Ideal controlled
pulmonary drug delivery systems provide sustained
release by retarding lung clearance mechanisms and efficient lung
deposition to maintain therapeutic concentrations over prolonged time.
Here, we use atomic layer deposition (ALD) to simultaneously tailor
the release and aerosolization properties of inhaled drug particles
without the need for lactose carrier. In particular, we deposit uniform
nanoscale oxide ceramic films, such as Al2O3, TiO2, and SiO2, on micronized budesonide
particles, a common active pharmaceutical ingredient for the treatment
of respiratory diseases. In vitro dissolution and ex vivo isolated perfused rat lung tests demonstrate dramatically
slowed release with increasing nanofilm thickness, regardless of the
nature of the material. Ex situ transmission electron
microscopy at various stages during dissolution unravels mostly intact
nanofilms, suggesting that the release mechanism mainly involves the
transport of dissolution media through the ALD films. Furthermore, in vitro aerosolization testing by fast screening impactor
shows a ∼2-fold increase in fine particle fraction (FPF) for
each ALD-coated budesonide formulation after 10 ALD process cycles,
also applying very low patient inspiratory pressures. The higher FPFs
after the ALD process are attributed to the reduction in the interparticle
force arising from the ceramic surfaces, as evidenced by atomic force
microscopy measurements. Finally, cell viability, cytokine release,
and tissue morphology analyses verify a safe and efficacious use of
ALD-coated budesonide particles at the cellular level. Therefore,
surface nanoengineering by ALD is highly promising in providing the
next generation of inhaled formulations with tailored characteristics
of drug release and lung deposition, thereby enhancing controlled
pulmonary delivery opportunities.