Tretinoin (All-trans-retinoinc acid) is one of the most effective medications for the treatment of moderate-to-severe photo-damaged facial skin such as acne, photo-aging and severe conditions like psoriasis and squamous cell carcinoma. The main effect of tretinoin in the treatment of acne is to reduce the size and the number of comedones. Tretinoin is commonly used in a concentration of 0.05% w/w, incorporated in a lotion or/and an o/w cream (
23). Passage of drug molecules through the skin could be an important and rather troublesome stage in percutaneous drug delivery (
24). In order to solve this problem and increasing the drug absorption through the skin, novel drug delivery systems were used.
Among the various transdermal drug delivery systems, microemulsions appear to be an appropriate dosage form used for increasing cutaneous delivery, improving thermodynamic stability, products appearance, physicochemical characteristics and enhancement of bioavailability. Topical tretinoin can cause major side effects often appearing in the form of scaling, erythema, burning and stinging (
23,
25). The marketed products such as isotretinoin cream show significant skin irritation and systemic absorption, which is associated with side effects (
26). To overcome this problems tretinoin is incorporated into microemulsion. Tretinoin-loaded microemulsion formulations can increase the drug release profile, hence minimize the irritation effects. This delivery system works by entrapping the drug in vesicles, which brings the medication more directly to the follicle for a better therapeutic response (
27). Tretinoin is also very unstable to radiation. In this regard the use of microemulsion is considered very useful (
28). Therefore, incorporation of tretinoin vesicles can protect drug against photo-degradation (
29).
In this study, attempts were made to investigate the effects of various types and amounts of surfactants, co-surfactants and oils, on topical tretinoin microemulsion formation, particle size and tretinoin release profile from microemulsion through dialysis membrane. Previous tretinoin microemulsion phase diagram studies showed that formulations which are in o/w microemulsion regions could be identified as the optimum formulations for tretinoin microemulsions (
6). The pseudoternary phase diagrams were constructed by the aid of previous studies to determine the microemulsion region and detect the possibility of microemulsion formation with different compositions of oil, surfactant, co-surfactant, and water (
6,
18).
Table 1 shows the composition of various microemulsion formulations containing tretinoin and inactive ingredients, prepared in this study. Based on preliminary studies and construction of a ternary phase diagram, the formulations were made by changing the types and proportions of surfactants and co-surfactants. Microemulsions were prepared, using each surfactant alongside co-surfactants. Presence of the glycols family such as PEG 4000 and PEG 6000 resulted in a white appearance in the product and a solid texture in a range of 56-26% w/w. This could be explained because of their high molecular weight. In order to improve the visual properties of the formulations, this percentage was decreased to 12% w/w, which made no difference. Formulations containing ethanol and isopropanol (as co-surfactants) had low apparent viscosities, which showed phase separation after a week. The results showed that among all the co-surfactants, propylene glycol at a ratio of 3.6:1.3 can produce the most suitable viscosity and also the best texture.
The next excipient investigated was surfactants used to stabilize the emulsion. In the process of formulating the tretinoin microemulsion, it was observed that formulations containing different concentrations of Spans (Span®20 and Span®80) formed translucent microemulsions. This observation could be attributed to the fact that spans, based on their lypophilic nature, could not prepare the o/w microemulsion. It was found that, in case of formulations containing the same oil phase and co-surfactant at different concentrations, the concentration of the glyceryl stearate and stearyl alcohol (as a surfactant) increased the apparent viscosities escalated, accordingly. This phenomenon can be attributed to the fact that, at higher concentration of the glyceryl stearate and stearyl alcohol, due to the long chains length in their structures, three-dimensional structures could be formed which affect on the apparent viscosity.
The appearances and apparent viscosities of different tretinoin microemulsion formulations have been shown in
Table 2.
| Formulation code | Physical appearance | Apparent viscosity |
|---|
| ME-1 | Cloudy, light yellow color | Low |
| ME-2 | Translucent, light yellow color | Low |
| ME-3 | Translucent, light yellow color | Low |
| ME-4 | Translucent, light yellow color | Relatively low |
| ME-5 | Translucent, light yellow color | Relatively low |
| ME-6 | Translucent, light yellow color | Relatively low |
| ME-7 | Slightly translucent,yellow color | Relatively high |
| ME-8 | Transparent,yellow color | Relatively high |
| ME-9 | Transparent,yellow color | Relatively high |
| ME-10 | Transparent,yellow color | High |
| ME-11 | Transparent,yellow color | High |
| ME-12 | Transparent,yellow color | High |
Formulations ME-1, ME-2, ME-3 could not prepare microemulsion system due to an unsuitable ratio of surfactant/co-surfactant and insufficient amounts of surfactant in the formulation. Formulations ME-10, ME-11, ME-12 showed high viscosities. This could be due to the fact that tweens - based on their hydrophilic nature and large number of polyoxyethylene groups available in their structure - tend to absorb the aqueous phase and increase the viscosity by reducing the free-water of the formulations.
From these studies, it was revealed that Tweens and propylene glycol with a ratio of 3.6:1.3 were the best surfactants and co-surfactant used, respectively, which resulted in the formation of transparent stable microemulsions.
Among the rest of the formulated microemulsions, formulations contained Tween®20, Tween®40 and Tween®80 showed suitable apparent viscosities as well as good physical appearances. Hence, they were used for further studies.
For this purpose first, the effect of oil phase in concentrations of 10, 15 and 17% w/w within the microemulsion, on tretinoin release through dialysis membrane and particle size were investigated (
Table 3).
| Formulation code | Apparent viscosity | Visual appearance | Mean particle size (nm ± SD) | Amount of drug release (% ± SD)
|
|---|
| After 8 (h) | After 12 (h) | After 24 (h) |
|---|
| ME-7 | Relatively low | Slightly translucent, yellow color | 992 ± 39.27 | 17.44 ± 0.29 | 0.31 ± 26.81 | 0.26 ± 42.07 |
| ME-8 | Relatively low | Transparent, yellow color | 319 ± 86.21 | 0.43 ± 34.76 | 0.37 ± 49.50 | 0.84 ± 82.07 |
| ME-9 | Relatively low | Transparent, yellow color | 214 ± 52.34 | 0.36 ± 6.33 | 0.52 ± 9.76 | 0.19 ± 28.94 |
When using a concentration of 10% w/w oil phase in the microemulsion formulation, the apparent viscosity was found to be more than formulation containing 17% oil phase. The release profiles of tretinoin obtained from evaluating the prepared microemulsion formulations of ME-7, ME-8 and ME-9 have been presented in
Table 3. It was observed that, generally increasing the surfactant to oil phase ratio from 3.62:1.37 to 4.09:0.90, could reduce the release of drug towards medium phase. As it can be seen in
Table 3, the mean particle size of dispersed phase was found to be increased with the increase in the concentration of oil phase from ME-9 (10% w/w) to ME-7 (17% w/w). It has already been reported that particle size is directly proportional to the concentration of dispersed phase (
30,
31-
33). The results demonstrated that when the oil phase with a higher concentration was used, bigger droplets were formed with larger mean particle size and the formulation appeared slightly cloudy.
Next, in order to evaluate the influence of the oil types and different types of Tween on ME-8 properties for each type of oils, three kind of Tweens were tested (
Table 4).
| Formulation code | Type of Oil phase | Type of surfactant | Type of co-surfactant | pH | Particle size (nm ± SD) |
| ME-8a2 | Olive oil | Tween®20 | PG | 0.05 ± 6.23 | 31.25 ± 414 |
| ME-8a4 | Olive oil | Tween®40 | PG | 0.08 ± 6.54 | 117.09 ± 629 |
| ME-8a8 | Olive oil | Tween®80 | PG | 0.12 ± 6.22 | 86.21 ± 319 |
| ME-8b2 | Castor oil | Tween®20 | PG | 0.09 ± 6.48 | 6.18 ± 553 |
| ME-8b4 | Castor oil | Tween®40 | PG | 0.17 ± 6.62 | 41.67 ± 875 |
| ME-8b8 | Castor oil | Tween®80 | PG | 0.16 ± 6.41 | 29.71 ± 458 |
| ME-8c2 | Isopropyl myristate | Tween®20 | PG | 0.14 ± 6.33 | 93.46 ± 481 |
| ME-8c4 | Isopropyl myristate | Tween®40 | PG | 0.19 ± 6.27 | 71.32 ± 701 |
| ME-8c8 | Isopropyl myristate | Tween®80 | PG | 0.10 ± 6.46 | 84.39 ± 340 |
After preparing each formulation, the mean particle size of tretinoin microemulsion formulations in each group (a-c) was measured by the aid of microparticle size analyzer. Based on the results, among formulations in group (a) which contain olive oil as the oil phase, formulation ME-8a8 which contained Tween®80 (as a surfactant) showed a smaller particle size than formulations ME-8a2 and ME-8a4 which contained Tween®20 and Tween®40. In addition, formulations ME-8a2 and ME-8a4 did not release a sufficient amount of drug within 24 h.
Microemulsion formulations in group (b) were made of 15% w/w castor oil, 32.4% w/w Tween, 12.6% w/w PG and 40% distilled water. In this group only the particle size of formulation ME-8b8 was found to be within the acceptable limit. This is presumably due to the presence of castor oil in this formulation. On the other hand, in formulations ME-8b2 and ME-8b4 the presence of Tween®20 and Tween®40 could also result in large droplet size and hence a lower amount of drug release. It seems that the type of surfactant can influence the particle size and have a consequent impact on the extent of drug release from the prepared microemulsion base.
Microemulsion formulations in group (c) were made of isopropyl myristate as the oil phase. As can be clearly observed in the results obtained in
Table 4, the mean particle size of ME-8c8 is in the range which is more acceptable for topical microemulsion drug delivery. When considering the drug release profile of group (c), formulation ME-8c8 was selected as the better formulation with a drug release of 74.15% . It seems that the type of surfactant is the reason of this difference.
Finally, in a comparison between three formulations ME-8a8, ME-8b8 and ME-8c8, the lowest mean particle size was observed in formulation ME-8a8, followed by formulations ME-8c8 and ME-8b8. Between these three formulations, formulation ME-8a8 which contained olive oil and Tween®80 showed a greater amount of drug release than formulation ME-8b8 and ME-8c8, which contained castor oil and isopropyl myristate. Formulation ME-8a8 was selected for complementary studies.
Particle size analysis
The mean droplet size was determined by the aid of Microparticle size analyzer. Microemulsion particle size was found to be increased with the increase in the concentration of the oil phase (
Table 3).
The mean particle size of selected microemulsion formulations ME-8a8, ME-8b8 and ME8c8 were 300-450 nm, which are suitable enough for topical microemulsion formulations (
Table 4). As it can be seen, the particle size is increased by changing the types of the surfactants used. The mean particle size of the selected formulation ME-8a8 was 319 ± 86.21, which was selected as the best mean particle size.
In-vitro release study
Figure 1 shows the drug release profile from the three selected tretinoin microemulsion formulations. In this figure, tretinoin released from formulations ME-8a8, ME-8b8 and ME-8c8 were compared. It can be seen that drugs released from different microemulsion formulations are not the same. As can be seen in this figure, nearly 82.07% of the drug content of the ME-8a8 was released in 24 h. On the contrary, formulation ME-8b8 showed the lowest amount of drug released. This means that the addition of castor oil, alongside the Tween
®80 cannot produce the same amount of drug release observed with formulation ME-8a8 which contained olive oil alongside Tween
®80. Although the release profile of formulation ME-8c8 was not acceptable, it showed higher release than formulation ME-8b8.
In-vitro drug release profile of ME-8a8, ME-8b8 and ME-8c8 through dialysis membrane (n = 3, SD < 5%).
Statistical analysis of the release profiles obtained among formulations ME-8a8, ME-8b8 and ME-8c8 showed a significant difference between the results obtained (p < 0.05). Therefore, among three selected formulations tested for determination of drug release profile, only the formulation ME-8a8 could release the most drug content throughout 24 h period, which was the most desirable as compared to other formulations.
The percentage of released tretinoin was also calculated from commercial cream and gel containing the same amount of tretinoin that was respectively 45.56% and 65.7% after 24 h. The results obtained (
Figure 2) showed that formulation ME-8a8 had the maximum amount of drug release, and 82.07% of its drug content was released after 24 h. This was the greatest among all formulations of gel and cream.
In-vitro drug release profile of TME4,Tretinoin gel and Tretinoin cream through dialysis membrane (n = 3, SD < 5%).
formulation ME-8a8, three mathematical models namely zero order kinetic, first order kinetic and higuchi model were investigated (
Figure 3). In this selected microemulsion formulation prepared and underwent kinetic studies.
The in-vitro drug release kinetic studies on formulation ME-8a8. A. The mean of released percentage-time (Zero order kinetic); B. Logaritm of released percentage mean-time (first order kinetic); C. Released percentage mean-Square of time (Higuchi kinetic).
In-vitro drug release kinetic studies on a selected formulation ME-8a8
According to the results of the statistical analysis, in order to find out the mechanism of tretinoin release from the selected microemulsion formulation ME-8a8, three mathematical models namely zero order kinetic, first order kinetic and higuchi model were investigated (
Figure 3). In this selected microemulsion formulation (ME-8a8), the calculated regression coefficients for zero order, first order and higuchi models were 0.9908, 0.9872, 0.9509 respectively. The model that best fitted the release data of tretinoin microemulsion formulation was evaluated by highest regression coefficient (R2).
Comparison of correlation coefficients showed that the kinetics of drug release from formulation ME-8a8 followed zero order model of kinetics (r2 = 0.9908).
It should be noted that the zero order kinetic model describes systems where the drug release rate is independent of its concentration. In contrast, first order kinetic model is indicative of systems where drug release is a concentration-dependent process. Higuchi’s model describes the release of drugs from formulation as the square root of a time dependent process, based on Fickian diffusion (
34).
Determining the rheological behavior of selected microemulsion
Viscosity and rheological behaviors are among the most important and noteworthy characteristics of any vehicle used for topical application within the hygienic/cosmetic field (
35). The formulation of ME-8a8 viscosities was measured using Brookfield stainless steel cone/ plate viscometer. The rheogram of the selected formulation has been shown in
Figure 4.
Rheogram of the formulation ME-8a8 formulation, showing the presence of a pseudoplastic behavior (n = 3,data points are presented as mean ± SD).
As it can be seen, based on the obtained rheogram, the curve begins at the origin consequently and no part of the curve is linear, which shows non-Newtonian behavior. Since, the viscosity decreases with increasing rate of shear (shear-thining system), selected formulation ME-8a8 showed the pseudoplastic rheological behavior. Linear regression analysis of the corresponding plots was R2 = 0.8898 (
Figure 5).
Rheogram of the formulation ME-8a8 formulation, showing the presence of a pseudoplastic behavior (n = 3, data points are presented as mean ± SD).
In order to make this non-linear region as linear as possible and determine the y-intercept more accurately, the log10 values of shear stress were plotted against the log10 values of shear rate (
Figure 6).
Log Shear stress-Log Shear rate. Rheogram of the formulation ME-8a8 formulation, showing the presence of a pseudoplastic behavior (n = 3, data points are presented as mean ± SD).
In this way, a linear equation (y = 0.448x+ 1.3344) for this region was obtain, and by calculating the antilog of the y-intercepts (1.3344 in the equation), viscosity value was determined. Furthermore, the thixotropic behavior of selected formulation containing tretinoin-based microemulsion was also examined by constructing the appropriate up-curves and down-curves (
Figure 7).
By constructing the up-curve and down-curve of formulation ME-8a8 (
Figure 7), the resulting rheogram showed the presence of a pseudoplastic thixotropic behavior. This is a desirable behavior for topical drug delivery systems, since the formulation could remain stable following the preparation and packaging within the container, and then could break down as a result of shearing stresses applied during exit from the container and spreading on the skin surface (
36).
Rheogram of the formulation ME-8a8 formulation, showing the presence of a pseudoplastic thixotropic behavior (n = 3, data points are presented as mean ± SD).