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AAPS PharmSciTech ( # 2018)

DOI: 10.1208/s12249-018-1105-1

Research Article
Theme: Printing and Additive Manufacturing
Guest Editors: Niklas Sandler and Jukka Rantanen

The Effect of Inkjet Printing over Polymeric Films as Potential Buccal Biologics
Delivery Systems

Miguel Montenegro-Nicolini,1,2 Patricio E. Reyes,2 Miguel O. Jara,1 Parameswara R. Vuddanda,3


Andrónico Neira-Carrillo,4,5 Nicole Butto,4,5 Sitaram Velaga,3 and Javier O. Morales1,3,4,6

Received 21 March 2018; accepted 8 June 2018

Abstract. The buccal mucosa appears as a promissory route for biologic drug
administration, and pharmaceutical films are flexible dosage forms that can be used in the
buccal mucosa as drug delivery systems for either a local or systemic effect. Recently, thin
films have been used as printing substrates to manufacture these dosage forms by inkjet
printing. As such, it is necessary to investigate the effects of printing biologics on films as
substrates in terms of their physical and mucoadhesive properties. Here, we explored solvent
casting as a conventional method with two biocompatible polymers, hydroxypropyl
methylcellulose, and chitosan, and we used electrospinning process as an electrospun film
fabrication of polycaprolactone fibers due to its potential to elicit mucoadhesion. Lysozyme
was used as biologic drug model and was formulated as a solution for printing by thermal
inkjet printing. Films were characterized before and after printing by mechanical and
mucoadhesive properties, surface, and ultrastructure morphology through scanning electron
microscopy and solid state properties by thermal analysis. Although minor differences were
detected in micrographs and thermograms in all polymeric films tested, neither mechanical
nor mucoadhesive properties were affected by these differences. Thus, biologic drug printing
on films was successful without affecting their mechanical or mucoadhesive properties. These
results open way to explore biologics loading on buccal films by inkjet printing, and future
efforts will include further in vitro and in vivo evaluations.
KEY WORDS: biologics; mucoadhesion; mechanical properties; inkjet printing; buccal films.

INTRODUCTION without prior treatment (1). The administration of biologics is


difficult: unlike small molecules, biologics are usually not
In the last decades, pharmaceutical drug development bioavailable through the oral route, due to their higher
has focused in biologics, which is reflected in the industry molecular weights (> 1000 Da) limiting membrane passage,
efforts, representing an important advancement in therapeu- the enzymatic and acid sensibility, extensive exposure across
tic treatments with success and expanding therapy to diseases the gastrointestinal tract surface area, and the hepatic first
past effect (2). Biological drug products are commonly
administered intravenously to achieve complete bioavailabil-
Guest Editors: Niklas Sandler and Jukka Rantanen
ity and thus optimize drug use. This addresses the elevated
1
Department of Pharmaceutical Science and Technology, School of cost of treatment, provides protection from gastrointestinal
Chemical and Pharmaceutical Sciences, University of Chile, Santos tract interaction, but increases the risk of adverse events due
Dumont 964, 4to piso, Oficina # 09, Independencia, 8380494, to the full dose being available into the blood (3,4). Despite
Santiago, Chile.
2 the benefits of the intravenous route, some drawbacks include
Instituto de Salud Pública de Chile, 7780050, Santiago, Chile.
3 difficulties for initiating and maintaining an injectable treat-
Pharmaceutical Biomaterial Research Group, Department of
Health Sciences, Luleå University of Technology, 97187, Luleå, ment in ambulatory patients, e.g., administration technique or
Sweden. initial rejection to injectable treatment (5), the appearance of
4
Advanced Center for Chronic Diseases (ACCDiS), 8380494, adverse effects (6), and problems at the site of injection such
Santiago, Chile. as pain, bruise, or itching. All these drawbacks limit the
5
Faculty of Veterinary and Animal Sciences, University of Chile, compliance of prescribed injectable treatments (7).
Santiago, Chile. Thus, alternative administration routes for biologics with
6
To whom correspondence should be addressed. (e–mail: both high bioavailability and comfortability as the oral route
jomorales@ciq.uchile.cl)

1530-9932/18/0000-0001/0 # 2018 American Association of Pharmaceutical Scientists


Montenegro-Nicolini et al.

for small molecules are investigated. Ideal attributes of these electrospinning for its potential to increase the surface area of
alternative routes include providing protection from enzy- its internal structure and thus accommodate the drug loaded
matic and acid degradation and avoidance of the hepatic first- within the fibrous scaffold (23). The fabrication of buccal films
pass effect (8). Among these routes, the buccal epithelium is can be addressed using different manufacturing processes, and
easily accessible and provides a higher surface area and blood quality control has many approaches suggested in the literature,
irrigation than the sublingual epithelium in the oral cavity (9). but no standardized tests are yet available (24).
To exploit the buccal route, polymeric films have become an We selected hydroxypropyl methylcellulose (HPMC),
attractive dosage form and can be used as platforms for chitosan (CH), and polycaprolactone (PCL) as model film
buccal delivery of biologics (10). Previously, it was evaluated forming polymers. HPMC is a non-ionic water-soluble
the permeation of insulin formulated as nanoparticles polymer with lower elastic modulus and higher percent
through a human buccal model both in solution and films, elongation compared to original cellulose molecule (25). CH
being more effective in drug loaded films (10). Tetanus toxoid is a partially deacetylated polymer of N-acetyl glucosamine
was also formulated in nanostructured carriers, for protection (26) and has gained attention in the pharmaceutical field due
enhancement, and then incorporated in films as dosage forms to well documented biocompatibility, non-toxicity, biodegrad-
to provide comparable immunization using traditional ability, and film-forming ability (27). Moreover, CH has been
methods (i.e., intramuscular and per oral routes vaccines) in reported as being mucoadhesive and a permeation enhancer
a mouse animal model (11). In another study, Chen et al. in the buccal mucosa due to the cationic nature of the
developed polymeric films for biologics for sublingual admin- polymer backbone and the increased retention at the mucosal
istration and achieved a sustained glutathione retention, surface (28). PCL is a biodegradable polyester, which has
uniform drug content, desirable release profiles, adequate gained relevance in recent years due to its excellent
drug permeation, and efficient delivery using in vitro drug mechanical and structural properties, as well as being non-
release and ex vivo permeation studies (12). Furthermore, immunogenic (29,30), and adaptable as fibers forming poly-
films as dosage forms can be tailored for personalized dose mer for electrospinning (31).
requirements, which is particularly relevant in pain control The effect of biologics printing process over polymeric
for diseases like rheumatoid arthritis, juvenile rheumatoid films as printing substrates has not been studied. In the
arthritis, and ankylosing spondylitis (13). Moreover, the films literature, Buanz et al. investigated the mechanical properties
are easily administered and thus highly convenient for and physical stability of films prepared by solvent casting and
pediatric and geriatric patients, which can have difficulties in ink jet printing using clonidine hydrochloride finding differ-
swallowing associated to choking risk (14), can improve ences and superiority of the films prepared by printing in
patient compliance (15), and can elicit mucoadhesive proper- terms of mechanical properties and stability (18). Here, we
ties and thus increase the interaction time with the mucosal investigated the effect of inject printing of biologics over
tissue, increasing the drug residence time in the buccal cavity different polymeric film substrates on the mechanical and
leading to increased absorption (16). mucoadhesive properties of the films.
Drug loaded films for the buccal route have been recently
proposed to be develop through inkjet printing in a two-step MATERIALS AND METHODS
approach, i.e., film (printing substrate) manufacture and drug
loading by inkjet printing (17). Additionally, it has been described Materials
for small molecules that the solvent casting process can result in
drug dispersion within the polymeric film, thus modifying the Lysozyme from chicken egg white, mucin from porcine
mechanical properties of the free film; moreover, this alteration stomach, and CH 20–300-cps viscosity and 75–85% deacetylated,
was not detected when the drug was incorporated by inkjet PCL average molecular weight Mn: 80000 g mol−1 were
printing (18). Thus, recent research efforts have been directed to purchased from Sigma-Aldrich (St. Louis, USA). Glycerol 85%
adapt inkjet printing to biologics. Previously, we have demon- analysis grade for solvent casting and ethyl acetate were
strated that it is possible to dispense a biologic drug model purchased from Merck KGaA (Darmstadt, Germany), and
efficiently and maintaining its structure using a home thermal acetone for electrospinning was purchased from Winkler (Santi-
inkjet printer with a polyethylene terephthalate as printing ago, Chile) and used as received. Methocel K100 premium LV
substrate. In buccal film development, three main methods are (HPMC) was kindly donated by the Dow Chemical Company
described: solvent casting, hot melt extrusion, and (MI, USA). Tween 80 was purchased from J.T. Baker (NJ, USA).
electrospinning. Solvent casting is most widely used to produce Triethyl citrate was acquired from AK Scientific Inc. (CA, USA).
films and consists of solubilizing a film forming polymer in a The water used in all experiments was ultrapure collected freshly
volatile solvent to generate a homogeneous solution or dispersion from a Merck Millipore water system (Darmstadt, Germany).
casted on molds to produce films (19). In hot melt extrusion, the
film forming polymer, excipients, and drug are thermally
Methods
processed and passed through a die to render the dosage form
(20). Electrospinning is a more recent method applied in the
fabrication of buccal films and consists in the use of a high-voltage Inkjet Printer Preparation and Printing Process
dc current to a viscous polymer film former solution, generating
fibers that are collected on a ground metal screen (21). In this The thermal inkjet printer system was modified to allow
work, we explore solvent casting as the most widely accepted printing of biologics. Hewlett Packard black cartridges
method due to its ease to implement, low temperatures required, compatible with Hewlett Packard Deskjet 1000 (CA, USA)
and homogeneity of the final film produced (22) and were opened removing the lid while maintaining its structure
and functionality. Cartridges were emptied of ink and cleaned
The Effect of Inkjet Printing over Polymeric Films

using a hydro-alcoholic solution. Finally, three sonication To analyze the influence of the plasticizer and the film
cycles in water of 3 min each were conducted. The procedure thickness on film mechanical and mucoadhesive properties,
was an adaptation of a previous investigation on rasagiline we formulated films as summarized in Table I.
and thermal inkjet printing (32).
One milliliter of ink solution was transferred into clean Electrospinning. PCL films were obtained after
cartridges. The lid was replaced and then the cartridge electrospinning and collecting PCL fibers in a rotary collector.
inserted back into the printer. Polyethylene terephthalate The electrospun PCL fibers were prepared according to a
sheets were used as a support to adhere the polymeric films as previously reported procedure (33). Briefly and to optimize
printing substrates. To configure the printing areas, Microsoft the wet-spinning process, PCL solutions in the range of 11–
Word was used while printing at best quality print, i.e., 600 × 18% w/v concentration were prepared in an ethyl
600 dots per inch (dpi) from the printer settings. For all acetate:acetone solvent mixture (3:1) v/v, which was put
printing conditions 7-cm × 7-cm black templates were printed. under powerful magnetic stirring at 40 °C for 2 h. After
preliminary electrospinning testing, a 18% w/v was selected
Ink Formulation (Table I) for further film manufacture due to exhibiting
optimal film uniformity (33). The PCL solution was then kept
As model biologic drug, a previously optimized lysozyme at room temperature overnight without stirring to obtain a
solution concentration of 10 mg/mL was prepared (17). To homogenous solution.
simulate the ink original viscosity, ink formulations consisted The electrospinning process was carried out using an
in said lysozyme solutions and glycerol in 7:3 v/v ratio. This eStretching LE-10 Fluidnatek instrument (Valencia, Spain) at
ratio has been previously identified to emulate the viscosity of a 13–15-kV high voltage from the power supply. The PCL
original inks (32), avoiding leakage from the cartridge. solution was placed in a 10-mL syringe equipped with a Luer
Lock metallic needle, with an inner diameter of 14.9 mm, and
Film Fabrication the solution feeding rate was automatically controlled at
1500–2000 μL/h with a syringe pump for 7 h. The electric field
Solvent Casting. Polymeric films formulated using was applied between the metallic needle of the syringe and an
HPMC and CH were obtained by solvent casting. A 2% w/v electrical grounded rotating aluminum collector set to 1800–
aqueous HPMC solution was prepared by dispersing the solid 2000 rpm at a distance from the needle tip of 15 cm (34,35).
HPMC in 2/3 parts of 70-°C water, and the rest was added as The rotating collector was covered with aluminum foil in
iced cold water, while continuously stirring at 800 rpm for 1 h. order to obtain aligned fibers with a diameter of 0.5 to 4 μm
Glycerol as plasticizer was added (10, 20, and 30% w/w based (36,37). The collected film was unwrapped carefully from the
on the weight of HPMC) and mixed by magnetic stirring at aluminum foil and stored for future evaluations at room
800 rpm for another hour. The resulting solution was stored at conditions.
4 °C overnight to remove air bubbles. A 2% w/v CH solution
was prepared in acetic acid 2% v/v under magnetic stirring at
800 rpm for 1 h. Tween 80 as hydrophilic surfactant and
triethyl citrate as plasticizer were added in a fixed proportion
of 0.5% w/v and 4% w/w based on CH weight and stirred for Film Characterization
another hour at 800 rpm. The resulting solution was stored at
room conditions for at least 12 h before using to remove air Mechanical Properties. Mechanical testing was con-
bubbles. ducted on a TA1 texture analyzer (Lloyd Instruments
HPMC and CH solutions were casted on non-adherent Ltd., Bognor Regis, UK) equipped with a 50-N load cell
polytetrafluoroethylene (PTFE) plates in different mass using Nexygen Plus 3 software as previously described
amounts (i.e., 15, 25, and 35 g of material) to obtain different (38), according to ASTM standard method D882 (39).
film thickness. Casted films were dried for 24 h at room Briefly, samples of HPMC, CH, and PCL films were cut in
temperature under a vertical laminar airflow chamber and strips of 6 cm × 1 cm and were held through their length
stored at room conditions. between clamps attached to the texture analyzer; thus, the

Table I. Composition of the Formulated Films by Solvent Casting or Electrospinning

Composition Film code

A1 A2 A3 A4 A5 A6 A7 A8 A9 B1 B2 B3 C

Hydroxypropyl methylcellulose K100% w/v 2 2 2 2 2 2 2 2 2 – – – –


Glycerol% w/v 10 20 30 10 20 30 10 20 30 – – – –
Chitosan% w/v – – – – – – – – – 3 3 3 –
Tween 80% w/v – – – – – – – – – 0.5 0.5 0.5 –
Triethyl citrate% w/v – – – – – – – – – 4 4 4 –
Polycaprolactone% w/v – – – – – – – – – – – – 18
Casted mass 15 15 15 25 25 25 35 35 35 15 20 25 –
Montenegro-Nicolini et al.

effective testing area was 4 × 1 cm2. The upper clamp 15 nm in a high vacuum evaporator. All samples were
(connected to the mobile arm of the texture analyzer) analyzed using a 5-kV accelerating beam.
stretched the film upwards at a rate of 0.5 mm/s until film
rupture. Before the mechanical test, the thickness of each T h e r m a l A n a l y s i s b y D i f f e re n t i a l S c a n n i n g
film was measured using an electronic micrometer IP54 Calorimeter. Thermograms of samples (blank and printed
Mitutoyo (Kawasaki, Japan), measure range 0–25 mm with films of CH, HPMC, and PCL) were recorded using a
± 0.001-mm precision. Measurements were taken at five differential scanning calorimeter (TA Instruments Q 1000,
random positions of each test film. New Castle, USA) equipped with refrigerated cooling system.
Stress was obtained from the force measurements Each film sample ranging between 2 and 5 mg was cut into
obtained from the instrument divided by the film cross- small pieces and fixed into aluminum pans and non-
sectional area, while strain was computed by dividing the hermetically sealed. The sample pans were transferred to
increase in length by the initial film length. From the the DSC furnace under a nitrogen purge of 50 mL/min. The
stress versus strain plot, the tensile strength (TS) and the experimental conditions were as follows: temperature range
elongation at break (EB) are obtained from the peak 20 to 200 °C, heating rate 10 °C/min, modulation amplitude
stress and the maximum strain, respectively, also repre- 0.747 °C, and period 60 s. The DSC was previously calibrated
sented by the following equations: for temperature and heat capacities using indium and
sapphire. Results were analyzed using the Universal analysis
software (TA instruments, New Castle, USA).
Peak stress
Tensile strength ðTSÞ ¼
Cross−sectional area of the sample

Increase in length at break


Elongation at breakðEBÞ ¼  100 Statistical Analyses
Original film length

All the data were collected from at least five parallel


experiments. Two-sample, two tailed Student’s t test with
Additionally, the Young’s modulus or elastic modulus equal variances was used to determine significant differences
(EM) was determined as the slope of the linear portion of the among groups for normally distributed data; otherwise,
stress versus strain plot, i.e., the initial elastic deformation Wilcoxon rank-sum test was used. The normality of data sets
region. Since the rate of the mobile arm extension was and equality of variances was established using Shapiro-Wilks
constant for all samples tested, direct comparison of the slope and Fisher’s F tests, respectively. Stata version 15 software
in this region can be done. All these properties were was used in data analysis. Statistical significance was accepted
measured before and after the printing process. at an alpha level of p ≤ 0.05.

Mucoadhesion. Mucoadhesion tests were conducted on RESULTS


TA1 texture analyzer (Lloyd Instruments Ltd., Bognor Regis,
UK) equipped with a 50-N load cell and Nexygen Plus 3 Printing Process
software. Briefly, 1.5-cm × 1.5-cm samples of HPMC, CH, and
PCL films were held horizontally and 70 μL of model mucus, a The printing process was conducted after fixing the HPMC,
freshly made 2% w/v mucin solution, was placed on top of the CH (fabricated by solvent casting technique), and PCL (fabri-
film (40). This amount was chosen to mimic the average saliva cated by electrospinning technique) films to an inert substrate.
thickness (41). A stainless-steel cylindrical probe (11-mm Films were successfully printed without difficulties and after
diameter) was attached to the mobile arm of the texture drug loading; printed films were cut into samples for mechanical,
analyzer and brought in contact with the film and mucin mucoadhesive, and microscopy analysis. No apparent differ-
solution, exerted a force of 50 mN for 30 s, and was then ences were observed during and after printing films obtained by
withdrawn at a rate of 0.5 mm/s. The peak detachment force solvent casting or electrospinning.
(DF) and work of adhesion (WoA) were obtained from the peak
and the area under the curve, respectively, in the force versus Mechanical Properties
distance profile using the base line as reference.
The results for mechanical properties before printing are
Scanning Electron Microscopy. A scanning transmission presented in Table II. As expected, in HPMC films, it is possible
electron microscope was used in its scanning electron to observe high association between the plasticizer content and
microscopy (SEM) mode (Inspect F50, FEI, Hillsboro, an increase of the EB. At a constant mass of casted material (15,
OR, USA) to analyze the surface and cross section 25, and 35 g), the correlation r2 factor was over 0.95.
morphology of the formulated films. Film samples were TS and EM showed a decreasing trend in the three different
obtained before and after printing by immersion in liquid groups (15, 25, and 35 g of casted mass). The best TS correlation
nitrogen. Through this fracture by freezing method, we was found in the 35-g group (formulations A7, A8, and A9 with
ensured clean-cut edges and avoided plastic deformation r2 = 0.95 for A7, and 0.99 for A8 and A9). Furthermore, an
(often resulting from mechanical cutting). Film pieces increase of plasticizer was correlated with a higher thickness in
were immobilized on aluminum stubs by means of two groups (15 and 25 g), but was not observed in the 35-g group.
double-sided adhesive conductive carbon tape, before For printing, we selected formulation A6 (25 g of casted material,
sputter coating with a gold target to a thickness of 10– 30% of glycerol plasticizer), because it exhibited the best EB
The Effect of Inkjet Printing over Polymeric Films

Table II. Thickness, Mechanical, and Mucoadhesion Properties of the Manufactured Films Before Printing

Film code Thickness μm Elongation Tensile strength Elastic modulus Detachment Work of
at break % N/mm2 N/mm2% force adhesion
mN mN/mm

A1 31 (0.4) 21.602 (4.130) 54.982 (3.373) 12.263 (1.166) 13 (2) 52 (10)


A2 32 (1.1) 26.734 (6.256) 47.190 (2.981) 9.529 (1.066) 19 (1) 66 (13)
A3 34 (3.3) 35.810 (2.126) 48.861 (3.652) 8.281 (0.573) 25 (2) 126 (32)
A4 54 (0.8) 23.943 (5.550) 51.595 (5.638) 9.871 (0.789) 15 (2) 43 (4)
A5 58 (1.5) 35.750 (4.039) 49.324 (5.645) 8.208 (1.283) 21 (3) 57 (5)
A6 62 (2.1) 45.509 (3.772) 43.894 (2.441) 7.135 (0.604) 30 (3) 67 (8)
A7 84 (1.3) 23.635 (4.583) 51.460 (3.417) 9.669 (0.908) 24 (2) 52 (6)
A8 84 (1.3) 34.031 (6.820) 42.914 (8.051) 8.051 (0.599) 30 (3) 62 (5)
A9 83 (1.1) 38.691 (4.830) 36.786 (2.976) 6.592 (0.287) 41 (3) 71 (3)
B1 55 (1.3) 13.355 (15.820) 49.749 (2.954) 10.271 (0.900) 16 (3) 67 (1)
B2 78 (7.9) 31.495 (11.235) 51.866 (6.133) 7.481 (0.282) 17 (5) 54 (5)
B3 110 (5.7) 7.716 (4.580) 42.339 (2.535) 5.686 (0.322) 37 (9) 35 (2)
C 89 (7.0) 59.323 (9.569) 0.433 (0.076) 0.043 (0.006) 12 (1) 27 (2)

Results represent mean (SD), n = 5

45.509% and the TS and EM were 43.894 N/mm2 and 7.135 N/ printing process does not have an impact on the mucoadhesive
mm2%, respectively. properties analyzed here.
In CH films, the influence of casted material over thickness
was correlated with an r2 of 0.99. Additionally, EM was
Scanning Electron Microscopy
correlated with film thickness positively (r2 = 0.98), but EB and
TS did not show correlation. We selected formulation B2 due to
The SEM was developed to take images from the
its EB of 31.495% and similar TS and EM to the HPMC selected
microstructural surface and cross-sections of HPMC (Fig. 3),
film of 51.866N/mm2 and 7.481 N/mm2%, respectively.
CH (Fig. 4), and PCL films (Fig. 5) comparing the biologic
For developing the PCL film formulation, a preliminary
printing effect on them. All the analyzed HPMC and CH films
process optimization consisted of testing various PCL con-
samples showed only minor differences, with a continuous
centrations (11–18% w/v) and electrospinning conditions to
structure exempt of cracks or pores. The HPMC films present
achieve the formation of fibers instead of beads (observed by
a rough morphology especially at cross-sections before printing,
simple microscopy) and a homogeneous film with a minimum
which could be attributed to the humectation produced by the
thickness for simple detachment from the collector after 7 h
printing process. As CH tends to hydrate more slowly than
of electrospinning. After process optimization, the EB was
HPMC (42), these differences are less pronounced in CH films.
the highest among the selected formulations 59.323% (PCL >
No differences between the PCL films before and after
HPMC > CH), the TS was the lowest of three materials
printing in surface and cross-section cuts were detected.
0.433 N/mm2 (CH > HPMC > PCL), and PCL films had the
lowest EM at 0.043 N/mm2% (CH > HPMC > PCL).
Films of selected formulations were produced and Thermal Analysis by Differential Scanning Calorimeter
printed to compare their mechanical properties after printing
(Fig. 1). No statistical differences were detected between the Figure 6 presents the differential scanning calorimetry
film samples before and after the printing process (p < 0.05). (DSC) thermograms of the analyzed HPMC, CH, and PCL
films before and after printing. HPMC films show a melting
temperature reported between 157 and 180 °C (43) in different
Mucoadhesion Properties formulations; for CH, the melting temperature was estimated in
203 °C (44), and for PCL, the melting temperature is near 60 °C
The results for DF and WoA are summarized in Table II. (45). For PCL before and after printing, the observed melting
HPMC and CH films show an increasing trend for DF and WoA temperature is similar to the reported value (45). The ink
with plasticizer increase (10, 20, and 30%) in three different incorporates water to the printing process of polymeric films and
groups (15, 25, and 35 g). The formulation A6 has DF and WoA this especially affects hydrophilic materials such as HPMC and
over the median value, i.e., 30 mN and 67 mN/mm, respectively. CH, and it is difficult to observe the characteristic melting point,
Formulation B2 (CH film) exhibited a DF of 17 mN and WoA of especially in the printed samples. For HPMC and CH, it has
54 mN/mm. The PCL film had 12 mN and 27 mN/mm of DF and been described that moisture presence and plasticizers can
WoA, respectively. As such, DF and WoA had the following modify the glass transition temperature (43,44). Additionally, no
order among selected film formulations: HPMC > CH > PCL. apparent differences were detected between blank and printed
Films of selected formulations were manufactured and then samples for all the polymers especially in HPMC and CH films.
printed to compare DF and WoA as shown in Fig. 2. No PCL films exhibit minor differences between the blank and
statistical differences were detected between the film samples printed samples probable related with and incomplete ink
with and without printing process (p < 0.05), showing that the lysozyme inclusion into the film, staying at the surface.
Montenegro-Nicolini et al.

Fig. 1. Mechanical properties including a elongation at break, b tensile strength, and c elastic modulus of selected substrates of HPMC, CH,
and PCL before and after printing. Non-statistical differences were detected (p > 0.05)

DISCUSSION plasticizer is required to provide the essential flexibility of the


film (48), making it possible to undergo mechanical stress by
Solvent Casting and Electrospinning Processes Were Useful manipulation or even the printing process. The plasticizer
for Film Manufacturing and Evidenced No Changes in mechanism of action occurs by the reduction in the glass
Mechanical and Mucoadhesion Properties Before and After transition temperature of the films, thereby reducing its TS
Printing (49). To evaluate the influence of the plasticizer in HPMC
films, three plasticizer levels were studied (10, 20, and 30% w/
The solvent casting method was used to prepare HPMC w). Furthermore, three different mass levels were used to
films using glycerol as plasticizer (42). For CH, the same provide increasing film thickness. The solvent evaporation
casting method was used, adding as plasticizer a combination process occurs more rapidly when the level of plasticizer was
of triethyl citrate and tween 80 (46,47). The importance of the higher and results in a more resistant film. This is related with

Fig. 2. Mucoadhesion properties including a detachment force and b work of adhesion of selected substrates of HPMC, CH, and PCL before
and after printing. Non-statistical differences were detected (p > 0.05)
The Effect of Inkjet Printing over Polymeric Films

Fig. 3. HPMC film surface and cross section images with and without printing process.
Formulation A6 (HPMC 2%,glycerol 20%): a surface no print, b surface print, c cross
section no print, d cross section print (scale bars 10 μm)

the property of plasticizers to reduce the intermolecular modulate the drug dissolution and permeation of the drug
forces between the polymer chains, increasing the free (51). The increase of plasticizer in HPMC films was corre-
volume (50). The porosity of the film could be useful to lated with an increase of EB and a decrease of EM and TS,

Fig. 4. CH film surface and cross section images with and without printing process.
Formulation B2 (CH 3%, tween 80 0.5%, triethyl citrate 4%): a surface no print, b surface
print (scale bars 10 μm), c cross section no print, d cross section print (scale bars 40 μm)
Montenegro-Nicolini et al.

Fig. 5. PCL film surface and cross section images with and without printing process.
Formulation C (PCL18% in ethyl acetate): a surface before printing, b surface after
printing, c cross section before printing, d cross section after printing (scale bars 40 μm)

which is in agreement with previous research (49,52,53). film for homogeneity and thickness variability (54). The
For electrospun PCL film formation, a preliminary collector speed was set at 400 rpm, because lower rates
investigation of variables was conducted to optimize the resulted in variable film thickness, and higher speeds

Fig. 6. DSC thermograms of HPMC films blank and printed (a), CH films blank and printed (b), and PCL films blank and printed (c)
The Effect of Inkjet Printing over Polymeric Films

decreased collection efficiency because fibers were mechanical /mucoadhes ion properties and surface
deflected away from the collecting drum by air flow from morphology.
the rotation (55). The printing of biologics happened with no difficulties,
The PCL film had the highest EB above HPMC and CH after mixing the lysozyme solution with glycerol in a
films, which results from the microstructure conformation. proportion 70:30 v/v (66,67). It was observed that the
The electrospinning of PCL polymer generates multiple aqueous:glycerol mixtures result in a specific viscosity of
fibers, which together form a film and generate a more 2.5 cP, which is included in the nominal value of viscosities of
flexible material compared with individual fibers (56). A the commercial inks (range 1.5–3 cP) (68). Also, the
similar behavior of PCL is reflected in the lowest TS and EM. aqueous:glycerol mixture has been found to provide stability
The WoA and DF were higher in HMPC films followed and activity preservation to fibroblast growth factor in
by CH and PCL films, which is correlated with the use of aqueous solution, which was attributed to glycerol being
HPMC and the ability to increase the mucoadhesive proper- highly hydrophilic and thus avoids the interaction with
ties, attributable to the formation of physical (including hydrophobic residues (68).
hydrogen) bonds with the mucus components, and the large For printing, we selected the black cartridge because
number of hydroxyl groups that are responsible for adhesion drop size is controlled at 13.5 pL (69) as opposed to the tri-
(57,58). Films made of CH perform a mechanism of color cartridge that has a variable drop size ranging from 2.3
interaction based on the interface between the adhesive, to 8.5 pL (70). The deposited solution of lysozyme is plainly
represented by the film, and the adherent, represented by the observed immediately after printing, at the surface of the
mucosa, where an electrostatic bond between the two films within the limits defined by user configuration. A good
materials is possible. At the mucosal pH, mucin develops a adhesion between the protein solution and the film former
negative charge, while CH exhibits a positive charge (59). polymers HPMC, CH, and PCL was evidenced due to drying
PCL films develop a mechanism of adhesion thanks to the and tight contact among cartridge and film (66). The
multiple nano-/microscale electrospun fiber interaction, which lysozyme concentration of 10 mg/mL and printed area of
contrasts with the non-adhesive behavior of non-woven PCL 49 cm2 have already been investigated in our previous work
(60,61). This result is aligned with previous literature (61), (17) obtaining 217.1 ± 4.3 μg/mL over the printed material.
where electrospun PCL films were developed and exhibited We believe that these results could guide further research in
mucoadhesive properties. This evidenced the potential of the the use of proteins and peptides with similar structure to
electrospinning and the resulting micro-/nanostructure into lysozyme, such as insulin already described in solvent casting
modifying the material properties. films (10). Furthermore, it is important to highlight that just
Comparing the three polymeric films, HPMC films one printing routine was conducted over the polymeric films
show the highest mucoadhesive properties explained by due to the high risk of dissolving the hydrophilic HPMC and
the formation of bonds with mucus components (58) and CH films (71). The drying method between multiple prints
the ability, under moderate stresses, to remain in contact would be crucial in attempting to increase drug loading
with the mucosal surface due to the slower rate of through successive printing routines over the same surface.
hydration, preventing it from being over-hydrated at
shorter time intervals (62).
The mechanical and mucoadhesion properties were Microscopy Results and DSC Thermograms Reflect Minor
maintained after the printing process in the three selected Differences
films (Figs. 1 and 2). The printing process implies the ejection
of a volume of ink enough to be absorbed by the film a few Sample morphology before printing appears rough, and
seconds after printing, without a trace (63). Previously, TS, after the printing process, the sample looks smoother at
maximum load, and EB were measured before and after surface and cross section images (Figs. 3 and 4, respectively).
printing using flexographic printing in films produced by The images of PCL films look similar before and after the
solvent casting (HPMC, glycerol and crospovidone printing process both at the surface and cross sections with a
orodispersible films) obtaining values of 15.72 MPa for TS, woven-like morphology usual in the electrospinning film
5.50 N for maximum load, and 2.92% for EB after printing formation (Fig. 5). Previously, the interaction of an aqueous
rasagiline mesylate (64). The use of flexographic printing ink with three substrates was studied, finding that hydrophilic
could be difficult for biologics due to its need for drug fast dissolving substrate performs craters resulting from the
solubilization in a high ratio of organic solvent with the local and transient dissolution of the substrate (72). In a
inherent risk of precipitation and activity loss (65). hydrophobic, non-porous substrate, printed spots solidify in
the form of solid protuberances shaped as spherical caps.
Finally, the third substrate was a hydrophilic porous film, for
Successful Inkjet Printing Process Using Lysozyme Solution which most of the ink was absorbed within the film (72).
in Polymeric Substrates The obtained thermograms of the three different films
polymers (HPMC, CH, and PCL) before and after printing
In our earlier investigation, we demonstrated that it is for HPMC and CH show no differences when compared using
possible to adapt a home thermal inkjet printing system to the same polymer. PCL films show differences and could be
dispense biologics solutions, resulting in a proportional related to the humectation and drying process after printing,
response in content over surface areas as well as maintaining considering that PCL is a hydrophobic polymer (72) and the
the enzyme activity with potential for buccal delivery (17). In drying process is more difficult compared with HPMC and
this work, we formulated lysozyme solutions to evaluate the CH. Despite the above, the meting events of the HPMC and
effect of printing over polymeric films as dosage forms in their CH are not detected, and this could be attributable to the
Montenegro-Nicolini et al.

moisture added by the ink, the presence of plasticizer, and the 6. Vangeli E, Bakhshi S, Baker A, Fisher A, Bucknor D, Mrowietz
hydrophilic behavior of these polymers (43,44). U, et al. A systematic review of factors associated with non-
adherence to treatment for immune-mediated inflammatory
diseases. Adv Ther. 2015;32:983–1028.
CONCLUSION 7. Yavuz DG, Ozcan S, Deyneli O. Adherence to insulin treatment
in insulin-naïve type 2 diabetic patients initiated on different
In this study, biologic printing on films demonstrated no insulin regimens. Patient Prefer Adherence. 2015;9:1225–31.
8. Montenegro-Nicolini M, Morales JO. Overview and future
statistical differences in terms of mechanical, mucoadhesive, potential of buccal mucoadhesive films as drug delivery
and structural properties. This has been described using films systems for biologics. AAPS PharmSciTech [Internet]. 2016
manufactured by solvent casting (HPMC and CH) and [cited 2016 Apr 19]; Available from: http://link.springer.com/
electrospinning (PCL). The results of mechanical properties 10.1208/s12249-016-0525-z
showed that PCL exhibited better EB and EM in comparison 9. Nanci A. Ten Cate’s oral histology: development, structure and
function, Elsevier Health Sciences; 2008.
with HPMC and CH, which is possibly related to the 10. Morales JO, Huang S, Williams RO, McConville JT. Films
alignment process that electrospun fibers go through during loaded with insulin-coated nanoparticles (ICNP) as potential
mechanical deformation. On the other hand, CH exhibited platforms for peptide buccal delivery. Colloids Surf B
the best TE of the selected formulations. Nonetheless, HPMC Biointerfaces. 2014;122:38–45.
11. Harde H, Agrawal AK, Jain S. Tetanus toxoid-loaded layer-by-
films were adequately printed to develop drug loaded films. layer nanoassemblies for efficient systemic, mucosal, and
In terms of mucoadhesion properties, the highest DF and cellular immunostimulatory response following oral administra-
WoA were found in HPMC films, followed by CH and PCL. tion. Drug Deliv Transl Res. 2015;5:498–510.
This reflects that nitrogen and hydrogen bond formation with 12. Chen G, Bunt C, Wen J. Mucoadhesive polymers-based film as
mucin was more important than electrostatic CH interaction a carrier system for sublingual delivery of glutathione. J Pharm
Pharmacol. 2015;67:26–34.
or mechanical interaction of PCL films. 13. Parodi B, Russo E, Baldassari S, Zuccari G, Pastorino S, Yan M,
This work contributes to the development and formula- et al. Development and characterization of a mucoadhesive
tion of buccal films containing biologic drugs. Future steps sublingual formulation for pain control: extemporaneous oxy-
will be oriented into evaluate the in vitro and in vivo codone films in personalized therapy. Drug Dev Ind Pharm.
2017;43:917–24.
performance tests generating an alternative route for biologic 14. Bala R, Pawar P, Khanna S, Arora S. Orally dissolving strips: a
drug administration. new approach to oral drug delivery system. Int J Pharm
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FUNDING INFORMATION 15. Dixit RP, Puthli SP. Oral strip technology: overview and future
potential. J Control Release. 2009;139:94–107.
16. Silva MM, Calado R, Marto J, Bettencourt A, Almeida AJ,
M. Montenegro-Nicolini acknowledges the funding sup- Gonçalves LMD. Chitosan nanoparticles as a mucoadhesive
port from CONICYT 21150995. J.O. Morales thanks the drug delivery system for ocular administration. Mar Drugs.
financial support from FONDECYT 1181689 and FONDAP 2017;15.
15130011. Andrónico Neira-Carrillo thanks the financial 17. Montenegro-Nicolini M, Miranda V, Morales JO. Inkjet printing
of proteins: an experimental approach. AAPS J [Internet]. 2016
support from FONDECYT 1171520. [cited 2016 Oct 15]; Available from: http://link.springer.com/
10.1208/s12248-016-9997-8
COMPLIANCE WITH ETHICAL STANDARDS 18. Buanz ABM, Belaunde CC, Soutari N, Tuleu C, Gul MO,
Gaisford S. Ink-jet printing versus solvent casting to prepare
Conflict of Interest The authors report no conflict of interest. The oral films: effect on mechanical properties and physical stability.
Int J Pharm. 2015;494:611–8.
authors alone are responsible for the content and writing of this 19. Siemann U. Solvent cast technology—a versatile tool for thin
article. film production. Scatt Methods Prop Polym Mater [Internet].
Springer; 2005 [cited 2015 Oct 21]. p. 1–14. Available from:
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20. Netchacovitch L, Thiry J, De Bleye C, Dumont E, Dispas
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