1. Introduction
Teriflunomide (TFL) is a pyrimidine synthesis inhibitor, used for the treatment of multiple sclerosis (MS), which has demonstrated clinical efficacy and safety in a number of large and multicenter clinical trials. Recently, TFL received approval by both the European Medicines Agency (EMA) and the US Food and Drug Administration (FDA) as an oral administrated disease-modifying therapy (DMT) for the treatment of relapsing–remitting MS (RRMS) in adults [
1]. Generally, the oral administration of active pharmaceutical ingredients (APIs) is amongst the most easily handled and economical routes for drug delivery. Nonetheless, TFL’s undesirable side-effects, such as high toxic levels and untargeted cells detection, and the risk of hepatoxicity and teratogenicity of TFL have led researchers to develop alternatives routes of administration [
2].
Transdermal drug delivery systems (TDDS) have been exploited as a successful sustained drug release platform and have received regulatory approval for a series of products, such as patches. This type of drug delivery also allows for less frequent dosing or steady delivery profiles and may be easily self-applied with a painless and noninvasive application [
3]. In most cases, sustained-release patches exhibit a high valuable profile since the delivery of the active biomolecules can be prolonged and controlled by a diffusion mechanism [
4]. Owing to their interesting properties, such as a high surface area, high drug loading capacity and porosity, electrospun fibers from biodegradable and biocompatible polymers have recently received significant attention in the biomedical field [
5,
6]. Lately, there has been a great number of research studies that have explored the success of electrospun fibers from biodegradable polymers as vehicles for TDDS. Indicatively, Siafaka et al. fabricated poly(lactic acid)/poly(butylene adipate) (PLA/PBAd) electrospun blends for the controlled release of teriflunomide [
4]. Sa’adon et al. reviewed the factors affecting the transdermal drug release from poly(vinyl alcohol) (PVA) electrospun nanofibers [
7] and Ravikumar et al. prepared poly(caprolactone)-co-poly(ethylene glycol) (PCL-PEG) electrospun nanofibrous patch for the transdermal delivery of tetrahydro curcumin [
8]. The major advantages of drug-loaded fiber mats include biocompatibility and biodegradability, so as to control the drug release and burst effect ensuring the desirable long-term delivery or immediate action at the targeted location [
9].
There is an enormous flexibility in materials used for the preparation of electrospun nanofibers in drug delivery systems for various drugs. Polycaprolactone (PCL) is a US-FDA-approved, biocompatible and non-immunogenic semicrystalline polymer which exhibits a slow biodegradation rate [
8,
10,
11,
12,
13,
14]. The combination of the PCL properties (biocompatibility and slow biodegradation), such as high mechanical properties and the unique aspect of nanofibrous structure originating from electrospinning can result in a promising material for medical applications including TDDS [
15,
16].
In this context, we used electrospinning technique to produce PCL fibers loaded with teriflunomide, for the treatment of multiple sclerosis. Relevant factors influencing the fiber formation and the mean fiber diameter, such as molecular weight and polymer concentration [
17], flow rate, electric field and distance between needle and the collector [
18] were thoroughly examined. Any of these parameters may have a direct effect on the morphology and diameter size of the fibers. Moreover, a careful adjustment of these parameters can result in fibers with the desired morphology and diameter size [
19]. The aim of the current work was to synthesize PCL polyesters, determine the influence of the molecular weight of polycaprolactone, solvents and operational conditions on the diameter of nanofibers during the electrospinning process and study the loading of TFL into the prepared nanofibrous networks.
4. Discussion
In our current research, poly(caprolactone) (PCL) polyesters with various molecular weights were synthesized and used for the fabrication of nanofibers with optimum morphology using the process of electrospinning for the preparation of delivery patches of teriflunomide, a drug used for the treatment of multiple sclerosis.
The electrospinning technique has received significant attention in the last years as an effective tool for the production of nano- to microscale polymeric fibers for various applications. Factors such as the interconnection of the pores, the high porosity as well as the ratio of high surface to the total volume of the fibrous patches make them particularly promising drug delivery systems.Electrospinning involves many scientific aspects, including polymer science, applied physics, fluid mechanics, electrical, mechanical, chemical, and material engineering, rheology and many others. Therefore, various parameters, divided into two main groups, regarding the solution properties and processing conditions can affect the shape and surface morphology of the fibers. The first group mainly includes molecular weight, solution viscosity and polymer concentration, while the second involves the applied voltage of the electric field, volume feed rate as well as the distance of the needle from the collector [
37,
38]. The optimization of these parameters could lead to the production of longer continuous fibers with the desired length and diameter [
22]. For this reason, an extensive investigation regarding the molecular weight of PCL, polymer concentration in chloroform, applied voltage of the electric feed, volume feed and the distance of the needle from the collector was conducted.
The molecular weight of the polymer is considered as one the most significant aspects regarding the production of nanofibers devoid of beads, since it greatly affects the rheological properties of the electrospun solution, such as viscosity and surface tension. It was observed that the formation of fibrous structures at 13,400 and 24,100 Mn was not successful. Instead, bead structures were obtained, probably due to the resistance of the jet to the tensile flow. In addition, at 24,100 g/mol Mn, the number of beads was higher, and the spacing between beads was smaller compared to 13,400 g/mol. Thus, it seems that the molecular weight of the polymer has a significant effect on the formation of fibrous structures, since it can affect the breakup of the viscoelastic jet. It has been well established that in non-Newtonian fluids, elongational flow resists the breakup of the viscoelastic jet, leading to the formation of long threads of minijets. The splitting and splaying of the primary jet into a series of minijets is drastically boosted by the application of an electric field to the solution. If the non-Newtonian fluid is a solution, solvent evaporation from the minijets leads to a fibrous structure in the residual polymer [
39].
Polymer concentration is another significant parameter, alongside molecular weight, that can alter the characteristics of the fibrous structures produced from the jet. Moreover, the concentration plays a major role in stabilizing the fibrous structure. Herein, the increase of the solution concentration resulted in a significant increase of the average diameter size of the fibers and the interfiber spacing. A similar pattern was observed previously [
40,
41], where the fiber diameter increased with increasing polymer concentration. This was attributed to a higher solid content resulting from a higher viscosity that would oppose the flow and elongation and result in a less-stretched jet [
42].
The effect of the applied voltage on the fiber diameter has been a debated subject. It is commonly observed that higher voltages facilitate the formation of large diameter fibers [
43].It has also been shown that by increasing the voltage of the electric field, the probability of beads formation increases. Nevertheless, a high electric field voltage may also result in multiple jets, which deliver a smaller diameter of electrospun fibers. Some studies have also reported the formation of thinner fibers upon boosting the electrical field due to the increased stretching of the electrospinning jet [
44,
45]. It is anticipated that a higher applied voltage produces fibers with small diameters, depending on the volatility and viscosity of each solvent. It is also noted that when the electric field is amplified during the electrospinning process, the charged jet travels much faster to the collector. Consequently, the solvent in the jet has less time to evaporate and, if the solvent has a lower vapor pressure, wet fibers are obtained with larger diameters. In the present work, the chloroform used as solvent has a very high volatility since it evaporates very fast at room temperature, and thus conforms nicely to the desired pattern [
46]. The applied voltage may also affect some aspects such as the mass of polymer coming out from the tip of the needle, the elongation level of a jet by an electrical force, the morphology of a jet (a single or multiple jets), etc. Thus, we can conclude that a correct combination among these factors may define the desirable final diameter of electrospun fibers [
22].
The flow rate of the polymer within the syringe is another important process parameter in electrospinning. A lower flow rate is more necessary as the solvent is given enough time to evaporate. There should always be a minimum flow rate of the spinning solution.In this work, the results indicated that the diameters of the electrospun PCL nanofibers increased, as the flow rate became lower. This is due to the fact that when decreasing the flow rate, the solvent evaporated, leading to the formation of solid nanofibers. Ideally, the feeding rate must match the solution removing rate from the tip. These findings suggest that in general, lower feeding rates can inhibit electrospinning and high feeding rates result in large diameter fibers due to the unavailability of solvent to evaporate within the time it takes to reach the collector [
47].
The distance between the needle and collector can affect the fiber properties, particularly its diameter and morphology, as it affects the electrical field strength between the collector and tip of the needle. Specifically, the distance plays a significant part in the whipping, deposition time and evaporation rate of the solvent [
45]. It has been reported that both lowering and increasing the voltage appear to reduce the fiber diameter, while an intermediate distance would fabricate the finest fiber. The effect of the voltage and the spinning distance in the current study was unexpected but reasonable. A high voltage could result in a smaller fiber diameter, when the distance is long enough to allow a more extension of the jet. On the other hand, a high voltage could result in a larger fiber diameter, if short spinning distance or high polymer concentration do not allow a substantial elongation of the jet [
42].
PCL having Mn 71 kg/mol was selected for the incorporation of TFL in three different weight ratios (10, 20 and 30 wt%). Three different 17%
w/
v PCL/chloroform solutions were prepared and electrospun using the system parameters described in trial seven of
Table 2 as setup conditions, since fibers with the largest mean diameter were obtained. These fibers were prepared and studied by various techniques, such as SEM, FT-IR, DSC and XRD, in order to investigate the morphology of the obtained fibrous structures, the interaction of the drug with the polymeric matrix and its physical state. SEM micrographs revealed an increase in the mean diameter of the obtained fibers with the incorporation of TFL as expected, with the values ranging from 0.492 to 0.653 μm. Drug/polymer interactions have a great effect on the rate of release of drugs from a polymer matrix. Polymers that can physically interact with the drug may sustain the release of the active substance. Drug–polymeric carrier interactions in the solid state are usually investigated using FT-IR technique by examining the wavelength shifts in the characteristic peak positions of either the drug or the polymer. Spectra regions where the peaks do not overlap are theoretically useful [
48]. This technique is a powerful tool for investigating such systems and may detect changes in the vibrational frequencies of specific functional groups within the drug and polymers, due to H-bonds formation or other molecular interactions. Indeed, band shifting and/or broadening as well as band intensity variation of the relevant bands are markers of hydrogen bond formation [
49].PCL evaluated in the present study consisted mainly of ester bonds and terminal carboxylic and hydroxyl groups, which can interact via hydrogen bonds, with the ester groups or amino groups of TFL and the nitrogen atoms in the TFL molecule. Therefore, to determine if there were such interactions in the prepared patches, we focused our analysis on the characteristic peaks recorded in the region of the hydroxyl and carbonyl groups of the FT-IR spectrum [
50]. Noticeable peak shifts were observed mostly in the region of the ester group of PCL, suggesting intermolecular interactions (hydrogen bonds) between the C=O of PCL and -NH of the drug in all samples. Moreover, nitrile alkyl interactions [
25] were also observed in all three samples in the area of 2220–2225 cm
−1. Hence, in all cases, significant molecular interactions between the drug and the polyester were observed in all prepared nanofibers, independently of the TRL concentration.
DSC and XRD techniques were employed for the examination of the physical state of teriflunomide incorporated in the nanofibrous mats.It has been widely known that when poorly soluble drugs are prepared in their glassy, higher free-energy (amorphous) form, many poorly soluble drugs exhibit significantly higher solubility and faster dissolution than in their crystalline form.This advantage of enhanced dissolution rate and solubility can lead to enhanced bioavailability inside the patient’s organism and therefore improve the therapeutic result [
51]. The melting point at 228.7 °C of neat TRL was not observed in the obtained DSC thermograms as seen in the thermograms of the fibrous patches, while only a peak was seen, corresponding to the melting of PCL at temperatures similar to those found in the pure fibrous structures, without the incorporation of TFL. This is an indication that TFL could be incorporated in amorphous form inside the nanofibers. However, due to the low melting point of PCL, TFL could have been dissolved in the melt of PCL during the DSC measurement (in situ melting). For this reason, the crystallinity of PCL and TFL in the fabricated fibers was also evaluated using the XRD method.Polymer crystallinity determines the polymeric degradability as well as the drug release, since the bulk crystalline phases are more unreachable to aquatic media [
17]. The polymers studied in this work were semicrystalline and the fabricated fibers were anticipated to be semicrystalline too.XRD diffractograms showed the three characteristic peaks corresponding to the orthorhombic crystalline structure of pure PCL. Additional characteristic peaks corresponding to TFL were not noticed in the drug-loaded fibrous mats. This is attributed to the complete solubilization and amorphization of the drug within the polymeric matrix and is in accordance with the DSC thermographs analyzed previously.
The drug delivery of active molecules via electrospun fibrous mats has been examined extensively in the literature because the release behavior is mainly influenced in proportion to the structure of the formulation. When the resulting nanofiber mats are placed in aqueous media (e.g., human fluids), the system continuously delivers the drug, and meanwhile, the nanofibers are degraded [
19]. The release rate of a drug from polymeric systems depends on many drug-related factors (such as its crystallinity and in general its physical state), but also on the polymeric carrier (molecular weight, melting point, etc.). Usually, depending on their characteristics, the molecules of the active substance that are close to the surface of the polymeric matrix are released more quickly. Over time, the hydration of the matrix helps the drug molecules of the inner core to be released (though diffusion) at a slower rate. Once released from the patch, the drug can be delivered to the joint cavity via two routes, i.e., direct diffusion at the site of application or through systemic circulation [
52]. In vitro studies conducted herein revealed a biphasic release profile of TFL from the fibrous mats, consisting of a burst release within the first 10h as well as a sustained release up to 250 h. Alhusein et al. in their research also observed a similar release from tetracycline from zein/polycaprolactone electrospun matrices [
53]. This may be related to the rapid dissolution of the active substance that is not incorporated inside the PCL matrix and is located at the surface of the fibers combined to the diffusion in the interfiber space (first phase), as well as to the hydrophobic nature, swelling and erosion properties of the polymer controlling the diffusion process of the drug in the fibers (second phase) [
54,
55,
56]. Hydrophobicity plays a crucial role in drug delivery for extended and sustained release of active substances, as it lowers wettability of the polymeric matrix, therefore delaying the release of drugs [
57].
After the in vitro release of teriflunomide from the fibrous patches, the SEM technique was used to determine the state of PCL. The main mechanisms through which a drug is released from a biodegradable polymer are swelling, diffusion and polymer erosion [
58]. In general, the release is governed by the combination of all of these mechanisms, but it is mostly dependent on the relative rates of erosion and diffusion. Moreover, the porosity of the electrospun mats is another contributing aspect in controlling the release mechanism. Most biodegradable polymers used for drug administration are degraded. Synthetic polymers degrade by hydrolysis or biodegradation through cleavage of its backbone ester group hydrolysis to alcoholic and carboxylic end groups, leading to chain scission and the formation of oligomers and, finally, monomers. The degradation process for these polymers mostly affects the entire polymer matrix, leading to a uniform mode of erosion, called a “bulk” pathway. As water molecules break the chemical bonds along the polymer chain, the natural integrity of the polymer deteriorates allowing the drug to be released [
59]. PCL employed in the designed patch is a slow-degrading polymer that enables a gradual degradation after implantation, thus avoiding extra costs and trauma related with secondary patch-removal procedures [
28,
29,
30,
56,
60,
61]. The observation of the SEM microphotographs of the fibrous mats after the in vitro release suggested that PCL/TFL samples exhibited three different drug release mechanisms: (i) the release of drug located at the surface of the fibers exposed to the outer water phase, (ii) the diffusion through the interfiber pores and finally (iii) the erosion of the polymeric matrix. Regarding the analysis of the release from PCL/TFL samples, it was noticed that the mass transfer resistance from the solid interface to the bulk liquid could be considered negligible. The first mechanism corresponds to diffusion and refers to the diffusion of the external drug through the interfiber voids. The diffusion occurs at a slab geometry (approximately the geometry of the patch). This mechanism can be associated with the first fast stage of the release process. The second mechanism refers to the diffusion of the TFL trapped within the fibers through the intrafiber pores to the surface of the fibers (from where it has to be diffused through the patch by the first mechanism). The third mechanism refers to a spontaneous release of the intrafiber TFL as the fiber suffers degradation. The direct modeling of the release process is extremely complicated. There are two diffusion problems in series and with changing geometry. According to the SEM data, the geometry of the problematic mechanism (ii) gradually changes from cylindrical to spherical. However, this is an oversimplification if the several processes occurring have different time scales. It is assumed that the mechanism (i) is much faster than mechanisms (ii) and (iii). In the absence of any quantitative information on PCL degradation, the relative contribution of mechanisms (ii) and (iii) on the release cannot be assessed. It is considered that the diffusion mechanism dominates. In this case the two processes can be assumed to act independently.