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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="publisher-id">855294</article-id>
<article-id pub-id-type="doi">10.3389/fphar.2022.855294</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Pharmacology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Design and Characterization of Paclitaxel-Loaded Polymeric Nanoparticles Decorated With Trastuzumab for the Effective Treatment of Breast Cancer</article-title>
<alt-title alt-title-type="left-running-head">Sakhi et&#x20;al.</alt-title>
<alt-title alt-title-type="right-running-head">Trastuzumab-Mediated Polymeric Paclitaxel Nanoparticles</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Sakhi</surname>
<given-names>Mirina</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Khan</surname>
<given-names>Abad</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<uri xlink:href="https://loop.frontiersin.org/people/149403/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Iqbal</surname>
<given-names>Zafar</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Khan</surname>
<given-names>Ismail</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Raza</surname>
<given-names>Abida</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/131766/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ullah</surname>
<given-names>Asmat</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Nasir</surname>
<given-names>Fazli</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Khan</surname>
<given-names>Saeed Ahmad</given-names>
</name>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1573983/overview"/>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
</contrib>
</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>Department of Pharmacy</institution>, <institution>University of Swabi</institution>, <addr-line>Swabi</addr-line>, <country>Pakistan</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Department of Pharmacy</institution>, <institution>University of Peshawar</institution>, <addr-line>Peshawar</addr-line>, <country>Pakistan</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>National Institute of LASER and Optronics</institution>, <addr-line>Nilore</addr-line>, <country>Pakistan</country>
</aff>
<aff id="aff4">
<sup>4</sup>
<institution>Department of Pharmacy, Kohat University of Science and Technology</institution>, <addr-line>Kohat</addr-line>, <country>Pakistan</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>
<bold>Edited by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/809823/overview">Muhammad Afzal</ext-link>, Jouf University, Saudi Arabia</p>
</fn>
<fn fn-type="edited-by">
<p>
<bold>Reviewed by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/294686/overview">Donatella Paolino</ext-link>, University of Catanzaro, Italy</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1665935/overview">Emine Guven</ext-link>, D&#xfc;zce University, Turkey</p>
</fn>
<corresp id="c001">&#x2a;Correspondence: Abad Khan, <email>drabadkhan@uoswabi.edu.pk</email>; Saeed Ahmad Khan, <email>saeedkhanphd@gmail.com</email>
</corresp>
<fn fn-type="other">
<p>This article was submitted to Experimental Pharmacology and Drug Discovery, a section of the journal Frontiers in Pharmacology</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>14</day>
<month>03</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="collection">
<year>2022</year>
</pub-date>
<volume>13</volume>
<elocation-id>855294</elocation-id>
<history>
<date date-type="received">
<day>15</day>
<month>01</month>
<year>2022</year>
</date>
<date date-type="accepted">
<day>25</day>
<month>02</month>
<year>2022</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2022 Sakhi, Khan, Iqbal, Khan, Raza, Ullah, Nasir and Khan.</copyright-statement>
<copyright-year>2022</copyright-year>
<copyright-holder>Sakhi, Khan, Iqbal, Khan, Raza, Ullah, Nasir and Khan</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) and the copyright owner(s) 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&#x20;terms.</p>
</license>
</permissions>
<abstract>
<p>The aim of the study was to design and formulate an antibody-mediated targeted, biodegradable polymeric drug delivery system releasing drug in a controlled manner to achieve a therapeutic goal for the effective treatment of breast cancer. Antibody-mediated paclitaxel-loaded PLGA polymeric nanoformulations were prepared by the solvent evaporation method using different experimental parameters and compatibility studies. The optimized formulations were selected for <italic>in&#x20;vitro</italic> and <italic>in vivo</italic> evaluation and cytotoxicity studies. The <italic>in&#x20;vitro</italic> drug release studies show a biphasic release pattern for the paclitaxel-loaded PLGA nanoparticles showing a burst release for 24&#xa0;h followed by an extended release for 14&#xa0;days; however, a more controlled and sustained release was observed for antibody-conjugated polymeric nanoparticles. The cytotoxicity of reference drug and paclitaxel-loaded PLGA nanoparticles with and without antibody was determined by performing MTT assay against MCF-7 cells. Rabbits were used as experimental animals for the assessment of various <italic>in vivo</italic> pharmacokinetic parameters of selected formulations. The pharmacokinetic parameters such as C<sub>max</sub> (1.18&#x2013;1.33 folds), AUC<sub>0-t</sub> (39.38&#x2013;46.55 folds), MRT (10.04&#x2013;12.79 folds), t<sub>1/2</sub> (3.06&#x2013;4.6 folds), and V<sub>d</sub> (6.96&#x2013;8.38 folds) have been increased significantly while clearance (4.34&#x2013;4.61 folds) has been decreased significantly for the selected nanoformulations as compared to commercially available paclitaxel formulation (Paclixil<sup>&#xae;</sup>). The surface conjugation of nanoparticles with trastuzumab resulted in an increase in <italic>in&#x20;vitro</italic> cytotoxicity as compared to plain nanoformulations and commercially available conventional brand (Paclixil<sup>&#xae;</sup>). The developed PLGA-paclitaxel nanoformulations conjugated with trastuzumab have the desired physiochemical characteristics, surface morphology, sustained release kinetics, and enhanced targeting.</p>
</abstract>
<kwd-group>
<kwd>biodegradable</kwd>
<kwd>polymeric</kwd>
<kwd>drug-delivery</kwd>
<kwd>breast cancer</kwd>
<kwd>paclitaxel</kwd>
<kwd>cytotoxicity</kwd>
<kwd>trastuzumab</kwd>
<kwd>PLGA</kwd>
</kwd-group>
<contract-num rid="cn001">DSC-01032494113PRD</contract-num>
<contract-sponsor id="cn001">Higher Education Commision, Pakistan<named-content content-type="fundref-id">10.13039/501100010221</named-content>
</contract-sponsor>
</article-meta>
</front>
<body>
<sec id="s1">
<title>1 Introduction</title>
<p>Cancer is a disease in which genes regulating the functions of cells, i.e.,&#x20;cell growth, division, differentiation, and cell death losses are without any control (<xref ref-type="bibr" rid="B24">Liotta et&#x20;al., 1991</xref>). Cancer is developing very rapidly in the whole world, especially in the developing countries. In women, among all the cancers diagnosed, breast cancer accounts for one-third (<xref ref-type="bibr" rid="B27">Miele et&#x20;al., 2009</xref>), and 18.2% of deaths are caused by breast cancer worldwide. Breast cancer receptors are divided into two main types, i.e.,&#x20;estrogen receptor (ER) negative and human epidermal growth factor receptors (HER2) positive (<xref ref-type="bibr" rid="B3">Carey et&#x20;al., 2006</xref>). Breast cancer is treated nowadays by different ways, i.e.,&#x20;hormone-blocking agents, chemotherapy, radiotherapy, monoclonal antibodies, and surgery (<xref ref-type="bibr" rid="B52">Waks &#x26; Winer, 2019</xref>).</p>
<p>Main problems with concventional drug delivery systems are fluctuations of drug concentrations in blood which in turn causes subtherapeutic concentration or toxic effects. Lack of specificity, multidrug resistance, toxicity of chemotherapeutic agents, side effects, limited aqueous solubility, and poor bioavailability are some of the limitations with available cancer therapy (<xref ref-type="bibr" rid="B6">Chidambaram et&#x20;al., 2011</xref>). The major target of any drug delivery system and particularly controlled drug delivery system is to make the therapeutically effective amount of drug available at a desired site, at an optimum concentration, and for a desired period of time (<xref ref-type="bibr" rid="B55">Win, 2006</xref>).</p>
<p>Nanotechnology is gaining much popularity as mortality due to cancer continues to rise, and the advanced nanotechnology has provided an effective approach for targeting the drug to tumor tissues by overcoming the limitations that are associated with conventional chemotherapeutic agents (<xref ref-type="bibr" rid="B13">Ferlay et&#x20;al., 2015</xref>). Nanotechnology has shown a new path for the development of various organic and inorganic drug carriers called as nanoparticles.</p>
<p>Biodegradable polymers are the first choice in nanoparticulate drug delivery because they not only release drugs in a controlled manner but are also compatible with tissues and cells (<xref ref-type="bibr" rid="B14">Fonseca et&#x20;al., 2002</xref>). In the last 10&#x2013;20&#xa0;years, the polymeric biodegradable nanoparticle drug delivery has got a lot of importance in cancer treatments. Among these polymers, one of the biodegradable polymers used most successfully is poly lactic co glycolic acid (PLGA) which upon hydrolysis is metabolized to lactic and glycolic acid and excreted quickly (<xref ref-type="bibr" rid="B22">Kumari et&#x20;al., 2010</xref>). PLGA has been approved by the Food and Drug Administration (FDA) for parenteral administrations due to its biodegradability and biocompatibility. It can be easily formulated with a variety of hydrophilic or hydrophobic molecules, and it imparts some extra properties to the drug molecules, i.e.,&#x20;protect drug from degradation effects, control the release, and can also modify the surface in order to interact with other biological materials and to achieve stealth or targeted delivery of nanoparticles (<xref ref-type="bibr" rid="B9">Danhier et&#x20;al., 2012</xref>).</p>
<p>Poloxamer 407 is a cationic, tri-block copolymer containing polyethylene oxide (hydrophilic portion) and poly propylene oxide (hydrophobic portion). The hydrophobic end is anchored with the nanoparticle surface, while the water loving portion is toward the aqueous medium forming a hydrophilic layer (<xref ref-type="bibr" rid="B41">Redhead et&#x20;al., 2001</xref>; <xref ref-type="bibr" rid="B47">Stolnik et&#x20;al., 2001</xref>). It is amphiphilic in nature with bioadhesive properties and increases solubilization of hydrophobic drugs. Poloxamer 407 has been approved by the FDA as a bioactive ingredient for topical, ophthalmic, suspension, injectable, and other pharmaceutical preparations (<xref ref-type="bibr" rid="B12">Dumortier et&#x20;al., 2006</xref>). Nanoparticles, whose surfaces have been modified with poloxamer 407 remain in blood circulation for a prolonged period of time, escapes the reticuloendothelial system (<xref ref-type="bibr" rid="B47">Stolnik et&#x20;al., 2001</xref>). Poloxamer 407 increases drug accumulation inside tumor tissue by inhibiting the efflux transport protein system. This provides steric stabilization by inhibiting phagocytosis and prevention of protein adsorption (<xref ref-type="bibr" rid="B30">Moura et&#x20;al., 2020</xref>). Poloxamer 407 enhances bioavailability by increasing drug residence time (<xref ref-type="bibr" rid="B28">Moghimi &#x26; Hunter, 2000</xref>). New therapeutic strategies can be developed using poloxamer because of its temperature-dependent self-assembly characteristic. It can be used for increasing the stability and solubility of drugs (<xref ref-type="bibr" rid="B4">Carvalho et&#x20;al., 2021</xref>).</p>
<p>The HER family of receptors are of prime importance in the pathogenesis of several cancers by regulating the cell differentiation, growth, and survival through multiple pathways (<xref ref-type="bibr" rid="B42">Romond et&#x20;al., 2005</xref>). This family of receptors is made up of four main members: HER (1, 2, 3, and 4) or Erb (B1, B2, B3, and B4). All four HERs consist of an intracellular and extracellular binding site (<xref ref-type="bibr" rid="B50">Sun et&#x20;al., 2011b</xref>; <xref ref-type="bibr" rid="B19">Iqbal &#x26; Iqbal, 2014</xref>). Monoclonal antibodies are clones of a unique parent cell and recognize specific antigens that are located on the cancer cell surface, thereby causing an antigen&#x2013;antibody-like effect through multiple mechanisms which include ligand&#x2013;receptor binding interference or protein expression suppression (<xref ref-type="bibr" rid="B46">Steichen et&#x20;al., 2013</xref>). Improved clinical efficacy and decreased toxicity associated with conventional anticancer drugs attributed to the significant use of monoclonal antibodies (<xref ref-type="bibr" rid="B7">Colzani et&#x20;al., 2018</xref>). Trastuzumab, a humanized monoclonal antibody approved by the US-FDA for breast cancer, targets overexpressed HER2 receptors in breast cancer cells. Combination therapy of trastuzumab with conventional chemotherapeutics leads to increased response rates in comparison to trastuzumab alone (<xref ref-type="bibr" rid="B38">Piccart-Gebhart et&#x20;al., 2005</xref>; P.; <xref ref-type="bibr" rid="B57">Yousefpour et&#x20;al., 2011</xref>). The combination therapy of this antibody is of prime importance, especially with drugs of taxanes family since both the therapeutic response and survival rate are increased (<xref ref-type="bibr" rid="B48">Sun et&#x20;al., 2008</xref>).</p>
<p>The study is designed for the formulation of paclitaxel-loaded PLGA nanoparticles conjugated with trastuzumab for the effective treatment of breast cancer. Physiochemical characterization, <italic>in&#x20;vitro</italic> drug release, pharmacokinetic evaluation, and <italic>in&#x20;vitro</italic> cytotoxicity studies were carried out. The proposed formulations were found safe and effective for the targeting of breast cancer. The developed nanoformulations have the advantage of using polymeric stabilizers which have the potential to improve solubility and enhance stability and bioavailability with no issue of hypersensitivity reactions and are also blocking the pgp efflux transport protein system. The drug delivery in nano-size and surface decoration with the antibody is a unique combination which will not only prevent the particles from being entrapped by the reticuloendothelial systems but also help in accumulation of drug in tumor tissues through EPR (enhanced permeability and retention) effect. So, the therapeutic effectiveness of this drug delivery will be very much improved, and the toxic effects will be minimized. The use of PLGA grade (75:25) results in a more sustained release which has not been used previously with surface conjugation of antibody. Although surface functionalization of paclitaxel nanoparticles has been carried out previously by albumin, polyethylene glycol, and folate, the promising results were obtained in this work in terms of size, stability, drug release profile, <italic>in&#x20;vitro</italic> cytotoxicity, and pharmacokinetic parameters.</p>
</sec>
<sec id="s2">
<title>2 Materials and Methods</title>
<sec id="s2-1">
<title>2.1 Materials</title>
<p>Paclitaxel (&#x2265;99.9% purity) was purchased from Qilu Antibiotic Pharmaceutical Co Ltd China. Poly lactic acid co-glycolic acid (75:25, Resomer<sup>&#xae;</sup> RG 756&#xa0;H, MW 76000&#x2013;115000&#xa0;Da) from Evonik Germany, trastuzumab from Roche Pharmaceuticals United&#x20;Kingdom, poloxamer 407 and sodium lauryl sulfate (SLS) from Sigma-Aldrich Germany, disodium hydrogen phosphate (Na<sub>2</sub>HPO<sub>4</sub>), dialysis tubing-Dia 27/32&#x201d;-21.5&#xa0;mm 30&#xa0;M MWCO &#x223c;12,000&#x2013;14,000&#xa0;Da from Sigma-Aldrich Germany, acetonitrile (purity &#x2265; 99.9%), and other solvents used were of HPLC grade. The water used for solvent preparation was ultrapure.</p>
</sec>
<sec id="s2-2">
<title>2.2 Preformulation Studies</title>
<sec id="s2-2-1">
<title>2.2.1 Preparation of the Sample</title>
<p>The physical mixtures of drug (paclitaxel) and polymer were prepared (1:1 w/w) with different excipients such as poloxamer (0.5, 1, 1.5, and 2%) and SLS (0.5%). The samples were prepared by simple mixing of drug, polymer, and excipients. The samples were stored for 1&#x20;month at 40&#xb0;&#x20;&#xb1; 2&#xb0;C and 75&#x20;&#xb1; 5% RH (<xref ref-type="bibr" rid="B37">Pe&#xe7;a et&#x20;al., 2012</xref>). These physical samples were analyzed by FTIR for drug, polymer, and excipients preformulation compatibilities in comparison with nanoformulations.</p>
</sec>
<sec id="s2-2-2">
<title>2.2.2 Compatibility Studies</title>
<p>The interactions between drug (paclitaxel), polymer, and excipients were carried out by preparing binary mixtures. Drug content, physical consistency, and FTIR spectra were examined at each sampling point for any possible drug&#x2013;excipient incompatibility. The physical interactions among the excipients, drug, and polymer were observed by noting changes in physical consistency.</p>
</sec>
<sec id="s2-2-3">
<title>2.2.3 Determination of the Drug Content Using a UV&#x2013;Visible Spectrophotometer</title>
<p>The samples containing excipients, excipients and drug, and excipients and polymer were stored under stress conditions and analyzed for determination of the drug content. Samples and standard solutions were dissolved in acetonitrile (ACN) for analysis. The drug content was measured in triplicate.</p>
</sec>
<sec id="s2-2-4">
<title>2.2.4 Fourier Transform Infrared Spectroscopy</title>
<p>An FTIR spectrophotometer was used to analyze the samples for incompatibilities. The samples were prepared by the potassium bromide (KBr) pellet method. Dried potassium bromide was mixed with 1% w/w of the sample and grounded for 3&#x2013;5&#xa0;min. The sample was pulverized and converted to a compact mass by compression. The samples were analyzed in the region of 400&#x2013;4,000&#xa0;cm<sup>&#x2212;1</sup>.</p>
</sec>
</sec>
<sec id="s2-3">
<title>2.3 Formulation of Plain and Antibody-Conjugated Nanoformulations</title>
<p>Paclitaxel-loaded polymeric nanoparticles were prepared using PLGA as a polymer, poloxamer 407, and sodium lauryl sulfate (SLS) as a stabilizer utilizing the solvent evaporation method (<xref ref-type="table" rid="T1">Table&#x20;1</xref>). PLGA concentration was kept constant (10&#xa0;mg), while poloxamer 407, SLS, and drug were used in varying concentrations. The developed nanoformulations were characterized for their physicochemical properties [size, polydispersity index (PDI), and zeta potential], drug loading, % entrapment efficiency, and stability. The optimized nanoformulations were then decorated with trastuzumab.</p>
<table-wrap id="T1" position="float">
<label>TABLE 1</label>
<caption>
<p>Formulation of paclitaxel with PLGA, 0.05% SLS, and 0.5, 1, 1.5, and 2% poloxamer 407.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="left">S.No</th>
<th align="center">Code</th>
<th align="center">Paclitaxel (mg)</th>
<th align="center">PLGA (mg)</th>
<th align="center">Poloxamer 407</th>
<th align="center">SLS 0.05% (ml)</th>
<th align="center">Time (min)</th>
<th align="center">Temp</th>
<th align="center">Sonication speed (%)</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">01</td>
<td align="center">PTX 100</td>
<td align="center">1&#xa0;mg</td>
<td align="center">10&#xa0;mg</td>
<td align="center">0.5% 5&#xa0;ml</td>
<td align="center">5&#xa0;ml</td>
<td align="center">4&#xa0;min</td>
<td align="center">25&#xb0;C</td>
<td align="char" char=".">99</td>
</tr>
<tr>
<td align="left">02</td>
<td align="center">PTX 101</td>
<td align="center">2&#xa0;mg</td>
<td align="center">10&#xa0;mg</td>
<td align="center">0.5% 5&#xa0;ml</td>
<td align="center">5&#xa0;ml</td>
<td align="center">4&#xa0;min</td>
<td align="center">25&#xb0;C</td>
<td align="char" char=".">99</td>
</tr>
<tr>
<td align="left">03</td>
<td align="center">PTX 102</td>
<td align="center">3&#xa0;mg</td>
<td align="center">10&#xa0;mg</td>
<td align="center">0.5% 5&#xa0;ml</td>
<td align="center">5&#xa0;ml</td>
<td align="center">4&#xa0;min</td>
<td align="center">25&#xb0;C</td>
<td align="char" char=".">99</td>
</tr>
<tr>
<td align="left">04</td>
<td align="center">PTX 103</td>
<td align="center">4&#xa0;mg</td>
<td align="center">10&#xa0;mg</td>
<td align="center">0.5% 5&#xa0;ml</td>
<td align="center">5&#xa0;ml</td>
<td align="center">4&#xa0;min</td>
<td align="center">25&#xb0;C</td>
<td align="char" char=".">99</td>
</tr>
<tr>
<td align="left">05</td>
<td align="center">PTX 104</td>
<td align="center">1&#xa0;mg</td>
<td align="center">10&#xa0;mg</td>
<td align="center">1% 5&#xa0;ml</td>
<td align="center">5&#xa0;ml</td>
<td align="center">4&#xa0;min</td>
<td align="center">25&#xb0;C</td>
<td align="char" char=".">99</td>
</tr>
<tr>
<td align="left">06</td>
<td align="center">PTX 105</td>
<td align="center">2&#xa0;mg</td>
<td align="center">10&#xa0;mg</td>
<td align="center">1% 5&#xa0;ml</td>
<td align="center">5&#xa0;ml</td>
<td align="center">4&#xa0;min</td>
<td align="center">25&#xb0;C</td>
<td align="char" char=".">99</td>
</tr>
<tr>
<td align="left">07</td>
<td align="center">PTX 106</td>
<td align="center">3&#xa0;mg</td>
<td align="center">10&#xa0;mg</td>
<td align="center">1% 5&#xa0;ml</td>
<td align="center">5&#xa0;ml</td>
<td align="center">4&#xa0;min</td>
<td align="center">25&#xb0;C</td>
<td align="char" char=".">99</td>
</tr>
<tr>
<td align="left">08</td>
<td align="center">PTX 107</td>
<td align="center">4&#xa0;mg</td>
<td align="center">10&#xa0;mg</td>
<td align="center">1% 5&#xa0;ml</td>
<td align="center">5&#xa0;ml</td>
<td align="center">4&#xa0;min</td>
<td align="center">25&#xb0;C</td>
<td align="char" char=".">99</td>
</tr>
<tr>
<td align="left">09</td>
<td align="center">PTX 108</td>
<td align="center">1&#xa0;mg</td>
<td align="center">10&#xa0;mg</td>
<td align="center">1.5% 5&#xa0;ml</td>
<td align="center">5&#xa0;ml</td>
<td align="center">4&#xa0;min</td>
<td align="center">25&#xb0;C</td>
<td align="char" char=".">99</td>
</tr>
<tr>
<td align="left">10</td>
<td align="center">PTX 109</td>
<td align="center">2&#xa0;mg</td>
<td align="center">10&#xa0;mg</td>
<td align="center">1.5% 5&#xa0;ml</td>
<td align="center">5&#xa0;ml</td>
<td align="center">4&#xa0;min</td>
<td align="center">25&#xb0;C</td>
<td align="char" char=".">99</td>
</tr>
<tr>
<td align="left">11</td>
<td align="center">PTX 110</td>
<td align="center">3&#xa0;mg</td>
<td align="center">10&#xa0;mg</td>
<td align="center">1.5% 5&#xa0;ml</td>
<td align="center">5&#xa0;ml</td>
<td align="center">4&#xa0;min</td>
<td align="center">25&#xb0;C</td>
<td align="char" char=".">99</td>
</tr>
<tr>
<td align="left">12</td>
<td align="center">PTX 111</td>
<td align="center">4&#xa0;mg</td>
<td align="center">10&#xa0;mg</td>
<td align="center">1.5% 5&#xa0;ml</td>
<td align="center">5&#xa0;ml</td>
<td align="center">4&#xa0;min</td>
<td align="center">25&#xb0;C</td>
<td align="char" char=".">99</td>
</tr>
<tr>
<td align="left">13</td>
<td align="center">PTX 112</td>
<td align="center">1&#xa0;mg</td>
<td align="center">10&#xa0;mg</td>
<td align="center">2% 5&#xa0;ml</td>
<td align="center">5&#xa0;ml</td>
<td align="center">4&#xa0;min</td>
<td align="center">25&#xb0;C</td>
<td align="char" char=".">99</td>
</tr>
<tr>
<td align="left">14</td>
<td align="center">PTX 113</td>
<td align="center">2&#xa0;mg</td>
<td align="center">10&#xa0;mg</td>
<td align="center">2% 5&#xa0;ml</td>
<td align="center">5&#xa0;ml</td>
<td align="center">4&#xa0;min</td>
<td align="center">25&#xb0;C</td>
<td align="char" char=".">99</td>
</tr>
<tr>
<td align="left">15</td>
<td align="center">PTX 114</td>
<td align="center">3&#xa0;mg</td>
<td align="center">10&#xa0;mg</td>
<td align="center">2% 5&#xa0;ml</td>
<td align="center">5&#xa0;ml</td>
<td align="center">4&#xa0;min</td>
<td align="center">25&#xb0;C</td>
<td align="char" char=".">99</td>
</tr>
<tr>
<td align="left">16</td>
<td align="center">PTX 115</td>
<td align="center">4&#xa0;mg</td>
<td align="center">10&#xa0;mg</td>
<td align="center">2% 5&#xa0;ml</td>
<td align="center">5&#xa0;ml</td>
<td align="center">4&#xa0;min</td>
<td align="center">25&#xb0;C</td>
<td align="char" char=".">99</td>
</tr>
</tbody>
</table>
</table-wrap>
<p>A total of two (2&#xa0;ml) reconstituted freeze-dried nanoparticles were incubated with trastuzumab at room temperature overnight for surface decoration of antibody on the nanoparticle surface. All the selected paclitaxel nanoformulations were negatively charged, whereas trastuzumab was positively charged (8.457&#xa0;mV) which resulted in electrostatic attraction between oppositely charged species and trastuzumab. The antibody was easily coated on the surface of paclitaxel-loaded PLGA nanoformulations. The trastuzumab-modified paclitaxel-loaded PLGA nanoparticles were purified by centrifugation at 6,000&#xa0;rpm at &#x2212;4&#xb0;C for 2&#xa0;min, and 50&#xa0;&#xb5;l of trastuzumab (10&#xa0;mg/ml) was reconstituted with PBS to make up the final volume up to 1&#xa0;ml (500&#xa0;&#x3bc;g/ml).</p>
</sec>
<sec id="s2-4">
<title>2.4 Physicochemical Characterization</title>
<sec id="s2-4-1">
<title>2.4.1 Dynamic Light Scattering</title>
<p>The formulations were evaluated for size, polydispersity index <bold>(</bold>PDI), and zeta potential by dynamic light scattering (DLS, at 90&#xb0; angle and 25&#xb0;C) using a zetasizer (ZS-90, Malvern Instruments&#x20;and Malvern, United&#x20;Kingdom). The surface charge can be determined through zeta potential, i.e.,&#x20;the movements of charged particles in an electric field to predict the stability of colloids. The sample (0.5&#xa0;ml) of nanoformulation and 1&#xa0;ml of distilled water were taken, sonicated for 2&#xa0;min, and placed in cuvettes. An average of three reported values was taken using Malvern software and analyzed statistically (<xref ref-type="bibr" rid="B25">Marsalek, 2014</xref>).</p>
</sec>
<sec id="s2-4-2">
<title>2.4.2 Drug Loading and Encapsulation Efficiency</title>
<p>Drug loading efficiency (%, w/w) and drug encapsulation efficiency (%, w/w) of paclitaxel in nanoformulations were determined by centrifugation (15,000&#xa0;rpm at 25&#xb0;C for 30&#xa0;min), followed by UV spectroscopy at 235&#xa0;nm. The absorbance of the samples was measured, and the % drug loading and % encapsulation were determined by the following formulae (<xref ref-type="bibr" rid="B18">Huang et&#x20;al., 2007</xref>):<disp-formula id="e1">
<mml:math id="m1">
<mml:mrow>
<mml:mtext>%&#xa0;DL</mml:mtext>
<mml:mo>&#x3d;</mml:mo>
<mml:mfrac>
<mml:mrow>
<mml:mtext>Weight</mml:mtext>
<mml:mtext>&#x200a;</mml:mtext>
<mml:mtext>of</mml:mtext>
<mml:mtext>&#x200a;</mml:mtext>
<mml:mtext>Drug</mml:mtext>
<mml:mtext>&#x200a;</mml:mtext>
<mml:mtext>in</mml:mtext>
<mml:mtext>&#x200a;</mml:mtext>
<mml:mtext>Nanoparticles</mml:mtext>
</mml:mrow>
<mml:mrow>
<mml:mtext>Weight</mml:mtext>
<mml:mtext>&#x200a;</mml:mtext>
<mml:mtext>of</mml:mtext>
<mml:mtext>&#x200a;</mml:mtext>
<mml:mtext>Nanoparticles</mml:mtext>
</mml:mrow>
</mml:mfrac>
<mml:mo>&#xd7;</mml:mo>
<mml:mn>100</mml:mn>
<mml:mo>;</mml:mo>
</mml:mrow>
</mml:math>
<label>(1)</label>
</disp-formula>
<disp-formula id="e2">
<mml:math id="m2">
<mml:mrow>
<mml:mtext>%&#xa0;EE</mml:mtext>
<mml:mo>&#x3d;</mml:mo>
<mml:mfrac>
<mml:mrow>
<mml:mtext>Weight</mml:mtext>
<mml:mtext>&#x2009;</mml:mtext>
<mml:mtext>of</mml:mtext>
<mml:mtext>&#x2009;</mml:mtext>
<mml:mtext>Drug</mml:mtext>
<mml:mtext>&#x2009;</mml:mtext>
<mml:mtext>in</mml:mtext>
<mml:mtext>&#x2009;</mml:mtext>
<mml:mtext>Nanoparticles</mml:mtext>
</mml:mrow>
<mml:mrow>
<mml:mtext>Weight</mml:mtext>
<mml:mtext>&#x2009;</mml:mtext>
<mml:mtext>of</mml:mtext>
<mml:mtext>&#x2009;</mml:mtext>
<mml:mtext>Drug</mml:mtext>
<mml:mtext>&#x2009;</mml:mtext>
<mml:mtext>Feed</mml:mtext>
</mml:mrow>
</mml:mfrac>
<mml:mo>&#xd7;</mml:mo>
<mml:mn>100.</mml:mn>
</mml:mrow>
</mml:math>
<label>(2)</label>
</disp-formula>
</p>
</sec>
<sec id="s2-4-3">
<title>2.4.3 Scanning Electron Microscopy</title>
<p>The morphology of the sample was determined by SEM. The sample was prepared for SEM as per standard protocol in order to make it conducive. The sample was then analyzed for its morphology.</p>
</sec>
<sec id="s2-4-4">
<title>2.4.4&#x20;X-Ray Diffraction Study</title>
<p>An X-Ray diffractometer (JDX-3532, Jeol, Japan) was used to carry out XRD patterns of paclitaxel, PLGA, Poloxamer 407, SLS, and paclitaxel nanoformulations. The XRD pattern was determined for its amorphous, semicrystalline, and crystalline nature. The pattern was taken at 3&#xb0;&#x2013;40&#xb0; (2&#x3b8;).</p>
</sec>
</sec>
<sec id="s2-5">
<title>2.5&#x20;SDS-PAGE Analysis</title>
<p>After conjugation of antibody on the nanoparticle surface, the structural integrity of trastuzumab on the nanoparticle surface was compared with the native antibody by SDS-PAGE analysis. All the gels were run under reducing conditions using a Mini-PROTEAN<sup>&#xae;</sup> Electrophoresis system (BIO-RAD, United&#x20;States). It is a technique based on specificity of binding between protein of interest and a probe to allow detection of protein of interest. The protein sample is separated and subjected to a SDS polyacrylamide gel. The sample is transferred electrophoretically from a gel to PVDF membrane. The remaining membrane is blocked by adding a 5% neutral protein (BSA or milk casein) overnight. The membrane is incubated with the primary antibody that is specific to the target protein for 2&#xa0;h at room temperature. The band containing protein of interest will bind with the antibody. The membrane is then washed to remove the unbound antibody and incubated with the second radioactively labeled antibody for 1&#xa0;h that binds specifically to the primary antibody&#x2013;antigen complex which can be visualized on an autoradiograph. The bond will appear dark on the film (<xref ref-type="bibr" rid="B36">Pavlova et&#x20;al., 2018</xref>).</p>
</sec>
<sec id="s2-6">
<title>2.6&#x20;<italic>In Vitro</italic> Evaluation</title>
<sec id="s2-6-1">
<title>2.6.1 Drug Release Studies</title>
<p>The dialysis diffusion method was applied for release studies. The membrane having a molecular weight 12,000&#x2013;14,000&#xa0;Da was cut in such a way that it can accommodate 2&#xa0;ml redispersed nanoformulations sealed at both ends. It was then dialyzed against 100&#xa0;ml of PBS (pH 7.4) in a shaking water bath at 37&#xb0;C and 60&#xa0;rpm. At specified time intervals (0.5, 1, 1.5, 2, 3, 4, 5, 6, 7, 8, 10, 12, 24, 36, 48, 72, and 96&#xa0;h), 2&#xa0;ml sample was withdrawn and analyzed for drug release. An equal volume of dialyzing media was replaced for each sample. The drug content was determined by using a UV spectrophotometer at 235&#xa0;nm in each sample. The analysis was conducted in triplicate (<xref ref-type="bibr" rid="B1">Bernkop-Schn&#xfc;rch &#x26; Jalil, 2018</xref>).</p>
</sec>
<sec id="s2-6-2">
<title>2.6.2 Drug Release Kinetics</title>
<p>The drug release mechanisms were evaluated by applying various release kinetic models (<xref ref-type="bibr" rid="B33">Paarakh et&#x20;al., 2018</xref>).</p>
</sec>
<sec id="s2-6-3">
<title>2.6.3&#x20;<italic>In Vitro</italic> Cytotoxicity</title>
<p>
<italic>In Vitro</italic> cytotoxicity assay of paclitaxel-loaded polymeric nanoparticles and paclitaxel-loaded polymeric nanoparticles conjugated with trastuzumab antibody and Taxol<sup>&#xae;</sup> was conducted by MTT [yellow tetrazolium salt, 3-(4, 5-dimethylthizol-2-yl)-2, 5, 5-diphenyl tetrazolium bromide] assay using MCF-7 breast cancer cell lines, a widely studied epithelial cancer cell line that has characteristics of differentiated mammary epithelium derived from breast adenocarcinoma (<xref ref-type="bibr" rid="B23">Lee et&#x20;al., 2015</xref>). MCF-7 cell lines of breast adenocarcinoma show moderate overexpression of HER<sup>&#x2b;2</sup> and serve as an excellent model for <italic>in&#x20;vitro</italic> cytotoxic studies (<xref ref-type="bibr" rid="B11">Dhiman et&#x20;al., 2004</xref>). Its hormone sensitivity through expression of estrogen receptor makes it an ideal model for <italic>in vivo</italic> and <italic>in&#x20;vitro</italic> studies (<xref ref-type="bibr" rid="B17">Holliday &#x26; Speirs, 2011</xref>). The cells were seeded in a 96-well plate at a density of 1.0 &#xd7; 10<sup>4</sup> cells/well and incubated for 24&#xa0;h at 37&#xb0;C in 5% CO<sub>2</sub> at an 85% humidity&#x20;incubator (Model NU 5700; United&#x20;States). The medium was replaced after 24&#xa0;h by paclitaxel-loaded polymeric nanoparticles and paclitaxel-loaded polymeric nanoparticles conjugated with trastuzumab and Taxol<sup>&#xae;</sup> at concentrations&#x20;ranging from 0.25&#xa0;&#x3bc;g/ml to 50&#xa0;&#x3bc;g/ml for 24, 48,&#x20;and 72&#xa0;h at 37&#xb0;C. At specific intervals, the formulations were removed, and 5&#xa0;mg/ml MTT was added before incubation for 4&#xa0;h at 37&#xb0;C. The culture solution was aspirated, and the resulting&#x20;formazan crystals were dissolved in 100&#xa0;&#xb5;l of dimethyl sulfoxide, and the absorbance was measured at 570&#xa0;nm using a microplate reader (Model FL &#xd7;800; Biotek, Winooski, VA, United&#x20;States). Cytotoxicity was expressed as percentage of cell viability compared to untreated control cells.<disp-formula id="e3">
<mml:math id="m3">
<mml:mrow>
<mml:mtext>%&#xa0;Viability</mml:mtext>
<mml:mo>&#x3d;</mml:mo>
<mml:mfrac>
<mml:mrow>
<mml:mtext>Absorbance&#xa0;of&#xa0;sample</mml:mtext>
</mml:mrow>
<mml:mrow>
<mml:mtext>Absorbance&#xa0;of&#xa0;control</mml:mtext>
</mml:mrow>
</mml:mfrac>
<mml:mo>&#xd7;</mml:mo>
<mml:mn>100.</mml:mn>
</mml:mrow>
</mml:math>
<label>(3)</label>
</disp-formula>
</p>
</sec>
</sec>
<sec id="s2-7">
<title>2.7&#x20;<italic>In Vivo</italic> Evaluation</title>
<sec id="s2-7-1">
<title>2.7.1 Pharmacokinetic Studies</title>
<p>The New&#x20;Zealand rabbits weighing 1.5&#x2013;2.0&#xa0;kg were purchased from the NIH (National Institute of Health), for <italic>in vivo</italic> pharmacokinetics. The design and study was approved by the Ethical Committee of Pharmacy Department, University of Swabi (Pharm/EC/002). The rabbits were given access to water and food. The animals were excluded by killing/using chloroform anesthesia during the study in case of any distress. The dose at the rate of 2&#xa0;mg/kg body weight was injected into the marginal ear vein of rabbits, which were divided into two groups for the paclitaxel test and reference formulations. At designated time intervals (10&#xa0;min, 30&#xa0;min and 1, 2, 4, 6, 8, 12, 24, 96, and 120&#xa0;h), blood samples were collected in EDTA tubes and centrifuged at 8,000&#xa0;rpm for 10&#xa0;min at 4&#xb0;C. The Eppendorf tubes were used to collect and store samples at &#x2212;20&#xb0;C till analysis. HPLC-UV was used for the analysis of samples.</p>
<p>Various pharmacokinetic parameters such as peak plasma concentration (C<sub>max</sub>), time of peak plasma concentration (T<sub>max</sub>), elimination rate constant (K<sub>el</sub>), elimination half-life (t<sub>1/2</sub>), area under the plasma concentration-versus-time curve (AUC<sub>0-&#x221e;</sub>), clearance (Cl), steady state volume (V<sub>ss</sub>), and mean residence time (MRT) were determined using PK-Summit<sup>&#xae;</sup> software.</p>
</sec>
<sec id="s2-7-2">
<title>2.7.2 Statistical Analysis</title>
<p>For the quantification of paclitaxel in samples, mean (X), SD, and %RSD were applied. Comparison between means of treatments was made at <italic>p</italic>&#x20;&#x2264; 0.05 using the Student <italic>t</italic>&#x20;test.</p>
</sec>
</sec>
</sec>
<sec id="s3">
<title>3 Results</title>
<sec id="s3-1">
<title>3.1 Preformulation Studies</title>
<sec id="s3-1-1">
<title>3.1.1 Drug&#x2013;Excipients Compatibility Study</title>
<p>The samples were prepared using binary mixtures of the drug, polymer, and excipients (1:1), stored for 01&#x20;months under stress conditions, and inspected visually for any change in color and texture. The drug, polymer, and excipients compatibility study was performed by FTIR at day 1 and 30. The results of FTIR are shown in <xref ref-type="table" rid="T2">Table&#x20;2</xref> and <xref ref-type="fig" rid="F1">Figure&#x20;1</xref>. The concentration of the standard drug and samples at day 1, 15, and 30 were evaluated as given in <xref ref-type="table" rid="T3">Table&#x20;3</xref>.</p>
<table-wrap id="T2" position="float">
<label>TABLE 2</label>
<caption>
<p>Result of the drug&#x2013;excipients compatibility&#x20;study.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="left">Time</th>
<th align="center">Test</th>
<th align="center">Sample 01</th>
<th align="center">Sample 02</th>
<th align="center">Sample 03</th>
<th align="center">Sample 04</th>
<th align="center">Sample 05</th>
<th align="center">Sample 06</th>
<th align="center">Sample 07</th>
<th align="center">Sample 08</th>
<th align="center">Sample 09</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td rowspan="2" align="left">
<bold>Day 01</bold>
</td>
<td align="left">FTIR spectra</td>
<td align="left">Complies</td>
<td align="left">Complies</td>
<td align="left">Complies</td>
<td align="left">Complies</td>
<td align="left">Complies</td>
<td align="left">Complies</td>
<td align="left">Complies</td>
<td align="left">Complies</td>
<td align="left">Complies</td>
</tr>
<tr>
<td align="left">Physical consistency</td>
<td align="left">&#x2ba;</td>
<td align="left">&#x2ba;</td>
<td align="left">&#x2ba;</td>
<td align="left">&#x2ba;</td>
<td align="left">&#x2ba;</td>
<td align="left">&#x2ba;</td>
<td align="left">&#x2ba;</td>
<td align="left">&#x2ba;</td>
<td align="left">&#x2ba;</td>
</tr>
<tr>
<td rowspan="2" align="left">
<bold>Day 30</bold>
</td>
<td align="left">FTIR spectra</td>
<td align="left">&#x2ba;</td>
<td align="left">&#x2ba;</td>
<td align="left">&#x2ba;</td>
<td align="left">&#x2ba;</td>
<td align="left">&#x2ba;</td>
<td align="left">&#x2ba;</td>
<td align="left">&#x2ba;</td>
<td align="left">&#x2ba;</td>
<td align="left">&#x2ba;</td>
</tr>
<tr>
<td align="left">Physical consistency</td>
<td align="left">&#x2ba;</td>
<td align="left">&#x2ba;</td>
<td align="left">&#x2ba;</td>
<td align="left">&#x2ba;</td>
<td align="left">&#x2ba;</td>
<td align="left">&#x2ba;</td>
<td align="left">&#x2ba;</td>
<td align="left">&#x2ba;</td>
<td align="left">&#x2ba;</td>
</tr>
</tbody>
</table>
</table-wrap>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>FTIR spectra of <bold>(A)</bold> paclitaxel, <bold>(B)</bold> PLGA, <bold>(C)</bold> SLS, <bold>(D)</bold> poloxamer 407, and <bold>(E)</bold> nanoformulation.</p>
</caption>
<graphic xlink:href="fphar-13-855294-g001.tif"/>
</fig>
<table-wrap id="T3" position="float">
<label>TABLE 3</label>
<caption>
<p>Result of drug content determination.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th colspan="6" align="left">Drug content (%)</th>
</tr>
<tr>
<th align="left">Time</th>
<th align="center">Standard drug</th>
<th align="center">Sample 06</th>
<th align="center">Sample 07</th>
<th align="center">Sample 08</th>
<th align="center">Sample 09</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">Day 01</td>
<td align="center">99.13</td>
<td align="center">99.09</td>
<td align="center">98.99</td>
<td align="center">99.11</td>
<td align="center">99.54</td>
</tr>
<tr>
<td align="left">Day 15</td>
<td align="center">99.27</td>
<td align="center">99.03</td>
<td align="center">99.19</td>
<td align="center">99.63</td>
<td align="center">98.17</td>
</tr>
<tr>
<td align="left">Day 30</td>
<td align="center">99.63</td>
<td align="center">99.12</td>
<td align="center">97.79</td>
<td align="center">99.07</td>
<td align="center">99.83</td>
</tr>
</tbody>
</table>
</table-wrap>
<p>As shown in <xref ref-type="fig" rid="F1">Figure&#x20;1A</xref>, the FTIR spectra of paclitaxel show characteristic peaks at 3,441&#xa0;cm<sup>&#x2212;1</sup> (for O-H stretching), 3,309&#xa0;cm<sup>&#x2212;1</sup> (for N-H stretching), aromatic C-H at 2,920&#x2013;2,850&#xa0;cm<sup>&#x2212;1</sup>, peaks at 1708&#xa0;cm<sup>&#x2212;1</sup> for C &#x3d; O stretching vibration of the ester group, peak at 1,647&#xa0;cm<sup>&#x2212;1</sup> for the amide bond, and peaks at 1,254&#xa0;cm<sup>&#x2212;1</sup> for C-N stretching. The FTIR spectra of PLGA (75:25) showed distinct peaks at 3,200&#xa0;cm<sup>&#x2212;1</sup> for -OH stretching, 2,943&#xa0;cm<sup>&#x2212;1</sup> for -CH stretching, 1751&#xa0;cm<sup>&#x2212;1</sup> for carbonyl &#x2013;C &#x3d; O stretching, and at 1,072&#xa0;cm<sup>&#x2212;1</sup> for C-O stretching as given in <xref ref-type="fig" rid="F2">Figure&#x20;2B</xref>. The FTIR spectra of poloxamer 407 showed characteristic peaks at 1,111&#xa0;cm<sup>&#x2212;1</sup> and 1,060&#xa0;cm<sup>&#x2212;1</sup> distinguishing of its PEO group and at 2,881&#xa0;cm<sup>&#x2212;1</sup> for CH<sub>2</sub>-CH<sub>2</sub> stretching as shown in <xref ref-type="fig" rid="F1">Figure&#x20;1C</xref>. The FTIR spectra of SLS showed characteristic peaks at 1,219&#x2013;1,153&#xa0;cm<sup>&#x2212;1</sup> for S-O stretching and at 2,850&#xa0;cm<sup>&#x2212;1</sup> for -CH stretching as shown in <xref ref-type="fig" rid="F1">Figure&#x20;1D</xref>.</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption>
<p>SEM images of paclitaxel-loaded PLGA nanoformulations with poloxamer 407. <bold>(A)</bold> PTX 108, <bold>(B)</bold> PTX 112, <bold>(C)</bold> PTX 108ab, and <bold>(D)</bold> PTX&#x20;112ab.</p>
</caption>
<graphic xlink:href="fphar-13-855294-g002.tif"/>
</fig>
<p>The characteristic peaks of paclitaxel was not present in the FTIR spectrum which means that the drug is completely encapsulated by the polymer, but the main peaks for PLGA, poloxamer 407, and SLS remain the same indicating the absence of any interaction between the drug, polymer, and stabilizers used as shown in <xref ref-type="fig" rid="F1">Figure&#x20;1E</xref>.</p>
</sec>
</sec>
<sec id="s3-2">
<title>3.2 Physicochemical Characterization</title>
<p>PTX 108 and PTX 112 were selected for conjugation of the antibody on the basis of particle size, polydispersity index, surface charge, zeta potential, and encapsulation efficiency. The physicochemical properties of the developed nanoformulations before and after antibody conjugation were determined.</p>
<sec id="s3-2-1">
<title>3.2.1 Particle Size, PDI, Zeta Potential, and Encapsulation Efficiency</title>
<p>The particle size was within the range of 180&#x20;&#xb1; 1.22 to 202&#x20;&#xb1; 36.17&#xa0;nm for 0.5%, 199&#x20;&#xb1; 21.80 to 224&#x20;&#xb1; 26.98&#xa0;nm for 1%, 202.3&#x20;&#xb1; 14.5 to 224&#x20;&#xb1; 26.98&#xa0;nm for 1.5%, and 229&#x20;&#xb1; 13.24 to 408&#x20;&#xb1; 11.27&#xa0;nm for 2% poloxamer 407. The particle size, PDI, zeta potential, and drug loading and encapsulation efficiency of paclitaxel nanoparticles are given in <xref ref-type="table" rid="T4">Table&#x20;4</xref>. The physicochemical properties and encapsulation efficiency of paclitaxel nanoparticles with or without antibody conjugation are given in <xref ref-type="table" rid="T5">Table&#x20;5</xref>.</p>
<table-wrap id="T4" position="float">
<label>TABLE 4</label>
<caption>
<p>Formulation of paclitaxel with PLGA, 0.05% SLS, and poloxamer&#x20;407.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="left">No.</th>
<th align="center">Drug: PLGA (mg)</th>
<th align="center">Poloxamer 407 (%)</th>
<th align="center">Size (nm)</th>
<th align="center">PDI</th>
<th align="center">Zeta potential (mv)</th>
<th align="center">(%) Encapsulation efficiency</th>
<th align="center">(%)Drug loading</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">PTX 100</td>
<td align="char" char=":">1:10</td>
<td align="char" char=".">0.5</td>
<td align="char" char="plusmn">180&#x20;&#xb1; 1.22</td>
<td align="char" char="plusmn">0.11&#x20;&#xb1; 0.01</td>
<td align="char" char="plusmn">&#x2212;22.1&#x20;&#xb1; 1.5</td>
<td align="char" char=".">64</td>
<td align="char" char=".">6.4</td>
</tr>
<tr>
<td align="left">PTX 101</td>
<td align="char" char=":">2:10</td>
<td align="char" char=".">0.5</td>
<td align="char" char="plusmn">184.6&#x20;&#xb1; 1.03</td>
<td align="char" char="plusmn">0.13&#x20;&#xb1; 0.01</td>
<td align="char" char="plusmn">&#x2212;20.1&#x20;&#xb1; 1.1</td>
<td align="char" char=".">45</td>
<td align="char" char=".">9.0</td>
</tr>
<tr>
<td align="left">PTX 102</td>
<td align="char" char=":">3:10</td>
<td align="char" char=".">0.5</td>
<td align="char" char="plusmn">190&#x20;&#xb1; 3.48</td>
<td align="char" char="plusmn">0.13&#x20;&#xb1; 0.03</td>
<td align="char" char="plusmn">&#x2212;20.7&#x20;&#xb1; 1.8</td>
<td align="char" char=".">61</td>
<td align="char" char=".">18.3</td>
</tr>
<tr>
<td align="left">PTX 103</td>
<td align="char" char=":">4:10</td>
<td align="char" char=".">0.5</td>
<td align="char" char="plusmn">202&#x20;&#xb1; 36.17</td>
<td align="char" char="plusmn">0.3&#x20;&#xb1; 0.01</td>
<td align="char" char="plusmn">&#x2212;19.1&#x20;&#xb1; 1.5</td>
<td align="char" char=".">53</td>
<td align="char" char=".">21.2</td>
</tr>
<tr>
<td align="left">PTX 104</td>
<td align="char" char=":">1:10</td>
<td align="char" char=".">1</td>
<td align="char" char="plusmn">199&#x20;&#xb1; 21.80</td>
<td align="char" char="plusmn">0.4&#x20;&#xb1; 0.01</td>
<td align="char" char="plusmn">&#x2212;26.85&#x20;&#xb1; 0.03</td>
<td align="char" char=".">77</td>
<td align="char" char=".">7.7</td>
</tr>
<tr>
<td align="left">PTX 105</td>
<td align="char" char=":">2:10</td>
<td align="char" char=".">1</td>
<td align="char" char="plusmn">215&#x20;&#xb1; 18.72</td>
<td align="char" char="plusmn">0.6&#x20;&#xb1; 0.01</td>
<td align="char" char="plusmn">&#x2212;24.1&#x20;&#xb1; 0.15</td>
<td align="char" char=".">65</td>
<td align="char" char=".">0.13</td>
</tr>
<tr>
<td align="left">PTX 106</td>
<td align="char" char=":">3:10</td>
<td align="char" char=".">1</td>
<td align="char" char="plusmn">304&#x20;&#xb1; 12.99</td>
<td align="char" char="plusmn">0.6&#x20;&#xb1; 0.04</td>
<td align="char" char="plusmn">&#x2212;26.8&#x20;&#xb1; 0.23</td>
<td align="char" char=".">65</td>
<td align="char" char=".">19.5</td>
</tr>
<tr>
<td align="left">PTX 107</td>
<td align="char" char=":">4:10</td>
<td align="char" char=".">1</td>
<td align="char" char="plusmn">224&#x20;&#xb1; 26.98</td>
<td align="char" char="plusmn">0.8&#x20;&#xb1; 0.02</td>
<td align="char" char="plusmn">&#x2212;23.08&#x20;&#xb1; 0.1</td>
<td align="char" char=".">63</td>
<td align="char" char=".">25.2</td>
</tr>
<tr>
<td align="left">PTX 108</td>
<td align="char" char=":">1:10</td>
<td align="char" char=".">1.5</td>
<td align="char" char="plusmn">202.3&#x20;&#xb1; 14.5</td>
<td align="char" char="plusmn">0.17&#x20;&#xb1; 0.03</td>
<td align="char" char="plusmn">&#x2212;35.2&#x20;&#xb1; 0.12</td>
<td align="char" char=".">89</td>
<td align="char" char=".">8.9</td>
</tr>
<tr>
<td align="left">PTX 109</td>
<td align="char" char=":">2:10</td>
<td align="char" char=".">1.5</td>
<td align="char" char="plusmn">215&#x20;&#xb1; 28.3</td>
<td align="char" char="plusmn">0.2&#x20;&#xb1; 0.03</td>
<td align="char" char="plusmn">&#x2212;34.5&#x20;&#xb1; 0.03</td>
<td align="char" char=".">71</td>
<td align="char" char=".">14.2</td>
</tr>
<tr>
<td align="left">PTX 110</td>
<td align="char" char=":">3:10</td>
<td align="char" char=".">1.5</td>
<td align="char" char="plusmn">300&#x20;&#xb1; 17.1</td>
<td align="char" char="plusmn">0.19&#x20;&#xb1; 0.02</td>
<td align="char" char="plusmn">&#x2212;30.25&#x20;&#xb1; 0.25</td>
<td align="char" char=".">65</td>
<td align="char" char=".">19.5</td>
</tr>
<tr>
<td align="left">PTX 111</td>
<td align="char" char=":">4:10</td>
<td align="char" char=".">1.5</td>
<td align="char" char="plusmn">331&#x20;&#xb1; 22.5</td>
<td align="char" char="plusmn">0.3&#x20;&#xb1; 0.01</td>
<td align="char" char="plusmn">&#x2212;29.75&#x20;&#xb1; 0.11</td>
<td align="char" char=".">57</td>
<td align="char" char=".">22.8</td>
</tr>
<tr>
<td align="left">PTX 112</td>
<td align="char" char=":">1:10</td>
<td align="char" char=".">2</td>
<td align="char" char="plusmn">229&#x20;&#xb1; 13.24</td>
<td align="char" char="plusmn">0.2&#x20;&#xb1; 0.01</td>
<td align="char" char="plusmn">&#x2212;40.4&#x20;&#xb1; 1.6</td>
<td align="char" char=".">84</td>
<td align="char" char=".">8.4</td>
</tr>
<tr>
<td align="left">PTX 113</td>
<td align="char" char=":">2:10</td>
<td align="char" char=".">2</td>
<td align="char" char="plusmn">312&#x20;&#xb1; 12.41</td>
<td align="char" char="plusmn">0.3&#x20;&#xb1; 0.02</td>
<td align="char" char="plusmn">&#x2212;39.08&#x20;&#xb1; 0.6</td>
<td align="char" char=".">69</td>
<td align="char" char=".">13.8</td>
</tr>
<tr>
<td align="left">PTX 114</td>
<td align="char" char=":">3:10</td>
<td align="char" char=".">2</td>
<td align="char" char="plusmn">351&#x20;&#xb1; 10.49</td>
<td align="char" char="plusmn">0.3&#x20;&#xb1; 0.03</td>
<td align="char" char="plusmn">&#x2212;34.21&#x20;&#xb1; 1.7</td>
<td align="char" char=".">68</td>
<td align="char" char=".">20.4</td>
</tr>
<tr>
<td align="left">PTX 115</td>
<td align="char" char=":">4:10</td>
<td align="char" char=".">2</td>
<td align="char" char="plusmn">408&#x20;&#xb1; 11.27</td>
<td align="char" char="plusmn">0.7&#x20;&#xb1; 0.02</td>
<td align="char" char="plusmn">&#x2212;28.11&#x20;&#xb1; 0.7</td>
<td align="char" char=".">47</td>
<td align="char" char=".">18.8</td>
</tr>
</tbody>
</table>
</table-wrap>
<table-wrap id="T5" position="float">
<label>TABLE 5</label>
<caption>
<p>Particle size, PDI, and zeta potential of nanoformulations before and after surface modification.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th colspan="5" align="left">Unconjugated nanoformulations</th>
<th colspan="5" align="center">Conjugated nanoformulations</th>
</tr>
<tr>
<th align="left">
<bold>No.</bold>
</th>
<th align="center">
<bold>Size (nm)</bold>
</th>
<th align="center">
<bold>PDI</bold>
</th>
<th align="center">
<bold>ZP (mv)</bold>
</th>
<th align="center">
<bold>EE (%)</bold>
</th>
<th align="center">
<bold>No.</bold>
</th>
<th align="center">
<bold>Size (nm)</bold>
</th>
<th align="center">
<bold>PDI</bold>
</th>
<th align="center">
<bold>ZP (mv)</bold>
</th>
<th align="center">
<bold>EE (%)</bold>
</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">PTX 108</td>
<td align="center">202.3&#x20;&#xb1; 14.5</td>
<td align="center">0.17&#x20;&#xb1; 0.03</td>
<td align="center">&#x2212;35.2&#x20;&#xb1; 0.12</td>
<td align="center">89%</td>
<td align="center">PTX 108ab</td>
<td align="center">223&#x20;&#xb1; 11.08</td>
<td align="center">0.42&#x20;&#xb1; 0.04</td>
<td align="center">&#x2212;25.7&#x20;&#xb1; 1.4</td>
<td align="center">88%</td>
</tr>
<tr>
<td align="left">PTX 112</td>
<td align="center">229&#x20;&#xb1; 13.24</td>
<td align="center">0.2&#x20;&#xb1; 0.01</td>
<td align="center">&#x2212;40.4&#x20;&#xb1; 1.6</td>
<td align="center">84%</td>
<td align="center">PTX 112&#xa0;ab</td>
<td align="center">256&#x20;&#xb1; 13.52</td>
<td align="center">0.32&#x20;&#xb1; 0.01</td>
<td align="center">&#x2212;26.5&#x20;&#xb1; 0.1</td>
<td align="center">84%</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="s3-2-2">
<title>3.2.2 Surface Morphology</title>
<p>SEM was used for determining surface morphology of simple paclitaxel nanoparticles and conjugated paclitaxel nanoparticles as shown in <xref ref-type="fig" rid="F2">Figures 2A,B</xref> and <xref ref-type="fig" rid="F2">Figures 2C,D</xref>, respectively.</p>
</sec>
<sec id="s3-2-3">
<title>3.2.3 XRD Studies</title>
<p>The XRD patterns of paclitaxel, PLGA, Poloxamer 407, SLS, and paclitaxel nanoformulations are shown in <xref ref-type="fig" rid="F3">Figure&#x20;3A</xref>, in which paclitaxel exhibits several peaks at 2&#x3b8; value of 5.4&#xb0;, 8.8&#xb0;, and 12.25&#xb0; which shows the crystalline nature of paclitaxel, while no peaks were observed for PLGA which depicts the amorphous nature of the polymer as shown in <xref ref-type="fig" rid="F3">Figure&#x20;3B</xref>. The diffractogram of SLS shows two distinct peaks at 2&#x3b8; value of 20.3&#xb0; and 21.65&#xb0; demonstrating the crystalline nature of SLS (<xref ref-type="fig" rid="F3">Figure&#x20;3C</xref>), while poloxamer 407 exhibits peaks in the 2&#x3b8; range at 19.05&#xb0; and 23.2&#xb0; as shown in <xref ref-type="fig" rid="F3">Figure&#x20;3D</xref>). The XRD pattern of paclitaxel-loaded PLGA nanoformulations exhibits no discrete peaks at any position (<xref ref-type="fig" rid="F3">Figure&#x20;3E</xref>).</p>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption>
<p>XRD spectra of <bold>(A)</bold> paclitaxel, <bold>(B)</bold> PLGA, <bold>(C)</bold> SLS, <bold>(D)</bold> poloxamer 407, and <bold>(E)</bold> nanoformulation.</p>
</caption>
<graphic xlink:href="fphar-13-855294-g003.tif"/>
</fig>
</sec>
</sec>
<sec id="s3-3">
<title>3.3&#x20;SDS-PAGE Studies</title>
<p>The structural integrity of trastuzumab after conjugation of the antibody on the nanoparticle surface was confirmed. Under reducing conditions, trastuzumab is detected as two bands of molecular weight 50&#xa0;KDa and 25&#xa0;KDa representing heavy and light chains, respectively (<xref ref-type="bibr" rid="B29">Mohamed et&#x20;al., 2018</xref>). An SDS-gel (10%) was ran under reducing conditions as follows: molecular weight marker in lane-1, native antibody in lane-2 and 3, and antibody-conjugated nanoformulations PTX 84ab, PTX 86ab, PTX 108ab, and PTX 112ab in lanes 4,5,6, and 7, respectively, as shown in <xref ref-type="fig" rid="F4">Figure&#x20;4</xref>.</p>
<fig id="F4" position="float">
<label>FIGURE 4</label>
<caption>
<p>SDS-PAGE of the antibody: lane-1: molecular weight marker; lane 2-3: native antibody trastuzumab; lane-6: PTX 108ab; and lane-7: PTX&#x20;112ab.</p>
</caption>
<graphic xlink:href="fphar-13-855294-g004.tif"/>
</fig>
</sec>
<sec id="s3-4">
<title>3.4&#x20;<italic>In Vitro</italic> Evaluation</title>
<sec id="s3-4-1">
<title>3.4.1 Drug Release Studies</title>
<p>The <italic>in&#x20;vitro</italic> release profile of paclitaxel nanoformulations and surface-modified nanoformulations was determined. At specified time intervals (0.5, 1, 2, 4, 6, 8, 10, 12, 24, 36, 48, 72, 96, 120, 144, 168, 192, 216, 240, and 264&#xa0;h), the samples were withdrawn and analyzed for drug release. All the paclitaxel-loaded PLGA nanoformulations and surface-modified nanoformulations exhibit a bi-phasic release pattern as shown in <xref ref-type="fig" rid="F5">Figures 5</xref>, <xref ref-type="fig" rid="F6">6</xref>, respectively, which is characterized by an initial burst release in first 24&#xa0;h followed by a continuous slow release. The initial burst release of paclitaxel from nanoformulations at 24&#xa0;h was 26&#x20;&#xb1; 0.23 and 28&#x20;&#xb1; 0.42% for PTX 108 and PTX 112, while at 264&#xa0;h drug release was 79&#x20;&#xb1; 0.09 and 81&#x20;&#xb1; 0.43% for PTX 108 and PTX 112, respectively. Similarly the initial burst release of paclitaxel from modified nanoformulations at 24&#xa0;h was 30&#x20;&#xb1; 0.28 and 33&#x20;&#xb1; 0.03% for PTX 108ab and PTX 112&#xa0;ab, while at 264&#xa0;h, the drug release was 85&#x20;&#xb1; 0.34 and 88&#x20;&#xb1; 0.14% for PTX 108&#xa0;ab and PTX 112&#xa0;ab, respectively.</p>
<fig id="F5" position="float">
<label>FIGURE 5</label>
<caption>
<p>
<italic>In vitro</italic> release profile of paclitaxel from nanoformulations of poloxamer&#x20;407.</p>
</caption>
<graphic xlink:href="fphar-13-855294-g005.tif"/>
</fig>
<fig id="F6" position="float">
<label>FIGURE 6</label>
<caption>
<p>
<italic>In vitro</italic> release of Paclitaxel from surface-modified nanoformulations of poloxamer&#x20;407.</p>
</caption>
<graphic xlink:href="fphar-13-855294-g006.tif"/>
</fig>
</sec>
<sec id="s3-4-2">
<title>3.4.2&#x20;<italic>In Vitro</italic> Drug Release Kinetics</title>
<p>Various kinetic models were employed for prediction of drug release mechanisms that include zero-order, first-order, Hixson&#x2013;Crowell, Korsmeyer&#x2013;Peppas, and Higuchi. The regression coefficient values (<italic>R</italic>
<sup>2</sup>) obtained and the drug release from PTX 108, PTX 112, PTX 108ab, and PTX 112&#xa0;ab nanoformulations best fit to the Higuchi model on the basis of higher regression. coefficient (<italic>R</italic>
<sup>2</sup>) values as shown in <xref ref-type="table" rid="T6">Table&#x20;6</xref>.</p>
<table-wrap id="T6" position="float">
<label>TABLE 6</label>
<caption>
<p>
<italic>In vitro</italic> drug release kinetics of the optimized nanoformulations. Bold values are drug release from nanoformulations best fits to Higuchi model.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th rowspan="2" align="left">Formulation</th>
<th align="center">1st-order</th>
<th align="center">Zero-order</th>
<th align="center">Higuchi</th>
<th align="center">Hixon&#x2013;Crowell</th>
<th align="center">Korsemeyer&#x2013;Peppas</th>
<th rowspan="2" align="center">n&#x2a;</th>
</tr>
<tr>
<th align="center">
<italic>R</italic>
<sup>2</sup>
</th>
<th align="center">
<italic>R</italic>
<sup>2</sup>
</th>
<th align="center">
<italic>R</italic>
<sup>2</sup>
</th>
<th align="center">
<italic>R</italic>
<sup>2</sup>
</th>
<th align="center">
<italic>R</italic>
<sup>2</sup>
</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">PTX 108</td>
<td align="char" char=".">0.181</td>
<td align="char" char=".">0.8842</td>
<td align="char" char=".">
<bold>0.9726</bold>
</td>
<td align="char" char=".">0.8847</td>
<td align="char" char=".">0.114</td>
<td align="char" char=".">0.5</td>
</tr>
<tr>
<td align="left">PTX 112</td>
<td align="char" char=".">0.1935</td>
<td align="char" char=".">0.8639</td>
<td align="char" char=".">
<bold>0.9911</bold>
</td>
<td align="char" char=".">0.8644</td>
<td align="char" char=".">0.124</td>
<td align="char" char=".">0.5</td>
</tr>
<tr>
<td align="left">PTX 108ab</td>
<td align="char" char=".">0.3741</td>
<td align="char" char=".">0.8588</td>
<td align="char" char=".">
<bold>0.9919</bold>
</td>
<td align="char" char=".">0.9222</td>
<td align="char" char=".">0.6226</td>
<td align="char" char=".">0.5</td>
</tr>
<tr>
<td align="left">PTX 112&#xa0;ab</td>
<td align="char" char=".">0.3701</td>
<td align="char" char=".">0.8424</td>
<td align="char" char=".">
<bold>0.9777</bold>
</td>
<td align="char" char=".">0.9213</td>
<td align="char" char=".">0.636</td>
<td align="char" char=".">0.5</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="s3-4-3">
<title>3.4.3&#x20;<italic>In Vitro</italic> Cytotoxicity Studies</title>
<p>The cytotoxicity of the reference drug and paclitaxel-loaded PLGA nanoparticles with and without antibody surface modification was evaluated by performing MTT assay against MCF-7 cells. The MCF-7 cell lines were incubated with Paclixil<sup>&#xae;</sup>, paclitaxel-loaded PLGA nanoformulations PTX 112, and antibody-conjugated paclitaxel-loaded PLGA nanoformulations PTX 108ab and PTX 112&#xa0;ab at 0.25, 2.5, 10, 25, and 50&#xa0;&#x3bc;g/ml concentration. The cultured cells were analyzed for cell viability at 24, 48, and 72&#xa0;h. Cytotoxicity as % of cell viability compared to untreated control cells is shown in <xref ref-type="fig" rid="F7">Figure&#x20;7</xref>.</p>
<fig id="F7" position="float">
<label>FIGURE 7</label>
<caption>
<p>Cell viability (%) of MCF-7 cell lines by Paclixil<sup>&#xae;</sup>, paclitaxel-loaded PLGA nanoformulations PTX 108 and PTX 112, and antibody-conjugated paclitaxel-loaded PLGA nanoformulations PTX 108ab and PTX 112ab at 0.25, 2.5, 10, 25, and 50&#xa0;&#x3bc;g/ml concentration after 24, 42, and 72&#xa0;h.</p>
</caption>
<graphic xlink:href="fphar-13-855294-g007.tif"/>
</fig>
</sec>
</sec>
<sec id="s3-5">
<title>3.5&#x20;<italic>In Vivo</italic> Evaluation</title>
<sec id="s3-5-1">
<title>3.5.1 Pharmacokinetic Studies</title>
<p>Rabbits weighing between 1.5 and 2&#xa0;kg were used as an experimental model for the assessment of various <italic>in vivo</italic> pharmacokinetic parameters of the selected paclitaxel nanoformulations. Selected paclitaxel and its commercially available paclitaxel formulation Paclixil<sup>&#xae;</sup> (reference formulation) were administered (2&#xa0;mg/kg body weight) <italic>via</italic> the marginal ear vein. For <italic>in vivo</italic> evaluation of selected and commercially available paclitaxel formulation Paclixil<sup>&#xae;</sup>, the developed RP-HPLC-UV method was successfully applied (<xref ref-type="bibr" rid="B43">Sakhi et&#x20;al., 2021</xref>). The data were evaluated by non-compartmental analysis using PK-Summit<sup>&#xae;</sup>. The results are given in <xref ref-type="table" rid="T7">Table&#x20;7</xref> and <xref ref-type="fig" rid="F8">Figure&#x20;8</xref>.</p>
<table-wrap id="T7" position="float">
<label>TABLE 7</label>
<caption>
<p>Pharmacokinetic parameters. The <italic>p</italic>-values are made bold as it shows the significance of results.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th rowspan="2" align="left">Parameter</th>
<th align="center">C<sub>max</sub>
</th>
<th align="center">AUC<sub>0-t</sub>
</th>
<th align="center">AUMC<sub>
<bold>&#x221e;</bold>
</sub>
</th>
<th align="center">MRT</th>
<th align="center">t<sub>&#xbd;</sub>
</th>
<th align="center">V<sub>d</sub>
</th>
<th align="center">CL</th>
</tr>
<tr>
<th align="center">&#x3bc;gml<sup>&#x2212;1</sup>
</th>
<th align="center">&#x3bc;ghrml<sup>&#x2212;1</sup>
</th>
<th align="center">mghr<sup>2</sup>ml<sup>
<bold>&#x2212;1</bold>
</sup>
</th>
<th align="center">Hr</th>
<th align="center">Hr</th>
<th align="center">ml</th>
<th align="center">mlh<sup>&#x2212;1</sup>kg<sup>&#x2212;1</sup>
</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">Paclixil<sup>&#xae;</sup>
</td>
<td align="char" char="plusmn">3.05&#x20;&#xb1; 0.78</td>
<td align="char" char="plusmn">4.8&#x20;&#xb1; 0.035</td>
<td align="char" char="plusmn">27.2&#x20;&#xb1; 1.27</td>
<td align="center">5.7&#x20;&#xb1; 0.14</td>
<td align="center">7.9&#x20;&#xb1; 0.06</td>
<td align="center">9.4&#x20;&#xb1; 1.14</td>
<td align="center">7.37&#x20;&#xb1; 0.5</td>
</tr>
<tr>
<td align="left">
<bold>PTX 108</bold>
</td>
<td align="char" char="plusmn">3.75&#x20;&#xb1; 0.09</td>
<td align="char" char="plusmn">194.9&#x20;&#xb1; 1.04</td>
<td align="char" char="plusmn">12433.1&#x20;&#xb1; 214.1</td>
<td align="center">63.8&#x20;&#xb1; 1.61</td>
<td align="center">31.2&#x20;&#xb1; 2.17</td>
<td align="center">65.4&#x20;&#xb1; 1.98</td>
<td align="center">1.7&#x20;&#xb1; 1.21</td>
</tr>
<tr>
<td align="left">
<italic>p-</italic>value</td>
<td align="center">
<bold>&#x2014;</bold>
</td>
<td align="center">
<bold>&#x2014;</bold>
</td>
<td align="center">
<bold>&#x2014;</bold>
</td>
<td align="center">
<bold>0.001&#x2a;&#x2a;&#x2a;</bold>
</td>
<td align="center">
<bold>0.001&#x2a;&#x2a;&#x2a;</bold>
</td>
<td align="center">
<bold>0.003&#x2a;&#x2a;&#x2a;</bold>
</td>
<td align="center">
<bold>0.001&#x2a;&#x2a;&#x2a;</bold>
</td>
</tr>
<tr>
<td align="left">
<bold>PTX 112</bold>
</td>
<td align="char" char="plusmn">3.75&#x20;&#xb1; 0.87</td>
<td align="char" char="plusmn">189.4&#x20;&#xb1; 2.97</td>
<td align="char" char="plusmn">10840.2&#x20;&#xb1; 411.7</td>
<td align="center">57.2&#x20;&#xb1; 1.16</td>
<td align="center">24.2&#x20;&#xb1; 3.35</td>
<td align="center">74.5&#x20;&#xb1; 1.74</td>
<td align="center">1.7&#x20;&#xb1; 0.69</td>
</tr>
<tr>
<td align="left">
<italic>p</italic>-value</td>
<td align="center">
<bold>&#x2014;</bold>
</td>
<td align="center">
<bold>&#x2014;</bold>
</td>
<td align="center">
<bold>&#x2014;</bold>
</td>
<td align="center">
<bold>0.001&#x2a;&#x2a;&#x2a;</bold>
</td>
<td align="center">
<bold>0.002&#x2a;&#x2a;&#x2a;</bold>
</td>
<td align="center">
<bold>0.001&#x2a;&#x2a;&#x2a;</bold>
</td>
<td align="center">
<bold>0.001&#x2a;&#x2a;&#x2a;</bold>
</td>
</tr>
</tbody>
</table>
</table-wrap>
<fig id="F8" position="float">
<label>FIGURE 8</label>
<caption>
<p>Plasma concentration versus time profile of paclitaxel nanoformulations with poloxamer 407 and SLS.</p>
</caption>
<graphic xlink:href="fphar-13-855294-g008.tif"/>
</fig>
</sec>
</sec>
</sec>
<sec id="s4">
<title>4 Discussion</title>
<sec id="s4-1">
<title>4.1 Preformulation Studies</title>
<sec id="s4-1-1">
<title>4.1.1 Drug&#x2013;Excipients Compatibility Study</title>
<p>The stabilizers used for preparing nanoformulations may interact with each other and other active pharmaceutical ingredients which may affect the stability of nanoparticles. Due to change in temperature and humidity, the physical and chemical changes in the dosage form are occurred which can affect stability, biocompatibility, and therapeutic properties of the drug (<xref ref-type="bibr" rid="B5">Chadha &#x26; Bhandari, 2014</xref>; <xref ref-type="bibr" rid="B35">Patel, et&#x20;al., 2015</xref>). In order to avoid these possible interactions, the drug, polymer, and excipients compatibility study was performed, and the samples were evaluated for drug content, physical consistency, and FTIR spectra. Drug concentration in a dosage form may decrease due to degradation of the drug when stored under stress conditions. Physical and chemical incompatibilities may be triggered by humidity and temperature. The drug contents in the dosage form remained the same throughout the stored period. The IR spectra show no changes in samples at day 1 while showing chemical interaction between drug, polymer, and other drug excipients used in nanoformulations after 30&#xa0;days (<xref ref-type="bibr" rid="B26">Martins et&#x20;al., 2014</xref>). The FTIR spectrum of the paclitaxel-loaded PLGA nanoparticle showed no characteristic peaks of paclitaxel which means that the drug is completely encapsulated by the polymer, but the main peaks for PLGA, poloxamer 407, and SLS remain same, thus indicating the absence of any interaction between the drug, polymer, and stabilizers used. After visual inspection of samples, no changes in color or physical consistency were noted which indicates the compatibility of drugs and active ingredients with each&#x20;other.</p>
</sec>
</sec>
<sec id="s4-2">
<title>4.2 Physicochemical Characterization</title>
<p>PTX 108 and PTX 112 were selected for having small particle size, high negative zeta potential, and encapsulation efficiency greater than 80% and monodispersed particles. These formulations were further evaluated. The physicochemical properties of nanoformulations before and after antibody conjugation were compared.</p>
<sec id="s4-2-1">
<title>4.2.1 Particle Size, PDI, Zeta Potential, and Encapsulation Efficiency</title>
<p>The particle size and PDI change with change in concentration of the stabilizer and amount of the drug in nanoparticle formulations, whereas polymer concentration is kept constant. The size of the nanoparticles increases as the concentration of poloxamer 407 is increased, and there is an increase in PDI with change in stabilizer concentration. Present studies show that the mean particle size increases as the concentration of the stabilizer is increased (<xref ref-type="bibr" rid="B39">Pradhan et&#x20;al., 2013</xref>). This increase in the nanoparticle size is due to excessive adsorption of poloxamer 407 on the nanoparticle surface which results in formation of a thick layer (<xref ref-type="bibr" rid="B41">Redhead et&#x20;al., 2001</xref>). As the stabilizer concentration is increased, viscosity of the aqueous phase increases which results in an increase in particle size by decreasing the net shear stress (<xref ref-type="bibr" rid="B39">Pradhan et&#x20;al., 2013</xref>). As the drug concentration is increased from 1 to 4&#xa0;mg, there is an increase in the nanoparticle size. This increase in particle size is due to the fact that only a specified amount of the drug can be encapsulated by a constant concentration of the polymer. Any further increase in drug concentration will result in an increase in particle size, thus increasing viscosity of the organic phase (<xref ref-type="bibr" rid="B31">Mu &#x26; Feng, 2003</xref>; <xref ref-type="bibr" rid="B39">Pradhan et&#x20;al., 2013</xref>). The results show that after the attachment of trastuzumab on the nanoparticle surface there is an increase in size and polydispersity of nanoparticles.</p>
<p>Paclitaxel-loaded polymeric nanoformulations prepared by using poloxamer 407 (0.5, 1, 1.5, and 2%) and SLS (0.05%) show a negative charge, and the zeta potential values decrease as the concentration of the drug is increased from 1 to 4&#xa0;mg. This decrease in zeta potential is due to an increase in concentration of the drug-to-polymer ratio in the organic phase (<xref ref-type="bibr" rid="B47">Stolnik et&#x20;al., 2001</xref>; <xref ref-type="bibr" rid="B30">Moura et&#x20;al., 2020</xref>). The negative zeta potential was due to the ester and termination group of PLGA chains on the nanoparticle surface (<xref ref-type="bibr" rid="B31">Mu &#x26; Feng, 2003</xref>) and due to the presence of the anionic surfactant, SLS. As the concentration of poloxamer 407 is increased, there is an increase in zeta potential values. There is an increase in zeta potential values ranging from &#x2212;19.1&#x20;&#xb1; 1.5 to &#x2212;40.4&#x20;&#xb1; 1.6&#xa0;mV as the poloxamer 407 concentration is increased from 0.5 to 2% (<xref ref-type="bibr" rid="B41">Redhead et&#x20;al., 2001</xref>; <xref ref-type="bibr" rid="B40">Reddy &#x26; Murthy, 2005</xref>). High negative potential provides stability as there will be an increase in electrostatic repulsive forces among the nanoparticles which will prevent particle aggregation. The results indicated that the surface charge was shifted to less negative after conjugation of the antibody on the nanoparticle surface due to the positive charge of trastuzumab (<xref ref-type="bibr" rid="B49">Sun et&#x20;al., 2011a</xref>; <xref ref-type="bibr" rid="B48">Sun et&#x20;al., 2008</xref>; P.; <xref ref-type="bibr" rid="B57">Yousefpour et&#x20;al., 2011</xref>).</p>
<p>There is an increase in encapsulation efficiency as the concentration of poloxamer 407 is increased from 0.5 to 2% while keeping PLGA and SLS concentrations constant (<xref ref-type="table" rid="T4">Table&#x20;4</xref>). There is an increase in encapsulation efficiency as the initial concentration of the drug is increased, as more drug molecules are available to interact with the polymer resulting in an increase in encapsulation efficiency. However any further increase in the drug amount will result in saturation of the polymer, leading to a decrease in encapsulation efficiency (<xref ref-type="bibr" rid="B20">Keum et&#x20;al., 2011</xref>; <xref ref-type="bibr" rid="B39">Pradhan et&#x20;al., 2013</xref>). In this work, nanoformulations having encapsulation efficiencies greater than 80% were selected for surface modification which resulted in an increase in size; however, no significant change in encapsulation efficiency was observed with conjugation of the antibody as shown in <xref ref-type="table" rid="T5">Table&#x20;5</xref>.</p>
<p>Surface morphology of nanoparticles determines the circulation time, biodistribution, targeted delivery, and enhanced tumor accumulation as well as cellular uptake of nanoparticles (<xref ref-type="bibr" rid="B51">Truong et&#x20;al., 2015</xref>). The surface of nanoparticles using poloxamer 407 was spherical in shape. After the conjugation of the antibody, the surface of nanoparticles becomes blurry which is due to attachment of the antibody on the surface of nanoparticles and adhesion of nanoparticles (<xref ref-type="bibr" rid="B57">Yousefpour et&#x20;al., 2011</xref>; <xref ref-type="bibr" rid="B21">Mehata et&#x20;al., 2019</xref>).</p>
<p>The XRD pattern of paclitaxel-loaded PLGA nanoformulations exhibits no discrete peaks at any position, so it can be concluded that paclitaxel was completely encapsulated by the polymer and transformed to an amorphous state (Chowdhury et&#x20;al., 2019; <xref ref-type="bibr" rid="B10">de Oliveira Fortes et&#x20;al., 2012</xref>; <xref ref-type="bibr" rid="B54">Wei et&#x20;al., 2009</xref>).</p>
</sec>
</sec>
<sec id="s4-3">
<title>4.3&#x20;SDS-PAGE Analysis</title>
<p>The structural integrity of trastuzumab on the nanoparticle surface was compared with the native antibody by SDS-PAGE analysis. As trastuzumab is a protein, when subjected to any type of stress such as preparation process, packaging materials, heating, and agitation, the major response of the monoclonal antibody is aggregation which can result in immunogenic reactions, loss of significant therapeutic activity, denaturation, or inactivation (M <xref ref-type="bibr" rid="B34">Pabari et&#x20;al., 2013</xref>; <xref ref-type="bibr" rid="B29">Mohamed et&#x20;al., 2018</xref>). From the results, it can be observed that trastuzumab shows same behavior after conjugation on the nanoparticle surface as the native antibody which confirms that the integrity of trastuzumab remains the same, and there is no evidence of reduced protein as shown in bands. This validates the feasibility of antibody-decorated paclitaxel nanoparticles for targeting HER<sup>2&#x2b;</sup>-overexpressed cancer&#x20;cells.</p>
</sec>
<sec id="s4-4">
<title>4.4&#x20;<italic>In Vitro</italic> Evaluation</title>
<p>All the paclitaxel-loaded PLGA nanoformulations with and without antibody conjugation exhibit a bi-phasic release pattern, which is characterized by an initial burst release in first 24&#xa0;h followed by a continuous slow release. This slow release is due to the slow degradation of PLGA because the release of paclitaxel from nanoparticles mainly depends on drug diffusion and matrix erosion. The drug that is poorly entrapped/adsorbed on the polymeric matrix results in initial fast release, while the diffusion mechanism is responsible for the slow release of the drug that is localized in the polymeric core of nanoparticles (<xref ref-type="bibr" rid="B14">Fonseca et&#x20;al., 2002</xref>; <xref ref-type="bibr" rid="B39">Pradhan et&#x20;al., 2013</xref>).</p>
<p>It was observed that the drug release from PTX 108, PTX 112, PTX 108ab, and PTX 112&#xa0;ab nanoformulations best fits to the Higuchi model on the basis of higher regression. coefficient (<italic>R</italic>
<sup>2</sup>) values. The &#x201c;n&#x201d; value primarily shows the mechanism of drug release from the polymeric matrix, and it was measured at 60% release concentration. The most common release mechanism followed by these formulations is diffusion followed by erosion. The n value also showed that Fickian diffusion has taken place in the optimized formulations (<xref ref-type="bibr" rid="B8">Costa &#x26; Lobo, 2001</xref>).</p>
<p>The cytotoxicity studies, as given in <xref ref-type="fig" rid="F7">Figure&#x20;7</xref>, shows viability of MCF-7 cells after incubation with Paclixil<sup>&#xae;</sup>, paclitaxel-loaded PLGA nanoformulations, and antibody-decorated paclitaxel-loaded PLGA nanoformulations at various concentrations after 24, 48, and 72&#xa0;h. There is a more effective decrease in cell viability after 72&#xa0;h than that after 24 and 48&#xa0;h, which signifies that as the incubation period increases the cellular inhibition increases. The second column in each group in <xref ref-type="fig" rid="F7">Figure&#x20;7</xref> shows viability of MCF-7 cells after treatment with unconjugated paclitaxel nanoformulations, and there is an increase in <italic>in&#x20;vitro</italic> cytotoxicity as compared to paclitaxel solution. As the concentration of the drug is increased from 0.25 to 50&#xa0;&#x3bc;g/ml, % viability decreases. The third column in each group shows cellular toxicity of antibody-conjugated paclitaxel-loaded PLGA nanoformulations. There is a significant decrease in % cell viability which indicates that antibody-functionalized nanoformulations are more effective therapeutically than paclitaxel and nanoformulations without antibody conjugation.</p>
<p>It can be depicted from our results that as the concentration of the drug and incubation time increase, cell viability decreases. The surface conjugation of nanoparticles results in an increase in <italic>in&#x20;vitro</italic> cytotoxicity as compared to nanoformulations without antibody conjugation and Paclixil<sup>&#xae;</sup>. Our results are in line with previous data available (<xref ref-type="bibr" rid="B57">Yousefpour et&#x20;al., 2011</xref>; <xref ref-type="bibr" rid="B2">Butt et&#x20;al., 2012</xref>).</p>
</sec>
<sec id="s4-5">
<title>4.5&#x20;<italic>In Vivo</italic> Evaluation</title>
<p>The C<sub>max</sub>, AUC, AUMC, MRT, t<sub>1/2</sub>, and V<sub>d</sub> have been significantly increased, while Cl has been decreased (<xref ref-type="table" rid="T7">Table&#x20;7</xref> and <xref ref-type="fig" rid="F8">Figure&#x20;8</xref>). The selected formulations were compared statistically with conventional paclitaxel formulation. The plasma concentrations of polymeric nanoformulations were 1.23-fold greater than those commercially available formulation (<xref ref-type="bibr" rid="B16">Guo et&#x20;al., 2012</xref>). The results show 39.38&#x2013;40.41-fold increase in AUC of polymeric-loaded paclitaxel nanoparticles than that of commercially available paclitaxel. The reported AUC of paclitaxel after administration to rats at a dose of 30&#xa0;mg/kg were 80.06&#x20;&#xb1; 5.74&#xa0;&#x3bc;g-hr/ml for paclitaxel self-microemulsion and 14.61&#x20;&#xb1; 2.16&#xa0;&#x3bc;g-hr/ml for paclitaxel solution (<xref ref-type="bibr" rid="B16">Guo et&#x20;al., 2012</xref>). The data suggest that at same concentration, nanoformulations remain in blood for a prolonged period of time and, hence, increase the therapeutic efficacy of the drug. As in nanoformulations, the drug is encapsulated within the hydrophobic polymer which results in sustained release and increase in bioavailability which attributes to an increase in AUC. The other reason of enhanced bioavailability may be due to a decrease in plasma protein binding of polymeric-loaded paclitaxel nanoformulations (<xref ref-type="bibr" rid="B45">Stage et&#x20;al., 2018</xref>). The AUMC<sub>&#x221e;</sub> values of polymeric nanoformulations were significantly greater than those of commercially available formulation.</p>
<p>The MRT of polymeric-loaded paclitaxel nanoparticles is 10.04&#x2013;11.2-fold than that of the commercially available paclitaxel formulations<bold>.</bold> The reported MRT values of paclitaxel nanoparticles were much higher than that of the pure drug which is in accordance with our results. Polymeric-loaded paclitaxel nanoparticles significantly increase the MRT value by controlling the release of the drug. Drugs formulated in nanoparticles remain in blood circulation for prolonged time due to reduced uptake by the reticuloendothelial system (RES) (<xref ref-type="bibr" rid="B15">Fu et&#x20;al., 2016</xref>). The t<sub>1/2</sub> of polymeric paclitaxel nanoparticles is 3.06&#x2013;3.95-fold than that of the commercially available paclitaxel formulations. The V<sub>d</sub> of polymeric-loaded paclitaxel nanoparticles has increased 6.96&#x2013;7.93-fold than that of commercially available paclitaxel formulations. The V<sub>d</sub> of paclitaxel liposome was 0.926&#x20;&#xb1; 0.057&#xa0;L and paclitaxel injection was 0.827&#x20;&#xb1; 0.052&#xa0;L after IV administration of 3&#xa0;mg/kg body weight to rabbits (Y. <xref ref-type="bibr" rid="B53">Wei et&#x20;al., 2014</xref>). (<xref ref-type="bibr" rid="B56">Xu et&#x20;al., 2005</xref>). The clearance values of the polymeric nanoformulations decreased than those of the commercially available formulations as reported in the previous literature. The clearance values of paclitaxel liposome was 0.397&#x20;&#xb1; 0.022&#xa0;L/h/kg and paclitaxel injection was 0.539&#x20;&#xb1; 0.038&#xa0;L/h/kg after IV administration of 3&#xa0;mg/kg body weight to rabbits (Y. <xref ref-type="bibr" rid="B53">Wei et&#x20;al., 2014</xref>).</p>
<p>The drug eliminates quickly from the systemic circulation after IV administration of paclitaxel injection whereas paclitaxel nanoparticles have shown to improve the pharmacokinetic parameters. The small size of nanoparticles, decreased protein binding, and use of suitable stabilizers result in increased bioavailability of the drug. There is a significant change in pharmacokinetic parameters after encapsulation of paclitaxel in nanoparticles. Paclitaxel-loaded polymeric nanoformulations exhibit an increase in MRT and AUC, while blood clearance is decreased. As the drug remains in blood for a prolonged period of time with nanoparticles, the uptake by the reticuloendothelial system is reduced and uptake of the drug at the target site is enhanced, so improved therapeutic efficacy is achieved with nanoformulations. The use of PLGA grade (75:25) results in a more sustained release which has not been used previously with surface conjugation of the antibody. Although surface functionalization of paclitaxel nanoparticles has been carried out previously by albumin, polyethylene glycol, and folate, however, we got promising results in terms of size, stability, drug release profile, <italic>in&#x20;vitro</italic> cytotoxicity, and pharmacokinetic parameters in comparison with the reported work (<xref ref-type="bibr" rid="B44">Singla et&#x20;al., 2002</xref>; <xref ref-type="bibr" rid="B32">Nehate et&#x20;al., 2014</xref>).</p>
</sec>
</sec>
<sec id="s5">
<title>5 Conclusion</title>
<p>Sustained release of paclitaxel-loaded polymeric nanoparticles decorated with trastuzumab was developed using PLGA, SLS, and poloxamer 407 by the solvent evaporation method. The formulations were evaluated for its <italic>in&#x20;vitro</italic> cellular cytotoxicity against HER<sup>2&#x2b;</sup> breast cancer cell lines. The optimized nanoparticles were of particle size less than 300&#xa0;nm, having a negative charge, and encapsulation efficiency &#x2c3;80%. The selected optimized nanoformulations were conjugated with trastuzumab having the desired particle size, PDI, zeta potential, and encapsulation efficiency. SDS-PAGE analyses have shown no evidence of reduced protein, and integrity of trastuzumab remains the same. Scanning electron microscopy (SEM) results have shown that the surface of nanoparticles before antibody conjugation were smooth and spherical, while after the conjugation of the antibody, the surface became blurred which is due to attachment of the antibody on the surface of nanoparticles. The drug release from antibody-conjugated nanoparticles was rapid as compared to unconjugated nanoparticles due to rough surfaces of nanoparticles.</p>
<p>The pharmacokinetic parameters of paclitaxel-loaded polymeric nanoformulations exhibit an increase in MRT, AUC, t<sub>1/2</sub>, and V<sub>d</sub>, while Cl was decreased as compared to those of commercially available paclitaxel nanoformulation. The results of cytotoxicity studies have shown a significant decrease in cell viability as the drug concentration and incubation time increase. The surface conjugation of nanoparticles resulted in greater <italic>in&#x20;vitro</italic> cytotoxicity than nanoformulations without antibody conjugation and conventional paclitaxel formulations.</p>
</sec>
</body>
<back>
<sec id="s6">
<title>Data Availability Statement</title>
<p>The original contributions presented in the study are included in the article/Supplementary Materials, further inquiries can be directed to the corresponding authors.</p>
</sec>
<sec id="s7">
<title>Ethics Statement</title>
<p>The animal study was reviewed and approved by the Ethical Committee of Pharmacy Department, University of Swabi (Pharm/EC/002).</p>
</sec>
<sec id="s8">
<title>Author Contributions</title>
<p>MS: experimental work and manuscript writing. AK, ZI, IK, AR, AU, FN, and SK: critical revision of the manuscript. All authors approved the final version of the manuscript to be published and agreed to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.</p>
</sec>
<sec id="s9">
<title>Funding</title>
<p>This study was funded by the Higher Education Commission of Pakistan.</p>
</sec>
<sec sec-type="COI-statement" id="s10">
<title>Conflict of Interest</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 sec-type="disclaimer" id="s11">
<title>Publisher&#x2019;s Note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors, and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<ack>
<p>We are thankful to the Department of Pharmacy, University of Peshawar, for their support.</p>
</ack>
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