Paper page

Original: publisher page

Siddhi S. Hate, Susan M. Reutzel-Edens, Lynne S. Taylor* · Molecular Pharmaceutics (Just Accepted Manuscript, published on the web 13 Aug 2020) (2020)

Influence of Drug-Silica Electrostatic Interactions on Drug Release from Mesoporous Silica-Based Oral Delivery Systems

In mesoporous silica, weakly basic drugs that are still charged at intestinal pH bind to the negatively charged silica, so part of the drug released in stomach-like acid goes back onto the silica when the pH rises.

Abbreviations

ATZ atazanavir; CLZ clozapine; KET ketoconazole; MPS mesoporous silica-based formulation; SBA-15 ordered mesoporous silica (7.1 nm pores); DL drug loading (w/w); TEA triethylamine; HPMC hydroxypropyl methylcellulose; IEP isoelectric point; BET Brunauer-Emmett-Teller isotherm; Qm BET monolayer coverage; p. = printed manuscript page ("Page N of 30"); SI p. = page of the supporting information (PDF index).

Graphical abstract: Release in acid, re-adsorption at intestinal pH
Graphical abstract · p.2 · Release in acid, re-adsorption at intestinal pHShows. drug D on silanols; at gastric pH the cationic drug D+ goes into solution while most silanols are protonated; after the pH change D+ binds to SiO− groups.

Story. Why they did it → how → what they found → how it fits together → what is left. Each part opens with the short version; "More detail" under it gives the full account. Grey ids open the evidence behind a sentence.

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Question

How do the charges of the silica surface and of the drug, both set by pH, control adsorption and release of weakly basic drugs from mesoporous silica, including after a gastric-to-intestinal pH shift?

Short answer

For KET and CLZ, which stay partly ionized at pH 5.5 to 6.8, adsorption rose and release fell as the pH increased, and about 30% of the drug released at pH 1 left solution after a shift to pH 6.8; the competing cation TEA largely prevented the loss. ATZ, almost un-ionized at intestinal pH, showed no drop but released only about 40% at pH 4.5 to 6.8. ··········

Conclusion

For KET, CLZ and ATZ loaded at 20% w/w in SBA-15 and tested in 50 mL at 37 °C, solution pH strongly affected both adsorption onto silica and release, through what the authors call a "complex interplay" of drug solubility, drug and silica ionization and adsorption. ······· For KET and CLZ, adsorption at pH 6.8 is primarily electrostatic (KET "confirmed" by TEA, CLZ "seemed"), and the loss of dissolved drug after a pH 1 to 6.8 shift is read as re-adsorption of drug released in acid (abstract "demonstrated", discussion "the conjecture"), not crystallization. ··· The authors extend the electrostatic explanation to all three drugs, although ATZ was not tested with competing adsorbates and adsorbed least at pH 6.8, where it is almost uncharged. ··· With an absorptive sink, KET release rose by only about 10% in 4 h, which the authors take to mean strong adsorption that is "at least partially irreversible" or very slow to reverse. ·· They conclude that weak bases in MPS "may have reduced availability" after gastric-to-intestinal transit and that MPS "might not be the most suitable approach" for weak bases with a high pKa or a pKa above intestinal pH; absorption in vivo was not measured. ··

01Why this study

Known 1Confinement keeps the drug amorphous

Drug in silica nanopores does not crystallize, dissolves fast and supersaturates, which raises the driving force for absorption.

Taylor 2016, ref 1; Jackson 1996, ref 5; Dening 2018, ref 10 ··

Known 2Silica binds drugs

Silanols bind drugs by hydrogen bonding or, depending on pH, electrostatically; strong binding gives sustained, incomplete release.

Song 2005, ref 16; McCarthy 2016, ref 17 ·

Known 3Silica charge depends on pH

The isoelectric point lies near pH 2; above it the surface is negative.

Colilla 2010, ref 15

Known 4pH steers release of ionizable drugs

Weak acids release better at intestinal pH, helped by repulsion from the negative silica.

Charnay 2004, ref 24; Van Speybroeck 2011, ref 25

Known 5Supersaturation can drive adsorption

For silica formulations, supersaturation can raise the amount of drug adsorbed on the silica.

Parfitt 1983, ref 27

Gap → this paperDoes the supersaturation a weak base develops on moving from gastric to intestinal pH make it re-adsorb onto the silica?
More detail

What was already known. The introduction builds on these points:

  • Supersaturation helps absorption. Supersaturating formulations raise the driving force for transport across the GI membrane. (Taylor 2016, ref 1)
  • Confinement and loading. Nanopores suppress crystallization, especially when they are smaller than the critical nucleus, and so give amorphous formulations with better physical stability (refs 3-5). The maximum loading depends on surface area, pore diameter and volume, drug-silica interactions, molecular size and loading solvent (refs 6-8). Mesoporous formulations often give burst release, supersaturation and better bioavailability than crystalline drug (Mellaerts 2008, ref 9; Dening 2018, ref 10). ·
  • Surface chemistry. Release depends on pore size, pore volume, drug-silica interactions, hydrophobicity and loading (refs 11, 12). The silica surface carries isolated, vicinal and geminal silanols; hydrogen bonding is the commonest interaction and isolated silanols are the most reactive sites (refs 13, 14). Silica is positively charged below about pH 2 and negatively charged above (Colilla 2010, ref 15). ·
  • Interaction type and release. Depending on drug and pH, binding is electrostatic or by hydrogen bonds. Strong binding means higher loading and sustained release; weak binding means lower loading and burst release; silanol hydrogen bonds alone are relatively weak (Song 2005, ref 16; refs 17, 18).
  • Tuning by functionalization. Grafted groups change the isoelectric point or hydrophobicity: amine-functionalized silica (isoelectric point near pH 7) holds weak acids at higher pH, and triethylammonium-modified silica (pH 7.38) gave colon-targeted sulfasalazine release; pH is the commonest release trigger (refs 16, 18-23, 26).
  • pH and ionizable drugs. Ibuprofen (pKa 5.6), indomethacin (pKa 4.1) and glibenclamide (pK 5.5) released better from silica at higher pH, explained by higher solubility and by repulsion between the anionic drug and the negative silica (Charnay 2004, ref 24; Van Speybroeck 2011, ref 25).
  • Weak bases and the pH shift. A weak base dissolves well in the stomach and supersaturates when the pH rises past its pKa. Supersaturation can increase the drug adsorbed on silica and so lower the dissolved drug available for absorption (Parfitt 1983, ref 27). Itraconazole (pKa 3.7) released from silica fell after a pH shift by crystallization (Mellaerts 2008, ref 9). ·
  • The group's earlier atazanavir work. Starting dissolution in acid improved ATZ release from silica; a polymer in the medium held the supersaturation after the shift, and with an absorptive compartment almost all ATZ was released (Hate 2020 thesis, ref 28).
  • Absorptive dissolution testing. Removing drug through a membrane changes the kinetics of competing processes such as crystallization or adsorption (Hate 2017, ref 35; Hate 2018, ref 36; Hate 2019, ref 37).

What the paper set out to do. The authors note that re-adsorption of a weak base onto silica after the gastric-to-intestinal pH shift was possible but not yet reported ("there is a possibility"). They set out to probe how pH governs the balance between adsorption and release of poorly soluble weak bases from mesoporous silica under supersaturated conditions, using three weak bases with different pKa values, adsorption at four GI-relevant pH values, single-pH and two-step (fasted and fed) release from 20% w/w SBA-15, and absorptive dissolution. ····

02How they approached it

Three weak bases that differ in pKa, and so in how charged they are at intestinal pH, each loaded at 20% w/w in the same SBA-15; silica charge, adsorption and release measured at the same four pH values, then a pH shift, and two competitors to tell adsorption from crystallization and electrostatic from hydrogen-bond binding. ····

KETketoconazolepKa 2.9 and 6.5; ≈91% ionized at pH 5.5 and ≈33% at pH 6.8; dose 50 µg/mL. Measured. ·
CLZclozapinepKa 7.3 (7.5 in the introduction); ≈98% ionized at pH 5.5 and ≈76% at pH 6.8; dose 150 µg/mL. Measured. ··
ATZatazanavirpKa 4.49; ≈50% ionized at pH 4.5, ≈9% at 5.5 and ≈0.5% at 6.8; dose 75 µg/mL. Measured, but not in the competitor or absorptive tests. ·
SBA-15ordered mesoporous silica7.1 nm pores, 586 m2/g; carrier for all three drugs and adsorbent in the isotherms. Measured. ·

What was done

Experiment

Zeta potential of SBA-15 at pH 1-10.·

Calculation

Henderson-Hasselbalch ionization and pH-solubility profiles of the drugs.···

Experiment

Drug loaded at 20% w/w by incipient wetness→PXRD and DSC of the powders.·

↓
Experiment

Adsorption isotherms on SBA-15 at pH 1, 4.5, 5.5 and 6.8, 37 °C→BET monolayer coverage.·····

Experiment

Release in single-pH media, 50 mL, 37 °C, 60 min.···

↓
Experiment

Two-step release: 30 min at pH 1, then pH 4.5, 5.5 or 6.8 (fasted), or pH 4.5 then 5.5 (fed)→PXRD of the solid after the pH 1 to 6.8 shift.····

↓
Experiment

Adsorption at pH 6.8 with 50 mM TEA or 0.5 M urea→two-step release with TEA added at the shift.····

Experiment

KET-MPS two-step release with a hollow-fiber absorptive compartment, to 270 min.··

↓
Comparison

Adsorption against release across pH and drugs, and the sink effect against the earlier ATZ-MPS result.··

More detail

What was done

  1. Formulations. KET, CLZ and ATZ were loaded into SBA-15 (7.1 nm pores, 586 m2/g) at 20% w/w by adding a methanolic stock (20-40 mg/mL), drying at 40 °C overnight and under vacuum for 48 h; drug content was checked by HPLC after extraction in methanol (values not printed). The powders were X-ray amorphous and showed no thermal events in DSC. ··
  2. Silica charge and drug charge. The zeta potential of SBA-15 was measured at pH 1-10 and 37 °C in water adjusted with HCl or NaOH. Percent ionization and crystalline pH-solubility curves were calculated with the Henderson-Hasselbalch equation. ·····
  3. Adsorption isotherms. A small aliquot of methanolic drug stock (methanol below 0.5%) was added to medium containing SBA-15 at the amount present after a dissolution test, equilibrated 2 h at 37 °C, centrifuged and the supernatant analysed by HPLC; adsorbed drug was taken as the loss from solution. Media were 0.1 N HCl (pH 1), 50 mM acetate (pH 4.5, 5.5) and 50 mM phosphate (pH 6.8), each with 100 µg/mL HPMC. Triplicates. Isotherms were fitted to the BET equation and replotted against solute activity at pH 6.8. ·······
  4. Release. The dose in 50 mL was set at the amorphous solubility of each free base: 50 µg/mL KET, 150 µg/mL CLZ, 75 µg/mL ATZ. Single-pH tests ran 60 min. Two-step tests ran 30 min in 0.1 N HCl, then concentrated NaOH raised the pH to 4.5, 5.5 or 6.8 for a further 90 min; a fed-state sequence started at pH 4.5 and shifted to 5.5. ·
  5. Competitors. At pH 6.8, KET and CLZ adsorption was measured with 50 mM TEA (a cation that competes for SiO− sites) or 0.5 M urea (a hydrogen-bond competitor). TEA was also added at the shift in two-step tests from pH 1 to 6.8. ··
  6. Absorptive dissolution. For KET-MPS only, a flow-through hollow-fiber module (100 cm2, 15 nm pores, 4 mL/min on both sides, 37 °C) started removing drug after the shift to pH 6.8; donor samples were analysed by HPLC and the pH 6.8 receiver by in-line UV, up to 270 min.
Terms used on this page
  • pKa: the pH at which half of the base is protonated (charged); a base is mostly charged below its pKa.
  • Isoelectric point: the pH at which a surface carries no net charge; zeta potential is the measured surface potential that changes sign there.
  • Adsorption isotherm: amount of drug held on the silica (mg/g) against the drug concentration left in solution at equilibrium.
  • BET monolayer coverage (Qm): the fitted amount needed to cover the surface with one layer of drug.
  • Two-step (pH-shift) dissolution: release first in acid, then at a higher pH, to mimic passage from stomach to intestine; fasted and fed differ in the starting pH (1 or 4.5).
  • Absorptive dissolution: a release test with a membrane that removes dissolved drug into a receiver, as absorption would.
  • Competitive adsorbate: a small molecule added to occupy the binding sites; which competitor works shows which kind of binding the drug uses.
Fig. 1: Ionization of the three drugs versus pH
Fig. 1 · p.11 · Ionization of the three drugs versus pHShows. KET with two pKa values (BH2+, BH+ and total), CLZ (pKa 7.3), ATZ (pKa 4.49); structures as insets.

03Main findings

1

Silica turns negative above about pH 2, and KET and CLZ stick to it more as the pH rises; ATZ does the opposite

SBA-15 went from ≈+1.7 mV at pH 1 to ≈−25.9 mV at pH 7. KET and CLZ adsorption grew with pH (CLZ none at pH 1, up to ≈53 mg/g at pH 6.8), while ATZ adsorbed most at pH 1 and 4.5 and least at pH 6.8. ···

Fig. 2: Zeta potential of SBA-15 versus pH
Fig. 2 · p.12 · Zeta potential of SBA-15 versus pHShows. slightly positive at pH 1 and 2, negative from pH 3, about −29 mV at pH 8 to 10.Also supports K1
Fig. 3: Adsorption isotherms at four pH values
Fig. 3 · p.13 · Adsorption isotherms at four pH valuesShows. (a) KET and (b) CLZ adsorb more as the pH rises; (c) ATZ adsorbs least at pH 6.8 (blue).Read it as. the x-axes differ (CLZ up to 160 µg/mL); CLZ has no pH 1 data because it did not adsorb.Also supports K2
More detail

The zeta potential of SBA-15 was ≈+1.7 mV at pH 1 and ≈+0.5 mV at pH 2, crossed zero between pH 2 and 3 (≈−1.6 mV at pH 3), fell steeply to ≈−22.2 mV at pH 6 and levelled at ≈−28.5 to ≈−29.6 mV from pH 8 to 10; the authors give the isoelectric point as pH 2, consistent with the literature. ··

KET adsorbed little at pH 1 (≈9-10 mg/g over most of the range, ≈13.5 mg/g at ≈52 µg/mL) and much more at pH 4.5 (≈43.5 mg/g at ≈41 µg/mL), 5.5 (≈53 mg/g at ≈39.5 µg/mL) and 6.8 (≈66 mg/g at ≈37 µg/mL). At low concentration the pH 6.8 points lay below the pH 4.5 and 5.5 points (≈25 mg/g at ≈20 µg/mL against ≈35-39 mg/g near 22 µg/mL).

CLZ showed no adsorption at pH 1 (not plotted). At the highest concentrations it reached ≈16 mg/g at pH 4.5 (≈140 µg/mL), ≈24 mg/g at pH 5.5 (≈136 µg/mL) and ≈53 mg/g at pH 6.8 (≈118 µg/mL).

ATZ reached ≈38.5 mg/g at pH 1, ≈40.5 at pH 4.5 and ≈37.5 at pH 5.5 near 52-59 µg/mL, but only ≈21 mg/g at pH 6.8 (≈64.5 µg/mL); across mid-range concentrations the pH 6.8 isotherm lies at roughly half or less of the others.

BET monolayer coverage followed the same pattern: CLZ 0.049 → 0.098 → 0.275 from pH 4.5 to 6.8; KET 0.022 at pH 1 and 0.081-0.125 at higher pH; ATZ 0.057 and 0.058 at pH 1 and 4.5, then 0.019 and 0.006 (printed unit "mg/mol"). At pH 6.8 Qm ranked CLZ > KET > ATZ. ··

The authors' reading: silica deprotonation and drug ionization change the strength of binding or the number of sites ("It is likely"). For KET, the slight rise from pH 4.5 to 6.8 means that the loss of charged KET is balanced by more SiO− groups ("suggested"); for CLZ, the negligible adsorption in acid is put down to repulsion from the silica. ···

2

In single-pH media, release is lowest where adsorption is highest for KET and CLZ

At 60 min KET released ≈92% at pH 1 and ≈87% at pH 4.5, but ≈60% at pH 5.5 and ≈55% at pH 6.8; CLZ ≈93-94% at pH 1 to 4.5, ≈88.5% at 5.5 and ≈73.5% at 6.8. ATZ released ≈70% at pH 1 and only ≈33-40% at pH 4.5 to 6.8. ··

Fig. 4: Release at a single pH over 60 min
Fig. 4 · p.14 · Release at a single pH over 60 minShows. (a) KET and (b) CLZ lowest at pH 6.8 (blue); (c) ATZ high only at pH 1 (black).Also supports K3
More detail

KET-MPS released ≈93% and ≈82% at the first sample at pH 1 and 4.5 (the authors: "immediate and almost complete release (80-90%)"), against ≈43% and ≈36% at pH 5.5 and 6.8, which rose to ≈60% and ≈55% by 60 min.

CLZ-MPS released ≈97% (pH 1) and ≈94.5% (pH 4.5) at once and stayed there; at pH 5.5 release was ≈85-89.5% and at pH 6.8 it rose from ≈61% to ≈73.5%.

ATZ-MPS released ≈70% at once at pH 1 and no more over 60 min. At pH 4.5, 5.5 and 6.8 the burst was ≈14.5-21% and release reached ≈40.5%, ≈33% and ≈40% at 60 min (the text gives a plateau "at about 40%"). ·

The authors attribute high KET and CLZ release in acid to high solubility and low adsorption, and the lower release at pH 5.5 and 6.8 "most likely" to higher adsorption combined with falling solubility. For ATZ they attribute the low release at pH 1 compared with the other drugs to its higher adsorption at low pH, and the low release at higher pH to its low solubility, which makes the formulation more hydrophobic so that water enters the pores more slowly ("is expected"). ···

3

After a shift from pH 1 to 6.8, about 30% of the dissolved KET and CLZ leaves solution at once, with no crystals; ATZ does not drop

KET fell from ≈96% to ≈64% released and CLZ from ≈99% to ≈69% at the first sample after the shift, then stayed nearly flat to 120 min. The solid collected afterwards showed no diffraction peaks. ATZ held at ≈73-77%. ···

Fig. 5: Two-step release; the dashed line marks the pH shift at 30 min
Fig. 5 · p.16 · Two-step release; the dashed line marks the pH shift at 30 minShows. KET (a) and CLZ (b) drop at the shift, most for pH 1 to 6.8 (black); ATZ (c) does not drop.Also supports K4
More detail

Before the shift both KET and CLZ were released almost completely at pH 1 (≈96-100%). ·

For KET, the pH 1 to 6.8 sequence dropped from ≈96% to ≈64% and recovered only to ≈69% at 120 min; pH 1 to 5.5 dropped from ≈95.5% to ≈74.5% and drifted to ≈70%; pH 1 to 4.5 dropped from ≈99.5% to ≈88% and drifted to ≈84.5%. The authors write that the dissolved amount fell "by almost 30-35%" on the shift to pH 5.5 or 6.8. ·

For CLZ, pH 1 to 6.8 dropped from ≈99% to ≈69% (the authors: "approximately 30%"), pH 1 to 5.5 from ≈95% to ≈79% (≈75.5% at 120 min) and pH 1 to 4.5 from ≈95% to ≈85.5%.

ATZ released ≈62-72.5% in the first 15 min; after the shift to pH 6.8 or 5.5 the level stayed at ≈69-77%, and after the shift to pH 4.5 it fell slightly to a plateau of ≈63% (the text: 60%). ·

PXRD of the solid collected after the pH 1 to 6.8 shift showed only a broad halo, so the authors ruled out crystallization and proposed re-adsorption of the released drug as the alternative. ·

Fig. S3: PXRD of the solid collected after the pH 1 to 6.8 shift
Fig. S3 · p.SI-3 · PXRD of the solid collected after the pH 1 to 6.8 shiftShows. only a broad halo for KET-MPS and CLZ-MPS, no crystalline peaks.
4

A cationic competitor blocks the binding and largely prevents the drop

At pH 6.8, 50 mM TEA cut adsorption from ≈66 to ≈8.6 mg/g for KET and from ≈53 to ≈25 mg/g for CLZ; urea lowered KET to ≈47.7 mg/g and left CLZ unchanged. With TEA added at the shift, KET stayed at ≈93-88% and CLZ at ≈85-80%, instead of ≈64-69%. ··

Fig. 6: Competitive adsorption at pH 6.8
Fig. 6 · p.17 · Competitive adsorption at pH 6.8Shows. TEA (blue) strips most KET and half of CLZ; urea (red) lowers KET only.Also supports K5
Fig. 7: Two-step release with TEA added at the shift
Fig. 7 · p.18 · Two-step release with TEA added at the shiftShows. with TEA (red) KET and CLZ stay well above the runs without TEA (black).Also supports K4
More detail

In the competitor test at pH 6.8, TEA reduced KET adsorption by ≈87% and CLZ by ≈53%. Urea (0.5 M) reduced KET adsorption from ≈66 to ≈47.7 mg/g, which the authors call "only small", and gave ≈54 against ≈53 mg/g for CLZ. ·

The authors read the TEA effect as competitive adsorption of the cation ("indicating") and conclude that KET binds silica primarily through electrostatic attraction between cationic KET and SiO− groups ("confirmed"), with "some extent" of hydrogen bonding of uncharged KET; for CLZ, electrostatic binding "seemed" to dominate. ···

With TEA added at the shift, KET went from ≈96% to ≈93% and declined to ≈88% at 120 min (the text says it "did not decrease, plateauing at 95%"); CLZ went from ≈96% to ≈85% and ≈80%, against ≈69% and ≈68% without TEA. The authors take this as support for re-adsorption ("consistent with less re-adsorption"). ····

5

An absorptive sink frees little of the re-adsorbed KET

With a membrane removing KET after the shift, total release rose from ≈54-60.5% to ≈69.5% over 4 h while the donor fell from ≈29.5 to ≈5.9 µg/mL; the authors call the gain about 10%. ·

Fig. 8: KET-MPS with an absorptive compartment
Fig. 8 · p.19 · KET-MPS with an absorptive compartmentShows. (a) donor (black, left axis) falls after the shift while total release (red, right axis) recovers only to ≈70%; (b) receiver peaks near 50 min, then declines.Also supports K6
More detail

In the absorptive set-up KET-MPS released ≈89-90% at pH 1. At the shift the donor fell abruptly from ≈44.8 to ≈29.5 µg/mL, then declined steadily to ≈5.9 µg/mL at 270 min, which the authors attribute to absorption across the membrane. The receiver concentration peaked at ≈2.9 µg/mL between ≈40 and ≈58 min and fell to ≈0.63 µg/mL by 270 min, mirroring the donor. ··

Total release dropped to ≈54-55.5% at 45-90 min and climbed to ≈69.5% at 270 min. The authors describe this as an increase "only slightly (by 10%)" and contrast it with almost complete release of ATZ-MPS in their earlier absorptive studies. They conclude that drug removal did not drive much desorption over a biorelevant time: KET adsorption at high pH "seems" strong, "at least partially irreversible" or very slow to reverse. ····

04Further observations

  • All three 20% DL formulations were X-ray amorphous with no glass transition or melting in DSC.
  • The pH 1 to 4.5 shift also lowered KET and CLZ by ≈10-15 points, a drop not discussed. ··
  • The fed sequence (pH 4.5 to 5.5) ended at ≈68.5% for KET, ≈82.5% for CLZ and ≈38.5% for ATZ. ··
  • On an activity scale at pH 6.8, CLZ adsorbed most per unit activity and ATZ least.
More detail
  • Amorphous formulations. PXRD showed a broad halo near ≈22-23° 2θ without peaks for all three formulations, and DSC reversing heat flow showed no step or melting peak; the authors read the absence of crystallization, melting and a Tg as nanopore confinement ("suggesting"). The CLZ and ATZ traces show a broad rise near ≈100 °C that is not discussed. ··
  • pH 1 to 4.5 also lowers the concentration. KET fell from ≈99.5% to ≈88% (≈84.5% at 120 min) and CLZ from ≈95% to ≈85.5% (≈83.5%) after this smaller pH step; ATZ fell from ≈70.5% to ≈60.5%. ···
  • Fed-state sequence. Starting at pH 4.5, KET released ≈65.5-74% and ended at ≈68.5% after the shift to pH 5.5; CLZ released ≈93-97% and fell to ≈82.5% (the authors: a 15% reduction); ATZ released only ≈13-32% at pH 4.5 and rose to ≈38.5% after the shift. For KET the authors read the similarity to the fasted sequences as "predicting no food effect" from a pH perspective. ····
  • Activity scale. Replotted against solute activity at pH 6.8, CLZ reached ≈53 mg/g at activity ≈0.19, KET ≈66 mg/g at ≈0.445 and ATZ only ≈21 mg/g at ≈0.86; the amorphous solubilities used for KET and CLZ are not stated. ·
  • Equilibration. Preliminary tests showed rapid adsorption equilibrium, so 2 h was used for all isotherms (data not shown).
  • Calculated solubility curves. The crystalline pH-solubility profiles leave their plateau near pH ≈5 (ATZ), ≈7 (KET) and ≈8 (CLZ).

05How the authors connect the findings

1Below about pH 2 the silica surface is neutral to slightly positive; above it, silanols lose protons and the surface becomes more and more negative. ·
↓
2Adsorption competes with solvation: a well-dissolved (well-solvated) drug has less drive to adsorb.
↓
Acid, pH 1All three bases are fully charged and highly soluble↓silica nearly uncharged, CLZ repelled↓little adsorption of KET and CLZ↓near-complete release.···
High-pKa base at intestinal pH (KET, CLZ)Still partly charged while silica is strongly negative and solubility falls↓electrostatic adsorption↓lower release, and drug released in acid re-adsorbs after the shift (≈30% drop).·····
Low-pKa base (ATZ)Mostly neutral at pH 5.5 and above↓no electrostatic attraction and no re-adsorption↓but low solubility and a more hydrophobic formulation keep release near 40%.·
What sets the switch point. The drug's pKa relative to intestinal pH, which decides how much drug is still charged where the silica is strongly negative ("pKa affects the solubility and ionization of drugs, which in turn governs the adsorption tendency").
Conclusion drawn. MPS formulations "might not be the most suitable approach" for weak bases with a high pKa or a pKa above intestinal pH.
More detail
  1. Silica charge is set by silanol ionization: SiOH2+ dominates below pH 2 and SiO− above, which the authors call critical for ionizable drugs; GI pH variation is "one of the most crucial physiological parameters" for MPS. ·
  2. Silica deprotonation and drug ionization change the strength of binding or the number of adsorption sites ("It is likely"). Rising Qm of CLZ with pH is read as more sites from silica ionization. ·
  3. Adsorption is a competition between drug-silica interactions and drug solvation; higher solvation energy lowers the drive to adsorb (ref 45).

Acid stage. KET and CLZ are fully charged and highly soluble, so they are well solvated and adsorb little; CLZ is even repelled by the silica. Release is near complete. ···

After the shift, KET and CLZ. Solubility falls while the silica becomes strongly negative and the drugs keep some positive charge (KET ≈33%, CLZ ≈76% at pH 6.8). Strong electrostatic attraction pulls drug back onto the silica, an "appreciable 30% drop". The TEA results support this "conjecture"; urea shows "some extent" of hydrogen bonding for KET. Because a membrane sink frees little drug, adsorption "seems" strong, perhaps partly irreversible. ·········

ATZ. With pKa 4.49, ATZ is barely charged at pH 5.5-6.8, which "precludes" electrostatic binding and "most likely" explains the absence of re-adsorption. Its relatively high adsorption at low pH "most likely" reflects the low pKa changing the balance of adsorption and solvation, and its low release at higher pH is attributed to low solubility and a more hydrophobic formulation that slows water entry into the pores (refs 46, 47). ··

  1. Across the three drugs, pKa governs solubility and ionization, and these govern adsorption and release.

What sets the switch point. The fraction of drug still charged at intestinal pH, set by the pKa. The authors single out weak bases "that show substantial ionization at intestinal pH conditions". ·

Conclusion drawn. Weak bases in MPS "would be expected" to release well in the fasted stomach but "may have reduced availability" after transit to the intestine; MPS "might not be the most suitable approach" for weak bases with a high pKa or a pKa above intestinal pH. ·

06What it means for formulation

Stated by the authors
  • Test high-pKa weak bases in a pH-shift dissolution: good release in acid can be followed by a loss at intestinal pH.
  • MPS might not suit weak bases with a high pKa or a pKa above intestinal pH.
  • In vitro tests should include in vivo-relevant conditions.
AI reading, not stated in the paper
  • For a weak base on silica, the fraction still charged at pH 6-7 is a quick risk flag; KET at about one-third charged still re-adsorbed.
  • A crystallization inhibitor in the medium does not prevent this loss: HPMC was present throughout.
More detail
Stated by the authors
  • The KET-MPS profile "underscores the need" to test the effect of pH on the solution concentration of weak bases with a high pKa; acid dissolution improves release, but the concentration "may decline" after transfer to intestinal conditions by re-adsorption, which "is ultimately expected" to reduce bioavailability.
  • Weak bases in MPS "would be expected" to release well in fasted gastric conditions but "may have reduced availability" after transit; MPS "might not be the most suitable approach" for weak bases with a high pKa or a pKa above intestinal pH. ·
  • pKa is an important physicochemical consideration in MPS development.
  • GI fluid conditions "are speculated" to matter: local pH, competing cations and surfactants, and bile salt micelles all shift the balance between adsorption and dissolution; in vivo-relevant conditions should be built into in vitro testing. ·
  • In vivo, keeping the supersaturation may need a crystallization-inhibiting polymer (cited work).
AI reading, not stated in the paper
  • The fraction still ionized at pH 6-7 is a useful early flag for silica carriers: KET (≈33% charged at pH 6.8) and CLZ (≈76%) re-adsorbed, ATZ (≈0.5%) did not.
  • HPMC at 100 µg/mL was in every medium, so a crystallization inhibitor alone does not protect against re-adsorption; the loss is a surface effect, not a precipitation effect.
  • A single-pH test at pH 1 overstates what remains dissolved after gastric emptying for high-pKa bases; a pH-shift test reveals it.
  • TEA shows that a competing cation can keep the drug in solution in vitro; whether a pharmaceutically acceptable cationic excipient, a surface-modified silica or a different carrier does the same was not tested.
  • For low-pKa bases such as ATZ the problem is different: little re-adsorption, but release at intestinal pH stays low.

07Open questions

Raised by the authors
  • How much re-adsorption reduces absorption in vivo.
  • How bile salts, surfactants and other cations in GI fluids change the adsorption-dissolution balance.
Not covered by this paper (AI reading)
  • ATZ was never tested with competitors, so its binding mode is open.
  • Whether KET adsorption at pH 6.8 is irreversible or only slow was not resolved. ·
More detail
Raised by the authors
  • The impact of re-adsorption on MPS effectiveness "needs to be evaluated in greater depth in an in vivo context".
  • The influence of GI fluid components (other positively charged species, biological surfactants, bile salt micelles) on the adsorption-dissolution balance.
Not covered by this paper (AI reading)
  • ATZ was not tested with TEA or urea, and its adsorption pattern does not fit electrostatic binding; how ATZ binds silica is open. ·
  • Irreversible versus slow desorption was not separated; no desorption kinetics or long sink run were measured. ·
  • The amount of drug on the silica after the shift was not measured directly; re-adsorption rests on solution data, PXRD and the TEA effect. ·
  • Only one silica (SBA-15, 7.1 nm), one drug loading (20% w/w), media containing HPMC and one absorptive run (KET) were studied; functionalized or larger-pore silicas, other loadings and polymer-containing formulations were not tested.
  • No absorption data for CLZ, and no in vivo data for any drug.

08How solid

AI assessment, not a statement made in the paper
Moderate

The pH dependence of adsorption and release and the drop after the pH shift are measured directly, in triplicate, for three drugs. The re-adsorption reading rests on PXRD that excludes only crystals and on TEA tests whose final pH is not reported; the electrostatic mechanism is tested for two of the three drugs; the sink result is one KET run. ······

More detail
What holds
  • Adsorption isotherms at four pH values for three drugs, triplicates with error bars, with a consistent pH pattern for KET and CLZ. ··
  • The drop after the pH 1 to 6.8 shift is large (≈30 points) for KET and CLZ and absent for ATZ, the drug that is uncharged at pH 6.8. ···
  • TEA both strips KET and CLZ from silica and lessens the drop, two separate experiments pointing the same way. ··
  • AI arithmetic: with silica at four times the drug mass (20% DL) and a 50 µg/mL KET dose, the ≈32-point drop equals ≈16 µg/mL of drug on ≈0.2 mg/mL silica, about 80 mg/g, the same order as the pH 6.8 isotherm near the ≈32-34.5 µg/mL left in solution (≈48 mg/g at ≈35 µg/mL). The silica concentration is derived here, not printed. ···
What weakens it
  • PXRD of the collected solid excludes crystalline but not amorphous precipitate.
  • The final pH after adding 50 mM TEA is not reported, and the drug concentration in the competitor test is not given.
  • The conclusion that all three drugs bind electrostatically is not tested for ATZ and conflicts with its data; the adsorption-release link fails for ATZ. ·
  • The urea effect on KET (≈28%) is larger than "small"; the text overstates the TEA rescue of KET. ·
  • Text summaries differ from the plots in several places (drop sizes, ATZ plateau, figure panel references). ·
  • The absorptive result is one drug and one sequence, with a lower starting level than the closed test and an undescribed total-release calculation. ·
  • The CLZ pKa is given as 7.5 and 7.3; Qm is printed in "mg/mol"; the isoelectric point lies between pH 2 and 3 on the plot. ··

09Figure guide

Every figure and table of the paper, what it is there for, and what to check on the original. Key figures are shown with the story.

FigureWhat it does in the paperSupportsCheck (AI note)
Graphical abstract (p.2)Summarises the proposed mechanism: cationic drug released at gastric pH binds negative silanolate groups at intestinal pH.headerA schematic, not data.
Fig. 1 (p.11)key figureSets how charged each drug is at the test pH values: KET ≈33%, CLZ ≈76%, ATZ ≈0.5% at pH 6.8.0.2CLZ pKa is 7.5 elsewhere in the paper.
Fig. 2 (p.12)key figureSilica charge: slightly positive at pH 1, increasingly negative from pH 3.F1, K1Zero crossing between pH 2 and 3; measured in water, not the test buffers.
Fig. 3 (p.13)key figureThe adsorption data: KET and CLZ adsorption rises with pH, ATZ falls at pH 6.8.··F1, K2The text cites the CLZ panel as Fig. 3a.
Fig. 4 (p.14)key figureSingle-pH release: KET and CLZ lowest at pH 6.8, ATZ low at every pH above 1.··F2, K3ATZ at pH 5.5 plateaus at ≈33%, not 40%.
Fig. 5 (p.16)key figureThe key observation: KET and CLZ lose dissolved drug at the pH shift, ATZ does not.··F3, K4Text drop sizes differ from the plot; the pH 1 to 4.5 drop is not discussed.
Fig. 6 (p.17)key figureBinding-mode test: TEA strips most KET and half of CLZ, urea affects KET only.F4, K5Urea lowers KET by ≈28%; drug concentration not stated.·
Fig. 7 (p.18)key figureTEA added at the shift largely prevents the drop.·F4, K4The text says KET did not decrease; the plot shows ≈93 → ≈88%.
Fig. 8 (p.19)key figureAn absorptive sink adds about 10-15 points of KET release over 4 h.·F5, K6Lower starting level than Fig. 5a; total release calculation not described.
More detail
FigureWhat it does in the paperSupportsCheck (AI note)
Figs. S1-S2 (SI p.1-2)PXRD and DSC: the formulations are amorphous.0.4Methods not described; DSC humps near 100 °C not discussed.
Fig. S3 (SI p.3)key figureNo diffraction peaks in the solid after the shift, so no crystalline precipitate.F3, K4Excludes only crystalline precipitate.
Fig. S4 (SI p.3)Calculated crystalline pH-solubility profiles of the three drugs.0.4
Fig. S5 (SI p.4)pH 6.8 isotherms against solute activity.0.4Amorphous solubilities used are not stated.
Table S1 (SI p.4)BET monolayer coverage at four pH values.F1, K2Unit printed as mg/mol.