Isoniazid
is an important first-line antitubercular drug used in
the treatment of all major clinical manifestations of tuberculosis,
including both pulmonary and cerebral diseases. However, it is associated
with significant drawbacks due to its inherent hydrophilic nature,
including poor gut permeability and an inability to cross the lipophilic
blood–brain barrier, which, in turn, limit its clinical efficacy.
We hypothesized that the addition of a hydrophobic moiety to this
molecule would help overcome these limitations and improve its bioavailability
in the bloodstream. Therefore, we designed a stable, covalently linked
lipid–drug conjugate of isoniazid with a short lipid chain
of stearoyl chloride. Further, lipid–drug conjugate nanoparticles
were synthesized from the bulk lipid–drug conjugate by a cold
high-pressure homogenization method enabled by the optimized use of
aqueous surfactants. The nanoparticle formulation was characterized
systematically using in vitro physicochemical analytical methods,
including atomic force microscopy, transmission electron microscopy,
differential scanning calorimetry, X-ray diffraction, attenuated total
reflectance, particle size, ζ-potential, and drug release studies,
and the mechanism of drug release kinetics. These investigations revealed
that the lipid–drug conjugate nanoparticles were loaded with
an appreciable amount of isoniazid conjugate (92.73 ± 6.31% w/w).
The prepared lipid–drug conjugate nanoparticles displayed a
uniform shape with a smooth surface having a particle size of 124.60
± 5.56 nm. In vitro drug release studies showed sustained release
up to 72 h in a phosphate-buffered solution at pH 7.4. The release
profile fitted to various known models of release kinetics revealed
that the Higuchi model of diffusion kinetics was the best-fitting
model (R
2 = 0.9929). In addition, confocal
studies showed efficient uptake of lipid–drug conjugate nanoparticles
by THP-1 macrophages presumably because of increased lipophilicity
and anionic surface charge. This was followed by progressive intracellular
trafficking into endosomal and lysosomal vesicles and colocalization
with intravesicular compartmental proteins associated with mycobacterium
tuberculosis pathogenesis, including CD63, LAMP-2, EEA1, and Rab11.
The developed lipid–drug conjugate nanoparticles, therefore,
displayed significant ability to improve the intracellular delivery
of a highly water-soluble drug such as isoniazid.