Stimuli-Responsive Drug Delivery and Chronopharmacologycq

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Questions and Answers

What is the primary function of a Continuous Glucose Monitoring (CGM) system in an artificial pancreas system?

  • To analyze blood sugar levels and send data to a central processor.
  • To monitor blood sugar levels in real-time and calibrate the insulin pump's dosage. (correct)
  • To create a closed-loop system that automatically regulates blood sugar levels.
  • To deliver insulin directly into the bloodstream.

Which of the following is NOT considered a synonym for an artificial pancreas system?

  • Autonomous system for glycaemic control
  • Automated insulin delivery system
  • Open-loop system (correct)
  • Closed-loop system

What is the main role of the blood glucose device in an artificial pancreas system?

  • To provide data to an algorithm for controlling insulin delivery.
  • To monitor blood sugar levels in real-time and adjust insulin pump dosage.
  • To deliver insulin directly into the bloodstream.
  • To calibrate the Continuous Glucose Monitoring (CGM) system. (correct)

What is the primary goal of an artificial pancreas system?

<p>To reduce hyperglycemia and minimize hypoglycemic incidents. (B)</p> Signup and view all the answers

How does an artificial pancreas system automatically adjust insulin delivery?

<p>By directly analyzing blood sugar levels and sending instructions to the insulin pump. (D)</p> Signup and view all the answers

Why are smart drug delivery systems considered 'smart'?

<p>They can respond to specific stimuli to release their cargo. (C)</p> Signup and view all the answers

Which of the following is an example of a biological stimulus that can trigger drug release from a smart drug delivery system?

<p>Redox potential (A)</p> Signup and view all the answers

What is the purpose of the computer-controlled algorithm in an artificial pancreas system?

<p>To connect the CGM system to the insulin pump and facilitate communication between them. (B)</p> Signup and view all the answers

What advantage does using externally applied stimuli like light and ultrasound offer for drug release?

<p>They allow for spatial and temporal control of drug release. (A)</p> Signup and view all the answers

What is the primary advantage of an artificial pancreas system over traditional blood sugar control methods?

<p>It reduces the burden of manually adjusting insulin doses. (C)</p> Signup and view all the answers

How is pH used as a stimulus in smart drug delivery?

<p>To target and deliver drugs to specific areas with unique pH levels. (D)</p> Signup and view all the answers

What is a potential disadvantage of an artificial pancreas system?

<p>It can be expensive to acquire and maintain. (B)</p> Signup and view all the answers

Which is considered a characteristic of "smart" drug delivery systems?

<p>They release cargo in response to a specific trigger. (C)</p> Signup and view all the answers

What is a primary benefit of using hydrogels and bioadhesive approaches in drug delivery?

<p>They help to prevent leakage and loss of the product. (C)</p> Signup and view all the answers

Which characteristic of pH-responsive systems is most relevant when used for vaginal drug delivery?

<p>They transition from gel to sol in the presence of seminal fluid. (D)</p> Signup and view all the answers

How does cellulose acetate phthalate (CAP) behave at different pH levels?

<p>It is a gel/solid at lower pH but becomes soluble when pH increases. (B)</p> Signup and view all the answers

What specific event triggers the release of drugs from CAP polymer meshes or tablets in the vagina?

<p>An increase of pH due to the introduction of semen. (C)</p> Signup and view all the answers

Under normal acidic conditions in the vagina, what purpose do these drug delivery systems serve?

<p>They remain intact and can be used for sustained release. (A)</p> Signup and view all the answers

Why would the semen-triggered release of anti-HIV drugs be particularly useful in developing countries?

<p>It aligns drug release with the time of potential HIV exposure. (B)</p> Signup and view all the answers

What is the gel to sol transition?

<p>A material changing from a solid to a liquid. (A)</p> Signup and view all the answers

What is the effect of increased pH levels on the CAP polymer?

<p>The polymer transitions from a gel to a sol state and dissolves. (B)</p> Signup and view all the answers

What happens to Poly(N-isopropylacrylamide) hydrogels above the lower critical solution temperature (LCST)?

<p>They undergo dehydration and compaction. (B)</p> Signup and view all the answers

How can the properties of PNIPAAm be modified?

<p>By varying the alkyl component or copolymerization with hydrophilic monomers. (A)</p> Signup and view all the answers

What is a potential application for PNIPAAm in medicine?

<p>Tumor drug delivery with an external heat source. (A)</p> Signup and view all the answers

What defines the critical temperature (Tc) for PNIPAAm hydrogels?

<p>The temperature where swelling sharply transitions. (D)</p> Signup and view all the answers

What is the significance of the LCST being close to body temperature for PNIPAAm?

<p>It enables temperature-responsive behavior relevant for drug delivery. (B)</p> Signup and view all the answers

What causes the gellan gum to form a gel in the Timoptic XE gel-forming preparation?

<p>Contact with positive Ca2+ cations (D)</p> Signup and view all the answers

What effect do Ca2+ cations have on the gellan gum in ocular preparations?

<p>They neutralize the polymer and reduce its solubility (B)</p> Signup and view all the answers

Which of the following statements correctly describes the behavior of gellan gum in the presence of electrolytes?

<p>It forms a structured network upon bridging by electrolytes (D)</p> Signup and view all the answers

In which situation would you expect gellan gum to thicken?

<p>In the presence of positive Ca2+ cations (C)</p> Signup and view all the answers

What is the primary purpose of using gellan gum in ocular drug delivery systems?

<p>To prolong the contact time of medication in the eye (C)</p> Signup and view all the answers

What happens to the solubility of gellan gum when it interacts with Ca2+ cations?

<p>It decreases due to cross-linking (D)</p> Signup and view all the answers

How does gellan gum behave in an aqueous solution before interaction with electrolytes?

<p>It remains as a liquid solution (A)</p> Signup and view all the answers

What is the role of gellan gum in the context of ocular formulations?

<p>To provide a sustained release of medication (D)</p> Signup and view all the answers

Which type of polymers tend to swell more in the presence of water?

<p>Hydrophilic polymers (C)</p> Signup and view all the answers

What is one method to incorporate drugs into polymer systems?

<p>Soaking polymer monoliths in drug solution (B)</p> Signup and view all the answers

What primarily affects the degree of swelling in polymer structures?

<p>The extent of polymer cross-linking (A)</p> Signup and view all the answers

In Fickian diffusion, what is the general direction of drug movement?

<p>From high concentration to low concentration (C)</p> Signup and view all the answers

What is a consequence of thehydrostatic pressure in hydrogels?

<p>The contraction of the hydrogel (C)</p> Signup and view all the answers

Which factor is NOT a possible issue with drug release from hydrogels?

<p>Uniform drug distribution (A)</p> Signup and view all the answers

What can trigger the contraction of a hydrogel?

<p>Hydrostatic pressure changes (C)</p> Signup and view all the answers

Which of the following statements about polymer swelling is true?

<p>Loosely cross-linked polymers swell less than hydrophilic polymers. (A)</p> Signup and view all the answers

Flashcards

Stimulus-sensitive drug delivery

Drug delivery systems that release their payload only at the desired location and time, triggered by specific stimuli.

Smart drug delivery systems

These systems respond to various internal or external triggers, enabling controlled drug release.

Biological stimuli

These are naturally occurring changes in the body, like pH differences between compartments or the presence of specific enzymes.

External stimuli

These stimuli are applied externally to control drug release, offering precise temporal and spatial control.

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pH as a stimulus

Changes in pH values can be helpful in targeting specific areas like tumor tissue.

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Polymer Swelling

The tendency of a polymer material to absorb and retain a liquid, usually water. It's how a dry polymer becomes a gel.

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Hydrogels

A type of polymer that forms a gel when in contact with water. They are often used in drug delivery systems because they can expand and release medication.

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Cross-linking Effect on Swelling

The degree of cross-linking in a polymer can affect its swelling. More cross-links mean less swelling, and vice versa.

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Hydrophilic vs. Hydrophobic Swelling

Hydrophilic polymers are water-loving and swell more in the presence of water than hydrophobic polymers, which repel water.

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Stimuli Responsive Polymers

The ability of a polymer to swell and shrink in response to changes in its environment, like temperature, pH, or the presence of specific molecules.

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Drug Loading

The process of incorporating a drug into a polymer material. This can be done by soaking the polymer in a drug solution, adding it during the polymer making process, or using self-assembly techniques.

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Drug Release

The movement of a drug from a polymer material into the surrounding environment. This can happen through diffusion, where the drug moves from areas of high concentration to low concentration.

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Hydrostatic Pressure in Drug Release

The process of a polymer chain relaxing and pushing out water, causing the hydrogel to contract and release the loaded drug.

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Bioadhesives

A type of material that strongly adheres to a surface, often biological tissues. Used in drug delivery to keep medications in place and prevent leakage.

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Sustained Release

A drug delivery method designed to release medication slowly over a longer period, maintaining therapeutic levels in the body.

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pH Responsive Systems

A drug delivery system that responds to changes in pH, altering its properties and drug release profile. Often triggered by changes in vaginal pH upon exposure to semen.

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Cellulose Acetate Phthalate (CAP)

A polymer commonly used in pH-responsive drug delivery systems. It forms a gel at low pH and dissolves at higher pH, enabling controlled release of medications in response to changes in vaginal pH.

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Gel to Sol Transition

The process by which a gel transforms into a liquid or solution, often triggered by changes in pH or temperature.

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Bolus Release

A sudden, large release of medication, often triggered by a specific event like a change in pH.

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Semen Triggered Release

Drug delivery systems designed specifically to release medications in response to semen, usually using pH-responsive materials that trigger drug release in vaginal environment.

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In situ gelling

A type of topical ophthalmic delivery system where the drug is initially in a liquid form but transforms into a gel upon contact with the eye's tear film.

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Electrolyte stimuli

A type of in situ gelling system that uses electrolytes, like calcium ions (Ca2+), to trigger the gel formation process.

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Timoptic XE

A commercial ophthalmic gel-forming drug that utilizes gellan gum, which undergoes a phase change from liquid to gel when it encounters calcium ions in the tear film.

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Gellan gum

The polymer responsible for forming the gel in Timoptic XE, an aqueous solution that transforms into a gel upon interaction with calcium ions.

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Calcium ions (Ca2+)

Calcium ions (Ca2+) present in the natural tear film, which play a crucial role in triggering the gel formation process by neutralizing the gellan gum polymer and forming a structured network.

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Neutralization

The process of neutralising the gellan gum polymer with calcium ions, leading to a reduction in its solubility and ultimately causing the gel formation.

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Structured network

The interconnected structure created by the polymer chains when they bridge together, leading to the thick, gel-like consistency.

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Thickening

The increase in viscosity or thickness of the solution as it transitions from liquid to gel.

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Lower Critical Solution Temperature (LCST)

The temperature at which a polymer undergoes a significant change in its swelling behavior, transitioning from a hydrated to a dehydrated state.

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Thermo-responsive polymer

A type of polymer that exhibits a sharp change in its swelling properties as the temperature crosses a specific point.

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Hydrophobic polymer

A polymer that becomes less soluble in water as the temperature increases, causing it to shrink or collapse.

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Hydrophilic polymer

A polymer that readily absorbs water, increasing its volume in an aqueous environment.

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Poly(N-isopropylacrylamide) (PNIPAAm)

A specific type of thermo-responsive polymer that is commonly used in drug delivery systems.

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What is an artificial pancreas system?

An artificial pancreas system is a device that mimics the function of a healthy pancreas, monitoring and automatically adjusting insulin delivery to regulate blood glucose levels.

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How does an artificial pancreas system monitor blood sugar?

The artificial pancreas system uses a continuous glucose monitor (CGM) to track blood sugar levels in real time.

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How does an artificial pancreas system adjust insulin?

The system automatically adjusts insulin delivery through an insulin pump based on the glucose readings from the CGM.

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What is another name for an artificial pancreas system?

The artificial pancreas system is also known as a "closed-loop" system because it continuously monitors and adjusts insulin delivery without direct patient input.

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What are the benefits of an artificial pancreas system?

The artificial pancreas system can help to reduce hyperglycemia (high blood sugar) and minimize hypoglycemia (low blood sugar) in people with diabetes.

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What is the role of an algorithm in an artificial pancreas system?

The artificial pancreas system uses a computer algorithm to analyze blood sugar data and determine the appropriate insulin delivery.

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What is the current status of artificial pancreas systems?

The artificial pancreas system is a relatively new technology that is still under development.

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What is the potential impact of artificial pancreas systems?

The artificial pancreas system is a promising technology that could revolutionize diabetes care by providing more autonomous glucose control.

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Study Notes

Stimuli-Responsive Drug Delivery Systems

  • Stimuli-responsive drug delivery systems tailor drug release at a target site
  • Systems respond to stimuli like pH, temperature, redox potential, enzymes, light, and ultrasound
  • Systems can control drug release temporally and spatially
  • Biological stimuli occur naturally in the body and can be exploited for tailored drug release
  • External stimuli can be used for release control
  • Stimuli-responsive systems can respond to a stimulus by changing properties, e.g., conformation, solubility, or HLB balance
  • Many responses can occur simultaneously
  • Examples of responses include chemical phase separation, swelling, surface/shape change, and permeability changes

Chronopharmacology

  • Chronopharmacology considers a person's circadian rhythm
  • It determines the timing and quantity of medication
  • It does not introduce new medicines, but uses existing ones in a different approach.
  • Objective is to optimize drug effects and minimize side effects by exploiting biological stimuli
  • Circadian rhythms are studied in many clinical diseases
  • Symptoms and exacerbation patterns often fluctuate with the circadian cycle
  • Some diseases have more intense symptoms during certain times of the day or night
  • Examples include allergic rhinitis, asthma, arthritis, angina, and myocardial infarction

Stimuli-Responsive Polymers

  • Examples of pH-sensitive polymer blocks include poly(acrylic acid), poly(methacrylic acid), poly (2-ethyl acrylic acid), and poly(2-propyl acrylic acid)
  • Examples of temperature-sensitive polymer blocks include N-isopropylacrylamide and poly(organophosphazenes)

pH-Responsive Hydrogels

  • pH-responsive hydrogels use polymeric backbones with ionic pendant groups
  • In aqueous media these groups ionize and produce fixed charges, affecting swelling and deswelling
  • Pendant groups in anionic hydrogels are non-ionized below and ionized above their pKa, leading to swelling at higher pH
  • Cationic hydrogels are non-ionized above and ionized below their pKa, causing swelling at lower pH
  • Swelling and shrinking transitions are observed near pKa values

Temperature-Responsive Hydrogels

  • Polymers like poly(N-isopropylacrylamide) have a lower critical solution temperature (LCST), generally around 33°C
  • Below the LCST, the polymer chains are hydrated and have a random coil configuration
  • Above the LCST, the polymer chains become dehydrated and more compact due to hydrophobic interactions

Open and Closed-Loop Systems

  • Hydrogels can modulate drug release in open or closed loop modes
  • Open-loop systems use external stimuli, e.g., ultrasound
  • Closed-loop systems are self-regulated, responding to changes in the physiological environment, e.g., blood glucose levels
  • Artificial pancreas systems are closed-loop systems for glycemic control that mimic the function of a healthy pancreas

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