Photoinduced electrooptics in the In 2 O 3 nanocrystals incorporated into PMMA matrixes
Evaluation of drug delivery characteristics of microspheres of PMMA–PCL–cholesterol obtained by...
Transcript of Evaluation of drug delivery characteristics of microspheres of PMMA–PCL–cholesterol obtained by...
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Journal of Controlled Relea
Evaluation of drug delivery characteristics of microspheres of
PMMA–PCL–cholesterol obtained by supercritical-CO2
impregnation and by dissolution–evaporation techniques
Carlos Elviraa,*, Alejandra Fanovichb, Mar Fernandeza, Julio Fraileb,
Julio San Romana, Concepcion Domingob
aDepartamento de Quımica Macromolecular, Instituto de Ciencia y Tecnologıa de Polımeros, CSIC, c/Juan de la Cierva 3,
28006 Madrid, SpainbInstituto Ciencia de Materiales de Barcelona, CSIC, Campus de la UAB, 08193 Bellaterra, Spain
Received 14 April 2004; accepted 30 June 2004
Available online 10 August 2004
Abstract
Poly(methyl methacrylate), PMMA, and of PMMA/Poly(q-caprolactone), PCL, microspheres were loaded with different
amounts of cholesterol by using a supercritical carbon dioxide (SC-CO2) impregnation process in order to use a clean technique
with the absence of organic solvents, and to provide information for the infusion of additives into nonporous polymeric
substrates. A conventional dissolution–evaporation method was also used to obtain PMMA and PMMA–PCL microparticles
loaded with cholesterol. The obtained microspheres were characterized by environmental scanning electronic microscope,
ESEM, nuclear magnetic resonance spectroscopy, NMR, and differential scanning calorimetry, DSC, thermal analysis. A
comparison of drug release from particles obtained using both methods, the supercritical and the conventional, is presented.
D 2004 Elsevier B.V. All rights reserved.
Keywords: Supercritical fluids; Controlled release; Cholesterol; PMMA; Poly(q-caprolactone)
1. Introduction
In recent years, considerable attention has been
focused on the development of drug delivery systems,
which attempt to increase bio-availability, sustain,
localize or target drug action in the body. Polymer
0168-3659/$ - see front matter D 2004 Elsevier B.V. All rights reserved.
doi:10.1016/j.jconrel.2004.06.020
* Corresponding author. Tel.: +34-9156-22900; fax: +34-9156-
44853.
E-mail address: [email protected] (C. Elvira).
microparticles are often employed as supports to
deliver drugs, either as microspheres (monolithic
devices) or microcapsules (reservoir devices). Current
techniques for preparing such microparticles use large
amounts of organic solvents. Because of cost and
environmental regulations associated to the use of
organic solvents, the pharmaceutical industry has been
moving away from the use of these solvents, and
alternative technologies have been developed, such as
the supercritical fluid (SCF) technology [1]. Small
se 99 (2004) 231–240
C. Elvira et al. / Journal of Controlled Release 99 (2004) 231–240232
changes in temperature and pressure near the critical
region induce dramatic changes in the density of
SCFs, thereby facilitating the use of environmentally
benign agents such as carbon dioxide (CO2) for their
solvent and antisolvent properties. Polymeric materi-
als have a very limited solubility in supercritical
carbon dioxide (SC-CO2), and this is an interesting
feature for producing monolithic loaded microspheres,
obtained by an impregnation process [2]. The
impregnation process is based on polymer swelling
caused by CO2, which facilitates both impurities
diffusion to the fluid phase and active agent infusion
into the polymeric phase. The polymers used in this
work are microspheres of poly(methyl methacrylate),
PMMA, and microspheres of PMMA with poly(q-caprolactone), PCL, prepared by suspension polymer-
ization of MMA in the presence of PCL. Cholesterol
has been considered as a solute-model compound
representative of low aqueous-solubility steroids.
PMMA is an acrylic hydrophobic biostable poly-
mer that is widely used in the biomedical field as bone
cement in orthopaedics and traumatology [3,4], and as
implant carrier for sustained local delivery of anti-
inflammatory or antibiotics drugs [5,6]. PCL is a soft
and hard tissue-compatible material that is used as a
bioresorbable matrix, for example, to prepare oily core
microcapsules containing bovine serum albumin for
the controlled delivery of protein vaccines [7], and as
a matrix material for tissue engineering [8]. Polymer
blends formulations can improve or at least maintain
the mechanical properties, diminish the toxicity,
provide a partial biodegradable character and control
the release of bioactive molecules. In this sense, new
polymer blends and composite materials have been
synthesized as PCL-b-PMMA crosslinked block
copolymer [9]; P(MMA-co-HEMA) hydrogel matri-
ces [10]; PLGA/PMMA nanoparticles [11]; biode-
gradable and stable composite foams of porous apatite
cement infiltrated with PCL or PMMA [12]; calcium
phosphates and PMMA composites [13]; glass/
PMMA composites [14]; and PMMA–PCL heteroge-
neous blends [15]. In our case, the combination of
biostable PMMA and biodegradable PCL polymers
provide materials with a good mechanical integrity,
which can be an alternative to traditional extrudable
ethylene vinyl acetate (EVA) copolymer, used in the
sustained release of bioactive compounds applied in
tissue regeneration processes [16].
On the other hand, an increasing number of newly
developed drugs are poorly soluble in water. Fur-
thermore, most bio-molecules have a very short half-
life in vivo. These compounds should be administered
immersed in a polymeric matrix. The effectiveness of
powdered drug systems is extremely sensitive to
particle size and specific surface area, with the
dissolution rate being dependent on these factors.
Hence, poorly soluble drugs should be obtained as
particulate systems of very small particle size.
However, for many materials the precipitation of
nanometric systems with the required characteristics is
not easy, or even possible, using conventional
technology. In general, by increasing the specific
surface area of a particulate system, the overall mass-
transfer coefficient and, hence, the dissolution rate of
the powder increases correspondingly. When nano-
metric particles cannot be obtained, the total surface
area available for dissolution can be enhanced by
adsorbing the active principle in a system, usually a
porous matrix. In a similar respect, nonporous swel-
lable matrixes can also be used. In general, when
crystallization is avoided, the molecules of solute are
more easily detached from a polymeric matrix than
from a crystal of the same composition of the solute.
The objective of this study is to advance in the
SCF-impregnation process, and to provide informa-
tion for the infusion of additives into nonporous
polymeric substrates. PMMA and PMMA–PCL poly-
mers in the form of microspheres are used as matrices
charged with different amounts of cholesterol. A
conventional method for preparing cholesterol-con-
taining PMMA and PMMA–PCL particles is also
described. Finally, a comparison of drug release from
particles obtained using both methods, the super-
critical and the conventional, is presented.
2. Materials and methods
2.1. Materials
Cholesterol (Ch, Fluka N99 wt.%) was chosen as
the organic solute to be impregnated. The selected
polymeric matrixes, poly(methylmethacrylate)
(PMMA: wt.%, Mw=12.2�105 g mol�1), poly(q-caprolactone) (PCL: Mw=66,500 g mol�1) and the
blends PMMA–PCL (85PMMA15PCL wt.%,) were
C. Elvira et al. / Journal of Controlled Release 99 (2004) 231–240 233
synthesized in our laboratory, following a published
procedure [15]. These prepared polymers contain
amounts of residual monomer MMA (about 4%-wt)
and initiator benzoyl peroxide, BPO (about 1%-wt).
The synthesis of PCL was carried out by ring-opening
polymerization of q-caprolactone. PMMA-based pol-
ymers in the form of microparticles (spherical beads)
or solution of PCL in MMA monomer were synthe-
sized by the suspension polymerization of MMA.
Water was used as suspension medium, poly(vinyl
alcohol) as suspension agent and BPO as a radical
initiator. Details of polymerization procedure, micro-
particle size and size distribution and morphology are
given in Ref. [15].
2.2. Methods
2.2.1. Supercritical microparticles impregnation
process
The behaviour of solute and polymers upon contact
with SC-CO2 was studied in a high-pressure one-pass
flow bench-scale equipment (Fig. 1). The equipment
included a saturator, S, an impregnation vessel, I. S
and I tubular vessels (ca. 10 ml) were held in an air-
oven (F1 K). CO2 was liquefied through a cooling
unit, CU, and compressed to the operating pressure
with a pump (Lewa EK-M-210). The fluid was pre-
heated to the desired temperature (Tad) in a heat
exchanger, HE, before entering the saturator. System
pressure (Pad) was controlled (F0.2 MPa) by means
of a back pressure regulator (Tescom 26-1761). The
Fig. 1. Equipme
saturator was loaded with a few grams of organic
solute and the impregnation vessel was loaded with ~1
g of polymer beads enclosed in cylinders made of
0.45 Am pore paper filter. During runs, the system was
maintained at a low mass flow rate (~0.5 SLM). A
typical impregnation experiment started by stabilizing
the system with CO2 during a period of 20–30 min.
Valve V1 and V2 were kept open and V3 closed. Then,
the CO2 was allowed to flow through the vessels for a
selected period of time. Valve V1 and V3 were kept
open and V2 closed. At the end of the flow period, the
system was depressurized. The impregnation experi-
ments were repeated three times to check the
reproducibility of the process. The impregnation gave
values with a deviation lower than 10% with respect
to the total loaded cholesterol.
2.2.2. Conventional microparticles formation process
One gram of PMMA or PMMA and PCL (85/15
w/w) polymers were dissolved in 12 ml of dichloro-
methane together with 10 or 20 wt.% of cholesterol.
The homogeneous solution was dispersed in 100 ml of
water with 1 wt.% of poly-(vinyl alcohol) and stirred
with an Ultra-Turrax at 8000 rpm for 30 min and then 3
h with magnetic stirring. Finally, the suspension was
centrifuged and the precipitated microparticles were
washed with distilled water.
2.2.3. Characterization
Purity and composition of processed solid samples
were determined by proton nuclear magnetic reso-
nt set-up.
C. Elvira et al. / Journal of Controlled Release 99 (2004) 231–240234
nance (1H NMR) spectroscopy. 1H NMR spectra were
recorded in a Varian-300 spectrometer, in deuterated
chloroform solutions (5% (w/v)). Micrographs of
polymer beads were obtained by using an environ-
mental scanning electron microscope (ESEM, Phillips
XL30). The average diameter of the particles before
and after the impregnation process was determined by
image analysis of the corresponding ESEM micro-
graphs (Fig. 2a and b). The analysis program included
in the software of the ESEM equipment was used for
these experiments. The accuracy in the random
selection of microparticles and the average diameter
was adjusted to the measurement of more than 150
particles in different zones of the sample under
observation. Thermal transitions of the prepared
particles were analyzed by differential scanning
calorimetry (DSC) on Perkin-Elmer DSC-4. Typical
sample weights were 6–8 mg. Thermal transition
temperature measurements were conducted by heating
the samples from 303 to 473 K at 10 8C min�1,
rapidly cooling to 303 K and reheating to 473 K.
Glass transition temperature, Tg, and melting temper-
ature, Tm, were measured in both scans and taken as
Fig. 2. ESEM micrographs of (a) raw PMMA–PCL, (b) PMMA–PCL SC-C
(c) PMMA with 10% cholesterol, (d) PMMA–PCL with 10% cholesterol,
the peak in the case of Tm, and as the onset point of
the transition region of the Tg.
2.2.4. Cholesterol release measurements
An in vitro elution method was used to determine
the release behaviour of loaded formulations [17]. The
samples were immersed in vials containing 10 ml of
an ethanol/water (50:50 wt.%) solution and incubated
at 310 K without stirring. 0.5 ml of dissolution
medium was collected at different periods of time.
Fresh dissolution medium (0.5 ml) was then added for
the next period. The release measurements were
determined by means of high-performance liquid
chromatography (HPLC, Perkin Elmer LC-250) with
a Waters ABoundapack C-18 column. An UV–VIS
detector was employed (k=211 nm). An hexane/
isopropyl alcohol (70:30 wt.%) solution was used as
the mobile phase at a flow rate of 1 ml min�1. All
samples were assayed in triplicate. The retention time
of the cholesterol peak in samples, relative to the
standard, was 2.88F0.01 (n=200). The calibration
curve was made for the complete set of measurements,
displaying a correlation coefficient of 0.971.
O2 impregnated with cholesterol. Obtained by conventional method:
(e) PMMA–PCL with 20% cholesterol.
C. Elvira et al. / Journal of Controlled Release 99 (2004) 231–240 235
3. Results and discussion
The supercritical CO2 technology provides a clean,
cheap and friendly method for the extraction, purifi-
cation or impregnation of specific compounds into
selected supports. In particular, SC-CO2 is very
attractive for the treatment of polymeric supports
such as polyacrylic systems, biodegradable polyesters,
etc. The polymeric support is not soluble in super-
critical CO2, but in appropriate conditions of pressure
and temperature, CO2 behaves as a very low density
fluid that penetrates into the polymeric support by
diffusion giving rise to a relative swelling of the
system and loading the support with specific low
molecular weight compounds (drugs) soluble in the
SC-CO2 fluid. All the operation of diffusion and load
is produced in a relatively short time without
noticeable alteration of the structure and morphology
of the polymeric support.
3.1. SCF cholesterol impregnation of PMMA–PCL
particles by SC-CO2 method
For the SC-impregnation experiments, the influ-
ence of time, Pad and Tad in the uptake were
previously studied [18]. After process conditions
optimization, a Pad=20 MPa and a Tad=313 K were
chosen to perform the runs. Cholesterol was selected
as a model solute because its solubility in pure CO2 is
on the order of 0.1�10�4 mole fraction in the SC-
conditions of 20 MPa and 313 K [19]. For both
matrices, PMMA and PMMA–PCL, varying the
adsorption time from 2 to 10 h, different loads of
cholesterol were obtained. The average diameter of
the microspheres used in the SC-CO2 impregnation
process is exhibited in Table 1. These values
Table 1
Average diameter of microspheres used in the SC-CO2 impregna-
tion process, and obtained by the dissolution–evaporation conven-
tional method
Technique Sample Average diameter
(Am)
SC-CO2
impregnation
PMMA 14F8
PMMA–PCL 21F11
Dissolution–
evaporation
PMMA–CHOL10 3F1
PMMA–CHOL20 5F2
PMMA–PCL–CHOL10 10F5
PMMA–PCL–CHOL20 9F3
correspond to the average obtained by ESEM analysis
of particles before and after impregnation. It is clear
from Fig. 2a and b and the data reported in Table 1,
that the particles impregnated are somewhat bigger
than the original samples, but there was not observed
agglomeration, apparently. This means that the
impregnation process produces slight increase of the
size by the incorporation of the cholesterol in the bulk
of particles. It has to be considered that the final size
of particles and aggregates depends on the mode of
the depressurization process, and the conditions were
adjusted to be identical in all the experiments.
3.2. Particles loaded with cholesterol by conventional
method
The dissolution evaporation method used to obtain
PMMA and PMMA–PCL particles loaded with
different amounts of cholesterol was optimized using
the conditions described in the experimental part. As
the amount of loaded cholesterol was increased the
obtained microspheres showed remarkable deforma-
tions (pseudo spherical) and the spherical geometry
was lost, attributed to partial cholesterol crystalliza-
tion as needles inside of the polymeric matrixes are
formed. In this sense, maximum amount of loaded
cholesterol was fixed up to 20%-wt. This effect can be
observed in Fig. 2 where are shown the ESEM
micrographs of some microspheres obtained by this
method with different amounts of cholesterol. The
average diameter is also exhibited in Table 1.
3.3. Characterization
1H NMR spectra (Fig. 3) show that signals
corresponding to MMA (at 5.3 and 5.8 ppm) and
BPO (at 7.2 and 7.9 ppm) disappeared from the
polymer after SC-processing, i.e., the polymer was
purified as was previously observed [20]. Samples
processed with solute in the saturator displayed the
cholesterol signals with final loads of 10 (2 h
adsorption time) and 20%-wt (10 h adsorption time)
determined by the integration of the signals assigned
to –CH3 group (at 0.6 ppm) and –CH– (at 4.8 ppm) of
cholesterol. The ratio PMMA–PCL in the blend was
similar before and after SC-treatment as signals
integration of –OCH3 (at 3.5 ppm) from PMMA and
–CH2– from PCL (at 3.9 ppm) did not change.
Fig. 3. NMR spectra of PMMA–PCL: raw, purified and cholesterol
impregnated ( Pad=20 MPa, Tad=313 K, tad=20 h) using the SC-CO2
method.
C. Elvira et al. / Journal of Controlled Release 99 (2004) 231–240236
Synthesized PMMA–PCL microspheres are a micro-
heterogeneous system, where semicrystalline PCL
domains are immersed in a matrix of amorphous
PMMA (Fig. 2a). For the PMMA–PCL SC-treated
Fig. 4. NMR spectra of raw cholesterol and PMMA–PCL particles charge
samples, beads deformation was not evident (Fig. 2b)
under working pressure and temperature. Fig. 4 shows
the 1H NMR spectra of raw cholesterol, PMMA–PCL
with 10%-wt and with 20%-wt of cholesterol prepared
following the conventional approach. The assignment
of the signals was performed as in the case of SC-CO2
impregnated particles, being the amounts of polymers
and cholesterol the same as described in the exper-
imental part. Microparticles prepared by the conven-
tional method (Fig. 2c–e) showed spherical and
pseudo-spherical geometry with dimensions between
2 and 15 Am of diameter as shown in Table 1. It can
be observed that particles of PMMA and cholesterol
have the smallest diameter, with a narrow particle size
distribution, whereas PMMA–PCL samples the aver-
age diameter increases up to 10F5 Am.
Table 2 shows the transitions obtained from the
DSC diagrams of the raw and loaded PMMA and
PMMA–PCL microparticles for the first and the
second scan. The three main transitions are assigned
to the PCL melt (Tm), the PMMA glass transition (Tg)
and the cholesterol melt (Tm). The melting temper-
ature of PCL does not change form the 1st to the 2nd
d with 20% and 10% of cholesterol using the conventional method.
Table 2
Thermal transitions of the prepared polymers (by SC-CO2 impregnation and by conventional methods) loaded with different amounts of
cholesterol
Method Sample % Cholesterol 1st scan (K) 2nd scan (K)
Tm
PCL
Tg
PMMA
Tm
Cholesterol
Tm
PCL
Tg
PMMA
Tm
Cholesterol
Raw 326 397 423
SC-CO2
impregnation
PMMA10 10 – 391 Not observed – 383 Not observed
PMMA20 20 – 392 Not observed – 384 Not observed
PMMAPCL10 10 328 391 Not observed Not observed 385 Not observed
PMMAPCL20 20 329 392 Not observed Not observed 383 Not observed
Conventional PMMA10 10 – 389 407 – 372 Not observed
PMMA20 20 – 388 415 – 373 412
PMMAPCL10 10 327 390 419 328 373 Not observed
PMMAPCL20 20 327 393 416 329 364 412
C. Elvira et al. / Journal of Controlled Release 99 (2004) 231–240 237
scan. In the case of PMMA, Tg decreases in the 2nd
scan and when increasing the amount of cholesterol in
the prepared particles. Cholesterol melting transition
was only observed for larger loadings in micro-
particles obtained using the conventional method.
For samples prepared by SC-impregnation, no choles-
Fig. 5. Cholesterol release profiles in ethanol/water 50:50, (a) SC
terol melting peak was observed. The appearance of
the cholesterol melting peak, and the PMMA Tg
remarkable reduction in the 2nd scan (ca. 20 K) of the
conventionally prepared samples was attributed to the
plasticization effect provoked by cholesterol mole-
cules (higher when increasing its percentage) which
-impregnated formulations, (b) conventional formulations.
C. Elvira et al. / Journal of Controlled Release 99 (2004) 231–240238
initially are crystallized and, after melting in the 1st
scan, are diffused in the amorphous state acting as a
plasticizer of the PMMA matrix. In the case of SC-
impregnated samples, the absence of the melting
cholesterol peak, and lower temperature reduction of
the PMMA Tg in the 2nd scan, was attributed to the
formation of stable cholesterol–PMMA intermolecu-
lar interactions with the absence of crystallized
cholesterol. The Tg PMMA decrease is also influ-
enced by the presence of PCL, that as have been
observed in our laboratory, is an indicative of a very
poor compatibility between both polymers which are
segregated readily in two phases [15].
3.4. Drug release profiles
Drug release profiles in 50:50 ethanol/water media
are shown in Fig. 5 for all the formulations. The total
release of cholesterol of the SC-impregnated samples
(Fig. 5a) was reached in ca. 100 h in formulations
Fig. 6. Cholesterol release profiles in ethanol/water 50:50. Comparison
(b) formulations of PMMA–PCL.
with only PMMA. In the case of formulations with
PMMA and PCL, the total release of cholesterol was
reached in ca. 250 h. The presence of PCL in these
SC-impregnated formulations caused a significant
decrease in the release rate without differences
between samples with 10 and 20%-wt of cholesterol.
The release profiles shown in Fig. 5a also exhibit
great differences in cholesterol release being very fast
(90% in 100 h) in the case of PMMA formulations,
whereas in PMMA–PCL samples, an initial burst
effect is observed releasing the 35% of cholesterol in
100 h, and then a slow and sustained release in several
steps.
Conventionally prepared samples (Fig. 5b) showed
an initial sustained release of ca. 50%-wt in about 100
h for the formulation of PMMA with 10%-wt. This
release rate decreased significantly in formulations of
PMMA with 20%-wt of cholesterol. In the same
manner as for SC-formulations, the presence of PCL
decrease the rate release in all cases but this reduction
between the methods of preparation: (a) formulation of PMMA,
C. Elvira et al. / Journal of Controlled Release 99 (2004) 231–240 239
is more important in formulations with 20%-wt of
cholesterol. The lower release rate in formulations
with 20%-wt of cholesterol can be attributed to the
presence of crystallized cholesterol as was observed in
the DSC analysis.
When comparing the release profiles of similar
formulations (Fig. 6) obtained by different preparation
methods (conventional and SC-CO2) it can be
observed that these are similar in the case of PMMA
samples with exception of PMMA loaded with 20%
of cholesterol conventionally prepared (see Fig. 6a).
In the case of PMMA–PCL samples, the profiles are
also similar, faster when lower the amount of
cholesterol, and several release steps are observed in
all formulations (see Fig. 6b).
The different release steps observed was likely due
to different discharge behaviour of adsorbed/amor-
phous and crystallized cholesterol. In general, the
cholesterol was faster released as the presence of
crystalline cholesterol was lower. The faster release
observed in the SC-impregnated sample could be
attributed to liberation of cholesterol molecules
adsorbed in the polymeric matrix, but not crystallized.
The drug release was quantified by using the
Power law [21]:
Mt=Minf ¼ Ktn ð1Þ
where Minf is the absolute cumulative amount of drug
released at infinite time (which should be equal to
absolute amount of drug incorporated within the
system at time t=0), K is a constant characteristic of
the drug/polymeric system and n is the release
exponent, indicative of the mechanism of drug
release. The release behaviour of all formulations
was anomalous (non-Fickian) with n values in the
range of 0.43–0.85 for sphere polymeric controlled
systems.
The results of the in vitro release of cholesterol
from all formulations illustrated that the percent
release rate decreased proportionally to drug loading
and PCL fraction. In addition, this process occurred a
little faster for the drug-impregnated microparticles
(SC) than for the drug-crystallized microparticles
(conventional), following similar release profiles
when prepared by the two different techniques, fast
and one step in PMMA samples, and slower and
several steps in PMMA–PCL formulations.
4. Conclusions
SC-CO2 plasticizes PMMA-based polymeric
matrices. Plasticization was accompanied by swelling
with a consequent increase in the free volume of the
polymer that was responsible for the enhanced
diffusion of solute molecules in and out such systems.
It was shown that CO2 removed toxic residual
monomers and initiator of polymerization from
PMMA-based polymers, opening the possibility of
more biomedical applications. CO2 accelerated the
adsorption of low molecular weight additives, like
cholesterol. Applying a conventional method to obtain
similar microparticles, the cholesterol crystallized
inside of the matrix. Faster release rates were obtained
in systems where the cholesterol was impregnated
than in systems where the cholesterol was crystallized,
and the same type of release profiles were obtained in
the same polymer samples independently of the
preparation method applied (conventional or SC).
The impregnated monolithic systems can be used to
enhance the bio-availability of low-water solubility
drugs, and the supercritical CO2 technology provides
a useful way to purify the polymer matrix and load the
drug simultaneously.
Acknowledgment
The authors wish to acknowledge EC Project
Suprophar G1RD-CT-2000-00164 for financial sup-
port, to Programa Ramon y Cajal and to Comunidad
de Madrid.
References
[1] U.B. Kompella, K. Koushik, Preparation of drug delivery
systems using supercritical fluid technology, Crit. Rev. Ther.
Drug Carr. Syst. 18 (2001) 173–199.
[2] S.G. Kazarian, Polymer processing with supercritical fluids,
Polym. Sci., Ser. C 42 (2000) 78–101.
[3] J. Charnley, Acrylic Cement in Orthopaedic Surgery, E and S.
Livingstone, London, 1970.
[4] E.P. Lautenschlager, S.I. Stupp, J.C. Keller, in: P. Ducheye,
G.W. Hastings (Eds.), Functional Behaviour of Orthopaedic
Biomaterials, vol. II, CRC Press, Boca Raton, FL, 88
(1984).
[5] S.L. Tao, M.W. Lubeley, T.A. Desai, Bioadhesive poly(methyl
methacrylate) microdevices for controlled drug delivery, J.
Control. Release 88 (2003) 215–228.
C. Elvira et al. / Journal of Controlled Release 99 (2004) 231–240240
[6] M. Vallet-Regı, S. Granado, D. Arcos, M. Gordo, M.V.
Cabanas, C.V. Ragel, A.J. Salinas, A.L. Doadrio, J. San
Roman, Preparation, characterization, and in vitro release of
Ibuprofen from Al2O3/PLA/PMMA composites, J. Biomed.
Mater. Res. 39 (1998) 423–428.
[7] B.B.C. Youan, T.L. Jackson, L. Dickens, C. Hernandez, G.J.
Owusu-Ababio, Protein release profiles and morphology of
biodegradable microcapsules containing an oily core, J.
Control. Release 76 (2001) 313–326.
[8] H.L. Khor, K.W. Ng, J.T. Schantz, T.-T. Phan, T.C. Lim, S.H.
Teoh, D.W. Hutmacher, Poly(q-caprolactone) films as a
potential substrate for tissue engineering an epidermal
equivalent, Mater. Sci. Eng., C 20 (2002) 71–75.
[9] M.S. Eroglu, B. Hazer, B.M. Baysal, Synthesis and thermal
characterization of macromonomeric azo initiator containing
poly(q-caprolactone): Styrene and methyl methacrylate
copolymerization, J. Appl. Polym. Sci. 68 (1998) 1149–1157.
[10] A.S. Hoffman, Hydrogels for biomedical applications, Adv
Drug Deliv. Rev. 54 (2002) 3–12.
[11] P. Ahlin, J. Kristl, A. Kristl, F. Vrecer, Investigation of
polymeric nanoparticles as carriers of enalaprilat for oral
administration, Int. J. Pharm. 239 (2002) 113–120.
[12] D. Walsh, T. Furuzono, J. Tanaka, Preparation of porous
composite implant materials by in situ polymerization of
porous apatite containing q-caprolactone or methyl methacry-
late, Biomaterials 22 (2001) 1205–1212.
[13] D.T. Beruto, R. Botter, M. Fini, The effect of water in
inorganic microsponges of calcium phosphates on the porosity
and permeability of composites made with polymethylmetha-
crylate, Biomaterials 23 (2002) 2509–2517.
[14] D. Arcos, C.V. Ragel, M. Vallet-Regı, Bioactivity in glass/
PMMA composites used as drug delivery system, Biomaterials
22 (2001) 701–708.
[15] G.A. Abraham, A. Gallardo, A. Motta, C. Migliaresi, J. San
Roman, Microheterogeneus polymer systems prepared by
suspension polymerization of methyl methacrylate in the
presence of poly(q-caprolactone), Macromol. Mater. Eng.
282 (2000) 44–50.
[16] H.D. Kim, R.F. Valentini, Human osteoblast response in vitro
to platelet-derived growth factor and transforming growth
factor-h delivered from controlled-release polymer rods,
Biomaterials 17 (1997) 1175–1184.
[17] M. Muruta, T. Ide, Determination of cholesterol in sub-
nanomolar quantities in biological fluids by high-performance
liquid chromatography, J. Chromatogr., Biomed. Appl. 579
(1992) 329–333.
[18] C. Domingo, M.A. Fanovich, J. Fraile, G.A. Abraham, J. San
Roman, P. Subra, Impregnation of PMMA-based polymers
aided by SC-CO2 for the production of drug delivery systems,,
Proceedings ISFF02, vol 2: Chem. Reac. Mats. Proc. SCF,
2002, pp. 799–804.
[19] E. Kosal, Solubility of progesterone, testosterone, and
cholesterol in supercritical fluids, J. Supercrit. Fluids 5
(1992) 169–179.
[20] C. Domingo, A. Vega, A. Fanovich, C. Elvira, P. Subra,
Behaviour of polymer-based pharmaceutical compounds with
supercritical CO2 and CO2+cosolvent: solubility measure-
ments and process assessment, J. Appl. Polym. Sci. 90 (2003)
3652–3659.
[21] J. Siepmann, N.A. Peppas, Modeling of drug release from
delivery systems based on hydroxypropyl methylcellulose
(HPMC), Adv. Drug Deliv. Rev. 48 (2001) 139–157.