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Munnangi SR, Youssef AAA, Narala N, Lakkala P, Narala S, Vemula SK, Repka M. Drug complexes: Perspective from Academic Research and Pharmaceutical Market. Pharm Res 2023; 40:1519-1540. [PMID: 37138135 PMCID: PMC10156076 DOI: 10.1007/s11095-023-03517-w] [Citation(s) in RCA: 8] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2023] [Accepted: 04/07/2023] [Indexed: 05/05/2023]
Abstract
Despite numerous research efforts, drug delivery through the oral route remains a major challenge to formulation scientists. The oral delivery of drugs poses a significant challenge because more than 40% of new chemical entities are practically insoluble in water. Low aqueous solubility is the main problem encountered during the formulation development of new actives and for generic development. A complexation approach has been widely investigated to address this issue, which subsequently improves the bioavailability of these drugs. This review discusses the various types of complexes such as metal complex (drug-metal ion), organic molecules (drug-caffeine or drug-hydrophilic polymer), inclusion complex (drug-cyclodextrin), and pharmacosomes (drug-phospholipids) that improves the aqueous solubility, dissolution, and permeability of the drug along with the numerous case studies reported in the literature. Besides improving solubility, drug-complexation provides versatile functions like improving stability, reducing the toxicity of drugs, increasing or decreasing the dissolution rate, and enhancing bioavailability and biodistribution. Apart, various methods to predict the stoichiometric ratio of reactants and the stability of the developed complex are discussed.
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Affiliation(s)
- Siva Ram Munnangi
- Department of Pharmaceutics and Drug Delivery, School of Pharmacy, The University of Mississippi, University, Mississippi, MS, 38677, USA
- Pii Center for Pharmaceutical Technology, The University of Mississippi, University, Mississippi, MS, 38677, USA
| | - Ahmed Adel Ali Youssef
- Department of Pharmaceutics and Drug Delivery, School of Pharmacy, The University of Mississippi, University, Mississippi, MS, 38677, USA
- Department of Pharmaceutical Technology, Faculty of Pharmacy, Kafrelsheikh University, Kafrelsheikh, 33516, Egypt
| | - Nagarjuna Narala
- Department of Pharmaceutics and Drug Delivery, School of Pharmacy, The University of Mississippi, University, Mississippi, MS, 38677, USA
| | - Preethi Lakkala
- Department of Pharmaceutics and Drug Delivery, School of Pharmacy, The University of Mississippi, University, Mississippi, MS, 38677, USA
| | - Sagar Narala
- Department of Pharmaceutics and Drug Delivery, School of Pharmacy, The University of Mississippi, University, Mississippi, MS, 38677, USA
- Pii Center for Pharmaceutical Technology, The University of Mississippi, University, Mississippi, MS, 38677, USA
| | - Sateesh Kumar Vemula
- Department of Pharmaceutics and Drug Delivery, School of Pharmacy, The University of Mississippi, University, Mississippi, MS, 38677, USA
| | - Michael Repka
- Department of Pharmaceutics and Drug Delivery, School of Pharmacy, The University of Mississippi, University, Mississippi, MS, 38677, USA.
- Pii Center for Pharmaceutical Technology, The University of Mississippi, University, Mississippi, MS, 38677, USA.
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Introduction to host microbiome symbiosis in health and disease. Mucosal Immunol 2021; 14:547-554. [PMID: 33299088 PMCID: PMC7724625 DOI: 10.1038/s41385-020-00365-4] [Citation(s) in RCA: 82] [Impact Index Per Article: 27.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2020] [Revised: 11/17/2020] [Accepted: 11/18/2020] [Indexed: 02/06/2023]
Abstract
Humans share a core intestinal microbiome and yet human microbiome differs by genes, species, enterotypes (ecology), and gene count (microbial diversity). Achievement of microbiota metagenomic analysis has revealed that the microbiome gene count is a key stratifier of health in several immune disorders and clinical conditions. We review here the progress of the metagenomic pipeline analysis, and how this has allowed us to define the host-microbe symbiosis associated with a healthy status. The link between host-microbe symbiosis disruption, the so-called dysbiosis and chronic diseases or iatrogenic conditions is highlighted. Finally, opportunities to use microbiota modulation, with specific nutrients and/or live microbes, as a target for personalized nutrition and therapy for the maintenance, preservation, or restoration of host-microbe symbiosis are discussed.
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Das S, Paul S. Hydrotropic Solubilization of Sparingly Soluble Riboflavin Drug Molecule in Aqueous Nicotinamide Solution. J Phys Chem B 2017; 121:8774-8785. [DOI: 10.1021/acs.jpcb.7b05774] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Shubhadip Das
- Department of Chemistry, Indian Institute of Technology, Guwahati,Assam 781039, India
| | - Sandip Paul
- Department of Chemistry, Indian Institute of Technology, Guwahati,Assam 781039, India
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Hydrotropic Solubilization by Urea Derivatives: A Molecular Dynamics Simulation Study. JOURNAL OF PHARMACEUTICS 2013; 2013:791370. [PMID: 26555993 PMCID: PMC4590820 DOI: 10.1155/2013/791370] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/07/2012] [Accepted: 01/04/2013] [Indexed: 11/18/2022]
Abstract
Hydrotropy is a phenomenon where the presence of a large quantity of one solute enhances the solubility of another solute. The mechanism of this phenomenon remains a topic of debate. This study employed molecular dynamics simulation to investigate the hydrotropic mechanism of a series of urea derivatives, that is, urea (UR), methylurea (MU), ethylurea (EU), and butylurea (BU). A poorly water-soluble compound, nifedipine (NF), was used as the model solute that was solubilized. Structural, dynamic, and energetic changes upon equilibration were analyzed to supply insights to the solubilization mechanism. The study demonstrated that NF and urea derivatives underwent significant nonstoichiometric molecular aggregation in the aqueous solution, a result consistent with the self-aggregation of urea derivatives under the same conditions. The analysis of hydrogen bonding and energy changes revealed that the aggregation was driven by the partial restoration of normal water structure. The energetic data also suggested that the promoted solubilization of NF is favored in the presence of urea derivatives. While the solutes aggregated to a varying degree, the systems were still in single-phase liquid state as attested by their active dynamics.
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Desai D, Li D, Harianawala A, Sprockel O, Huang M, Timmins P. Solubilization of entecavir by povidone to overcome content uniformity challenges for low-dose tablet formulations. Pharm Dev Technol 2012; 18:1305-13. [DOI: 10.3109/10837450.2012.672991] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Cui Y. Using Molecular Simulations to Probe Pharmaceutical Materials. J Pharm Sci 2011; 100:2000-19. [DOI: 10.1002/jps.22392] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2010] [Revised: 10/04/2010] [Accepted: 10/05/2010] [Indexed: 11/06/2022]
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Shen Y, Lu Y, Jv M, Hu J, Li Q, Tu J. Enhancing effect of Labrasol on the intestinal absorption of ganciclovir in rats. Drug Dev Ind Pharm 2011; 37:1415-21. [DOI: 10.3109/03639045.2011.582874] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Cui Y, Xing C, Ran Y. Molecular Dynamics Simulations of Hydrotropic Solubilization and Self-Aggregation of Nicotinamide. J Pharm Sci 2010; 99:3048-59. [DOI: 10.1002/jps.22077] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
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Cui Y. Parallel stacking of caffeine with riboflavin in aqueous solutions: the potential mechanism for hydrotropic solubilization of riboflavin. Int J Pharm 2010; 397:36-43. [PMID: 20600716 DOI: 10.1016/j.ijpharm.2010.06.043] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2010] [Revised: 06/06/2010] [Accepted: 06/22/2010] [Indexed: 11/26/2022]
Abstract
Hydrotropy is a phenomenon where the presence of a large quantity of one solute enhances the solubility of another solute. The mechanism of this phenomenon remains elusive and a topic of debate. This study employed molecular dynamics simulation to investigate solute interactions of a model system consisting of a hydrotropic agent, caffeine (CAF), a poorly water-soluble solute, riboflavin (RBF), and water. The study demonstrates that CAF and RBF undergo molecular parallel stacking in the aqueous solution, a result correlating closely to the self-stacking of CAF under the same conditions. The correlations are found both structurally and dynamically, suggesting that the self-stacking of CAF is the primary effect, and incorporation of RBF is the secondary effect. The solute stacking gives rise to the partitioning of solutes and water, which helps restoring the normal water structure and drives down the system energy. The interactions between the solutes are found insignificant to the solute clustering. The dynamic data confirm that the solute stacks are dynamically active. These results suggest that hydrotropic effect of CAF may be attributed to solute parallel stacking.
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Affiliation(s)
- Yong Cui
- Small Molecule Pharmaceutical Sciences, Genentech, Inc., 1 DNA Way, South San Francisco, CA 94080, United States.
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Chikhale PJ, Venkatraghavan V, Bodor NS. Improved Delivery Through Biological Membranes LX: Intradermal Targeting of Acyclovir Using Redox-Based Chemical Drug Delivery Systems. Drug Deliv 2008. [DOI: 10.3109/10717549609031377] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Jain P, Yalkowsky SH. Solubilization of poorly soluble compounds using 2-pyrrolidone. Int J Pharm 2007; 342:1-5. [PMID: 17570624 DOI: 10.1016/j.ijpharm.2007.03.056] [Citation(s) in RCA: 33] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2006] [Revised: 03/11/2007] [Accepted: 03/30/2007] [Indexed: 11/23/2022]
Abstract
The solubilization of nine poorly soluble compounds in aqueous solution by 2-pyrrolidone has been studied. Solubility enhancement as high as 500-fold is achieved using 20% 2-pyrrolidone. A comparison shows that 2-pyrrolidone is a better solubilizer than glycerin, propylene glycol, polyethylene glycol 400 or ethanol. The observed solubilization curves are deconvoluted into components representing complexation and cosolvency. A clear linear relationship exists between the cosolvency solubilization power (sigma) of 2-pyrrolidone and the partition coefficient (log K(ow)) of the drug (R(2)=0.96) extending over three orders of magnitude. The stability constants for the formation of 1:1 complex (K(1:1)) involving 2-pyrrolidone and the drugs have been calculated. A weaker correlation (R(2)=0.74) is observed between the complexation constants and the partition coefficients of respective drugs. This study indicates that 2-pyrrolidone, like NMP, can act as a complexant at low concentrations and as a cosolvent at high concentrations and that both these properties are affected by the partition coefficient of the solute.
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Affiliation(s)
- Parijat Jain
- Department of Pharmacy Practice and Science, College of Pharmacy, The University of Arizona, 1703 E. Mabel St., Tucson AZ 85721, USA.
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Sanghvi R, Evans D, Yalkowsky SH. Stacking complexation by nicotinamide: a useful way of enhancing drug solubility. Int J Pharm 2006; 336:35-41. [PMID: 17145146 DOI: 10.1016/j.ijpharm.2006.11.025] [Citation(s) in RCA: 53] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2006] [Revised: 11/06/2006] [Accepted: 11/07/2006] [Indexed: 11/20/2022]
Abstract
The solubility enhancement of 11 poorly soluble drugs by complexation using nicotinamide has been studied. The solubilization efficiency of nicotinamide has been compared to that of hydroxypropyl-beta-cyclodextrin and sulfobutylether-beta-cyclodextrin. Solubility enhancements as high as 4000-fold are observed in 20% (w/v) nicotinamide solution. Furthermore, nicotinamide is more effective than cyclodextrins for solubilizing some of the drugs. The mechanism of drug solubilization by nicotinamide is investigated by studying the effects of nicotinamide concentration on the surface tension and the conductivity of water. A slight break in both, the surface tension and conductivity is noticed at around 10% (w/v), suggesting self-association at higher concentrations. Corresponding breaks in the solubility profiles of estrone and griseofulvin at similar concentrations support self-association. Based on this observation it appears that at low concentrations, one molecule of nicotinamide undergoes complexation with one drug molecule to form a 1:1 complex. At higher concentrations, two molecules of nicotinamide undergo complexation with one drug molecule forming a 1:2 complex. The complexation constants have been calculated for all the drugs and the data are well described by this model. Expectedly, increasing the temperature reduces the complexation constants.
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Affiliation(s)
- Ritesh Sanghvi
- College of Pharmacy, The University of Arizona, Tucson, AZ 85721, United States.
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Patel K, Trivedi S, Luo S, Zhu X, Pal D, Kern ER, Mitra AK. Synthesis, physicochemical properties and antiviral activities of ester prodrugs of ganciclovir. Int J Pharm 2005; 305:75-89. [PMID: 16242278 DOI: 10.1016/j.ijpharm.2005.08.024] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2005] [Revised: 08/30/2005] [Accepted: 08/31/2005] [Indexed: 12/01/2022]
Abstract
The purpose of this study was to synthesize a series of diester prodrugs of ganciclovir (GCV), for improving ocular and oral bioavailability and therapeutic activity. Solubility, logP, pH stability profile, in vitro antiviral activity, cytotoxicity, inhibition profile and ocular tissue hydrolysis of the GCV prodrugs were measured. Val-Val-GCV and Val-Gly-GCV diesters were found to exhibit greater aqueous stability compared to Val-GCV and Gly-Val-GCV while ocular tissue hydrolysis demonstrated Val-Gly-GCV and Gly-Val-GCV to be more stable. Val-Val-GCV and Val-GCV diesters were the most lipophilic compounds and were predicted to possess a partition coefficient 295- and 12-fold greater than that of GCV, respectively. All the prodrugs possess much higher aqueous solubility than the parent drug GCV. Ex vivo uptake in the rabbit eye indicates that the prodrugs have high uptake potential. The prodrugs showed no increase in cytotoxicity compared to GCV, instead there was a marked increase in their potency against human cytomegalovirus (HCMV) as well as HSV-1 and HSV-2. This should allow therapeutic response to be seen at a lower concentration that can be achieved more easily, than the drugs currently being used. In conclusion, the diester GCV prodrugs demonstrated excellent chemical stability, high aqueous solubility and markedly enhanced antiviral potency against the herpes viruses without any increase in cytotoxicity.
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Affiliation(s)
- Kunal Patel
- Division of Pharmaceutical Sciences, School of Pharmacy, University of Missouri-Kansas City, 5005 Rockhill Road, Kansas City, MO 64110-2499, USA
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Study of interaction between ibuprofen and nicotinamide using differential scanning calorimetry, spectroscopy, and microscopy and formulation of a fast-acting and possibly better ibuprofen suspension for osteoarthritis patients. J Pharm Sci 2005; 94:93-101. [PMID: 15761933 DOI: 10.1002/jps.20223] [Citation(s) in RCA: 36] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Solid-state interaction between ibuprofen and nicotinamide was studied using thermal, spectroscopic, and microscopic techniques. Solubility enhancement was calculated by high-performance liquid chromatography and suspension was found to be the suitable choice of formulation. Ibuprofen-nicotinamide binary mixtures were prepared by solvent evaporation method. Differential scanning calorimetry was used to investigate the stoichiometry and thermal properties of the complex between ibuprofen and nicotinamide. A sharp, single endotherm was observed between the melting endotherms of the individual components at a composition of 60% ibuprofen and 40% nicotinamide (w/w). Several spectroscopic techniques such as ultraviolet-visible, Fourier transform infrared, nuclear magnetic resonance, and powder X-ray diffraction were used to investigate the type of interaction between the two components. Optical microscopy was performed to observe changes with regard to particle size and crystal habit. It was concluded that the interaction that occurred was Pi donor-Pi acceptor in nature and too weak to sustain the integrity of the complex in the liquid state. The solubility of ibuprofen was enhanced by 62 times in the suspension when the concentration of nicotinamide was 13.3 mg/mL. The suspension prepared in this study has potential of being a better medication for pain relief in patients with osteoarthritis.
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Abstract
PURPOSE This study examines the mechanism of hydrotropic solubilization using the riboflavin-nicotinamide system. The most commonly proposed mechanism for hydrotropic solubilization is complexation, and therefore, is investigated. Additionally, since nicotinamide and several other hydrotropic agents self-associate in aqueous solution, the possibility that self-association of the hydrotropic agent is important mechanistically is examined by studying the effect of temperature on hydrotropic ability. Researchers have shown that the degree of self association decreases with increasing temperature. Therefore, if temperature affects the solubilizing capacity of nicotinamide, self-association must be mechanistically significant. METHODS The complexation hypothesis is tested by looking at nicotinamide's ability to quench riboflavin fluorescence and by examining changes in the UV/Vis spectrum of riboflavin upon addition of nicotinamide. The solubility of riboflavin in nicotinamide solutions as a function of temperature is determined to assess the impact of self-association on hydrotropicity. RESULTS Nicotinamide does not alter the intrinsic fluorescence of riboflavin nor are changes indicative of complexation observed in the UV/Vis spectrum Temperature does have an effect on the hydrotropic ability of nicotinamide. Specifically, as temperature increases, the solubilizing capacity of nicotinamide decreases. CONCLUSIONS Because nicotinamide is unable to quench riboflavin fluorescence, and does not produce significant spectral changes, complexation of hicotinamide and riboflavin does not occur. However, since increasing temperature causes a decrease in the hydrotropic ability of nicotinamide and in its degree of self-association, it is proposed here that the self-association of nicotinamide impacts the hydrotropic mechanism.
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Affiliation(s)
- R E Coffman
- Purdue University, West Lafayette, Indiana 47907, USA
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Coffman RE, Kildsig DO. Effect of nicotinamide and urea on the solubility of riboflavin in various solvents. J Pharm Sci 1996; 85:951-4. [PMID: 8877885 DOI: 10.1021/js960012b] [Citation(s) in RCA: 68] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
Hydrotropy is a solubilization process whereby addition of large amounts of a second solute results in an increase in the aqueous solubility of another solute. Past investigations have focused on the potential interaction of the hydrotropic agent with the solubilized solute. Conversely, this study proposes that at least some hydrotropic agents exert their solubilizing effect predominately by interacting with the solvent. To that end, the effect of two hydrotropic agents, nicotinamide and urea, on riboflavin solubility in aqueous and nonaqueous systems was examined. The term "solutropy" is introduced to describe solubilization by addition of large amounts of a second solute in any solvent. The nonaqueous solvents used included methanol, N-methylformamide, dimethyl sulfoxide, and acetone. In water, methanol, and N-methylformamide, riboflavin solubility was found to increase with increasing nicotinamide concentration; however, riboflavin solubility decreased with increasing nicotinamide concentration in dimethyl sulfoxide and acetone, thus establishing the solvent-dependent nature of solutropy. An examination of solvent properties revealed that the solvent's ability to be both a proton donor and acceptor is important mechanistically, while dielectric constant and polarity are not. The same solvent-dependency was observed with urea, although urea is a poorer solutrope than nicotinamide. This study proposes that some solutropic agents act by changing the nature of the solvent, specifically by altering the solvent's ability to participate in structure formation via intermolecular hydrogen bonding.
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Affiliation(s)
- R E Coffman
- Department of Industrial and Physical Pharmacy, School of Pharmacy, Purdue University, West Lafayette, IN 47907, USA
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Coffman RE, Kildsig DO. Self-association of nicotinamide in aqueous solution: light-scattering and vapor pressure osmometry studies. J Pharm Sci 1996; 85:848-53. [PMID: 8863275 DOI: 10.1021/js9505197] [Citation(s) in RCA: 22] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
Nicotinamide is a hydrotropic agent that has been reported to self-associate in aqueous solution. The objective of this study is to characterize the self-association of nicotinamide with regard to the extent of self-association as well as association constants using light-scattering and vapor pressure osmometry. Both methods allow calculation of association constants; however, while light-scattering measurements depend on the size of particles in solution, vapor pressure osmometry depends on the number of particles in solution. Using light-scattering, nicotinamide was found to associate primarily as dimers and trimers. Higher order aggregates can be characterized by an average aggregation number of 4.37. The association constants were 9.99 L/mol and 13.1 L/mol for dimerization and trimerization, respectively. From vapor pressure osmometry data were calculated a dimerization constant of 0.203 L/mol and a trimerization constant of 14.1 L/mol. In comparison, the trimerization constants are in good agreement, while the dimerization constants differ by an order of magnitude. Since light-scattering measurements are less reliable for small molecules like nicotinamide at low concentrations, it is felt that the dimerization constant calculated from vapor pressure osmometry is the more accurate.
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Affiliation(s)
- R E Coffman
- Department of Industrial and Physical Pharmacy, School of Pharmacy, Purdue University, West Lafayette, IN 47907, USA
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Chen AX, Zito SW, Nash RA. Solubility enhancement of nucleosides and structurally related compounds by complex formation. Pharm Res 1994; 11:398-401. [PMID: 8008706 DOI: 10.1023/a:1018913104383] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
Water-soluble vitamins, amino acids, and nontoxic pharmaceutical excipients were studied as solubilizing agents for poorly water-soluble adenine (nucleic acid base), guanosine (nucleoside), and structurally related drugs (acyclovir and triamterene). The apparent solubility of the substrates (adenine, guanosine, acyclovir, or triamterene) was appreciably increased by forming complexes with the ligands (vitamins, amino acids, or other ligand). Apparent association constants (Ka) values were measured at 25 degrees C in pH 7 phosphate buffer using phase solubility analysis. The effect of combination ligands on substrate solubility was also studied. Additive solubility enhancement was obtained for several ligand pairs.
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Affiliation(s)
- A X Chen
- College of Pharmacy and Allied Health Professions, St. John's University, Jamaica, New York 11439
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