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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Pharmacol.</journal-id>
<journal-title>Frontiers in Pharmacology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Pharmacol.</abbrev-journal-title>
<issn pub-type="epub">1663-9812</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fphar.2016.00185</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Pharmacology</subject>
<subj-group>
<subject>Mini Review</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Bioerodable PLGA-Based Microparticles for Producing Sustained-Release Drug Formulations and Strategies for Improving Drug Loading</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>Han</surname> <given-names>Felicity Y.</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/118848/overview"/></contrib>
<contrib contrib-type="author">
<name><surname>Thurecht</surname> <given-names>Kristofer J.</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<xref ref-type="aff" rid="aff4"><sup>4</sup></xref></contrib>
<contrib contrib-type="author">
<name><surname>Whittaker</surname> <given-names>Andrew K.</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="aff" rid="aff4"><sup>4</sup></xref></contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Smith</surname> <given-names>Maree T.</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff5"><sup>5</sup></xref>
<xref ref-type="author-notes" rid="fn001"><sup>&#x0002A;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/115660/overview"/></contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup><institution>Centre for Integrated Preclinical Drug Development, The University of Queensland</institution> <country>Brisbane, QLD, Australia</country></aff>
<aff id="aff2"><sup>2</sup><institution>Australian Institute for Bioengineering and Nanotechnology, The University of Queensland</institution> <country>Brisbane, QLD, Australia</country></aff>
<aff id="aff3"><sup>3</sup><institution>Centre for Advanced Imaging, The University of Queensland</institution> <country>Brisbane, QLD, Australia</country></aff>
<aff id="aff4"><sup>4</sup><institution>ARC Centre of Excellence in Convergent BioNano Science and Technology</institution> <country>Brisbane, QLD, Australia</country></aff>
<aff id="aff5"><sup>5</sup><institution>School of Pharmacy, The University of Queensland</institution> <country>Brisbane, QLD, Australia</country></aff>
<author-notes>
<fn fn-type="edited-by"><p>Edited by: Aaron Tan, University College London, UK</p></fn>
<fn fn-type="edited-by"><p>Reviewed by: Robert Lust, East Carolina University, USA; Hong Zhan, University of Wisconsin-Madison, USA</p></fn>
<fn fn-type="corresp" id="fn001"><p>&#x0002A;Correspondence: Maree T. Smith <email>maree.smith&#x00040;uq.edu.au</email></p></fn>
<fn fn-type="other" id="fn002"><p>This article was submitted to Integrative and Regenerative Pharmacology, a section of the journal Frontiers in Pharmacology</p></fn>
</author-notes>
<pub-date pub-type="epub">
<day>28</day>
<month>06</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="collection">
<year>2016</year>
</pub-date>
<volume>7</volume>
<elocation-id>185</elocation-id>
<history>
<date date-type="received">
<day>06</day>
<month>05</month>
<year>2016</year>
</date>
<date date-type="accepted">
<day>11</day>
<month>06</month>
<year>2016</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2016 Han, Thurecht, Whittaker and Smith.</copyright-statement>
<copyright-year>2016</copyright-year>
<copyright-holder>Han, Thurecht, Whittaker and Smith</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/"><p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p></license>
</permissions>
<abstract>
<p>Poly(lactic-<italic>co</italic>-glycolic acid) (PLGA) is the most widely used biomaterial for microencapsulation and prolonged delivery of therapeutic drugs, proteins and antigens. PLGA has excellent biodegradability and biocompatibility and is generally recognized as safe by international regulatory agencies including the United States Food and Drug Administration and the European Medicines Agency. The physicochemical properties of PLGA may be varied systematically by changing the ratio of lactic acid to glycolic acid. This in turn alters the release rate of microencapsulated therapeutic molecules from PLGA microparticle formulations. The obstacles hindering more widespread use of PLGA for producing sustained-release formulations for clinical use include low drug loading, particularly of hydrophilic small molecules, high initial burst release and/or poor formulation stability. In this review, we address strategies aimed at overcoming these challenges. These include use of low-temperature double-emulsion methods to increase drug-loading by producing PLGA particles with a small volume for the inner water phase and a suitable pH of the external phase. Newer strategies for producing PLGA particles with high drug loading and the desired sustained-release profiles include fabrication of multi-layered microparticles, nanoparticles-in-microparticles, use of hydrogel templates, as well as coaxial electrospray, microfluidics, and supercritical carbon dioxide methods. Another recent strategy with promise for producing particles with well-controlled and reproducible sustained-release profiles involves complexation of PLGA with additives such as polyethylene glycol, poly(ortho esters), chitosan, alginate, caffeic acid, hyaluronic acid, and silicon dioxide.</p>
</abstract>
<kwd-group>
<kwd>PLGA microparticles</kwd>
<kwd>drug delivery system</kwd>
<kwd>hydrophilic molecule</kwd>
<kwd>biodegradation mechanisms</kwd>
<kwd>tuneable release</kwd>
<kwd>microfluidics</kwd>
<kwd>supercritical carbon dioxide</kwd>
<kwd>hydrogel template</kwd>
</kwd-group>
<counts>
<fig-count count="0"/>
<table-count count="2"/>
<equation-count count="0"/>
<ref-count count="98"/>
<page-count count="11"/>
<word-count count="7695"/>
</counts>
</article-meta>
</front>
<body>
<sec sec-type="intro" id="s1">
<title>Introduction</title>
<p>Drug delivery systems with high efficiency and tuneable release characteristics continue to be sought. This is despite recent advances in the field of nanobiotechnology that have produced a range of new materials for improving control over drug delivery rates (Hillery et al., <xref ref-type="bibr" rid="B37">2005</xref>). The strategies used to produce these sustained-release dosage forms involve drug loading of biodegradable polymeric microspheres and have the potential to provide a more facile route to adjust release rates (Kapoor et al., <xref ref-type="bibr" rid="B47">2015</xref>).</p>
<p>Poly(lactic-co-glycolic acid) (PLGA), is a widely used biodegradable material use for encapsulation of a broad range of therapeutic agents including hydrophilic and hydrophobic small molecule drugs, DNA, proteins, and the like (Zheng, <xref ref-type="bibr" rid="B98">2009</xref>; Malavia et al., <xref ref-type="bibr" rid="B63">2015</xref>), due to its excellent biocompatibility (Barrow, <xref ref-type="bibr" rid="B7">2004</xref>; Kapoor et al., <xref ref-type="bibr" rid="B47">2015</xref>). Complete release of encapsulated molecules is achieved via degradation and erosion of the polymer matrix (Anderson and Shive, <xref ref-type="bibr" rid="B4">1997</xref>, <xref ref-type="bibr" rid="B5">2012</xref>; Fredenberg et al., <xref ref-type="bibr" rid="B29">2011</xref>). Importantly, PLGA is generally recognized as safe by international regulatory agencies such as the United States Food and Drug Administration (FDA) and the European Medicines Agency (EMA) for use in pharmaceutical products administered to humans via conventional oral and parenteral routes (Yun-Seok et al., <xref ref-type="bibr" rid="B93">2010</xref>) as well as suspension formulations for implantation without surgical procedures (Freiberg and Zhu, <xref ref-type="bibr" rid="B30">2004</xref>).</p>
<p>However, factors limiting more widespread use of PLGA in pharmaceutical products include relatively low drug loading efficiency, difficulties in controlling encapsulated drug release rates and/or formulation instability (Varde and Pack, <xref ref-type="bibr" rid="B83">2004</xref>; Freitas et al., <xref ref-type="bibr" rid="B31">2005</xref>; Yun-Seok et al., <xref ref-type="bibr" rid="B93">2010</xref>; Ansari et al., <xref ref-type="bibr" rid="B6">2012</xref>; Danhier et al., <xref ref-type="bibr" rid="B18">2012</xref>; Reinhold and Schwendeman, <xref ref-type="bibr" rid="B72">2013</xref>). In the following sections, we review strategies and new technologies with promise for addressing these issues.</p>
</sec>
<sec id="s2">
<title>Challenges in improving drug loading of microparticles with acceptable control over release rate profiles</title>
<sec>
<title>Physicochemical properties of the incorporated drug(s)</title>
<p>Achieving the desired loading of low molecular weight (<italic>M</italic><sub><italic>r</italic></sub>), hydrophilic molecules in polymeric particles is more difficult than for hydrophobic small molecules, despite the large number of micro-encapsulation methods described in peer-reviewed publications and patents (Ito et al., <xref ref-type="bibr" rid="B43">2011</xref>; Ansari et al., <xref ref-type="bibr" rid="B6">2012</xref>). Manipulation of the physicochemical properties is often the most effective means for optimizing drug loading into PLGA microspheres (Curley et al., <xref ref-type="bibr" rid="B17">1996</xref>; Govender et al., <xref ref-type="bibr" rid="B34">1999</xref>). For example, small molecules that are hydrophilic in their salt form can be converted to the corresponding free acid or free base forms that are more hydrophobic, subsequently leading to higher drug loading (Han et al., <xref ref-type="bibr" rid="B36">2015</xref>). The physicochemical properties of the incorporated drug(s) also significantly affect release rate profiles (Hillery et al., <xref ref-type="bibr" rid="B37">2005</xref>).</p>
<p>For PLGA microparticles, release of the encapsulated drug occurs via diffusion and/or homogeneous bulk erosion of the biopolymer (Siegel et al., <xref ref-type="bibr" rid="B78">2006</xref>; Kamaly et al., <xref ref-type="bibr" rid="B46">2016</xref>) with the diffusion rate dependent upon drug diffusivity and partition coefficient (Hillery et al., <xref ref-type="bibr" rid="B37">2005</xref>). These parameters are influenced by the physicochemical properties of the drug, such as molecular size, hydrophilicity, and charge (Hillery et al., <xref ref-type="bibr" rid="B37">2005</xref>). A relatively high content of a water-soluble drug facilitates water penetration into particles and formation of a highly porous polymer network upon drug leaching (Feng et al., <xref ref-type="bibr" rid="B27">2015</xref>). By contrast, hydrophobic drugs can hinder water diffusion into microparticulate systems and reduce the rate of polymer degradation (Klose et al., <xref ref-type="bibr" rid="B49">2008</xref>). This is illustrated by observations that for six drugs with diverse chemical structures, viz. thiothixene, haloperidol, hydrochlorothiozide, corticosterone, ibuprofen and aspirin, there were significant between-molecule differences in release rate from PLGA (50:50) pellets, despite their similar drug loading at 20% by weight (Siegel et al., <xref ref-type="bibr" rid="B78">2006</xref>). Hence, the design of biodegradable polymeric carriers with high drug loading must take into consideration the effects of the encapsulated drug itself on the mechanisms underpinning biopolymer degradation that influence release rate (Siegel et al., <xref ref-type="bibr" rid="B78">2006</xref>).</p>
</sec>
<sec>
<title>Particle size</title>
<p>Key factors in the design of microparticle drug delivery systems include microsphere size and morphology (Langer et al., <xref ref-type="bibr" rid="B52">1986</xref>; Shah et al., <xref ref-type="bibr" rid="B76">1992</xref>; Mahboubian et al., <xref ref-type="bibr" rid="B61">2010</xref>) as these parameters potentially affect encapsulation efficiency (EE), product injectability, <italic>in vivo</italic> biodistribution, and encapsulated drug release rate (Nijsen et al., <xref ref-type="bibr" rid="B70">2002</xref>; Barrow, <xref ref-type="bibr" rid="B7">2004</xref>), efficacy and side-effect profiles (Liggins et al., <xref ref-type="bibr" rid="B58">2004</xref>). Typically, optimal release profiles are achieved by using microspheres with diameters in the range, 10&#x02013;200 &#x003BC;m (Anderson and Shive, <xref ref-type="bibr" rid="B4">1997</xref>). For particle diameters &#x0003C; 10 &#x003BC;m, there is a risk that microspheres will be phagocytosed by immune cells (Dawes et al., <xref ref-type="bibr" rid="B19">2009</xref>). On the other hand, microspheres &#x0003E;200 &#x003BC;m may cause an immune response and inflammation (Dawes et al., <xref ref-type="bibr" rid="B19">2009</xref>).</p>
<p>For large diameter particles, the small surface area per unit volume leads to a reduced rate of water permeation and matrix degradation relative to smaller particles and so the maximum possible rate of encapsulated drug release is reduced (Dawes et al., <xref ref-type="bibr" rid="B19">2009</xref>). For drugs microencapsulated in larger microparticles, duration of action is potentially longer due to higher total drug loading and a longer particle degradation time (Klose et al., <xref ref-type="bibr" rid="B50">2006</xref>). Hence, a good understanding of the relationship between biopolymer composition, microparticle morphology and size is essential for tailored production of particulate materials with pre-determined drug release profiles (Cai et al., <xref ref-type="bibr" rid="B11">2009</xref>). However, based upon the diversity of encapsulated drug release profiles produced by PLGA microspheres of varying sizes to date (Table <xref ref-type="table" rid="T1">1</xref>), release rates do not necessarily conform to predicted behavior and it is only possible to quantitatively predict the effect of microparticle size on drug release kinetics for certain well-defined formulations (Siepmann et al., <xref ref-type="bibr" rid="B79">2004</xref>).</p>
<table-wrap-group position="float" id="T1">
<label>Table 1</label>
<caption><p><bold>Influence of particle size, polymer physicochemical properties as well as PLGA composition on drug loading and release profiles</bold>.</p></caption>
<table-wrap>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="top" align="left" colspan="5"><bold>(1) Particle size</bold></th>
</tr>
<tr style="border-bottom: thin solid #000000;">
<td valign="top" align="left" colspan="5">Drug loading and release rates from PLGA particles do not necessarily conform to predicted behavior as the effect of microparticle size on drug release kinetics quantitatively can only be predicted for certain well-defined formulations.</td>
</tr>
<tr>
<th valign="top" align="left"><bold>Encapsulated drug</bold></th>
<th valign="top" align="left"><bold>Particle size (&#x003BC;m)</bold></th>
<th valign="top" align="left"><bold>Drug loading or EE</bold></th>
<th valign="top" align="left"><bold>Drug release profile</bold></th>
<th valign="top" align="left"><bold>References</bold></th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">Lidocaine</td>
<td valign="top" align="left">Increase from 20 to 50 to 120</td>
<td valign="top" align="left">N/A</td>
<td valign="top" align="left">Release rate &#x02193; as particle size &#x02191;</td>
<td valign="top" align="left">Klose et al., <xref ref-type="bibr" rid="B50">2006</xref></td>
</tr>
<tr>
<td valign="top" align="left">Huperzine A</td>
<td valign="top" align="left">Increase from 125&#x02013;200 to 200&#x02013;400 to 400&#x02013;700</td>
<td valign="top" align="left">EE &#x02191;</td>
<td valign="top" align="left">Release rate &#x02193; as particle size &#x02191;</td>
<td valign="top" align="left">Fu et al., <xref ref-type="bibr" rid="B32">2005</xref></td>
</tr>
<tr>
<td valign="top" align="left">Dexamethasone</td>
<td valign="top" align="left">1.0</td>
<td valign="top" align="left">11%</td>
<td valign="top" align="left">Slow-release particles but with initial burst release</td>
<td valign="top" align="left">Dawes et al., <xref ref-type="bibr" rid="B19">2009</xref></td>
</tr>
<tr>
<td/>
<td valign="top" align="left">20</td>
<td valign="top" align="left">1%</td>
<td valign="top" align="left">Sustained release over a 550 h period</td>
<td/>
</tr>
<tr>
<td valign="top" align="left">5-fluorouracil</td>
<td valign="top" align="left">70&#x02013;120</td>
<td valign="top" align="left">35%</td>
<td valign="top" align="left">&#x0007E;90% release in 7 days</td>
<td valign="top" align="left">Siepmann et al., <xref ref-type="bibr" rid="B79">2004</xref></td>
</tr>
<tr>
<td/>
<td valign="top" align="left">20</td>
<td valign="top" align="left">20%</td>
<td valign="top" align="left">90% release over 21days</td>
<td/>
</tr>
<tr>
<td valign="top" align="left">Drug-free</td>
<td valign="top" align="left">&#x0003C; 50, &#x0003C; 20 and &#x0003C; 1 (each size prepared by a different process)</td>
<td valign="top" align="left">N/A</td>
<td valign="top" align="left">At pH 7.4 and 37&#x000B0;C, &#x02191; polymer degradation rate for larger microspheres</td>
<td valign="top" align="left">Dunne et al., <xref ref-type="bibr" rid="B24">2000</xref></td>
</tr>
</tbody>
</table>
</table-wrap>
<table-wrap>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="top" align="left" colspan="5"><bold>(2) Physicochemical properties of the biopolymer</bold></th>
</tr>
<tr style="border-bottom: thin solid #000000;">
<td valign="top" align="left" colspan="5">The hydrophilicity or hydrophobicity of PLGA end-groups affect hydration during the pore diffusion phase thereby influencing the rate of drug release from the polymeric matrix. PLGA composition-dependent changes to microparticle morphology may also affect encapsulated drug release profiles.</td>
</tr>
<tr>
<th valign="top" align="left"><bold>Encapsulated drug</bold></th>
<th valign="top" align="left"><bold>PLGA Composition</bold></th>
<th valign="top" align="left"><bold>Effect on particle size, drug loading and release profile</bold></th>
<th valign="top" align="left"><bold>References</bold></th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">FITC-dextran</td>
<td valign="top" align="left">PLGA (50:50) with a carboxylic acid-end group, viz RG503H (<italic>M<italic>r</italic></italic> 24000-38000)</td>
<td valign="top" align="left">Sustained release achieved by &#x02191; porosity, pore size, and loading</td>
<td valign="top" align="left">Cai et al., <xref ref-type="bibr" rid="B11">2009</xref></td>
</tr>
<tr>
<td/>
<td valign="top" align="left">PLGA (50:50) with an ester-end group, viz RG502 (<italic>Mr</italic> 7000&#x02013;17000)</td>
<td valign="top" align="left">Porosity and pore size had a minimal effect on release profile beyond initial release</td>
<td/>
</tr>
<tr>
<td valign="top" align="left">Huperzine A</td>
<td valign="top" align="left">PLGA (75:25) of varying <italic>M<italic>r</italic></italic>, viz 15, 20, and 30 kDa</td>
<td valign="top" align="left">Drug loadings of 3.53, 1.03, and 0.41% respectively; inversely correlated with <italic>M<italic>r</italic></italic></td>
<td valign="top" align="left">Fu et al., <xref ref-type="bibr" rid="B32">2005</xref>; Ansari et al., <xref ref-type="bibr" rid="B6">2012</xref></td>
</tr>
<tr>
<td valign="top" align="left">Cephalexin</td>
<td valign="top" align="left">&#x02191; Concentration of PLGA in the organic solvent (chloroform) from 25 to 33.3 mg/ml</td>
<td valign="top" align="left">Higher drug loading and larger particle size</td>
<td valign="top" align="left">Wasana et al., <xref ref-type="bibr" rid="B88">2009</xref></td>
</tr>
</tbody>
</table>
</table-wrap>
<table-wrap>
<table frame="hsides" rules="groups">
<thead>
<tr style="border-bottom: thin solid #000000;">
<th valign="top" align="left" colspan="6"><bold>(3) Recent advances with promise for improving PLGA delivery systems</bold></th>
</tr>
<tr>
<th valign="top" align="left"><bold>Methods</bold></th>
<th valign="top" align="left"><bold>Encapsulated drug</bold></th>
<th valign="top" align="center"><bold>Particle size (&#x003BC;m)</bold></th>
<th valign="top" align="center"><bold>Drug loading or EE</bold></th>
<th valign="top" align="left"><bold>Drug release profile</bold></th>
<th valign="top" align="left"><bold>References</bold></th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">Hydrogel template</td>
<td valign="top" align="left">OHR1031</td>
<td valign="top" align="center">60 &#x000B1; 10</td>
<td valign="top" align="center">57% w/w, &#x0007E;100% EE</td>
<td valign="top" align="left">Nearly zero-order for over 3 months, with no initial burst, which was desirable</td>
<td valign="top" align="left">Malavia et al., <xref ref-type="bibr" rid="B63">2015</xref></td>
</tr>
<tr>
<td/>
<td valign="top" align="left">Felodipine, Paclitaxel, Progesterone and Risperidone</td>
<td valign="top" align="center">10&#x02013;50</td>
<td valign="top" align="center">50&#x02013;65%</td>
<td valign="top" align="left">Sustained release profiles</td>
<td valign="top" align="left">Acharya et al., <xref ref-type="bibr" rid="B3">2010b</xref></td>
</tr>
<tr>
<td valign="top" align="left">scCO<sub>2</sub> in combination with a w/o/o/o method</td>
<td valign="top" align="left">Dexamethasone phosphate</td>
<td valign="top" align="center">70&#x02013;80</td>
<td valign="top" align="center">90% EE</td>
<td valign="top" align="left">Sustained release profile without initial burst release</td>
<td valign="top" align="left">Thote and Gupta, <xref ref-type="bibr" rid="B82">2005</xref></td>
</tr>
<tr>
<td valign="top" align="left">scCO<sub>2</sub></td>
<td valign="top" align="left">hGH</td>
<td valign="top" align="center">&#x0007E;61</td>
<td/>
<td valign="top" align="left">Controlled release for &#x0003E; 7 days</td>
<td valign="top" align="left">Jordan et al., <xref ref-type="bibr" rid="B44">2010</xref></td>
</tr>
<tr>
<td/>
<td valign="top" align="left">Tetanus toxoid (TT)</td>
<td/>
<td/>
<td valign="top" align="left">Single injection TT-loaded PLA particles in mice antibody titres similar to those evoked by multiple injections of a commercial alum-adsorbed TT vaccine was produced</td>
<td valign="top" align="left">Baxendale et al., <xref ref-type="bibr" rid="B8">2011</xref></td>
</tr>
<tr>
<td valign="top" align="left">Coaxial electrospray (CES)</td>
<td valign="top" align="left">Levetiracetam</td>
<td valign="top" align="left" colspan="3">Double-layered: release over 18-days whereas encapsulation in classical core-shell fibers gave linear release for 4 days followed by steady-state</td>
<td valign="top" align="left">Viry et al., <xref ref-type="bibr" rid="B84">2012</xref></td>
</tr>
<tr>
<td/>
<td valign="top" align="left">Growth factors</td>
<td valign="top" align="left" colspan="3">Controlled-release: Coaxial electrospinning of biodegradable core-shell structured microfibrous scaffolds using PLGA as the shell and hyaluronic acid as the core</td>
<td valign="top" align="left">Joung et al., <xref ref-type="bibr" rid="B45">2011</xref></td>
</tr> <tr>
<td/>
<td valign="top" align="left">Multiple drugs</td>
<td valign="top" align="left" colspan="3">Coaxial tri-capillary electrospray system produced monodispersed PLGA-coated particles containing multiple drugs in one step</td>
<td valign="top" align="left">Lee et al., <xref ref-type="bibr" rid="B53">2011</xref></td>
</tr>
<tr>
<td valign="top" align="left">Spray drying</td>
<td valign="top" align="left" colspan="4">Double-layered enzyme-triggered release in the gastrointestinal tract: Negligible loss of the core in the gastric environment with gradual release of the core in the intestinal environment without initial burst release</td>
<td valign="top" align="left">Park et al., <xref ref-type="bibr" rid="B71">2014</xref></td>
</tr>
<tr>
<td valign="top" align="left">Polymer self-healing</td>
<td valign="top" align="left" colspan="4">Spontaneous pore closure (or self-healing) of PLGA microparticles at temperatures greater than the polymer glass transition temperature is used to microencapsulate biomacromolecules (proteins, peptides, and polysaccharides) in aqueous media. This approach avoids exposure to organic solvents that would otherwise occur during PLGA conventional encapsulation and uses mild processing conditions, that together minimize damage to encapsulated naked DNA, proteins, etc.</td>
<td valign="top" align="left">Reinhold and Schwendeman, <xref ref-type="bibr" rid="B72">2013</xref></td>
</tr>
</tbody>
</table>
</table-wrap>
<table-wrap>
<table frame="hsides" rules="groups">
<thead>
<tr style="border-bottom: thin solid #000000;">
<th valign="top" align="left" colspan="5"><bold>(4) Various additives complexing with PLGA with increased drug loading and/or sustained release profiles</bold></th>
</tr>
<tr>
<th valign="top" align="left"><bold>Additives</bold></th>
<th valign="top" align="left"><bold>Encapsulated drug</bold></th>
<th valign="top" align="left"><bold>Drug loading or EE</bold></th>
<th valign="top" align="left"><bold>Drug release profile</bold></th>
<th valign="top" align="left"><bold>References</bold></th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">POE/PLGA</td>
<td valign="top" align="left">BSA</td>
<td valign="top" align="left">9&#x02013;11% and EE 60&#x02013;90%</td>
<td valign="top" align="left">95% over 30 days</td>
<td valign="top" align="left">Shi et al., <xref ref-type="bibr" rid="B77">2003</xref></td>
</tr>
<tr>
<td valign="top" align="left">POE/PLGA</td>
<td valign="top" align="left">Cyclosporin A</td>
<td valign="top" align="left">6&#x02013;10% and EE 60&#x02013;90%</td>
<td valign="top" align="left">14% over 15 days followed by 78% over the next 27 days</td>
<td valign="top" align="left">Shi et al., <xref ref-type="bibr" rid="B77">2003</xref></td>
</tr>
<tr>
<td valign="top" align="left">Alginate and chitosan-PLGA double walled</td>
<td valign="top" align="left">BSA</td>
<td valign="top" align="left">EE at 75% <italic>c.f.</italic> 65% compared with single-walled systems</td>
<td valign="top" align="left">5&#x02013;10% in 30 min <italic>c.f.</italic> 30% for single-walled systems</td>
<td valign="top" align="left">Zheng and Liang, <xref ref-type="bibr" rid="B97">2010</xref></td>
</tr>
<tr>
<td valign="top" align="left">Alginate-PLGA double walled</td>
<td valign="top" align="left">Metoclopramide HCl</td>
<td valign="top" align="left">EE increase from 30% to 60% <italic>c.f.</italic> single walled system</td>
<td valign="top" align="left">Improved release profile</td>
<td valign="top" align="left">Lim et al., <xref ref-type="bibr" rid="B59">2013</xref></td>
</tr>
<tr>
<td valign="top" align="left">4% w/w chitosan/PLGA</td>
<td valign="top" align="left">Resveratrol</td>
<td valign="top" align="left">EE 40&#x02013;52% Particle size: 11 to 20 &#x003BC;m and more stable</td>
<td valign="top" align="left">Improved controlled release</td>
<td valign="top" align="left">Sanna et al., <xref ref-type="bibr" rid="B74">2015</xref></td>
</tr>
<tr>
<td valign="top" align="left">Caffeic acid grafted PLGA (g-CA-PLGA)</td>
<td valign="top" align="left">Ovalbumin</td>
<td valign="top" align="left">EE increased from 35 to 95% <italic>c.f.</italic> PLGA alone (size 15&#x02013;50 &#x003BC;m)</td>
<td valign="top" align="left">Unchanged</td>
<td valign="top" align="left">Selmin et al., <xref ref-type="bibr" rid="B75">2015</xref></td>
</tr>
<tr>
<td valign="top" align="left">Mixed copolymer of PLGA 50:50 (<italic>M<italic>r</italic></italic> 100,000 and 14,000) 1:7</td>
<td valign="top" align="left">Pentamidine</td>
<td valign="top" align="left">23.7%, whereas only 9.8 and 13.9 %, when prepared with either of them alone</td>
<td valign="top" align="left">Produced microcapsules with desired release profiles</td>
<td valign="top" align="left">Graves et al., <xref ref-type="bibr" rid="B35">2004</xref></td>
</tr>
<tr>
<td valign="top" align="left">Aqueous core-PLGA shell</td>
<td valign="top" align="left">Risedronate sodium</td>
<td valign="top" align="left">2.5-fold increase: 31.6% <italic>c.f.</italic> 12.7% for classical PLGA microspheres</td>
<td valign="top" align="left">Sustained release according to diffusion-controlled Higuchi model</td>
<td valign="top" align="left">Abulateefeh and Alkilany, <xref ref-type="bibr" rid="B1">2015</xref></td>
</tr>
<tr>
<td valign="top" align="left">Porous silicon oxide (pSiO<sub>2</sub>)-PLGA</td>
<td valign="top" align="left">Daunorubicin</td>
<td valign="top" align="left">Slightly increased loading (3.1&#x02013;4.6%) <italic>c.f.</italic> 2.7% for PLGA-daunorubicin microspheres</td>
<td valign="top" align="left">A 2-5 fold longer duration of release <italic>c.f.</italic> PLGA-daunorubicin microspheres</td>
<td valign="top" align="left">Nan et al., <xref ref-type="bibr" rid="B67">2014</xref></td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<p><italic>BSA, Bovine serum albumin; EE, Encapsulation efficiency; hGH, Human growth hormone; M<sub>r</sub>, Molecular weight; OHR1031, a small molecule for the treatment of glaucoma; PLA, poly(lactic acid); PLGA, poly(lactic-co-glycolic acid); POE, poly(ortho esters).</italic></p>
</table-wrap-foot>
</table-wrap>
</table-wrap-group>
</sec>
<sec>
<title>Biodegradation mechanisms of PLGA-microparticles</title>
<p>The two main mechanisms that drive drug release from PLGA microspheres are diffusion and degradation/erosion (Kamaly et al., <xref ref-type="bibr" rid="B46">2016</xref>). For PLGA (50:50) particles, drug release occurs in two phases. In the first phase, there is a rapid decrease in molecular weight (<italic>M</italic><sub><italic>r</italic></sub>) but little mass loss whereas in the second phase, the opposite occurs. This indicates that PLGA particle degradation involves heterogeneous mechanisms and that drug release is underpinned primarily by diffusion rather than polymer degradation (Engineer et al., <xref ref-type="bibr" rid="B25">2010</xref>).</p>
<p>PLGA is a typical bulk-eroding biopolymer such that water permeates readily into the polymer matrix forming pores so that degradation takes place throughout the microspheres (Varde and Pack, <xref ref-type="bibr" rid="B83">2004</xref>). Comparison of encapsulated drug release profiles from surface eroding biopolymers such as poly(ortho esters) (POE) and polyanhydrides with bulk-eroding biopolymers such as PLGA, is lacking. Hence, future research addressing this knowledge gap is needed to better inform design of microparticle formulations with the desired release profiles (Engineer et al., <xref ref-type="bibr" rid="B25">2010</xref>) that may potentially include formulations comprising mixed bulk and surface-eroding biopolymers (Feng et al., <xref ref-type="bibr" rid="B27">2015</xref>).</p>
</sec>
<sec>
<title>Physicochemical properties of the biopolymer</title>
<p>For drugs encapsulated in PLGA microparticles, the desired release rates can be achieved by adjusting the ratio of lactic acid to glycolic acid and by altering the physicochemical properties [e.g., <italic>M</italic><sub><italic>r</italic></sub>, end-group (ester or carboxylic) functionality] that influence microparticle morphology (Table <xref ref-type="table" rid="T1">1</xref>; Mao et al., <xref ref-type="bibr" rid="B64">2007</xref>; Cai et al., <xref ref-type="bibr" rid="B11">2009</xref>; Gasparini et al., <xref ref-type="bibr" rid="B33">2010</xref>; Nafissi-Varcheh et al., <xref ref-type="bibr" rid="B66">2011</xref>). The physical properties of PLGA particles are also dependent upon the drug delivery device size, exposure to water (surface shape), as well as storage temperature and humidity (Table <xref ref-type="table" rid="T1">1</xref>) (Houchin and Topp, <xref ref-type="bibr" rid="B38">2009</xref>). These properties not only affect the ability of the biopolymer to be formulated but also influence its degradation rate (Table <xref ref-type="table" rid="T1">1</xref>; Makadia and Siegel, <xref ref-type="bibr" rid="B62">2011</xref>). Another factor that contributes to encapsulated drug release from PLGA microspheres is the concentration of polymer in the organic solvent during formulation (Wasana et al., <xref ref-type="bibr" rid="B88">2009</xref>).</p>
</sec>
<sec>
<title>Choice of surfactant</title>
<p>During microparticle formulation using conventional solvent evaporation methods, an emulsifier is required to ensure droplet stability until the polymer concentration in the organic solvent is sufficiently high to maintain particle conformation (Chemmunique, <xref ref-type="bibr" rid="B14">1980</xref>; Hwisa et al., <xref ref-type="bibr" rid="B42">2013</xref>). The most widely used emulsifier in the preparation of PLGA micro/nanoparticles is poly (vinyl alcohol) (PVA) (Wang et al., <xref ref-type="bibr" rid="B87">2015</xref>). It is worth noting that D-&#x003B1;-tocopheryl polyethylene glycol 1000 succinate (vitamin E TPGS; FDA-approved as a water-soluble vitamin E nutritional supplement) markedly improved drug loading at a concentration an order of magnitude lower (0.3 mg/ml) than analogous systems that used PVA (5 mg/ml) (Feng et al., <xref ref-type="bibr" rid="B28">2007</xref>).</p>
</sec>
<sec>
<title>Methods for producing microparticles for sustained-release formulations</title>
<p>Drugs, including many small molecules, that are soluble in the polymer solution, can be encapsulated by simply co-dissolving with the polymer for the most commonly used methods (Table <xref ref-type="table" rid="T2">2</xref>).</p>
<table-wrap position="float" id="T2">
<label>Table 2</label>
<caption><p><bold>Methods for producing PLGA based microparticles for sustained-release formulations: Advantages and Disadvantages</bold>.</p></caption>
<table frame="hsides" rules="groups">
<thead><tr>
<th valign="top" align="left"><bold>Methods</bold></th>
<th valign="top" align="left"><bold>Schematic diagrams</bold></th>
<th valign="top" align="left"><bold>&#x02022; Advantages</bold></th>
<th valign="top" align="left"><bold>&#x02022; Disadvantages</bold></th>
<th valign="top" align="left"><bold>References</bold></th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">Oil-in-water (o/w) emulsion</td>
<td valign="top" align="left"><inline-graphic xlink:href="fphar-07-00185-i0001.tif"/></td>
<td valign="top" align="left">
<list list-type="bullet">
<list-item><p>Simplicity</p></list-item>
<list-item><p>Suitability for temperature-sensitive compounds</p></list-item>
<list-item><p>Control of particle size</p></list-item>
</list>
</td>
<td valign="top" align="left">
<list list-type="bullet">
<list-item><p>Low encapsulation efficiency especially for water-soluble payloads</p></list-item>
<list-item><p>Solvent residuals</p></list-item>
<list-item><p>Low yield, agglomeration of sticky particles</p></list-item></list></td>
<td valign="top" align="left">Varde and Pack, <xref ref-type="bibr" rid="B83">2004</xref></td>
</tr>
<tr style="border-bottom: thin solid #000000;">
<td valign="top" align="left">Water-in-oil-in-water (w/o/w) emulsion</td>
<td valign="top" align="left"><inline-graphic xlink:href="fphar-07-00185-i0002.tif"/></td>
<td/>
<td/>
<td/>
</tr>
<tr style="border-bottom: thin solid #000000;">
<td valign="top" align="left">Supercritical CO<sub>2</sub> (scCO<sub>2</sub>)</td>
<td valign="top" align="left"><inline-graphic xlink:href="fphar-07-00185-i0003.tif"/></td>
<td valign="top" align="left"><list list-type="bullet">
<list-item><p>Negligible residual organic solvent</p></list-item></list></td>
<td valign="top" align="left"><list list-type="bullet">
<list-item><p>Multiple steps, poor control of particle size, size distribution, and morphology</p></list-item></list></td>
<td valign="top" align="left">Falco et al., <xref ref-type="bibr" rid="B26">2012</xref>; Dhanda et al., <xref ref-type="bibr" rid="B22">2013</xref></td>
</tr>
<tr style="border-bottom: thin solid #000000;">
<td valign="top" align="left">Spray drying</td>
<td valign="top" align="left"><inline-graphic xlink:href="fphar-07-00185-i0004.tif"/></td>
<td valign="top" align="left">
<list list-type="bullet">
<list-item><p>Can encapsulate wide range of drugs/peptides/proteins into microparticles without significant loss</p></list-item>
<list-item><p>Final drying step not required</p></list-item>
<list-item><p>One step and reproducible</p></list-item>
<list-item><p>Atomizers (nozzles) eliminate the need for complicated pre-preparation processes and enable continuous manufacture by utilization of liquid feeds <italic>via</italic> two separate channels</p></list-item></list></td>
<td valign="top" align="left">
<list list-type="bullet">
<list-item><p>Adhesion of microparticles to inner walls of the spray-dryer</p></list-item>
<list-item><p>Not suitable for temperature-sensitive compounds</p></list-item>
<list-item><p>Difficult to control particle size</p></list-item>
<list-item><p>Low yield, agglomeration of sticky particles</p></list-item></list></td>
<td valign="top" align="left">Makadia and Siegel, <xref ref-type="bibr" rid="B62">2011</xref>; Sosnik and Seremeta, <xref ref-type="bibr" rid="B80">2015</xref>; Wan and Yang, <xref ref-type="bibr" rid="B85">2016</xref></td>
</tr>
<tr style="border-bottom: thin solid #000000;">
<td valign="top" align="left">CES (Other modification, such as, coaxial tri-capillary electrospray, Emulsion-coaxial electrospinning)</td>
<td valign="top" align="left"><inline-graphic xlink:href="fphar-07-00185-i0005.tif"/></td>
<td valign="top" align="left">
<list list-type="bullet">
<list-item><p>Nearly 100% encapsulation rate</p></list-item>
<list-item><p>Useful for encapsulating water-soluble molecules</p></list-item>
<list-item><p>Protects biologically active payloads from processing-induced damage</p></list-item>
<list-item><p>Potential to control particle morphology with flexibility and reproducibility for both micro- and nanoparticle size ranges</p></list-item></list></td>
<td valign="top" align="left">
<list list-type="bullet">
<list-item><p>At early stage; requires further development</p></list-item>
<list-item><p>Standardized protocols and systematic process controls not available as yet</p></list-item>
<list-item><p>Lack of an effective particle collection method; commonly used one-step collection methods cannot facilitate shell hardening, or maintain particle morphology or prevent particle aggregation</p></list-item>
<list-item><p>Lack of a more productive nozzle design</p></list-item></list></td>
<td valign="top" align="left">Lee et al., <xref ref-type="bibr" rid="B53">2011</xref>; Viry et al., <xref ref-type="bibr" rid="B84">2012</xref>; Zhang et al., <xref ref-type="bibr" rid="B95">2012</xref>; Zamani et al., <xref ref-type="bibr" rid="B94">2014</xref>; Yuan et al., <xref ref-type="bibr" rid="B92">2015</xref></td>
</tr>
<tr style="border-bottom: thin solid #000000;">
<td valign="top" align="left">Microfluidics (Other modification, such as, capillary microfluidics coupled with solvent evaporation)</td>
<td valign="top" align="left"><inline-graphic xlink:href="fphar-07-00185-i0006.tif"/></td>
<td valign="top" align="left">
<list list-type="bullet">
<list-item><p>Ultra-small quantities of reagents needed</p></list-item>
<list-item><p>Precise control over drug release rate, drug loading efficiency, particle shell thickness, particle shape and size</p></list-item>
<list-item><p>Multiple components are easily generated using single-step emulsification</p></list-item></list></td>
<td valign="top" align="left"><list list-type="bullet">
<list-item><p>A time-consuming method as single drops are generated one at a time</p></list-item></list></td>
<td valign="top" align="left">Demello, <xref ref-type="bibr" rid="B21">2006</xref>; Hung et al., <xref ref-type="bibr" rid="B41">2010</xref>; Xie et al., <xref ref-type="bibr" rid="B89">2012</xref>; Cho and Yoo, <xref ref-type="bibr" rid="B15">2015</xref>; Leon et al., <xref ref-type="bibr" rid="B56">2015</xref></td>
</tr> <tr>
<td valign="top" align="left">Hydrogel template</td>
<td valign="top" align="left"><inline-graphic xlink:href="fphar-07-00185-i0007.tif"/></td>
<td valign="top" align="left"><list list-type="bullet">
<list-item><p>Higher drug loading and sustained release profiles</p></list-item></list></td>
<td valign="top" align="left"><list list-type="bullet">
<list-item><p>novel technique not widely used as yet</p></list-item></list></td>
<td valign="top" align="left">Acharya et al., <xref ref-type="bibr" rid="B2">2010a</xref>,<xref ref-type="bibr" rid="B3">b</xref>; Malavia et al., <xref ref-type="bibr" rid="B63">2015</xref></td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<p><italic>CES, Coaxial electrospray; PLGA, Poly(lactic-co-glycolic acid).</italic></p>
</table-wrap-foot>
</table-wrap>
<p>For the water-soluble salts of small molecule drugs, encapsulation efficiency can be improved by their conversion to a hydrophobic form, such as by complexation with ionic surfactants (Cohen et al., <xref ref-type="bibr" rid="B16">1991</xref>) or to the corresponding free acid or free base form (Han et al., <xref ref-type="bibr" rid="B36">2015</xref>). Alternative approaches include suspension of solid (e.g., lyophilized) particulates in the polymer solution; or use of a water-in-oil-in-water (w/o/w) solvent evaporation (double-emulsion) method. When using a w/o/w method, relatively higher drug loading and reproducible sustain-release profiles can be achieved by formulations that have a smaller volume for the inner water phase (Wasana et al., <xref ref-type="bibr" rid="B88">2009</xref>; Chaudhari et al., <xref ref-type="bibr" rid="B13">2010</xref>), a low preparation temperature (Yang et al., <xref ref-type="bibr" rid="B91">2000</xref>; Fu et al., <xref ref-type="bibr" rid="B32">2005</xref>; Chaudhari et al., <xref ref-type="bibr" rid="B13">2010</xref>; Ito et al., <xref ref-type="bibr" rid="B43">2011</xref>) and a suitable pH of the external phase (Bodmeier and Mcginity, <xref ref-type="bibr" rid="B9">1988</xref>; Govender et al., <xref ref-type="bibr" rid="B34">1999</xref>; Leo et al., <xref ref-type="bibr" rid="B55">2004</xref>).</p>
<p>Newer technologies and approaches for achieving high levels of drug loading with suitable sustained release profiles are reviewed in the following sections and compared in Tables <xref ref-type="table" rid="T1">1</xref>, <xref ref-type="table" rid="T2">2</xref>.</p>
</sec>
</sec>
<sec id="s3">
<title>Recent advances with promise for improving PLGA-based drug delivery systems</title>
<sec>
<title>Hydrogel templates</title>
<p>Hydrogel templates enable high drug loading (&#x0007E;50%) and high incorporation efficiencies (&#x0007E;100%) to be achieved and are amenable to small molecules and biologics (Tables <xref ref-type="table" rid="T1">1</xref>, <xref ref-type="table" rid="T2">2</xref>) (Malavia et al., <xref ref-type="bibr" rid="B63">2015</xref>). Any water insoluble material can be used as the microparticle matrix to produce the desired drug release profiles, and microparticles are recovered from the readily soluble hydrogel templates. The technology allows for precise control of the size and shape of template wells in every dimension so that microparticles with a narrow size distribution can be produced (Lu et al., <xref ref-type="bibr" rid="B60">2014</xref>; Malavia et al., <xref ref-type="bibr" rid="B63">2015</xref>). These attributes enable sustained-release microparticles to be produced for injection using narrow bore needles into sensitive spaces such as the eye, with nearly zero-order drug release for over 3 months with virtually no initial burst release (Malavia et al., <xref ref-type="bibr" rid="B63">2015</xref>). However, more research is needed to better understand the effect of microparticle size and shape on encapsulated drug release kinetics and <italic>in vivo</italic> performance for a broad range of molecules with widely differing physicochemical properties.</p>
</sec>
<sec>
<title>Coaxial electrospray</title>
<p>Coaxial electrospray (CES) produces double-layered microparticles using an electric field applied to both the outer (PLGA carrier) and the inner (drug loaded) solutions sprayed simultaneously through two separate feeding channels of a coaxial needle into the one nozzle (Yuan et al., <xref ref-type="bibr" rid="B92">2015</xref>). At a certain voltage threshold, a conical shape (e.g., &#x0201C;Taylor cone&#x0201D;) forms and the jets of liquids (both inner and outer flows) are broken into double-layered microparticles (Yuan et al., <xref ref-type="bibr" rid="B92">2015</xref>). In the CES process, a compound Taylor cone with a core-shell structure is formed on top of the spray nozzle, and the outer polymeric solution encapsulates the inner liquid (Yuan et al., <xref ref-type="bibr" rid="B92">2015</xref>). The bulk liquid is broken into small charged droplets by coulombic repulsion (Yuan et al., <xref ref-type="bibr" rid="B92">2015</xref>). Using this technique, parameters such as orientation of the jets, material flow rates, and rate of solvent extraction can be controlled to create uniform and well-centered double-walled microspheres exhibiting a controllable shell thickness (Makadia and Siegel, <xref ref-type="bibr" rid="B62">2011</xref>). The CES process enables effective encapsulation of proteins, drugs, and contrast agents with high efficiency, minimal loss of biological viability, and excellent control of core-shell architecture (Tables <xref ref-type="table" rid="T1">1</xref>, <xref ref-type="table" rid="T2">2</xref>) (Zamani et al., <xref ref-type="bibr" rid="B94">2014</xref>; Yuan et al., <xref ref-type="bibr" rid="B92">2015</xref>).</p>
</sec>
<sec>
<title>Microfluidic fabrication</title>
<p>Microfluidic devices use electrostatic forces to control the size and shape of particles for enhanced tuning of drug release characteristics (Zhang et al., <xref ref-type="bibr" rid="B96">2013</xref>). Microfluidic systems have been employed for fabrication of complex drug carriers with precise size and composition leading to a predictable and tuneable release profile (Tables <xref ref-type="table" rid="T1">1</xref>, <xref ref-type="table" rid="T2">2</xref>) (Leon et al., <xref ref-type="bibr" rid="B56">2015</xref>; Riahi et al., <xref ref-type="bibr" rid="B73">2015</xref>). Two continuous and immiscible streams (i.e., oil and water) are infused via two separate inlets (Xu et al., <xref ref-type="bibr" rid="B90">2009</xref>). Monodisperse droplets are generated at the junction where the two streams meet due to the high shear stress. The droplet sizes are in the range 20&#x02013;100 &#x003BC;m (Xu et al., <xref ref-type="bibr" rid="B90">2009</xref>) and 100&#x02013;300 nm (Xie et al., <xref ref-type="bibr" rid="B89">2012</xref>). In contrast to the classical double emulsion methods, multiple components are easily generated by a single-step emulsification in the microfluidic device (Xie et al., <xref ref-type="bibr" rid="B89">2012</xref>). By introducing the second stream, droplets may be re-encapsulated which is useful for preparing core-shell structures (Nie et al., <xref ref-type="bibr" rid="B69">2006</xref>).</p>
<p>A novel and versatile microfluidic approach for fabrication of PLGA/PCL Janus and microcapsule particles involves changing the organic solvent of the dispersed phase from dimethyl carbonate to dichloromethane (Li et al., <xref ref-type="bibr" rid="B57">2015</xref>). The shell on the microcapsule particle surface is comprised of PLGA only, and the core is comprised of PCL in which tiny PLGA beads are embedded (Li et al., <xref ref-type="bibr" rid="B57">2015</xref>). Interestingly, the Janus and microcapsule particles exhibited distinct degradation behaviors, implying their potential for differential effects on drug delivery and release profiles (Li et al., <xref ref-type="bibr" rid="B57">2015</xref>).</p>
</sec>
<sec>
<title>Supercritical CO<sub>2</sub></title>
<p>Supercritical CO<sub>2</sub> (scCO<sub>2</sub>) provides a &#x0201C;green&#x0201D; alternative to traditional microparticle formulation techniques as it avoids use of toxic organic solvents or elevated temperatures (Tables <xref ref-type="table" rid="T1">1</xref>, <xref ref-type="table" rid="T2">2</xref>) (Budisa and Schulze-Makuch, <xref ref-type="bibr" rid="B10">2014</xref>). Owing to the very short encapsulation process (5&#x02013;10 min) at a relatively low temperature and modest pressure, and absence of organic solvents, the activity of bioactive molecules including proteins is maintained (Howdle et al., <xref ref-type="bibr" rid="B39">2001</xref>; Koushik and Kompella, <xref ref-type="bibr" rid="B51">2004</xref>; Della Porta et al., <xref ref-type="bibr" rid="B20">2013</xref>). Because the complete process is anhydrous, it can be used to produce sustained-release formulations of multiple hydrophilic molecules (Thote and Gupta, <xref ref-type="bibr" rid="B82">2005</xref>).</p>
<p>New variations to the use of scCO<sub>2</sub> technology take advantage of other properties of CO<sub>2</sub> such as its capacity to extract active pharmaceutical ingredients (APIs) from natural compounds or to form polymers (Champeau et al., <xref ref-type="bibr" rid="B12">2015</xref>). New protocols under development hold promise for fabricating drug-eluting implants using a scCO<sub>2</sub> impregnation process (Champeau et al., <xref ref-type="bibr" rid="B12">2015</xref>).</p>
</sec>
<sec>
<title>Spray drying</title>
<p>Drug/protein/peptide loaded microspheres can be prepared by spraying a solid-in-oil dispersion or water-in-oil emulsion in a stream of heated air without significant losses (Makadia and Siegel, <xref ref-type="bibr" rid="B62">2011</xref>). The type of drug (hydrophobic or hydrophilic) for encapsulation informs the choice and nature of the solvent to be used, whereas the temperature of the solvent evaporation step and feed rate affect microsphere morphology (Tables <xref ref-type="table" rid="T1">1</xref>, <xref ref-type="table" rid="T2">2</xref>) (Makadia and Siegel, <xref ref-type="bibr" rid="B62">2011</xref>). Various spray drying techniques have been reported and are reviewed elsewhere (Wan and Yang, <xref ref-type="bibr" rid="B85">2016</xref>).</p>
</sec>
<sec>
<title>Polymer self-healing</title>
<p>&#x0201C;Self-healing&#x0201D; is a phenomenon whereby polymers with damaged structures (e.g., pores, cracks, and dents), undergo spontaneous rearrangement of the polymer chains to produce healing (repair) (Syrett et al., <xref ref-type="bibr" rid="B81">2010</xref>). This is important because pore closure in PLGA microparticles at physiological temperature impedes the pore-diffusion pathway and greatly reduces initial burst release of a micro-encapsulated peptide (Wang et al., <xref ref-type="bibr" rid="B86">2002</xref>). Similarly, porous PLGA microspheres loaded with recombinant human growth hormone (rhGH) prepared by the solvent evaporation technique and using the surfactant pluronic F127 as porogen, underwent pore closure at the polymer surface following solvent exposure (Kim et al., <xref ref-type="bibr" rid="B48">2006</xref>). These &#x0201C;healed&#x0201D; non-porous microspheres exhibited sustained drug release profiles over an extended period (Kim et al., <xref ref-type="bibr" rid="B48">2006</xref>). The post-healing approach can be used to overcome shear-induced microparticle degradation, solvent-associated erosion of delicate core materials, or unexpected payload release during emulsification (Tables <xref ref-type="table" rid="T1">1</xref>, <xref ref-type="table" rid="T2">2</xref>) (Na et al., <xref ref-type="bibr" rid="B65">2012</xref>). Strategies for &#x0201C;healing&#x0201D; pores in the microparticle surface include solvent swelling, or infrared irradiation which is potentially an even milder approach for inducing self-healing (Na et al., <xref ref-type="bibr" rid="B65">2012</xref>).</p>
</sec>
<sec>
<title>Complexing PLGA with additives</title>
<p>As noted in an earlier section of this review, the chemical composition of PLGA-particulate drug delivery systems greatly influences their physicochemical properties, and this in turn governs the biodistribution and pharmacokinetics of the encapsulated drug (Zhang et al., <xref ref-type="bibr" rid="B96">2013</xref>). Hence, complexation of PLGA with suitable additives (Table <xref ref-type="table" rid="T1">1</xref>) including poly(ethylene glycol) (PEG), POE, chitosan and/or alginate, caffeic acid, hyaluronic acid, TPGS, and SiO<sub>2</sub> (Shi et al., <xref ref-type="bibr" rid="B77">2003</xref>; Graves et al., <xref ref-type="bibr" rid="B35">2004</xref>; Zheng and Liang, <xref ref-type="bibr" rid="B97">2010</xref>; Lim et al., <xref ref-type="bibr" rid="B59">2013</xref>; Navaei et al., <xref ref-type="bibr" rid="B68">2014</xref>; Abulateefeh and Alkilany, <xref ref-type="bibr" rid="B1">2015</xref>; Sanna et al., <xref ref-type="bibr" rid="B74">2015</xref>; Selmin et al., <xref ref-type="bibr" rid="B75">2015</xref>; Wang et al., <xref ref-type="bibr" rid="B87">2015</xref>), may lead to higher drug loading and the desired sustained release profile (Shi et al., <xref ref-type="bibr" rid="B77">2003</xref>; Graves et al., <xref ref-type="bibr" rid="B35">2004</xref>; Zheng and Liang, <xref ref-type="bibr" rid="B97">2010</xref>; Lim et al., <xref ref-type="bibr" rid="B59">2013</xref>; Navaei et al., <xref ref-type="bibr" rid="B68">2014</xref>; Abulateefeh and Alkilany, <xref ref-type="bibr" rid="B1">2015</xref>; Sanna et al., <xref ref-type="bibr" rid="B74">2015</xref>; Selmin et al., <xref ref-type="bibr" rid="B75">2015</xref>).</p>
<p>Other strategies with promise for improving controlled-release drug delivery systems include double walled/layered PLGA (Navaei et al., <xref ref-type="bibr" rid="B68">2014</xref>) and nanoparticles-in-microparticles (Lee et al., <xref ref-type="bibr" rid="B54">2013</xref>). Additionally, polymer-brush PLGA-based drug delivery systems appear promising due to the versatility and controllability of the method for controlling particle shape (Huang et al., <xref ref-type="bibr" rid="B40">2014</xref>).</p>
</sec>
</sec>
<sec sec-type="conclusions" id="s4">
<title>Conclusions</title>
<p>In the past decade, considerable progress has been made on addressing the issues of (i) low drug loading, (ii) particle instability, and (iii) adequate control of drug release profiles for PLGA-based microparticle drug delivery systems. Strategies for increasing drug loading in PLGA-microspheres include modification of the classical solvent evaporation methods, preparation of multi-layered microparticles, and development of novel methods for microparticle fabrication including hydrogel templates, coaxial electrospray, microfluidics, and scCO<sub>2</sub>. Additionally, methods involving complexation of PLGA with additives such as PEG, POE, chitosan and/or alginate, caffeic acid, hyaluronic acid and SiO<sub>2</sub>, appear promising. Nevertheless, there is a great need for innovation in development of time-efficient methods for controlling the factors that influence drug loading and release profiles as a means to inform the design of next-generation controlled-release drug delivery systems (Draheim et al., <xref ref-type="bibr" rid="B23">2015</xref>).</p>
</sec>
<sec id="s5">
<title>Author contributions</title>
<p>All authors listed, have made substantial, direct and intellectual contribution to the work, and approved it for publication.</p>
</sec>
<sec>
<title>Funding</title>
<p>FH is supported by a postdoctoral fellowship funded by a National Health and Medical Research Council (NHMRC) grant, APP1107723.</p>
<sec>
<title>Conflict of interest statement</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
</sec>
</body>
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