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Current Drug Delivery

Editor-in-Chief

ISSN (Print): 1567-2018
ISSN (Online): 1875-5704

Research Article

Extraction, Purification, and Development of Sublingual Film (SLIT Films) Comprising Cockroach Allergen for Treatment of Allergy

Author(s): Leishangthem Anita, Venkatesh D. P*, Sajeev Kumar B, Paranjothy Kanni, Chandramouli Ramnarayanan, Roopa Karki, Nagendra Prasad Komarla and Suresh Janadri

Volume 20, Issue 6, 2023

Published on: 22 August, 2022

Page: [807 - 817] Pages: 11

DOI: 10.2174/1567201819666220617122411

Price: $65

Abstract

Aim: Allergy associated with cockroaches are mostly from the American cockroach (Periplaneta americana) and German cockroach (Blattella germanica). The effective and safe treatment for cockroach allergy is Sublingual immunotherapy (SLIT). In this study, SLIT Films containing purified allergen extract of Periplaneta americana were prepared by solvent casting and were evaluated for their efficiency in delivery.

Methodology: Cockroach allergen extract was prepared and purified by ultrafiltration and chromatography. The molecular weight of protein content was identified and estimated by SDS- PAGE and ELISA. SLIT films were developed by the Quality by Design (QbD) approach and were evaluated for allergen- excipient compatibility, swelling index, taste, diffusion, in vitro dissolution, local toxicity, and stability analysis.

Results: Cockroach allergen protein extracts (cut-off 25-71KDa) were identified by SDS-PAGE and quantified by indirect ELISA and further selected for sublingual film preparation. The indirect ELISA results show a higher optical density (OD) value compared to crude extract. The weight uniformity and thickness of the film were between 13-18 mg and 0.04-0.06 mm. The disintegration time was found to be less than 1 min. The cumulative percentage release was also found to be satisfactory. The local toxicity study indicated no signs of irritation in the buccal mucosa of rabbits. The optimised F3 film had uniform thickness, faster disintegration and drug content within pharmacopeial limits. Ex vivo study revealed better permeability with 90% release of allergen in 7 minutes. The formulation was also stable at room temperature during the study period.

Conclusion: SLIT Film containing cockroach allergen from Periplaneta americana was successfully developed and evaluated. SLIT films of cockroach allergen could be more beneficial and convenient for emergency use in patients when compared to subcutaneous immunotherapy. SLIT films provide dose accuracy and are a promising alternative for SCIT and SLIT drops and tablets.

Keywords: Sublingual film, allergen, allergy, american cockroach, cockroach extract, sublingual immunotherapy.

Graphical Abstract
[1]
Pomés, A.; Arruda, L.K. Investigating cockroach allergens: Aiming to improve diagnosis and treatment of cockroach allergic patients. Methods, 2014, 66(1), 75-85.
[http://dx.doi.org/10.1016/j.ymeth.2013.07.036] [PMID: 23916425]
[2]
Pomés, A.; Mueller, G.A.; Randall, T.A.; Chapman, M.D.; Arruda, L.K. New insights into cockroach allergens. Curr. Allergy Asthma Rep., 2017, 17(4), 25.
[http://dx.doi.org/10.1007/s11882-017-0694-1] [PMID: 28421512]
[3]
Ozdemir, O. Cockroach allergy, respiratory allergic diseases and its immunotherapy. Int. J. Immunol. Immunother., 2014, 1(1), 002.
[http://dx.doi.org/10.23937/2378-3672/1410002]
[4]
Rhee, H.; Love, T.; Harrington, D.; Grape, A. Common allergies in urban adolescents and their relationships with asthma control and healthcare utilization. Allergy Asthma Clin. Immunol., 2018, 14(1), 33.
[http://dx.doi.org/10.1186/s13223-018-0260-y] [PMID: 30186335]
[5]
Durham, S.R.; Penagos, M. Sublingual or subcutaneous immunotherapy for allergic rhinitis? J. Allergy Clin. Immunol., 2016, 137(2), 339-349.e10.
[http://dx.doi.org/10.1016/j.jaci.2015.12.1298] [PMID: 26853126]
[6]
Tsabouri, S.; Mavroudi, A.; Feketea, G.; Guibas, G.V. Subcutaneous and sublingual immunotherapy in allergic asthma in children. Front Pediatr., 2017, 5, 82.
[http://dx.doi.org/10.3389/fped.2017.00082] [PMID: 28484690]
[7]
Greenhawt, M.; Oppenheimer, J.; Nelson, M.; Nelson, H.; Lockey, R.; Lieberman, P.; Nowak-Wegrzyn, A.; Peters, A.; Collins, C.; Bernstein, D.; Blessing-Moore, J.; Khan, D.; Lang, D.; Nicklas, R.; Portnoy, J.; Randolph, C.; Schuller, D.; Spector, S.; Tilles, S.; Wallace, D. Sublingual immunotherapy: A focused allergen immunotherapy practice parameter update. Ann. Allergy Asthma Immunol., 2017, 118(3), 276-282.
[http://dx.doi.org/10.1016/j.anai.2016.12.009]
[8]
Lawrence, M.G.; Steinke, J.W.; Borish, L. Basic science for the clinician: Mechanisms of sublingual and subcutaneous immunotherapy. Ann. Allergy Asthma Immunol., 2016, 117(2), 138-142.
[http://dx.doi.org/10.1016/j.anai.2016.06.027] [PMID: 27499541]
[9]
Singh, A.B. Allergy and Allergen Immunotherapy: New Mechanisms and Strategies; Apple Academic Press: Toronto, New Jersey, 2017.
[http://dx.doi.org/10.1201/9781315207520]
[10]
Karki, S.; Kim, H.; Na, S.J.; Shin, D.; Jo, K.; Lee, J. Thin films as an emerging platform for drug delivery. Asian J. Pharm. Sci., 2016, 11(5), 559-574.
[http://dx.doi.org/10.1016/j.ajps.2016.05.004]
[11]
Patel, P.; Patel, J.; Patel, K.; Nihar, S.; Shah, S. A review on fast dissolving sublingual film. J. Pharm. Bioscientific Res., 2015, 5(3), 279-285.
[12]
Singh, A.B. Allergen preparation and standardization: An update. Glob. J. Oto., 2018, 17(4), 555968.
[http://dx.doi.org/10.19080/GJO.2018.17.555968]
[13]
Jeong, K.Y.; Choi, S.Y.; Lee, J.H.; Lee, J.S.; Yong, T.S.; Hong, C.S.; Park, J.W. Preparation and characterization of an extract of German cockroach from a Korean source. Allergy Asthma Immunol. Res., 2013, 5(2), 102-105.
[http://dx.doi.org/10.4168/aair.2013.5.2.102] [PMID: 23449858]
[14]
Emawati, E.; Idar, I.; Ramadiyanti, R. Characterization and identification of allergen protein in shrimp before and after heated with SDS-PAGE method. Borneo J. Pharm., 2019, 2(2), 87-93.
[http://dx.doi.org/10.33084/bjop.v2i2.901]
[15]
Cui, Y.; Teng, F.; Yu, L.; Zhou, Y.; Zhang, C.; Yang, L. Dermatophagoides farinae allergen Der f 9: Cloning, expression, purification, characterization and IgE-binding in children with atopic asthma. Pediatr. Pulmonol., 2017, 52(3), 282-292.
[http://dx.doi.org/10.1002/ppul.23526] [PMID: 27434417]
[16]
Sharma, V.K.; Kalonia, D.S. Effect of vacuum drying on protein-mannitol interactions: The physical state of mannitol and protein structure in the dried state. AAPS PharmSciTech, 2004, 5(1), 58-69.
[http://dx.doi.org/10.1208/pt050110] [PMID: 15198531]
[17]
Bala, R.; Khanna, S.; Pawar, P.; Arora, S. Orally dissolving strips: A new approach to oral drug delivery system. Int. J. Pharm. Investig., 2013, 3(2), 67-76.
[http://dx.doi.org/10.4103/2230-973X.114897] [PMID: 24015378]
[18]
Rana, P.; Murthy, R.S.R. Formulation and evaluation of mucoadhesive buccal films impregnated with carvedilol nanosuspension: A potential approach for delivery of drugs having high first-pass metabolism. Drug Deliv., 2013, 20(5), 224-235.
[http://dx.doi.org/10.3109/10717544.2013.779331] [PMID: 23651066]
[19]
Nautiyal, U.; Sharma, S.; Singh, D.; Kakar, S.; Gupta, S.; Semwal, A.; Singh, R. Development and evaluation of buccal film of norethindrone for birth control. Int. J. Pharmaceut. Med. Res., 2013, 1, 39-43.
[20]
Sheela, A.; Haque, S.E. Development of polymer-bound fast-dissolving metformin buccal film with disintegrants. Int. J. Nanomedicine, 2015, 199, 199.
[http://dx.doi.org/10.2147/IJN.S80052]
[21]
Indian Pharmacopoeia, Controller of Publication, Govt. of India, Ministry of Health and Family Welfare, New Delhi, India. 2018, 3: 4067-4069.
[22]
Martina, V.; Vojtecha, K. Comparison of Biuret, Lowry and Bradford methods for measuring the egg’s proteins. Mendelnet, 2015, 2015, 394-398.
[23]
Kaushal, P.; Mudhalwadkar, R. Stationary wavelet singular entropy based electronic tongue for classification of milk. Trans. Inst. Meas. Contr., 2020, 42(4), 870-879.
[http://dx.doi.org/10.1177/0142331219893895]
[24]
Latha, R.S.; Lakshmi, P.K. Electronic tongue: An analytical gustatory tool. J. Adv. Pharm. Technol. Res., 2012, 3(1), 3-8.
[http://dx.doi.org/10.4103/2231-4040.93556] [PMID: 22470887]
[25]
Aher, S.S.; Sangale, V.D.; Saudagr, R.B. Formulation and evaluation of sublingual film of hydralazine hydrochloride. Res. J. Pharm. Technol., 2016, 9(10), 1681.
[http://dx.doi.org/10.5958/0974-360X.2016.00339.5]
[26]
Palepu, S. Preparation and evaluation of fast dissolving sublingual film of lisinopril. J. Drug Deliv. Ther., 2019, 9(1-s), 101-106.
[http://dx.doi.org/10.22270/jddt.v9i1-s.2342]
[27]
Vila, M.M.D.C.; Tardelli, E.R.; Chaud, M.V.; Tubino, M.; Balcão, V.M. Development of a buccal mucoadhesive film for fast dissolution: Mathematical rationale, production and physicochemical characterization. Drug Deliv., 2014, 21(7), 530-539.
[http://dx.doi.org/10.3109/10717544.2013.851301] [PMID: 24191772]
[28]
Gholve, S.; Savalsure, S.; Bhusnure, O.; Surywanshi, S.; Birajdar, M. Formulation and evaluation of oral fast dissolving sublingual film of propranolol HCl. J. Res. Health Sci., 2018, 6(2), 2369-2373.
[http://dx.doi.org/10.21276/ijprhs.2018]
[29]
Raza, S.N.; Kar, A.H.; Wani, T.U.; Khan, N.A. Formulation and evaluation of mouth dissolving films of Losartan potassium using 32 factorial design. Int. J. Pharm. Sci. Res., 2019, 10(3), 1402-1411.
[http://dx.doi.org/10.13040/IJPSR.0975-8232.10(3)]
[30]
Londhe, V.; Shirsat, R. Formulation and characterization of fast-dissolving sublingual film of iloperidone using box-behnken design for enhancement of oral bioavailability. AAPS PharmSciTech, 2018, 19(3), 1392-1400.
[http://dx.doi.org/10.1208/s12249-018-0954-y] [PMID: 29396734]
[31]
Bilbault, T.; Taylor, S.; Walker, R.; Grundy, S.L.; Pappert, E.J.; Agro, A. Buccal mucosal irritation studies of sublingual apomorphine film (APL-130277) in Syrian golden hamsters. Ther. Deliv., 2016, 7(9), 611-618.
[http://dx.doi.org/10.4155/tde-2016-0043] [PMID: 27506115]
[32]
EMA. ICH Q5C Stability testing of biotechnological/biological products - European Medicines Agency. Available from: https://www.ema.europa.eu/en/ich-q5c-stability-testing-biotechnologicalbiological-products (Accessed 2022 -04 -28).
[33]
Prajapati, S.; Patel, M.; Patel, C. Preparation and evaluation of sublingual tablets of zolmitriptan. Int. J. Pharm. Investig., 2014, 4(1), 27-31.
[http://dx.doi.org/10.4103/2230-973X.127737] [PMID: 24678459]
[34]
Arruda, L.K.; Barbosa, M.C.R.; Santos, A.B.R.; Moreno, A.S.; Chapman, M.D.; Pomés, A. Recombinant allergens for diagnosis of cockroach allergy. Curr. Allergy Asthma Rep., 2014, 14(4), 428.
[http://dx.doi.org/10.1007/s11882-014-0428-6] [PMID: 24563284]
[35]
Srivastava, D.; Gaur, S.N.; Arora, N.; Singh, B.P. Clinico-immunological changes post-immunotherapy with Periplaneta americana. Eur. J. Clin. Invest., 2011, 41(8), 879-888.
[http://dx.doi.org/10.1111/j.1365-2362.2011.02480.x] [PMID: 21323911]
[36]
Chattopadhyay, S.; Raychaudhuri, U.; Chakraborty, R. Artificial sweeteners - a review. J. Food Sci. Technol., 2014, 51(4), 611-621.
[http://dx.doi.org/10.1007/s13197-011-0571-1] [PMID: 24741154]

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