Fabrication of bioactive rifampicin loaded κ-Car-MA-INH/Nano hydroxyapatite composite for tuberculosis osteomyelitis infected tissue regeneration.

Biocompatible polymers and ceramic materials have been identified as vital components to fabricate drug delivery and tissue engineering applications because of their high drug loading capability, sustained release and higher mechanical strength with remarkable in-vivo bioavailability. In the present work, initially we designed κ-carrageenan grafted with maleic anhydride and then reacted it with isoniazid drug (κ-Car-MA-INH). The polymeric system was cross linked with nanohydroxyapatite (NHAP) via electrostatic interaction followed by the addition of rifampicin (RF) and loaded to fabricate κ -Car-MA-INH/NHAP/RF nanocomposites. The chemical modification and interaction of drug with the polymeric-ceramic system were characterised by Fourier Transform Infrared spectroscopy (FT-IR). The zeta potential of the κ -Car-MA-INH/NHAP/RF nanocomposite was observed to be -20.04 mV using Zetasizer. The in vitro drug release studies demonstrated that the nanocomposite releases 76% of RF and 82% of INH in 12 days at pH 5.5. Scanning Electron Microscope analysis revealed the structural deformation of Staphylococcus aureus and Klebsiella pneumoniae upon treatment with this nanocomposite. By using ex-vivo studies combined with physio-chemical characterization methods on the erythrocytes, L929 and MG-63 cell lines, this composite was found to be biocompatible, non-cytotoxic and inducing cell proliferation with less significant hemolysis. Thus, our modified drug delivery nanocomposites afforded higher drug bioavailability with large potential for fabrication as long-acting drug delivery nanocomposites, especially with hydrophobic drugs inducing the growth of osteoblastic bone cells.

Versatile pH-Responsive Chitosan-g-Polycaprolactone/Maleic Anhydride-Isoniazid Polymeric Micelle To Improve the Bioavailability of Tuberculosis Multidrugs.

The potential of polymeric micelles constructed by coalescing natural and synthetic polymers for tuberculosis (TB) treatment was evaluated in this work. We designed a polymeric micelle to improve the delivery of anti-TB drugs (rifampicin [RF] and isoniazid [INH]). The polymeric core was synthesized in the following order: initially chitosan (CS) was grafted with polycaprolactone (PCL) to form CS-g-PCL followed by amide bond formation with maleic anhydride-isoniazid (MA-INH); finally, CS-g-PCL was conjugated with the MA-INH moiety to form the CS-g-PCL/MA-INH polymeric core. Another anti-TB drug, RF, was loaded onto CS-g-PCL/MA-INH through dialysis. The changes in the nature of functional groups and crystallinity were investigated by Fourier transform infrared spectroscopy and X-ray diffraction analysis, respectively. The shape and size of CS-g-PCL/MA-INH and RF-CS-g-PCL/MA-INH were analyzed by dynamic light scattering, scanning electron microscopy, and transmission electron microscopy. The cumulative drug release profiles were measured by UV-visible spectrophotometry and HPLC analysis. The antimicrobial activity of the loaded micelles was evaluated by finding the minimum inhibitory concentration (MIC), minimum bactericidal concentration (MBC), and bacterial cell rupture analyses. The nontoxic nature of the micelles was assessed by ex vivo studies on U937 and L929 cell lines and erythrocytes by performing an MTT assay, apoptosis assay, and hemolysis assay. Ex vivo cellular uptake and in vivo internalization of the INH- and RF-containing micelles were tested on U937 cells and zebrafish using fluorescence microscopy analysis. All of the observations indicate that the multi-TB drug-loaded polymeric micelle is a safe and effective system for the delivery of anti-TB drugs without affecting the mycobactericidal activity.