time became longer than six hours. In a retinoblastoma tumor-bearing mouse model, a topical drip of 8VP/siRNA effectively inhibited intraocular tumor protein expression and was tolerated well inside the eyes. Additionally, it has been reported that the nanotopical eye drop delivery system is influenced by various factors, including pH [
11], particle size [
12,
13], electric charge [
14], and surface modification [
15,
16], resulting in differences in drug absorption.
Nanoparticle preparations crossing the ocular barrier with PLGA carriers are susceptible to tear elimination. Therefore, modifying the surface properties of PLGA nanoparticles is essential. Cyclodextrins, a versatile, functional excipient, have an external hydroxyl group forming hydrogen bonds between molecules and self-assemble to develop aggregates in aqueous solutions. The enhanced membrane permeation mechanism of cyclodextrins is associated with their improved electrostatic adsorption and van der Waals forces to augment drug availability for biofilm surface adsorption. This leads to an effective drug permeability enhancement [
17]. It was demonstrated that preparing cyclodextrin–PLGA aggregates could be one of the strategies to improve the bioavailability of drugs for topical administration on the ocular surface. For drug–cyclodextrin inclusions, the hydrophobic drug as a guest molecule can drive the aggregates, forming nano- and micron-sized aggregates. In a previous study, a PLGA vehicle was used to prepare triamcinolone acetonide–cyclodextrin complex nanoparticles. The peak concentration
Cmax and AUC
0–6h in the aqueous humor were, respectively, 36.8 and 44.9 times higher than those in the triamcinolone acetonide suspension group after ocular administration within rabbits [
18]. The preparation of cyclodextrin–PLGA aggregates improves the bioavailability of drugs for topical administration on the ocular surface, easing the self-assembly of drug–cyclodextrin inclusion complexes in an aqueous solution to form aggregates [
19].
However, the in vivo behavior of nanoformulations is based on data obtained by monitoring their pharmacokinetics and tissue distribution. These data cannot entirely elucidate the specific processes of in vivo nanodelivery systems. Moreover, the scientific questions regarding the internalization or in vivo transport of nanodelivery systems in their complete form and the specific transmembrane transport mechanisms of nanodelivery systems have not been specifically answered. Since the absence of a precise mechanism blurs drug development, the transmembrane transport mechanisms of nanodelivery systems need to be elucidated to pave the way for rational drug design. The adhesion of cyclodextrin-coated nanoparticles has been represented in previous studies. Moreover, it also facilitates drug absorption by improving retention time on the ocular surface. In this study, PLGA nanoparticles were the subject, and rhodamine-B (Rh-B) was the model drug used to prepare a nanodelivery system for investigating their uptake and transport behavior. In addition, the mechanism of nanodelivery uptake due to cellular uptake, transmembrane transport, intraocular delivery, and local uptake was also demonstrated, thereby validating the quantitative changes in biological effects.
3. Materials and Methods
3.1. Materials
Triamcinolone acetonide (TA, 99.9%) was obtained from Hehui Pharmaceutical Group Co., Ltd. (Tianjin, China). Rhodamine B (Rh-B) was obtained from Damao Chemical Reagent Factory (Tianjin, China); Polyvinyl alcohol (PVA) from Kuraray International Trading Co., Ltd. (Shanghai, China); 2-Hydroxypropyl-β-cyclodextrin (2-HP-β-CD, substitution degree 4.96) from Qianhui Biotechnology Co., Ltd. (Zibo, China); Poly(lactic acid glycolic acid) copolymer (PLGA, 50:50, Mw 10,000 Da) from JFK Biotechnology Co., Ltd. (Jinan, China); and Dimethyl sulfoxide (DMSO) from Merck & Co., Inc. (Rahway, NJ, USA). Dulbecco’s modified Eagle medium (DEME) and Penicillin-Streptomycin were procured from Gibco Co., Ltd. (New York, NY, USA). Sodium chloride (NaCl) and anhydrous glucose were provided by Zhiyuan Chemistry Reagent Co., Ltd. (Tianjin, China). All the other chemicals and organic solvents were analytical reagents (ARs).
3.2. Preparation of 2-HP-β-CD/PLGA NPs
PLGA NPs were prepared according to the emulsification solvent evaporation method in Ref. [
18] with minimal improvement. We dissolved 10 mg of the PLGA (LA/GA = 50:50, M
w 100,00 Da) carrier in 5 mL of the acetone/ethanol (4:1,
v/
v) solvent mixture to generate the oil phase; 1.5% 2-HP-β-CD-2% PVA aqueous solution (
m/
v, 50 mL) was the water phase. The oil phase was slowly injected into the water phase and emulsified for 10 min in an ice bath using a probe sonicator (JY88-IIN, Scientz Biotechnology Co., Ltd. (Ningbo, China) at 0–4 °C with an energy output of 150 W (varimax bar ψ6 mm) to develop an oil-in-water (O/W) emulsion. The PLGA NPs were procured by continuous low-speed stirring at room temperature until the organic solvent had evaporated entirely. Then, an appropriate amount of double-distilled water was fixed at 50 mL.
The fluorescent labeling of the corresponding nanoparticles is required when studying the transport mechanism, thus facilitating the analysis of the intracellular localization characteristics of the nanoparticles. Rhodamine B (Rh-B) was selected as a fluorescent labeling dye to label the constructed nanoparticle nanosuspension in this experiment. In preparing the oil phase, we weighed appropriate amounts of Rh-B and PLGA (1:10, m/m) and dissolved them in a 50-times greater amount of the acetone/ethanol (4:1, v/v) solvent mixture. The Rh-B-(2-HP-β-CD)/PLGA NPs were prepared using the above method. In the experiments, the validated delivery system was evaluated in vivo for transport using triamcinolone acetonite (TA) as a model drug. TA-(2-HP-β-CD)/PLGA NPs were prepared in the same way as the Rh-B nanoparticle suspension, replacing Rh-B with an equal amount of TA to illustrate the efficiency of nanodelivery systems for enhancing corneal barrier permeation.
3.3. Characterization of 2-HP-β-CD/PLGA NPs
The particle size, polydispersity index (PDI), and zeta potential of the nanoparticles were essential factors affecting the corneal permeability and cellular uptake of the PLGA nanodelivery system [
20]. Therefore, the experiments started by examining the nanometric properties of the synthesized PLGA nanoparticles.
The morphological observation of NPs was based on the literature on negative staining [
28]. A few microliters of the sample solution was taken, dropped onto a copper grid covered with carbon film, and stained with 2% phosphotungstic acid solution for 10 min. After drying the grid, the morphology of the nanoparticles was observed using electron microscopy (TEM) (JEM-1400, Hitachi Ltd., Tokyo, Japan).
The particle size (diameter, nano); PDI; and zeta potential of Rh-B-(2-HP-β-CD)/PLGA NPs and TA-(2-HP-β-CD)/PLGA NPs were determined using a laser diffractometer (Delsa Nano CVR particle size and f-potential analyzer, Beckman Coulter Inc., CA, USA). The samples were diluted 10-fold using deionized water before the measurements at a controlled cell temperature of 25 ± 1 °C (n = 3).
3.4. Surface Tension
The surface tension of ophthalmic drops is essential in effectively adhering to and spreading in the cornea. Within a specific range, the lower the surface tension of an ophthalmic formulation, the more beneficial it is to mix the drops with the tear film, consequently improving the retention time of the cornea formulation. The surface tension of the nanoparticles was evaluated using the suspension drop method in an dense contact angle gauge (SDC-200, Sheng Ding Precision Instrument Co., Dongguan, China) optical contact angle measuring instrument.
3.5. Loading Capacity and Entrapment Efficiency
The entrapment efficiency (EE) and drug loading capacity (DL) of the nanoparticles were determined through a modified ultrafiltration technique [
18]. The experiment began with low-speed centrifugation to separate the nanoparticles from the undissolved drug, with the undissolved drug settling at the bottom and the nanoparticles with a small quantity of dissolved drug on the upper liquid layer. Then, the upper layer was transferred to an ultrafiltration tube and centrifuged at high speed to separate the small amount of dissolved drug from the nanoparticles. HPLC was used to quantify the pharmaceutical content and estimate the EE and DL of the nanoparticle system based on the following equation:
where W
0 = initial concentration of TA; W
1 = concentration of TA in the upper liquid during low-speed centrifugation; W
2 = concentration of TA in the ultrafiltrate; V = total volume of nanopreparations; M = total amount of (2-HP-β-CD)/PLGA NPs.
HPLC was performed using Waters HPLC equipment (e2695 HPLC system, Warters, MA, USA) and a Kromasil 100-5-C18 column (5 μm, 250 mm × 4.6 mm). The mobile phase was a binary water system: acetonitrile (58:42), with a flow rate of 1.0 mL·min−1 and the temperature maintained at 25 °C. The injection volume was 20 μL, and the detection wavelength was 240 nm. Later, a complete set of methodological validations was established, and the results satisfied the analytical assay requirements.
3.6. In Vitro Drug Release Study
In vitro release characteristics represent a significant assessment of nanoparticle nanosuspension performance. In this paper, the dialysis bag method was used to demonstrate the release behavior of nanoparticles in vitro so that the structure and release mechanism of the nanoparticles could be illustrated. Precisely, 2 mL of TA aqueous suspension and TA-(2-HP-β-CD)/PLGA NPs was pipetted into a dialysis bag (molecular weight cut-off of 8 k-4 k), and the ends of the bag were taped tightly. Furthermore, the dialysis bags were immersed in centrifuge tubes containing 25 mL of release medium (artificial aqueous humor, pH 7.4) and shaken in a constant-temperature water bath (34 ± 0.5 °C, 100 rpm·min
−1). Two milliliters of the release medium were withdrawn at 1, 2, 4, 6, 8, and 12 h, respectively, while the same fresh release medium was replenished. The formulations were filtered through a 0.22 μm microporous membrane and then subjected to HPLC, with similar chromatographic conditions maintained for the content determination to assess the cumulative percentage release. The equation for calculating the cumulative percentage of drug release is as follows:
where C
n is the drug concentration at time t (μg·mL
−1); C
i is the drug concentration at the last sampling time point t (μg·mL
−1); C
0 is the total amount of drug in the solution (μg·mL
−1); and V is the volume of the sample obtained (2 mL).
3.7. Permeability Evaluation in Isolated Cornea
Permeability is the dominant indicator of drug efficacy in entering the ocular tissue through the corneal epithelium. A modified Franz vertical diffusion cell helped us conduct the transcorneal permeability tests [
29]. The TA aqueous suspension and TA-(2-HP-β-CD)/PLGA NPs were appraised using a rabbit cornea as a barrier. The pre-treated fresh isolated supracorneal layer was placed face-up and anchored between the supplies and receiving pools. The receptor compartment was filled with 5 mL of artificial aqueous humor (pH 7.4). In comparison, 0.5 mL of the sample (equivalent to 0.1 mg TA) was added to the epithelial side to obtain the donor compartment. The donor compartment was sealed with a sealing film, the device was kept at 34 ± 1 °C, and the stirring rate was maintained at 200 rpm. We obtained 2 mL of permeate medium from the receiving cell at 1, 2, 4, 6, and 8 h, respectively. The same volume of fresh release medium was also replenished.
HPLC was used to analyze the TA permeate, and all experiments were repeated three times. The chromatographic conditions for HPLC were the same as those used for content determination. The methodological validation was conducted using an in vitro drug release study, conforming to the linear range investigation, stability test, and precision test requirements.
Cumulative permeate volume (
Qn, µg·cm
−2); apparent permeability coefficient (
Papp, cm·s
−1); and steady-state flow rate (
Jss, µg·s
−1·cm
−2) were assayed using the following equations:
where V
0 is the total volume of the medium inside the receptor compartment (5 mL); V is the volume of a single sample (2 mL); C
n is the drug concentration at time t (μg·mL
−1); C
i is the drug concentration at the last sampling time point t (μg·mL
−1); C
0 is the initial drug concentration inside the supply pool (μg·mL
−1); A is the effective transmission area of the Franz cell (0.5024 cm
2); and ∆Q/∆t is the steady-state slope of the linear portion of the cumulative permeated drug quantity in the receptor compartment (Q) plotted versus time (t).
After the isolated cornea experiment, the remaining solution in the supply cell was discarded. The corneas were clipped at the exposed area of the diffusion cell, and the corneal surface was rinsed with saline to remove any nanoparticle residues. The corneas were chopped into a 10 mL centrifuge tube with 5 mL of methanol, vortexed, and sonicated for 15 min. Then, the samples were filtered through the 0.22 μm microporous membrane and injected, and HPLC was used to determine the corneal retention QR.
3.8. Pharmacokinetic Study of In Vivo Aqueous Humor
All animal protocols complied with the Guide for the Care and Use of Laboratory Animals and Institute of Laboratory Animal Resources and were approved by the Institutional Animal Care and Use Committee of Hainan Medical University and Guangdong Pharmaceutical University. Healthy New Zealand rabbits (weight 2–2.5 kg) were selected for the in vivo study. They were thoroughly checked before drug administration to exclude the effects of ocular disease. The microdialysis probe was implanted in the middle of the aqueous chamber according to a previous study [
30]. When the probe was successfully implanted, one end was connected to the autosampler and set to collect a single sample for 30 min, and the other was linked to a syringe pump with a perfusion rate of 0.5 μL·min
−1. Saline was used as the irrigation solution and perfused for 1 h to alleviate the minimally invasive local state. Subsequently, the underlying eyelids of the rabbits were lifted to create a pocket shape, through which 180 μL of the nanoformulation (1 drop at a time, six drops in total) was placed into the conjunctiva of the rabbit’s eyes, and the eyelids were closed briefly. The samplers were activated immediately to capture samples every 30 min and continued to operate for 6 h after dosing. The collections were stored at 15 °C without treatment and directly evaluated using HPLC (35 °C, injection volume of 5 μL; the rest of the conditions were the same as during content determination). The drug concentration in the atrial water (C
m) was based on the equation below. In contrast, the pharmacokinetic analysis of the anterior chamber drug was conducted using the pharmacokinetic software DAS 3.0 to investigate the atrial chamber models of different formulations in terms of lg
C−t.
where C
dialysis is the drug concentration in aqueous humor, and R is the in vivo probe recovery rate.
3.9. Study of the Mechanism of Transport across the Cellular Barrier
After administering drops, the cornea is the primary barrier to drug delivery in the eye. In this study, human corneal epithelial cells (HCE-T) were used to construct an epithelial cell model for understanding the biological properties of the delivery system trans-keratocytes. Moreover, nanoparticle fluorescent probes loaded with Rh-B were used to investigate the transport mechanism across the epithelial cell barrier.
3.10. Cell Viability Assay
HCE-T cells (North Natronix Institute of Biotechnology, Beijing, China) were cultivated using a previously reported method [
31]. The toxicity of the carrier material and the drug concentration are the foremost factors for investigating a drug delivery system. They indicate the mechanism of action and the strength of the delivery system, guiding the design of dosing regimens in future safety studies and clinical trials. The Cell Counting Kit-8 (CCK-8) approach was used to evaluate the cytotoxicity of nanoparticle fluorescent probes loaded with Rh-B. The following formula was implemented to analyze cell viability (%):
where A
s is the absorbance value for the experimental group, A
c is the absorbance value for the blank group, and A
b is the absorbance value for zeroing pores.
3.11. Study of the Uptake Process of Nanoparticles in HCE-T Cells
Nanoparticles were ingested by cells to determine their biological effects. The experiments were carried out by separately adding different cell functionality inhibitors. The impact of variations in cell-related functional properties leading to PLGA nanoparticle cell intake was analyzed.
3.12. Study of Active Transport Mechanism in Nanoparticle Uptake by HCE-T Cells
HCE-T cells were seeded at a density of 1 × 105 cells·well−1 in a six-well plate, and the culture medium was discarded when the cell density reached 80%. First, 2 mL of 1 mg·mL−1 sodium azide was added and incubated for one hour. Then, fluorescently labeled nanoparticles were added for a final concentration of 20 μg·mL−1. After continuing the uptake experiment for 4 h, the fluorescently labeled nanoparticle solution was discarded, washed three times with PBS, and digested using trypsin. The cells were blown out with serum cultures, collected, and centrifuged at 1000 rpm. The supernatant was aspirated to remove the fluorescent material adsorbed on the cell surface. Finally, 0.3 mL of the cells suspended in PBS were transferred into flow tubes and assayed using flow cytometry (BD FACSCanto II, Becton, Dickinson and Company, New York, NY, USA). The fluorescence intensity was quantified by collecting 10,000 cells, and X-means were used for comparing the differences in cell uptake between the groups.
3.13. Study of Endocytic Transport Mechanism in Nanoparticle Uptake by HCE-T Cells
The main nanoparticle entry processes involve the clathrin structure, caveolin/lipid raft structure, and macropinocytosis [
22]. The experiment was conducted by separately adding different endocytosis transport inhibitors to examine the degree of action during nanoparticle uptake. The clathrin structural inhibitor Chlorpromazine (30 μM), the caveolin/lipid raft structure inhibitor Nystain (30 μM), and the macropinocytosis inhibitor derivative amiloride (EIPA, 100 μM) were added seperately. Briefly, the cells were inoculated in six-well plates at a density of 1 × 10
5 cells·well
−1. The culture medium was discarded when the cell density reached approximately 80%. Serum-free cultures of varying endocytotic transport inhibitors were inspected using the method described above (Study of Active Transport Mechanism in Nanoparticle Uptake by HCE-T Cells).
3.14. Study of the Transport Mechanism of Nanoparticles in HCE-T Cells
Corneal epithelial cells are located on the outer overlying epithelial surface of the eye, which is characterized by cellular polarity. It is connected to the connective tissue through the basement membrane, behaving as a protective, secretory, and absorptive agent at the basal epithelial surface [
23]. The monolayer cell barrier model constructed by HCE-T cells is a transmembrane structure used to study drugs and their corresponding agents [
24]. Here, the qualitative and quantitative analysis of nanoparticle transport in HCE-T cells was analyzed with inverted fluorescence microscopy (IXM, Molecular Devices LLC, Sunnyvale, CA, USA) and flow cytometry (BD FACSCanto II, Becton, Dickinson and Company, New York, NY, USA).
3.15. Qualitative Analysis of Cellular Uptake of Nanoparticles
HCE-T cells were digested using trypsin/EDTA and inoculated in 24-well (1 mL·well−1) plates at a density of 1 × 105 cells·well−1 after reaching 80% or more fusion. The culture solution was discarded; washed twice with PBS; and then added to serum-free culture solution with 20 μg·mL−1 fluorescently labeled nanoparticles and cultured for 0.5, 1, 2, and 4 h after taking the samples.
Finally, the nanoparticles were discarded and washed thrice with PBS. Afterward, the cells were fixed at room temperature for 15 min by adding 4% paraformaldehyde solution (dissolved in PBS). Then, they were discarded and washed thrice with PBS. IXM was used to observe the uptake of fluorescently labeled nanoparticles by HCE-T cells.
3.16. Quantitative Analysis of Cellular Uptake of Nanoparticles
HCE-T cells were extracted using trypsin/EDTA and inoculated in six-well plates at a density of 1 × 105 cells·well−1. When the cell density reached 80%, the culture medium was discarded and washed twice using PBS. Then, the culture was maintained at 0.5, 1, 2, and 4 h in a serum-free medium with 20 μg·mL−1 fluorescently labeled nanoparticles. The nanoparticle solution was discarded after the experiment. The cells were treated according to the method described above (Study of Active Transport Mechanism in Nanoparticle Uptake by HCE-T Cells).
3.17. Data Analysis and Statistics
All the data in this study are expressed as mean ± SD and were statistically analyzed using GraphPad Prism 9.0 and Origin 64Bit. One-way analysis of variance (ANOVA) methodology was applied to ascertain the significance of the pilot data. Pharmacokinetic data manipulation was undertaken using pharmacometrics software (DAS 3.0). p-values less than 0.01 were considered to be significantly different, p-values less than 0.05 were regarded as statistically different, and p-values greater than 0.05 were deemed not significantly different.