Polymeric nanoparticles and nanomicelles of hydroxychloroquine co-loaded with azithromycin potentiate anti-SARS-CoV-2 effect
- Laboratory of Nanoradiopharmacy and Synthesis of New Radiopharmaceuticals, Nuclear Engineering Institute, Brazilian Nuclear Energy Commission, Rio de Janeiro, BR
- Galenical Development Laboratory, College of Pharmacy, Federal University of Rio de Janeiro, Rio de Janeiro, BR
- Department of Physics, Federal University of Maranhão, Maranhão, BR
- Department of Medicine, Federal University of São Paulo, São Paulo, BR
- Department of Microbiology, Immunology and Parasitology, Federal University of São Paulo, São Paulo, BR
- Laboratory of Nanoradiopharmacy and Synthesis of New Radiopharmaceuticals, Nuclear Engineering Institute, Brazilian Nuclear Energy Commission, Rio de Janeiro, BR Laboratory of Radiopharmacy and Nanoradiopharmaceuticals, Zona Oeste State University, Rio de Janeiro, BR
Published in Issue 26-02-2022
How to Cite
de Barros, A. O. da S., Pinto, S. R., dos Reis, S. R. R., Ricci-Junior, E., Alencar, L. M. R., Bellei, N. C. J., Janini, L. R. M., Maricato, J. T., Rosa, D. S., & Santos-Oliveira, R. (2022). Polymeric nanoparticles and nanomicelles of hydroxychloroquine co-loaded with azithromycin potentiate anti-SARS-CoV-2 effect. Journal of Nanostructure in Chemistry, 13(2 (April 2023). https://doi.org/10.1007/s40097-022-00476-3
Abstract
Abstract The outbreak of coronavirus (COVID-19) has put the world in an unprecedented scenario. To reestablish the world routine as promote the effective treatment of this disease, the world is looking for new (and old) drug that can efficiently kill the virus. In this study, we have developed two nanosystems: polymeric nanoparticles and nanomicelles-based on hydroxychloroquine and azithromycin. The nanosystem was fully characterized by AFM and DLS techniques. Also, the nanosystems were radiolabeled with 99m Tc and pulmonary applied (installation) in vivo to evaluate the biological behavior. The toxicity of both nanosystem were evaluated in primary cells (FGH). Finally, both nanosystems were evaluated in vitro against the SARS-CoV-2. The results demonstrated that the methodology used to produce the nanomicelles and the nanoparticle was efficient, the characterization showed a nanoparticle with a spherical shape and a medium size of 390 nm and a nanomicelle also with a spherical shape and a medium size of 602 nm. The nanomicelles were more efficient (~ 70%) against SARS-CoV-2 than the nanoparticles. The radiolabeling process with 99m Tc was efficient (> 95%) in both nanosystems and the pulmonary application demonstrated to be a viable route for both nanosystems with a local retention time of approximately, 24 h. None of the nanosystems showed cytotoxic effect on FGH cells, even in high doses, corroborating the safety of both nanosystems. Thus, claiming the benefits of the nanotechnology, especially with regard the reduced adverse we believe that the use of nanosystems for COVID-19 treatment can be an optimized choice. Graphical abstractKeywords
- Drug,
- Nanotechnology,
- COVID-19,
- SARS-CoV-2,
- Virus,
- Treatment
References
- Tang et al. (2015) Inferring the hosts of coronavirus using dual statistical models based on nucleotide composition (pp. 327-345) https://doi.org/10.1038/srep17155
- Poon and Peiris (2020) Emergence of a novel human coronavirus threatening human health (pp. 317-319) https://doi.org/10.1038/s41591-020-0796-5
- Hu et al. (2021) Characteristics of SARS-CoV-2 and COVID-19 (pp. 141-154) https://doi.org/10.1038/s41579-020-00459-7
- Cardoso-Lima et al. (2021) SARS-CoV-2 unrevealed: ultrastructural and nanomechanical analysis (pp. 10762-10769) https://doi.org/10.1021/acs.langmuir.1c01488
- Dong et al. (2020) An interactive web-based dashboard to track COVID-19 in real time (pp. 533-534) https://doi.org/10.1016/S1473-3099(20)30120-1
- Huang et al. (2020) Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China (pp. 497-506) https://doi.org/10.1016/S0140-6736(20)30183-5
- Wang et al. (2020) Clinical characteristics of 138 hospitalized patients with 2019 Novel Coronavirus-Infected Pneumonia in Wuhan, China (pp. 1061-1075) https://doi.org/10.1001/jama.2020.1585
- Guan et al. (2020) Clinical Characteristics of Coronavirus Disease 2019 in China (pp. 1708-1720) https://doi.org/10.1056/NEJMoa2002032
- Nalbandian et al. (2021) Post-acute COVID-19 syndrome (pp. 601-615) https://doi.org/10.1038/s41591-021-01283-z
- Bakhiet and Taurin (2021) SARS-CoV-2: Targeted managements and vaccine development (pp. 16-29) https://doi.org/10.1016/j.cytogfr.2020.11.001
- Shi et al. (2020) COVID-19 infection: the perspectives on immune responses: the perspectives on immune responses (pp. 1451-1454) https://doi.org/10.1038/s41418-020-0530-3
- Xu et al. (2020) Pathological findings of covid-19 associated with acute respiratory distress syndrome (pp. 420-422) https://doi.org/10.1016/S2213-2600(20)30076-X
- Chan et al. (2020) A familial cluster of pneumonia associated with the 2019 novel coronavirus indicating person-to-person transmission: a study of a family cluster: a study of a family cluster (pp. 514-523) https://doi.org/10.1016/S0140-6736(20)30154-9
- Zhou et al. (2020) Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study: a retrospective cohort study (pp. 1054-1062) https://doi.org/10.1016/S0140-6736(20)30566-3
- Gao et al. (2020) Breakthrough: chloroquine phosphate has shown apparent efficacy in treatment of covid-19 associated pneumonia in clinical studies.: Chloroquine phosphate has shown apparent efficacy in treatment of COVID-19 associated pneumonia in clinical studies (pp. 72-73) https://doi.org/10.5582/bst.2020.01047
- Wang et al. (2020) Remdesivir in adults with severe COVID-19: a randomised, double-blind, placebo-controlled, multicentre trial: a randomised, double-blind, placebo-controlled, multicentre trial (pp. 300-314)
- Gautret et al. (2020) Hydroxychloroquine and azithromycin as a treatment of COVID-19: results of an open-label non-randomized clinical trial: results of an open-label non-randomized clinical trial (pp. 105949-105969) https://doi.org/10.1016/j.ijantimicag.2020.105949
- Mcchesney (1983) Animal toxicity and pharmacokinetics of hydroxychloroquine sulfate (pp. 11-18) https://doi.org/10.1016/0002-9343(83)91265-2
- Yao et al. (2020) In vitro antiviral activity and projection of optimized dosing design of hydroxychloroquine for the treatment of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (pp. 732-739) https://doi.org/10.1093/cid/ciaa237
- Ou et al. (2021) Hydroxychloroquine-mediated inhibition of SARS-CoV-2 entry is attenuated by TMPRSS2 https://doi.org/10.1371/journal.ppat.1009212
- Retallack et al. (2016) Zika virus cell tropism in the developing human brain and inhibition by azithromycin (pp. 14408-14413) https://doi.org/10.1073/pnas.1618029113
- Bosseboeuf et al. (2018) Azithromycin inhibits the replication of Zika Virus (pp. 20-328)
- Madrid et al. (2015) Evaluation of Ebola virus inhibitors for drug repurposing (pp. 317-326) https://doi.org/10.1021/acsinfecdis.5b00030
- Bacharier et al. (2015) Early administration of azithromycin and prevention of severe lower respiratory tract illnesses in preschool children with a history of such illnesses (pp. 2034-2046) https://doi.org/10.1001/jama.2015.13896
- Khezri et al. (2021) Azithromycin: immunomodulatory and antiviral properties for SARS-CoV-2 infection https://doi.org/10.1016/j.ejphar.2021.174191
- Echeverría-Esnal et al. (2021) Azithromycin in the treatment of COVID-19: a review (pp. 147-163) https://doi.org/10.1080/14787210.2020.1813024
- Arshad et al. (2020) Treatment with hydroxychloroquine, azithromycin, and combination in patients hospitalized with COVID-19 (pp. 396-403) https://doi.org/10.1016/j.ijid.2020.06.099
- Singh et al. (2017) The role of nanotechnology in the treatment of viral infections (pp. 105-131)
- Mosafer et al. (2019) Preparation, characterization and in vivo evaluation of alginate-coated chitosan and trimethylchitosan nanoparticles loaded with PR8 influenza virus for nasal immunization (pp. 216-221) https://doi.org/10.1016/j.ajps.2018.04.005
- Rossnerova et al. (2020) DNA methylation profiles in a group of workers occupationally exposed to nanoparticles (pp. 2420-2430) https://doi.org/10.3390/ijms21072420
- Mello et al. (2020) The effect of nanosystems on ATP-binding cassette transporters: understanding the influence of nanosystems on multidrug resistance protein-1 and P-glycoprotein (pp. 2630-2640) https://doi.org/10.3390/ijms21072630
- Colino et al. (2020) Targeting of hepatic macrophages by therapeutic nanoparticles (pp. 327-345) https://doi.org/10.3389/fimmu.2020.00218
- Florczak et al. (2019) Cellular uptake, intracellular distribution and degradation of Her2-targeting silk nanospheres (pp. 6855-6865) https://doi.org/10.2147/IJN.S217854
- Majumder and Minko (2021) Recent developments on therapeutic and diagnostic approaches for COVID-19 https://doi.org/10.1208/s12248-020-00532-2
- Ashraf et al. (2018) Effects of size and aggregation/agglomeration of nanoparticles on the interfacial/interphase properties and tensile strength of polymer nanocomposites (pp. 327-337) https://doi.org/10.1186/s11671-018-2624-0
- Moritz and Geszke-Moritz (2015) Recent developments in application of polymeric nanoparticles as drug carriers (pp. 749-758) https://doi.org/10.17219/acem/31802
- – Yadav, H.K.S, Almokdad, A.A., Shaluf, S.I.M., Debe, M.S.: Polymer-based nanomaterials for drug-delivery carriers. Nanocarr. For Drug Deliv.ery (2019).
- Liu et al. (2020) Stable polymer nanoparticles with exceptionally high drug loading by sequential nanoprecipitation (pp. 4720-4728) https://doi.org/10.1002/anie.201913539
- Rani et al. (2015) Optimization and evaluation of bioactive drug-loaded polymeric nanoparticles for drug delivery (pp. 173-179) https://doi.org/10.1016/j.ijbiomac.2015.03.070
- Juneja and Roy (2014) Surface modified PMMA nanoparticles with tunable drug release and cellular uptake (pp. 44472-44479) https://doi.org/10.1039/C4RA07939F
- Martin et al. (2017) Tunable synthetic control of soft polymeric nanoparticle morphology (pp. 8849-8857) https://doi.org/10.1039/C7SM01533J
- Nelemans and Gurevich (2020) Drug delivery with polymeric nanocarriers—cellular uptake mechanisms (pp. 366-386) https://doi.org/10.3390/ma13020366
- Fornaguera et al. (2019) Unraveling polymeric nanoparticles cell uptake pathways: two decades working to understand nanoparticles journey to improve gene therapy: two decades working to understand nanoparticles journey to improve gene therapy (pp. 327-345)
- Teixeira et al. (2020) Nanomedicines for the delivery of antimicrobial peptides (AMPs) (pp. 560-582) https://doi.org/10.3390/nano10030560
- Osminkina et al. (2022) Antiviral adsorption activity of porous silicon nanoparticles against different pathogenic human viruses (pp. 39-46) https://doi.org/10.1016/j.bioactmat.2021.06.001
- Rivera-Hernández et al. (2021) Polyvinyl alcohol based-drug delivery systems for cancer treatment https://doi.org/10.1016/j.ijpharm.2021.120478
- Essa et al. (2012) Improved antifungal activity of itraconazole-loaded PEG/PLA nanoparticles (pp. 205-217) https://doi.org/10.3109/02652048.2012.714410
- Singh et al. (2016) Development and validation of UV-spectrophotometric method for the estimation of hydroxychloroquine sulphate (pp. 237-239)
- Ferraz et al. (2015) quality by design in the development and validation of analytical method by ultraviolet-visible spectrophotometry for quantification of Hydroxychloroquine Sulfate (pp. 4666-4676)
- Bhimani et al. (2016) Development of the UV spectrophotometric method of azithromycin in API and stress degradation studies (pp. 48-53) https://doi.org/10.56431/p-z2wvn9
- Jayanna et al. (2012) Spectrophotometric estimation of azithromycin in tablets (pp. 365-372) https://doi.org/10.4103/0250-474X.107076
- Bakheit et al. (2014) Azithromycin profiles of drug substances
- Derjaguin et al. (1975) Effect of contact deformations on the adhesion of particles (pp. 314-326) https://doi.org/10.1016/0021-9797(75)90018-1
- Helal-Neto et al. (2019) Molecular and cellular risk assessment of healthy human cells and cancer human cells exposed to nanoparticles (pp. 230-252) https://doi.org/10.3390/ijms21010230
- -Centers for Disease Control and Prevention, Respiratory Viruses Branch, Division of Viral Diseases. Real-Time RT-PCR Panel for Detection 2019-Novel Coronavirus. (CDC/NCIRD/DVD, 2020).
- de Jesus et al. (2018) Effect of obesity on biodistribution of nanoparticles (pp. 11-18) https://doi.org/10.1016/j.jconrel.2018.05.003
- Haspeslagh et al. (2017) murine models of allergic asthma (pp. 121-136) https://doi.org/10.1007/978-1-4939-6786-5_10
- Nivaggioli et al. (1995) Microviscosity in pluronic and tetronic poly(ethylene oxide)-Poly(propylene oxide) block copolymer micelles (pp. 119-126) https://doi.org/10.1021/la00001a023
- Poole (2012) The Deborah and Weissenberg numbers (pp. 32-39)
- Danaei et al. (2018) Impact of particle size and polydispersity index on the clinical applications of lipidic nanocarrier systems (pp. 57-72) https://doi.org/10.3390/pharmaceutics10020057
- Jiang X, Bai C, Liu M (eds) (2019) Nanotechnology and microfluidics
- Dreiss (2007) Wormlike micelles: where do we stand? recent developments, linear rheology and scattering techniques.: where do we stand? Recent developments, linear rheology and scattering techniques (pp. 956-776) https://doi.org/10.1039/b705775j
- Fröhlich (2012) The role of surface charge in cellular uptake and cytotoxicity of medical nanoparticles (pp. 5577-5592) https://doi.org/10.2147/IJN.S36111
- Wang et al. (2019) The impact of nanoparticle shape on cellular internalisation and transport: what do the different analysis methods tell us (pp. 1538-1547) https://doi.org/10.1039/C9MH00664H
- Chen et al. (2016) Shape-dependent internalization kinetics of nanoparticles by membranes (pp. 2632-2641) https://doi.org/10.1039/C5SM01869B
- Geng et al. (2007) Shape effects of filaments versus spherical particles in flow and drug delivery (pp. 249-255) https://doi.org/10.1038/nnano.2007.70
- Gupta et al. (2020) Permeation of nanoparticles across the intestinal lipid membrane: dependence on shape and surface chemistry studied through molecular simulations (pp. 6318-6333) https://doi.org/10.1039/C9NR09947F
- da Silva de Barros et al. (2021) Preliminary studies on drug delivery of polymeric primaquine microparticles using the liver high uptake effect based on size of particles to improve malaria treatment https://doi.org/10.1016/j.msec.2021.112275
- Bhattacharjee (2020) Understanding the burst release phenomenon: toward designing effective nanoparticulate drug-delivery systems (pp. 21-36) https://doi.org/10.4155/tde-2020-0099
- Mah et al. (2014) Human gingival fibroblasts display a non-fibrotic phenotype distinct from skin fibroblasts in three-dimensional cultures https://doi.org/10.1371/journal.pone.0090715
- Soares et al. (2018) Comparison of primary human gingival fibroblasts from an older and a young donor on the evaluation of cytotoxicity of denture adhesives (pp. 327-351) https://doi.org/10.1590/1678-7757-2016-0594
- Assis et al. (2019) Ag Nanoparticles/α-Ag2WO4 composite formed by electron beam and femtosecond irradiation as potent antifungal and antitumor agents https://doi.org/10.1038/s41598-019-46159-y
- da Silva de Barros et al. (2021) Distinct methodologies to produce capped mesoporous silica with hydroxyapatite and the influence in intracellular signaling as cytotoxicity on human umbilical vein endothelial cells https://doi.org/10.3390/bioengineering8090125
- Costa et al. (2019) Technetium-99m metastable radiochemistry for pharmaceutical applications: old chemistry for new products (pp. 1-26) https://doi.org/10.1080/00958972.2019.1632838
- Santos-Oliveira (2019) Application of technetium 99 metastable radioactive nanosystems: nanoparticles, liposomes, and nanoemulsion for biomedical application (pp. 281-302) https://doi.org/10.1007/s40495-019-00190-9
- Woods et al. (2015) In vivo biocompatibility, clearance, and biodistribution of albumin vehicles for pulmonary drug delivery (pp. 1-9) https://doi.org/10.1016/j.jconrel.2015.05.269
- Sarasija and Patil (2012) Pulmonary drug delivery strategies: a concise, systematic review https://doi.org/10.4103/0970-2113.92361
- Groneberg et al. (2004) Molecular mechanisms of pulmonary peptidomimetic drug and peptide transport (pp. 251-260) https://doi.org/10.1165/rcmb.2003-0315TR
- Rytting et al. (2008) Biodegradable polymeric nanocarriers for pulmonary drug delivery (pp. 629-639) https://doi.org/10.1517/17425247.5.6.629
- Chow et al. (2007) Particle engineering for pulmonary drug delivery (pp. 411-437) https://doi.org/10.1007/s11095-006-9174-3
- Paranjpe and Müller-Goymann (2014) Nanoparticle-mediated pulmonary drug delivery: a review (pp. 5852-5873) https://doi.org/10.3390/ijms15045852
- Lim et al. (2016) Polymeric nanoparticles in development for treatment of pulmonary infectious diseases (pp. 842-871) https://doi.org/10.1002/wnan.1401
- Borghardt et al. (2018) Inhaled therapy in respiratory disease: the complex interplay of pulmonary kinetic processes
- Newman (2017) Drug delivery to the lungs: challenges and opportunities (pp. 647-661) https://doi.org/10.4155/tde-2017-0037
- Eedara et al. (2021) Inhalation delivery for the treatment and prevention of COVID-19 infection https://doi.org/10.3390/pharmaceutics13071077
- Tai et al. (2021) Nebulised isotonic hydroxychloroquine aerosols for potential treatment of COVID-19 https://doi.org/10.3390/pharmaceutics13081260
- Medhi et al. (2020) Nanoparticle-based strategies to combat COVID-19 (pp. 8557-8580) https://doi.org/10.1021/acsanm.0c01978
- Dheyab et al. (2021) Focused role of nanoparticles against COVID-19: diagnosis and treatment https://doi.org/10.1016/j.pdpdt.2021.102287
- Elia et al. (2021) Design of SARS-CoV-2 hFc-conjugated receptor-binding domain mRNA vaccine delivered via lipid nanoparticles (pp. 9627-9637) https://doi.org/10.1021/acsnano.0c10180
- Khaiboullina et al. (2020) Inactivation of human coronavirus by Titania nanoparticle coatings and UVC radiation: throwing light on SARS-CoV-2 https://doi.org/10.3390/v13010019
- Jaffe (2020) Regulators split on antimalarials for COVID-19 (pp. 1179-1185) https://doi.org/10.1016/S0140-6736(20)30817-5
- Butler et al. (2021) Azithromycin for community treatment of suspected COVID-19 in people at increased risk of an adverse clinical course in the UK (PRINCIPLE): a randomised, controlled, open-label, adaptive platform trial (pp. 1063-1074) https://doi.org/10.1016/S0140-6736(21)00461-X
10.1007/s40097-022-00476-3