Abstract
This study investigated the use of a newly developed chitosan-Ca pectinate microbead formulation for the colon-targeted delivery of anti-A/B toxin immunoglobulin of egg yolk (IgY) to inhibit toxin binding to colon mucosa cells. The effect of the three components (pectinate, calcium chloride, and chitosan) used for the microbead production was examined with the aim of identifying the optimal levels to improve drug encapsulation efficiency, swelling ratio, and cumulative IgY release rate. The optimized IgY-loaded bead component was pectin 5% (w/v), CaCl2 3% (w/v), and chitosan 0.5% (w/v). Formulated beads were spherical with 1.2-mm diameter, and the drug loading was 45%. An in vitro release study revealed that chitosan-Ca pectinate microbeads inhibited IgY release in the upper gastrointestinal tract and significantly improved the site-specific release of IgY in the colon. An in vivo rat study demonstrated that 72.6% of biologically active IgY was released specifically in the colon. These results demonstrated that anti-A/B toxin IgY-loaded chitosan-Ca pectinate oral microbeads improved IgY release behavior in vivo, which could be used as an effective oral delivery platform for the biological treatment of Clostridium difficile infection (CDI).
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1208%2Fs12249-016-0656-2/MediaObjects/12249_2016_656_Fig1_HTML.gif)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1208%2Fs12249-016-0656-2/MediaObjects/12249_2016_656_Fig2_HTML.gif)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1208%2Fs12249-016-0656-2/MediaObjects/12249_2016_656_Fig3_HTML.gif)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1208%2Fs12249-016-0656-2/MediaObjects/12249_2016_656_Fig4_HTML.gif)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1208%2Fs12249-016-0656-2/MediaObjects/12249_2016_656_Fig5_HTML.gif)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1208%2Fs12249-016-0656-2/MediaObjects/12249_2016_656_Fig6_HTML.gif)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1208%2Fs12249-016-0656-2/MediaObjects/12249_2016_656_Fig7_HTML.gif)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1208%2Fs12249-016-0656-2/MediaObjects/12249_2016_656_Fig8_HTML.gif)
Similar content being viewed by others
References
Brazier JS, Fitzgerald TC, Hosein I, Cefai C, Looker N, Walker M, et al. Screening for carriage and nosocomial acquisition of Clostridium difficile by culture: a study of 284 admissions of elderly patients to six general hospitals in Wales. J Hosp Infect. 1999;43(4):317–9.
Simor AE, Bradley SF, Strausbaugh LJ, Crossley K, Nicolle LE, Committee SL-T-C. Clostridium difficile in long-term-care facilities for the elderly. Infect Control Hosp Epidemiol. 2002;23(11):696–703. doi:10.1086/501997.
McDonald LC, Killgore GE, Thompson A, Owens Jr RC, Kazakova SV, Sambol SP, et al. An epidemic, toxin gene-variant strain of Clostridium difficile. N Engl J Med. 2005;353(23):2433–41. doi:10.1056/NEJMoa051590.
Warny M, Pepin J, Fang A, Killgore G, Thompson A, Brazier J, et al. Toxin production by an emerging strain of Clostridium difficile associated with outbreaks of severe disease in North America and Europe. Lancet. 2005;366(9491):1079–84. doi:10.1016/S0140-6736(05)67420-X.
Lessa FC, Winston LG, McDonald LC, Emerging Infections Program CST. Burden of Clostridium difficile infection in the United States. N Engl J Med. 2015;372(24):2369–70. doi:10.1056/NEJMc1505190.
Jin K, Wang S, Huang Z, Lu S. Clostridium difficile infections in China. J Biomed Res. 2010;24(6):411–6. doi:10.1016/S1674-8301(10)60055-3.
Lyras D, O’Connor JR, Howarth PM, Sambol SP, Carter GP, Phumoonna T, et al. Toxin B is essential for virulence of Clostridium difficile. Nature. 2009;458(7242):1176–9. doi:10.1038/nature07822.
Cohen SH, Gerding DN, Johnson S, Kelly CP, Loo VG, McDonald LC, et al. Clinical practice guidelines for Clostridium difficile infection in adults: 2010 update by the society for healthcare epidemiology of America (SHEA) and the infectious diseases society of America (IDSA). Infect Control Hosp Epidemiol. 2010;31(5):431–55. doi:10.1086/651706.
Eckert C, Lalande V, Barbut F. Clostridium difficile colitis. Rev Prat. 2015;65(1):21–5.
Goldstein EJ, Babakhani F, Citron DM. Antimicrobial activities of fidaxomicin. Clin Infect Dis. 2012;55 Suppl 2:S143–8. doi:10.1093/cid/cis339.
Kali A, Charles MV, Srirangaraj S. Cadazolid: a new hope in the treatment of Clostridium difficile infection. Aust Med J. 2015;8(8):253–62. doi:10.4066/AMJ.2015.2441.
Surawicz CM, Alexander J. Treatment of refractory and recurrent Clostridium difficile infection. Nat Rev Gastroenterol Hepatol. 2011;8(6):330–9. doi:10.1038/nrgastro.2011.59.
Rao K, Young VB. Fecal microbiota transplantation for the management of Clostridium difficile infection. Infect Dis Clin North Am. 2015;29(1):109–22. doi:10.1016/j.idc.2014.11.009.
Ghose C, Kelly CP. The prospect for vaccines to prevent Clostridium difficile infection. Infect Dis Clin North Am. 2015;29(1):145–62. doi:10.1016/j.idc.2014.11.013.
Goldberg EJ, Bhalodia S, Jacob S, Patel H, Trinh KV, Varghese B, et al. Clostridium difficile infection: a brief update on emerging therapies. Am J Health Syst Pharm. 2015;72(12):1007–12. doi:10.2146/ajhp140645.
Lubbert C, John E, von Muller L. Clostridium difficile infection: guideline-based diagnosis and treatment. Dtsch Arztebl Int. 2014;111(43):723–31. doi:10.3238/arztebl.2014.0723.
Spencer J, Leuzzi R, Buckley A, Irvine J, Candlish D, Scarselli M, et al. Vaccination against Clostridium difficile using toxin fragments: observations and analysis in animal models. Gut Microbes. 2014;5(2):225–32. doi:10.4161/gmic.27712.
Tian JH, Fuhrmann SR, Kluepfel-Stahl S, Carman RJ, Ellingsworth L, Flyer DC. A novel fusion protein containing the receptor binding domains of C. difficile toxin A and toxin B elicits protective immunity against lethal toxin and spore challenge in preclinical efficacy models. Vaccine. 2012;30(28):4249–58. doi:10.1016/j.vaccine.2012.04.045.
Mulvey GL, Dingle TC, Fang L, Strecker J, Armstrong GD. Therapeutic potential of egg yolk antibodies for treating Clostridium difficile infection. J Med Microbiol. 2011;60(Pt 8):1181–7. doi:10.1099/jmm.0.029835-0.
Shimizu M, Fitzsimmons RC, Nakai S. Anti-E. coli immunoglobulin Y isolated from egg yolk of immunized chickens as a potential food ingredient. J Food Sci. 1988;53(5):1360–8.
Bansal V, Malviya R, Malaviya T, Sharma PK. Novel prospective in colon specific drug delivery system. Polim Med. 2014;44(2):109–18.
Wong TW, Colombo G, Sonvico F. Pectin matrix as oral drug delivery vehicle for colon cancer treatment. AAPS PharmSciTech. 2011;12(1):201–14. doi:10.1208/s12249-010-9564-z.
Yoshida T, Lai TC, Kwon GS, Sako K. pH- and ion-sensitive polymers for drug delivery. Expert Opin Drug Deliv. 2013;10(11):1497–513. doi:10.1517/17425247.2013.821978.
Sandolo C, Pechine S, Le Monnier A, Hoys S, Janoir C, Coviello T, et al. Encapsulation of Cwp84 into pectin beads for oral vaccination against Clostridium difficile. Eur J Pharm Biopharm. 2011;79(3):566–73. doi:10.1016/j.ejpb.2011.05.011.
Zhang S, Xing P, Guo G, Liu H, Lin D, Dong C, et al. Development of microbeads of chicken yolk antibodies against Clostridium difficile toxin A for colonic-specific delivery. Drug Deliv. 2016;23(6):1940–7. doi:10.3109/10717544.2015.1022836.
Sinha VR, Kumria R. Polysaccharides in colon-specific drug delivery. Int J Pharm. 2001;224(1–2):19–38.
Fernandes M, Goncalves IC, Nardecchia S, Amaral IF, Barbosa MA, Martins MC. Modulation of stability and mucoadhesive properties of chitosan microspheres for therapeutic gastric application. Int J Pharm. 2013;454(1):116–24. doi:10.1016/j.ijpharm.2013.06.068.
Hiorth M, Versland T, Heikkila J, Tho I, Sande SA. Immersion coating of pellets with calcium pectinate and chitosan. Int J Pharm. 2006;308(1–2):25–32. doi:10.1016/j.ijpharm.2005.10.012.
Hansen P, Scoble JA, Hanson B, Hoogenraad NJ. Isolation and purification of immunoglobulins from chicken eggs using thiophilic interaction chromatography. J Immunol Methods. 1998;215(1–2):1–7.
Bigucci F, Luppi B, Monaco L, Cerchiara T, Zecchi V. Pectin-based microspheres for colon-specific delivery of vancomycin. J Pharm Pharmacol. 2009;61(1):41–6. doi:10.1211/jpp/61.01.0006.
Si L, Zhao Y, Huang J, Li S, Zhai X, Li G. Calcium pectinate gel bead intended for oral protein delivery: preparation improvement and formulation development. Chem Pharm Bull (Tokyo). 2009;57(7):663–7.
Takagi I, Shimizu H, Yotsuyanagi T. Application of alginate gel as a vehicle for liposomes. I. Factors affecting the loading of drug-containing liposomes and drug release. Chem Pharm Bull (Tokyo). 1996;44(10):1941–7.
Nokhodchi A, Tailor A. In situ cross-linking of sodium alginate with calcium and aluminum ions to sustain the release of theophylline from polymeric matrices. Farmaco. 2004;59(12):999–1004. doi:10.1016/j.farmac.2004.08.006.
Mura P, Maestrelli F, Cirri M, Gonzalez Rodriguez ML, Rabasco Alvarez AM. Development of enteric-coated pectin-based matrix tablets for colonic delivery of theophylline. J Drug Target. 2003;11(6):365–71. doi:10.1080/10611860310001639130.
Dingle KE, Griffiths D, Didelot X, Evans J, Vaughan A, Kachrimanidou M, et al. Clinical Clostridium difficile: clonality and pathogenicity locus diversity. PLoS One. 2011;6(5):e19993. doi:10.1371/journal.pone.0019993.
Awad MM, Johanesen PA, Carter GP, Rose E, Lyras D. Clostridium difficile virulence factors: insights into an anaerobic spore-forming pathogen. Gut Microbes. 2014;5(5):579–93. doi:10.4161/19490976.2014.969632.
Abougergi MS, Kwon JH. Intravenous immunoglobulin for the treatment of Clostridium difficile infection: a review. Dig Dis Sci. 2011;56(1):19–26. doi:10.1007/s10620-010-1411-2.
Antonin KH, Saano V, Bieck P, Hastewell J, Fox R, Lowe P, et al. Colonic absorption of human calcitonin in man. Clin Sci (Lond). 1992;83(5):627–31.
Saffran M, Kumar GS, Savariar C, Burnham JC, Williams F, Neckers DC. A new approach to the oral administration of insulin and other peptide drugs. Science. 1986;233(4768):1081–4.
Gibson SA, McFarlan C, Hay S, MacFarlane GT. Significance of microflora in proteolysis in the colon. Appl Environ Microbiol. 1989;55(3):679–83.
Youan BB. Chronopharmaceutics: gimmick or clinically relevant approach to drug delivery? J Control Release. 2004;98(3):337–53. doi:10.1016/j.jconrel.2004.05.015.
Akala EO, Elekwachi O, Chase V, Johnson H, Lazarre M, Scott K. Organic redox-initiated polymerization process for the fabrication of hydrogels for colon-specific drug delivery. Drug Dev Ind Pharm. 2003;29(4):375–86. doi:10.1081/DDC-120018373.
Odeku OA, Fell JT. In-vitro evaluation of khaya and albizia gums as compression coatings for drug targeting to the colon. J Pharm Pharmacol. 2005;57(2):163–8. doi:10.1211/0022357055362.
Butte K, Momin M, Deshmukh H. Optimisation and in vivo evaluation of pectin based drug delivery system containing curcumin for colon. Int J Biomater. 2014;2014:924278. doi:10.1155/2014/924278.
Momin M, Pundarikakshudu K. In vitro studies on guar gum based formulation for the colon targeted delivery of sennosides. J Pharm Pharm Sci. 2004;7(3):325–31.
Kim TH, Park YH, Kim KJ, Cho CS. Release of albumin from chitosan-coated pectin beads in vitro. Int J Pharm. 2003;250(2):371–83.
Mennini N, Furlanetto S, Maestrelli F, Pinzauti S, Mura P. Response surface methodology in the optimization of chitosan-Ca pectinate bead formulations. Eur J Pharm Sci. 2008;35(4):318–25. doi:10.1016/j.ejps.2008.07.011.
Dupuis G, Chambin O, Genelot C, Champion D, Pourcelot Y. Colonic drug delivery: influence of cross-linking agent on pectin beads properties and role of the shell capsule type. Drug Dev Ind Pharm. 2006;32(7):847–55. doi:10.1080/03639040500536718.
Mladenovska K, Raicki RS, Janevik EI, Ristoski T, Pavlova MJ, Kavrakovski Z, et al. Colon-specific delivery of 5-aminosalicylic acid from chitosan-Ca-alginate microparticles. Int J Pharm. 2007;342(1–2):124–36. doi:10.1016/j.ijpharm.2007.05.028.
Sriamornsak P, Thirawong N, Puttipipatkhachorn S. Emulsion gel beads of calcium pectinate capable of floating on the gastric fluid: effect of some additives, hardening agent or coating on release behavior of metronidazole. Eur J Pharm Sci. 2005;24(4):363–73. doi:10.1016/j.ejps.2004.12.004.
George M, Abraham TE. Polyionic hydrocolloids for the intestinal delivery of protein drugs: alginate and chitosan—a review. J Control Release. 2006;114(1):1–14. doi:10.1016/j.jconrel.2006.04.017.
ACKNOWLEDGMENTS
This work was supported by the Natural Science Foundation of Shandong (No: ZR2014HM062) and the National Science and Technology Major Project (2013ZX09402201).
Author information
Authors and Affiliations
Corresponding authors
Ethics declarations
This study was performed in accordance with the recommendations of the US Department of Health and Human Services for the care and use of laboratory animals. All animals were exposed to CO2 for anesthesia before being sacrificed, and the protocols were approved by the Animal Ethics Committee of Shandong Binzhou Medical University (permit number: 2014–05).
Conflict of Interest
The authors report no conflicts of interest. The authors alone are responsible for the content and writing of this article.
Additional information
Guest Editors: Claudio Salomon, Francisco Goycoolea, and Bruno Moerschbacher
Rights and permissions
About this article
Cite this article
Xing, P., Shi, Y., Dong, C. et al. Colon-Targeted Delivery of IgY Against Clostridium difficile Toxin A and B by Encapsulation in Chitosan-Ca Pectinate Microbeads. AAPS PharmSciTech 18, 1095–1103 (2017). https://doi.org/10.1208/s12249-016-0656-2
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1208/s12249-016-0656-2