Skip to main content

Advertisement

Log in

Nebulization of Cyclic Arginine-Glycine-(D)-Aspartic Acid-Peptide Grafted and Drug Encapsulated Liposomes for Inhibition of Acute Lung Injury

  • Research Paper
  • Published:
Pharmaceutical Research Aims and scope Submit manuscript

Abstract

Purpose

Acute lung injury (ALI) is a fatal syndrome in critically ill patients. It is characterized by lung edema and inflammation. Numerous pro-inflammatory mediators are released into alveoli. Among them, interleukin-1beta (IL-1β) causes an increase in solute permeability across the alveolar-capillary barrier leading to edema. It activates key effector cells (alveolar epithelial and endothelial cells) releasing inflammatory chemokines and cytokines. The purpose of the study was to demonstrate that nebulized liposomes inhibit ALI in vivo.

Methods

In vivo ALI model was simulated through intra-tracheal instillation of IL-1β solution (100 μg/mL in PBS, pH 7.2, 200 μL) in male Sprague-Dawley rats. Various formulations were tested in ALI induced rats. These formulations include plain liposomes (PL), methylprednisolone sodium succinate solution (MPS solution), cRGD-peptide grafted liposomes (LcRGD) and methylprednisolone sodium succinate encapsulated and cRGD-peptide grafted liposomes (MPS-LcRGD). Formulations were nebulized in vivo in rats using micro-pump nebulizer.

Results

Liposome formulations exhibited higher levels of drug concentration in lungs. The physicochemical parameters demonstrated that the liposome formulations were stable. On the basis of aerodynamic droplet-size, nebulized formulations were estimated to deposit in different regions of respiratory tract, especially alveolar region, Among the formulations, MPS-LcRGD caused significant reduction of edema, neutrophil infiltration and inflammation biochemical marker levels.

Conclusion

From the results, it can be inferred that nebulization of targeted liposomes had facilitated spatial and temporal modulation of drug delivery resulting in alleviation of ALI.

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

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9
Fig. 10
Fig. 11

Similar content being viewed by others

Abbreviations

ALI:

Acute lung injury

BALF:

Broncho-alveolar lavage fluid

CHOL:

Cholesterol

DSPE-PEG2000-Mal:

Distearoyl phosphatidylethanolamine-PEG2000-maleimide

GSD:

Geometric size distribution

HEPES:

(N-[2-hydroxyethyl]piperazine-N′-[2-ethanesulfonic acid])

HSPC:

Hydrogenated stearoyl phosphatidylcholine

i.t.:

Intra-tracheal

i.v.:

Intra-venous

IACUC:

Institution animal care and use committee

MCP-1:

Monocyte chemokine protein-1

MIP-1α:

Macrophage inhibitory protein-1 alpha

MLV:

Multi-lamellar vesicles

MMAD:

Mass median aerodynamic diameter

MPO:

Myeloperoxidase

MP:

Methylprednisolone

MPS:

Methylprednisolone sodium succinate

MTT:

Methyl thioazolyl tetrazolium

PBS:

Phosphate buffer saline

RGD:

Arginine-glycine-(D)-aspartic acid

rhIL-1β:

Recombinant human interleukin-1beta

SUV:

Small unilamellar vesicles

References

  1. Ware LB, Matthay MA. The acute respiratory distress syndrome. N Engl J Med. 2000;342(18):1334–49.

    Article  CAS  PubMed  Google Scholar 

  2. Pugin J, Ricou B, Steinberg KP, Suter PM, Martin TR. Proinflammatory activity in bronchoalveolar lavage fluids from patients with ARDS, a prominent role for interleukin-1. Am J Respir Crit Care Med. 1996;153:1850–6.

    Article  CAS  PubMed  Google Scholar 

  3. Ganter MT, Roux J, Miyazawa B, Howard M, Frank JA, Su G, et al. Interleukin-1beta causes acute lung injury via alphavbeta5 and alphavbeta6 integrin-dependent mechanisms. Circ Res. 2008;102(7):804–12.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Goodman RB, Pugin J, Lee JS, Matthay MA. Cytokine-mediated inflammation in acute lung injury. Cytokine Growth Factor Rev. 2003;14(6):523–35.

    Article  CAS  PubMed  Google Scholar 

  5. Leff JA, Baer JW, Bodman ME, Kirkman JM, Shanley PF, Patton LM, et al. Interleukin-1-induced lung neutrophil accumulation and oxygen metabolite-mediated lung leak in rats. Am J Phys. 1994;266(1 Pt 1):L2–8.

    CAS  Google Scholar 

  6. Perry MM, Williams AE, Tsitsiou E, Larner-Svensson HM, Lindsay MA. Divergent intracellular pathways regulate interleukin-1beta-induced miR-146a and miR-146b expression and chemokine release in human alveolar epithelial cells. FEBS Lett. 2009;583(20):3349–55.

    Article  CAS  PubMed  Google Scholar 

  7. Barnes PJ, Karin M. Nuclear factor-kappaB: a pivotal transcription factor in chronic inflammatory diseases. N Engl J Med. 1997;336(15):1066–71.

    Article  CAS  PubMed  Google Scholar 

  8. Meduri GU, Headley AS, Golden E, Carson SJ, Umberger RA, Kelso T, et al. Effect of prolonged methylprednisolone therapy in unresolving acute respiratory distress syndrome: a randomized controlled trial. JAMA. 1998;280(2):159–65.

    Article  CAS  PubMed  Google Scholar 

  9. Scheinman RI, Gualberto A, Jewell CM, Cidlowski JA, Baldwin AS, Jr. Characterization of mechanisms involved in transrepression of NF-kappa B by activated glucocorticoid receptors. Mol Cell Biol 1995;15(2):943–953.

  10. Sheppard KA, Phelps KM, Williams AJ, Thanos D, Glass CK, Rosenfeld MG, et al. Nuclear integration of glucocorticoid receptor and nuclear factor-kappaB signaling by CREB-binding protein and steroid receptor coactivator-1. J Biol Chem. 1998;273(45):29291–4.

    Article  CAS  PubMed  Google Scholar 

  11. Leite-Junior JH, Garcia CS, Souza-Fernandes AB, Silva PL, Ornellas DS, Larangeira AP, et al. Methylprednisolone improves lung mechanics and reduces the inflammatory response in pulmonary but not in extrapulmonary mild acute lung injury in mice. Crit Care Med. 2008;36(9):2621–8.

    Article  CAS  PubMed  Google Scholar 

  12. Drago BB, Kimura D, Rovnaghi CR, Schwingshacki A, Raybarn M, Meduri GU, et al. Double-blind, placebo-controlled pilot randomized trial of methylprednisolone infusion in pediatric acute respiratory distress syndrome. Pediatr Crit Care Med. 2015;16(3):e74–81.

    Article  PubMed  Google Scholar 

  13. Park SY, Lee HS, Jang HJ, Joo J, Zo JI. Efficacy of intraoperative, single-bolus corticosteroid administration to prevent postoperative acute respiratory failure after oesophageal cancer surgery. Interact Cardiovasc Thorac Surg. 2012;15(4):639–43.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Munger JS, Huang X, Kawakatsu H, Griffiths MJ, Dalton SL, Wu J, et al. The integrin alpha v beta 6 binds and activates latent TGF beta 1: a mechanism for regulating pulmonary inflammation and fibrosis. Cell. 1999;96(3):319–28.

    Article  CAS  PubMed  Google Scholar 

  15. Su G, Hodnett M, Wu N, Atakilit A, Kosinski C, Godzich M, et al. Integrin alphavbeta5 regulates lung vascular permeability and pulmonary endothelial barrier function. Am J Respir Cell Mol Biol. 2007;36(3):377–86.

    Article  CAS  PubMed  Google Scholar 

  16. Dudek SM, Garcia JG. Cytoskeletal regulation of pulmonary vascular permeability. J Appl Physiol. 2001;91(4):1487–500.

    Article  CAS  PubMed  Google Scholar 

  17. Mehta D, Malik AB. Signaling mechanisms regulating endothelial permeability. Physiol Rev. 2006;86(1):279–367.

    Article  CAS  PubMed  Google Scholar 

  18. Wu MH. Endothelial focal adhesions and barrier function. J Physiol. 2005;569(Pt 2):359–66.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  19. Ruoslahti E. RGD and other recognition sequences for integrins. Annu Rev Cell Dev Biol. 1996;12:697–715.

    Article  CAS  PubMed  Google Scholar 

  20. Clerc S, Barenholz Y. Loading of amphipathic weak acids into liposomes in response to transmembrane calcium acetate gradients. Biochim Biophys Acta. 1995;1240:257–65.

    Article  PubMed  Google Scholar 

  21. Avnir Y, Ulmansky R, Wasserman V, Even-Chen S, Broyer M, Barenholz Y, et al. Amphipathic weak acid glucocorticoid prodrugs remote-loaded into sterically stabilized nanoliposomes evaluated in arthritic rats and in a beagle dog. Arthritis Rheum. 2008;58(1):119–29.

    Article  CAS  PubMed  Google Scholar 

  22. Koynova R, Caffrey M. Phases and phase transitions of the phosphatidylcholines. Biochim Biophys Acta. 1998;1376:91–145.

    Article  CAS  PubMed  Google Scholar 

  23. Desu HR, Thoma LA, Wood GC. Non-invasive detection of lung inflammation by near-infrared fluorescence imaging using bimodal liposomes. J Fluoresc. 2015;(Nov 2):1–13.

  24. Smith MD, Hoffman DJ. High-performace liquid chromatographic determination of hydrocortisone and methylprednisolone and their hemisuccinate salts. J Chromatogr. 1979;168:163–9.

    Article  CAS  Google Scholar 

  25. Fiske CH, Subbarow Y. The colorimetric determination of phosphorus. J Biol Chem. 1925;66:375–400.

    CAS  Google Scholar 

  26. Nallamothu R, Wood GC, Pattillo CB, Scott RC, Kiani MF, Moore BM, et al. A tumor vasculature targeted liposome delivery system for combretastatin A4: design, characterization, and in vitro evaluation. AAPS PharmSciTech. 2006;7(2):E7–E16.

    Article  PubMed Central  Google Scholar 

  27. Maeda Y, Fujino Y, Uchiyama A, Matsuura N, Mashimo T, Nishimura M. Effects of peak inspiratory flow on development of ventilator-induced lung injury in rabbits. Anesthesiology. 2004;101(3):722–8.

    Article  PubMed  Google Scholar 

  28. Physical tests and determinations <601>: Aerosols, metered-dose inhalers, and dry powder inhalers. Rockville: United States Pharmacopeia; 2007.

  29. Rose JQ, Corticosteroid JWJ. Analysis in biological fluids by high-performance liquid chromatography. J Chromatogr. 1979;162(3):273–80.

    Article  CAS  PubMed  Google Scholar 

  30. Schneider T, Issekutz A. Quantitation of eosinophil and neutrophil infiltration into rat lung by specific assays for eosinophil peroxidase and myeloperoxidase: application in a Brown Norway rat model of allergic pulmonary inflammation. J Immunol Methods. 1996;198(1):1–14.

    Article  CAS  PubMed  Google Scholar 

  31. Carmichael J, DeGraff WG, Gazdar AF, Minna JD, Evaluation MJB. Of a tetrazolium-based semiautomated colorimetric assay: assessment of chemosensitivity testing. Cancer Res. 1987;47:936–42.

    CAS  PubMed  Google Scholar 

  32. Ritger L, Peppas NA. A simple equation for description of solute release I. Fickian and non Fickian release from non swellable devices in the form of slabs, spheres, cylinders or discs. J Control Release. 1987;5(1):23–6.

    Article  CAS  Google Scholar 

  33. Joguparthi V, Anderson BD. Liposomal delivery of hydrophobic weak acids: enhancement of drug retention using a high intraliposomal pH. J Pharm Sci. 2008;97(1):433–54.

    Article  CAS  PubMed  Google Scholar 

  34. Shekunov BY, Chattopadhyay P, Tong HH, Chow AH. Particle size analysis in pharmaceutics: principles, methods and applications. Pharm Res. 2007;24:203–27.

    Article  CAS  PubMed  Google Scholar 

  35. Olsson B, Borgstrom L, Asking L, Effect BE. Of inlet throat on the correlation between measured fine particle dose and lung deposition. In: Dalby RN, Byron PR, Farr SJ, editors. Respiratory drug delivery V. 1st ed. Buffalo grove: Interpharm press; 1996. p. 273–82.

    Google Scholar 

  36. Labiris NR, Dolovich MB. Pulmonary delivery. Part I: physiological factors affecting therapeutic effectiveness of aerosolized medications. Br J Clin Pharmacol. 2003;56:588–99.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  37. Dolovich MB, Newhouse MT. Aerosols: generation, methods of administration, and therapeutic applications in asthma. In: Middleton EJ, Reed CE, Ellis EF, Adkinson NFJ, Yunginger JW, Busse WW, editors. Allergy principles and practice. 3rd ed. St. Louis: Mosby year book, Inc.; 1993. p. 712–39.

    Google Scholar 

  38. Rylander R, Inhalation BL. Of endotoxin stimulates alveolar macrophage production of platelet-activating factor. Am Rev Respir Dis. 1987;35(1):83–6.

    Google Scholar 

  39. Papahadjopoulos D, Allen TM, Gabizon A, Mayhew E, Matthay K, Huang SK, et al. Sterically stabilized liposomes: improvements in pharmacokinetics and antitumor therapeutic efficacy. PNAS. 1991;88(24):11460–4.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  40. Matsuo S, Yang WL, Aziz M, Jacob A, Wang P. Cyclic arginine-glycine-aspartate attenuates acute lung injury in mice after intestinal ischemia-reperfusion. Crit Care Med. 2013;17(1):R19.

    Google Scholar 

  41. Moon C, Han JR, Park HJ, Hah JS, Kang JL. Synthetic RGDS peptide attenuates lipopolysaccharide-induced pulmonary inflammation by inhibiting integrin signaled MAP kinase pathways. Respir Res. 2009;10:10–8.

    Article  Google Scholar 

  42. Bogdanowich-Knipp SJ, Chakrabarti S, Williams TD, Dillman RK, Siahaan TJ. Solution stability of linear vs. cyclic RGD peptides. J Pept Res. 1999;53:530–41.

    Article  CAS  PubMed  Google Scholar 

  43. Wrona A, Kubica K. A model of lipid rearrangements during pore formation in the DPPC lipid layer. J Liposome Res. 2017:10:1–8.

  44. Steckel H, Eskandar F. Factors affecting aerosol performance during nebulization with jet and ultrasonic nebulizers. Eur J Pharm Sci. 2003;19:443–55.

    Article  CAS  PubMed  Google Scholar 

  45. Niven RW, editor. Atomization and nebulizers. New York: Marcel Dekker; 1996.

    Google Scholar 

  46. Callaghan CO, Barry PW. The science of nebulized drug delivery. Thorax. 1997;52:31–44.

    Article  Google Scholar 

  47. Phipps PR, Droplets GI. Produced by medical nebulizers: some factors affecting their size and solute concentration. Chest. 1990;97:1327–32.

    Article  CAS  PubMed  Google Scholar 

  48. Mercer TT, Tilley MI, Clow HY. Operating characteristics o some compressed air nebulizers. Am Ind Hyg Assoc J. 1968;29:66–78.

    Article  CAS  PubMed  Google Scholar 

  49. Koshkina NV, Waldrep JC, Roberts LE, Golunski E, Melton S, Paclitaxel Liposome KV. Aerosol treatment induces inhibition of pulmonary metastases in murine renal carcinoma model. Clin Cancer Res. 2001;7(10):3258–62.

    CAS  PubMed  Google Scholar 

  50. Niven RW, Nebulization SH. Of liposomes. I. Effect of lipid composition. Pharm Res. 1990;7:1127–33.

    Article  CAS  PubMed  Google Scholar 

  51. Zaru M, Mourtas S, Klepetsanis P, Fadda AM, Antimisiaris SG. Liposomes for drug delivery to the lungs by nebulization. Eur J Pharm Biopharm. 2007;67(3):655–66.

    Article  CAS  PubMed  Google Scholar 

  52. Hybertson BM, Lee YM, Repine JE. Phagocytes and acute lung injury: dual roles for interleukin-1. Annals NY Academic Science. 1997;832:266–73.

    Article  CAS  Google Scholar 

  53. Newton R, Holden NS, Catley MC, Oyelusi W, Leigh R, Proud D, et al. Repression of inflammatory gene expression in human pulmonary epithelial cells by small-molecule IkappaB kinase inhibitors. J Pharmacol Exp Ther. 2007;321(2):734–42.

    Article  CAS  PubMed  Google Scholar 

  54. Reutershan J, Basit A, Galkina EV, Sequential LK. Recruitment of neutrophils into lung and bronchoalveolar lavage fluid in LPS-induced acute lung injury. Am J Physiol Lung Cell Mol Physiol. 2005;289(5):L807–L15.

    Article  CAS  PubMed  Google Scholar 

  55. Burns AL, Walker DC, Smith CW. Relationship between tight junctions and leukocyte transmigration. In: Cereijido M, Anderson J, editors. Tight junctions. 2nd ed. Boca Raton: CRC Press; 2001. p. 629–52.

    Google Scholar 

  56. Dangerfield JP, Wang SJ, Blockade NS. Of alpha(6) integrin inhibits IL-1 beta- but not TNF-alpha-induced neutrophil transmigration in vivo. J Leukoc Biol. 2005;77(2):159–65.

    Article  CAS  PubMed  Google Scholar 

  57. Hillyer P, Mordelet E, Flynn G, Male D. Chemokines, chemokine receptors and adhesion molecules on different human endothelia: discriminating the tissue-specific functions that affect leucocyte migration. Clin Exp Immunol. 2003;134(3):431–41.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Hari R. Desu.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Desu, H.R., Thoma, L.A. & Wood, G.C. Nebulization of Cyclic Arginine-Glycine-(D)-Aspartic Acid-Peptide Grafted and Drug Encapsulated Liposomes for Inhibition of Acute Lung Injury. Pharm Res 35, 94 (2018). https://doi.org/10.1007/s11095-018-2366-9

Download citation

  • Received:

  • Accepted:

  • Published:

  • DOI: https://doi.org/10.1007/s11095-018-2366-9

Key words

Navigation