Optimisation of the composition of safe dental gel with IL-1β antagonist for the treatment of inflammatory periodontal diseases

Authors

DOI:

https://doi.org/10.14739/2310-1210.2024.2.292521

Keywords:

IL-1β, oromucosal gel, pharmaceutical development, pharmacological studies, acute toxicity test

Abstract

Aim. The study aims to develop the composition of the oromucosal gel with the IL-1β interleukin antagonist for complex treatment of inflammatory periodontal diseases.

Materials and methods. Experimental studies were conducted based on the Department of Medicines Technology of Zaporizhzhia State Medical and Pharmaceutical University and the Training Medical and Laboratory Center of Zaporizhzhia State Medical and Pharmaceutical University of the Ministry of Health of Ukraine.

As an active component, in the recipe of oromucosal gel, used antagonist of the interleukin IL-1B. Excipients: D-panthenol (the plasticizer), carboxymethylcellulose sodium salt (the viscosity modifier and mucoadhesive component), Tween-80 (the enhancer absorption), benzalkonium chloride (the preservative), sodium hydrophosphate + citric acid (the phosphate buffer solution), purified water. The experiments used existing and auxiliary ingredients of pharmaceutical purity, which were obtained from Sinbias LLC, Istok-Plus LLC, LLC “Mobile Medical”. For the design of the experiment, the methodology of the response surface (Box-Behnken Design) is used: Na CMC, Tween-80, D-panthenol; and four answers: pH, viscosity test, system type, mucoadhesive properties.

Research methods: rheological research (viscosity test, amplitude test, frequency test, mucoadhesive test, thixotropy test) performed in oscillation mode on the modular compact Rheometer Anton Paar MCR 302 (CP50-1 SN71317), which, compared to cylindrical devices, requires a much smaller amount of gel sample and allows the planned tests in the oscillation mode, the temperature in the experiments was provided with a built-in thermostat (Peltier Temperature Control, C-PTD 200).

Pharmaco-toxicological studies were conducted on 46 white outbred rats of both sexes, weighing 160–180 grams, which were received from Vivarium by the Institute of Pharmacology and Toxicology. The studies were performed on enough animals, all manipulations were carried out by the provisions on the use of animals in biomedical experiments. The results of the study were calculated using the standard statistical package of the Statistica for Windows 13 (StatSoft Inc., No. JPZ804I382130ARCN10-J), as well as SPSS 16.0, Microsoft Office Excel 2003.

Results. According to the design of the experiment, it is established that the components of the system do not change the value of pH in experimental oromucosal gels (6.5500 ± 0.0334). The Anova for Quadratic Model statistical analysis data certify the significant impact of Na CMC, and Tween-80 factors on the viscous characteristics of oromucosal gels (F-value > p-value). Comparison of mucoadhesive characteristics of the studied samples of oromucosal gels was made using dynamic mechanical analysis and the results of statistical analysis of ANOVA for Quadratic Model highlight the significant influence of Na CMC, D-panthenol, Tween-80. Optimized oromucosal gel test data is obtained that its structure is restored after the applied effort, namely the restoration of the structure after 10 seconds occurs by 69.5 %, after 30 s by 76.1 %, after 180 s by 85.4 %, after 180 s which allows to predict the stability of the dosage form, both after manufacture and after use.

Conclusions. The composition of the oromucosal gel of anti-inflammatory action with the IL-1β interleukin antagonist for the complex treatment of inflammatory diseases of periodontal is developed. The optimized composition of the oromucosal gel obtained has satisfactory performance of kinetic stability and thixotropic properties. The developed gel for dentistry meets all the requirements for harmlessness and safety for dosage forms of this group toxicity, lack of local irritant and allergic action.

Author Biographies

O. O. Dmytriieva, Zaporizhzhia State Medical and Pharmaceutical University, Ukraine

PhD student of the Department of Surgical and Propedeutical Dentistry

I. F. Bielenichev, Zaporizhzhia State Medical and Pharmaceutical University, Ukraine

PhD, DSc, Professor, Head of the Department of Pharmacology and Medical Formulation with Course of Normal Physiology

B. S. Burlaka, Zaporizhzhia State Medical and Pharmaceutical University, Ukraine

PhD, of the Department of Medicines Technology

References

Ziuzin V, Cherno V, Cherno S, Zyuzin DV, Muntian L. [The incidence of the population of ukraine of inflammatory periodontal diseases, prediction and prevention of pathology in modern conditions]. JMBS. 2021;6(2):125-32. Ukrainian. https://doi.org/10.26693/jmbs06.02.125

Kinane DF, Stathopoulou PG, Papapanou PN. Periodontal diseases. Nat Rev Dis Primers. 2017;3:17038. doi: https://doi.org/10.1038/nrdp.2017.38

Beck JD, Papapanou PN, Philips KH, Offenbacher S. Periodontal Medicine: 100 Years of Progress. J Dent Res. 2019 Sep;98(10):1053-62. doi: https://doi.org/10.1177/0022034519846113

Kwon T, Lamster IB, Levin L. Current Concepts in the Management of Periodontitis. Int Dent J. 2021;71(6):462-76. doi: https://doi.org/10.1111/idj.12630

Sedghi LM, Bacino M, Kapila YL. Periodontal Disease: The Good, The Bad, and The Unknown. Front Cell Infect Microbiol. 2021;11:766944. doi: https://doi.org/10.3389/fcimb.2021.766944

Graziani F, Karapetsa D, Alonso B, Herrera D. Nonsurgical and surgical treatment of periodontitis: how many options for one disease? Periodontol 2000. 2017;75(1):152-188. doi: https://doi.org/10.1111/prd.12201

Arias Z, Nizami MZI, Chen X, Chai X, Xu B, Kuang C, et al. Recent Advances in Apical Periodontitis Treatment: A Narrative Review. Bioengineering. 2023;1(4):488. doi: https://doi.org/10.3390/bioengineering10040488

Kaiser C, Knight A, Nordström D, Pettersson T, Fransson J, Florin-Robertsson E, et al. Injection-site reactions upon Kineret (anakinra) administration: experiences and explanations. Rheumatol Int. 2012;32(2):295-9. doi: https://doi.org/10.1007/s00296-011-2096-3

Cheema AH, Chaludiya K, Khalid M, Nwosu M, Konka S, Agyeman WY, et al. Efficacy of Anakinra in Pericarditis: A Systematic Review. Cureus. 2022;14(10):e29862. doi: https://doi.org/10.7759/cureus.29862

Tavares Luiz M, Santos Rosa Viegas J, Palma Abriata J, Viegas F, Testa Moura de Carvalho Vicentini F, Lopes Badra Bentley MV, et al. Design of experiments (DoE) to develop and to optimize nanoparticles as drug delivery systems. Eur J Pharm Biopharm. 2021;165:127-48. doi: https://doi.org/10.1016/j.ejpb.2021.05.011

Karmoker JR, Hasan I, Ahmed N, Saifuddin M, Reza MS. Development and Optimization of Acyclovir Loaded Mucoadhesive Microspheres by Box – Behnken Design. Dhaka Univ J Pharm Sci. 2019;18(1):1-12. doi: https://doi.org/10.3329/dujps.v18i1.41421

Lemdani K, Seguin J, Lesieur C, Al Sabbagh C, Doan BT, Richard C, et al. Mucoadhesive thermosensitive hydrogel for the intra-tumoral delivery of immunomodulatory agents, in vivo evidence of adhesion by means of non-invasive imaging techniques. Int J Pharm. 2019;567:118421. doi: https://doi.org/10.1016/j.ijpharm.2019.06.012

Ministry of Health of Ukraine. [On approval of the standard "Guidelines. Drugs. Preclinical studies of safety as a foundation for clinical trials involving humans and licensing of drugs". Order dated 2014 Sep 19 No. 661] [Internet]. 2014 [cited 2023 Dec 21]. Ukrainian. Available from: https://zakon.rada.gov.ua/rada/show/v0661282-14#Text

European Union. Directive 2010/63/EU of the European Parliament and of the Council of 22 September 2010 on the protection of animals used for scientific purposes. Official Journal of the European Union, L276/33, 2010.

Ministry of Education and Science, Youth and Sports of Ukraine. [On approval of the test and experimental procedure carrying out by scientific institutions on animals. Order dated 2012 Mar 1 No. 249] [Internet]. 2012 [cited 2023 Dec 21]. Ukrainian. Available from: https://zakon.rada.gov.ua/laws/show/z0416-12#Text

Gad SC, Spainhour CB, Shoemake C, Pallman DR, Stricker-Krongrad A, Downing PA, et al. Tolerable Levels of Nonclinical Vehicles and Formulations Used in Studies by Multiple Routes in Multiple Species With Notes on Methods to Improve Utility. Int J Toxicol. 2016 Mar-Apr;35(2):95-178. doi: https://doi.org/10.1177/1091581815622442

Ramli H, Zainal N, Hess M, Chan C. Basic principle and good practices of rheology for polymers for teachers and beginners. Chemistry Teacher International. 2022;4(4): 307-26. doi: https://doi.org/10.1515/cti-2022-0010

Mezger T. The Rheology Handbook: For users of rotational and oscillatory rheometers. Hannover, Germany: Vincentz Network; 2020. doi: https://doi.org/10.1515/9783748603702

Kalouta K, Eleni P, Boukouvalas C, Vassilatou K, Krokida M. Dynamic mechanical analysis of novel cosmeceutical facial creams containing nano-encapsulated natural plant and fruit extracts. J Cosmet Dermatol. 2020;19(5):1146-54. doi: https://doi.org/10.1111/jocd.13133

Popova T, Kukhtenko H, Bevz N, Kukhtenko O. Biopharmaceutical and rheometric studies in the development of a gel composition with dimethindene maleate. ScienceRise: Pharmaceutical Science. 2021;(3):11-8. doi: https://doi.org/10.15587/2519-4852.2021.234250

Alghooneh A, Razavi SMA, Kasapis S. Classification of hydrocolloids based on small amplitude oscillatory shear, large amplitude oscillatory shear, and textural properties. J Texture Stud. 2019;50(6):520-38. doi: https://doi.org/10.1111/jtxs.12459

Rao KM, Narayanan KB, Uthappa UT, Park PH, Choi I, Han SS. Tissue Adhesive, Self-Healing, Biocompatible, Hemostasis, and Antibacterial Properties of Fungal-Derived Carboxymethyl Chitosan-Polydopamine Hydrogels. Pharmaceutics. 2022;14(5):1028. doi: https://doi.org/10.3390/pharmaceutics14051028

Savary G, Gilbert L, Grisel M, Picard C. Instrumental and sensory methodologies to characterize the residual film of topical products applied to skin. Skin Res Technol. 2019;25(4):415-23. doi: https://doi.org/10.1111/srt.12667

Rath R, Tevatia S, Rath A, Behl A, Modgil V, Sharma N. Mucoadhesive systems in dentistry: A review. Int J Dent Res. 2016;4(2):25. doi: https://doi.org/10.14419/ijdr.v4i2.6283

Tanaka A, Furubayashi T, Matsushita A, Inoue D, Kimura S, Katsumi H, et al. Nasal Absorption of Macromolecules from Powder Formulations and Effects of Sodium Carboxymethyl Cellulose on Their Absorption. PLoS One. 2016;11(9):e0159150. doi: https://doi.org/10.1371/journal.pone.0159150

Kulkarni R, Fanse S, Burgess DJ. Mucoadhesive drug delivery systems: a promising non-invasive approach to bioavailability enhancement. Part I: biophysical considerations. Expert Opin Drug Deliv. 2023;20(3):395-412. doi: https://doi.org/10.1080/17425247.2023.2181331

Parkhomenko D, Belenichev I, Bukhtiyarova N, Kuchkovskyi O, Gorchakova N, Diachenko V, et al. Pharmacocorrection of Disturbances in the no System in Experimental Chronic Generalized Periodontitis. OAMJMS. 2023;11(A):47-52. doi: https://doi.org/10.3889/oamjms.2023.10717

Chekman IS, Bielenichev IF, Ryzhenko VP, Horchakova NO, Burlaka BS. Prohramno-matematychni tekhnolohii v rozrobtsi ta stvorenni likarskykh zasobiv [Software and mathematical technologies in the development and creation of medicinal products]. Dnipro, Ukraine: Zhurfond; 2023. Ukrainian.

Belenichev I, Burlaka B, Puzyrenko A, Ryzhenko O, Kurochkin M, Yusuf J. Management of amnestic and behavioral disorders after ketamine anesthesia. Georgian medical news. 2019;(9):141-5.

Burlaka BS, Belenichev IF, Ryzhenko OI, Ryzhenko VP, Aliyeva OG, et al. The effect of intranasal administration of an IL-1β antagonist (RAIL) on the state of the nitroxydergic system of the brain during modeling of acute cerebrovascular accident. Pharmacia. 2021;68(3):665-70. doi: https://doi.org/10.3897/pharmacia.68.e71243

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Published

2024-03-29

How to Cite

1.
Dmytriieva OO, Bielenichev IF, Burlaka BS. Optimisation of the composition of safe dental gel with IL-1β antagonist for the treatment of inflammatory periodontal diseases. Zaporozhye Medical Journal [Internet]. 2024Mar.29 [cited 2024May4];26(2):134-43. Available from: http://zmj.zsmu.edu.ua/article/view/292521