Synthesis, characterization, and cytocompatibility of potential cockle shell aragonite nanocrystals for osteoporosis therapy and hormonal delivery

Introduction

Bone undergoes continuous adjustments (remodeling) by resorption of old bones by osteoclast and formation of new bones by osteoblast.¹ These activities are normally stable and under physical and hormonal control. Imbalances between osteoclast and osteoblast activities characterized by bone resorption at a level that exceeds the rate of bone formation have been found to be responsible for osteoporosis and its associated bone loss and skeletal fragility.² Osteoporosis and its associated fractures have been predicted as a disease with potentials of increased public health importance in future generations, possibly due to increase in life expectancy.³

The recombinant human parathyroid hormone 1-34 (PTH 1-34) is commercially known as Teriparatide. Forteo is a 4117.8 Da peptide approved by the Food and Drug Administration as a therapeutic agent for osteoporosis.⁴ PTH 1-34 is a potent bone anabolic that treats osteoporosis by prompting remodeling cascades in osteogenic cells through the stimulation of bone matrix production and suppression of osteoblast apoptosis.^5,6 PTH 1-34 has a high absolute bioavailability, rapid absorption, and disposition after a single subcutaneous administration in healthy rats. It displayed a characteristic mono-exponential swift and substantial absorption and decline, with respective absolute bioavailability and elimination half-life of 65% and 3.4–4.1 h. Approximately 6% of the administered PTH 1-34 was excreted into bile for up to 24 h after administration, whereas ~91% were recovered in urine and 2% were recovered from feces after 72 h of administration.⁷ Based on available data from 10, 20, and 40 µg subcutaneous doses of PTH 1-34 in humans, it is concluded that the absolute bioavailability of PTH 1-34 is ~95%. PTH 1-34 has a rapid rate of absorption and elimination. It reaches peak serum concentrations in 30 min after subcutaneous administration of a 20 µg dose and drops to an undetectable concentration within 3 h. It has a distribution of ~0.12 L/kg after intravenous injection and a half-life in serum of ~5 min when injected intravenously and ~1 h when administered by subcutaneous injection.⁸ Due to its short life and fast clearance, PTH 1-34 peptide is presently injected subcutaneously daily for 2 years. Thus, there is a pressing need to improve patient compliance through the reduction of frequency of injection or sorting for a feasible alternate route of administration that will prolong the time taken for the peptide to be exposed to serum. A PTH 1-34-loaded nanoformulation can enable sustained slow release of its anabolic dose and rule out possible side effects associated with its sudden exposure into patient’s blood.⁹ Moreover, studies have shown that blood clearance of the smaller nanoparticles was twice as slow as those of larger nanoparticle formulations.¹⁰

Calcium is the fifth most abundant element in the body. It is an important structural component of bone and teeth and is also necessary for the normal functioning of all the muscles (skeletal, heart, and smooth muscles) and nerves as well as the normal clotting of blood. Prolonged, inadequate intake of calcium causes weak bones (osteoporosis). Products containing calcium carbonate (CaCO₃) are used to increase the intake of calcium in individuals whose diets are low in calcium. The National Institutes of Health recommend 1000–1500 mg of calcium per day as part of regimen to prevent the loss of bone associated with aging. CaCO₃ products contains 40% absorbable calcium. Therefore, a 1500 mg tablet of CaCO₃ provides 600 mg of calcium. CaCO₃ is also used as an antacid for treating stomach distress.¹¹ CaCO₃ is a calcium salt found in limestone, chalk, marble, plant ashes, bones, many shelled mollusks, and coccolithophores. It is also obtained as a white precipitate by passing carbon dioxide into a suspension of calcium hydroxide in water. It is used in dentifrices and in pharmaceuticals as an antacid and to supplement bodily calcium stores.^12,13 It has presently become popular in the field of nanotechnology as a highly biocompatible porous compound. It has an easily manipulative physicochemical properties, surface chemistry (shape and size), and method of production at a large scale.¹⁴ It is pH sensitive, and its solubility is exponentially and inversely proportional to its pH.¹⁵ These make it a novel inorganic material with a huge potential in biomedical applications and controlled drug delivery.¹⁶

The cockle shell (Anadara granosa)-derived aragonite CaCO₃ nanocrystals (ANC) is the chosen nanocarrier for this study. ANC is an inorganic nanocrystal synthesized using the top-down approach of nanoparticle preparation. Cockles are dominant faunal bivalves present, sometimes comprising the entire bivalve fauna in deep shell beds on sandy mud flats in the upper parts of estuaries and harbors. They live in super abundance in the low tidal and shallow subtidal zones of most of our present-day estuaries and enclosed bays and harbors.¹⁷ In Malaysia, the cockle shells (A. granosa) are cultivated in a large scale in the area of intertidal coastal bordering mudfield regions and in many parts of South East Asian countries, mainly Thailand and Indonesia. They are by far the most vital species cultured in Malaysia.¹⁸ The cockle shells contain >98% of CaCO₃ and thus has the potential for the development of biomaterials for orthopedic applications.¹⁹

Aragonite CaCO₃ polymorph is a thermodynamically less stable and less available form of crystalline CaCO₃ synthesized in laboratory. The size and shape of aragonite are strongly dependent on the preparation methods and conditions.²⁰ Due to the huge striking properties of aragonite nanoparticles as a material of biomedical importance, researchers have paid huge attention in the invention of methods for controlled and facile synthesis of aragonite nanoparticles of appropriate sizes and shapes using bottom-up methods.^21,22 Yet, none of these methods can promise the production of pure aragonite nanoparticles of suitable sizes and shapes. Aragonite resulting from these methods of production is often mixed with calcite²¹ or calcite and vaterite.²³ Therefore, these methods may not be appropriate for specific biomedical applications. Though carbonation methods are found to be useful in industries and environmentally friendly, they are associated with the need for strict control of temperature, purified raw materials, and strenuous gas (CO₂ or combination of CO₂ and N₂) bubbling phases which are complicated, expensive, and time-consuming.²⁴ Other impurities such as BS-12 are also added to the final products.²⁴ Therefore, the top-down approach of ANC synthesis from its natural sources, for example, cockle shells or sea shells is greatly promising.²⁵

This study is in line with the global efforts at tackling the menace of osteoporosis and its associated complications. It aimed at synthesis, physicochemical characterizations, and in vitro evaluation of the ANC as a potential therapeutic and nanocarrier for sustained slow release of anabolic antiosteoporotic PTH 1-34. The PTH 1-34-loaded cockle shell aragonite calcium carbonate nanocrystals (PTH-ANC) will result in reducing dosage, cost, side effect, and dosing frequency of PTH 1-34, toward an effective management of primary and secondary forms of osteoporosis and better compliance from patients.

Materials and methods

Preparation of PTH 1-34-loaded cockle shell aragonite calcium carbonate nanocrystals (PTH-ANC)

Preparation of micron-sized aragonite CaCO₃ (MAC) powder

MAC preparation entailed scrubbing of dirt and tissues from ~250 g of the cockle shells. The cleaned shells were boiled for 10 min and then cooled to room temperature. The shells were thoroughly washed with distilled water and then oven-dried in Memmert UM500 oven (GmbH Co, Schwabach, Germany) at 50°C for 7 days. The shells were then powdered with mortar and pestle (Agate Top diameter 90 mm), finely ground with a stainless steel blender (Blendor^®; HCB 550, Stamford, CT, USA), and sieved using a 75 μm aperture-sized stainless steel laboratory test sieve (Endecott Ltd., London, UK) to get 75 μm diameter-sized particles. The coarse unfiltered remnants were further dried in oven for 10 h, ground with mortar and pestle, blended and sieved to further reduce their diameter. The micron-sized cockle shell powder thus produced was further desiccated in an oven at 50°C for a 7 days duration for complete dry up. The MAC was then packaged in a JP Packaging polyethylene plastic bag.

Preparation of spherical-shaped aragonite CaCO₃ nanocrystals (ANC)

Approximately 2 g of the 75-μm-sized powder was placed in a 100-mL flat-bottomed flask, mixed with 50 mL of high performance liquid chromatography (HPLC)-grade (resistance >18M cm), produced by a Milli-RO6 plus Milli-Q-Water System (Organex, São Paulo, Brazil). Approximately 0.5 mL of dodecyl dimethyl betaine (BS-12) (Sigma Aldrich, St Louis, MO, USA) was then added to each flask and stirred vigorously at 1000 rpm in room temperature for 90 min using a Systematic Multi-Hotplate stirrer (DH.WMH03506 DAIHAN WiseStir^® Systematic Multi-Hotplate Stirrers, 3 × 2 Places, 6 Positions, South Korea) and a magnetic stirrer bar. The slurry obtained from this process was filtered and rinsed with 18.0-cm-sized double ring filter papers (Filtres Fioroni, Ingré, France). The final products were dried in Memmert UM500 oven (GmbH Co) for 24 h at 100°C and packed in JP Packaging polyethylene plastic bags and stored in moisture-free enclosure (at 50°C) for further analysis and usage.

Synthesis of PTH-ANC

PTH-ANC was synthesized by separately adding different concentrations (1 × 10⁻³, 2 × 10⁻³, and 4 × 10⁻³ mg/mL) of aqueous solutions of PTH 1-34 into 10 mL cockle shell aragonite CaCO₃ nanocrystal (ANC) suspensions of 0.1% (w/v) concentration. This research was aimed at studying the drug content and encapsulation efficiency of ANC. The encapsulations of PTH 1-34 in CaCO₃ nanocrystals were achieved by incubating the resulting solutions overnight at 4°C under constant stirring. The PTH-ANC suspensions obtained were centrifuged at 10,000 × g for 10 min, and the pelleted nanocrystals were steadily dried at 4°C.

Drug content and encapsulation efficiency of ANC

The amount of PTH 1-34 in solution was measured using Human PTH 1-34 Enzyme Immunoassay kit (EK-055-08, Phoenix Pharmaceuticals Company Inc., Karlsruhe, Germany) protocols. The immunoplate in this kit was precoated with secondary antibody with blocked nonspecific binding sites. A standard curve of known concentration was established (Figure S1) and unknown concentrations in samples were calculated using the equation of the curve. The drug content and drug encapsulation efficiency were calculated using Equations 1 and 2 as adopted from Rajat et al.²⁶

(1)

(2)

where tdf refers to the total drug fed to the formulation, fd refers to the free drug, and wnr refers to the weight of nanocrystals recovered from the formulation.

Physicochemical characterization of ANC and PTH-ANC

Transmission electron microscopy (TEM)

The TEM (Hitachi H-7100; Hitachi Ltd., Tokyo, Japan) was used to determine the shape and size of ANC. Sample preparation for TEM entailed dispersal of a pinch of ANC powder in 100% acetone, followed by ultra-sonication (Power Sonic 505; Gangnam-gu, South Korea) for 30 min. A drop of the supernatant was then placed onto a carbon-cover copper grids placed on a filter paper and left to dry at room temperature. The TEM measurement was made at 150 kV.

Field emission scanning electron microscopy (FESEM)

The FESESM (JEOL 7600F; JEOL, München, Germany) GmbH was used to evaluate homogeneity and further evaluate the shape and size of ANC. Sample preparation for FESEM entailed dispersal of a light pinch of ANC powder on adhesive-coated metallic stub. The so-prepared stub was then installed into the FESEM microscope and the microscopy measured.

Zeta potential

Pelleted PTH-ANC was resuspended in deionized water. The mean zeta potential of the PTH-ANC was based on dynamic light scattering determined by photon correlation spectroscopy using Zetasizer (Ver. 6.12, Serial Number: MAL1042820; Malvern Instruments Ltd., Malvern, UK).

Fourier transform infrared (FT-IR) spectrophotometry

The FT-IR spectrophotometer (Model 100 series; Perkin Elmer) was used to analyze the chemical properties of PTH I-34, PTH-ANC, ANC, and MAC over a range of 4000 to 280 cm⁻¹ at a 2 cm⁻¹ resolution and averaging 64 scans.

X-ray powder diffraction (XRD)

In this study, the composition, purity, and crystallinity of PTH I-34, PTH-ANC, ANC, and MAC were studied by an X-ray powder diffractometer (Shimadzu XRD-6000 powder diffractometer with CuKα [λ=1.540562 Å] at 40 kV and 30 mA). A standard back fill method was used in preparation of samples for XRD. This entailed packing ~0.35 g of powder into the holder for a 90° tilt test. The holder was sufficiently firm enough to prevent the sample from falling out during the test. The crystallinity phases were determined with diffraction angles from 20° to 70° at 37°C.

Drug release profile of PTH-ANC

The release profile of PTH-ANC was determined at pH 7.5 within a span of 168 h. This entailed centrifuging of PTH-ANC suspension at 20,000 rpm for 45 min and the pellet thereby obtained was dispersed in 10 mL of phosphate-buffered saline solution of pH 7.5 with a final concentration of 2.5 × 10⁻³ mg/mL. Entire volume obtained was divided equally into the required number of Eppendorf tubes for the time-specific release study at time intervals 0, 0.5, 1, 3, 6, 9, 12, 24, 48, 72, 96, 120, 144, and 168 h. Tubes were incubated at 37°C under gentle shaking in the YIH DER orbital shaker incubator TU-400. At appropriate time intervals, the contents of the Eppendorf tubes were centrifuged, and PTH 1-34 released from PTH-ANC was later quantified using Human PTH 1-34 Enzyme Immunoassay (EK-055-08; Phoenix Pharmaceuticals Company Inc., Karlsruhe, Germany). The percentage of PTH 1-34 peptide released was calculated based on the ratio of the amount of peptide released at a given time to the amount loaded in the formulation, as below:

(3)

The percentage of PTH 1-34 peptide released was plotted against each time period to obtain a cumulative graph depicting the release profile.

Cell culture

The hFOB 1.19 (ATCC^® CRL11372^™) cell line was cultured in 5% CO₂ in air atmosphere incubator, Sanyo inCu safe incubator (Sanyo MCO-18AIC (UV); Osaka, Japan), at 34°C using a T75 culture flask in Ham’s F12 Medium Dulbecco’s Modified Eagle’s Medium, with 2.5 mM L-glutamine (without phenol red) and 100 µg/mL each of penicillin and streptomycin.

The total viable cell population and seeding rate were calculated as below:

MTT relative proliferation assay

A 72-h MTT viability of hFOB 1.19 (ATCC^® CRL11372^™) due to effects of PTH 1-34, ANC, and PTH-ANC was assayed using the calculated total viable cell population and the final required volume. Approximately 100 µL cell suspensions, each containing 10,000 cells were seeded per well in the 96-well Greiner flat-bottomed well plates. Cells were then incubated for 24–72 h.

During each experiment, the media were removed and the cells were cultured with 100 μL of different concentrations of PTH 1-34, ANC, and PTH-ANC (20, 10, 5, 2.5, and 0 µg/mL). The experiment was conducted in triplicates, and the optical densities were measured at 570 nm.

Results

Drug content and encapsulation efficiency of ANC

Table 1 shows the PTH 1-34 content and encapsulation of ANC from three formulations. It was observed that the drug content and encapsulation efficiency were directly proportional to the amount of drug fed into the formulation.

Table 1 Drug loading concentrations, drug contents, and encapsulation efficiencies of PTH-ANC Abbreviations: ANC, aragonite calcium carbonate nanocrystals; PTH 1-34, parathyroid hormone 1-34; PTH-ANC, PTH 1-34-loaded cockle shell aragonite calcium carbonate nanocrystals.

Physicochemical characterization of ANC and PTH-ANC

TEM

Figure 1 shows the shape and size of ANC as viewed under transmission electron microscope. The micrograph images at lower magnification revealed the spherical-shaped nanocrystals of 30 ± 5 nm diameter in size.

Figure 1 Transmission electron micrographs of the 30 ± 5 mm-sized spherical crystals of ANC. Abbreviation: ANC, aragonite calcium carbonate nanocrystals.

FESEM

Figure 2 shows the shape and size of ANC as viewed under field emission scanning electron microscope. The spherical particles were fairly uniform in size and 30 ± 5 nm in diameter.

Figure 2 Field emission scanning electron micrograph of 30 ± 5 mm-sized spherical crystals of ANC. Abbreviations: ANC, aragonite calcium carbonate nanocrystals; EMUPM, Universiti Putra Malaysia electron microscopy; SEI, secondary electron imaging; SEM, scanning electron microscopy; WD widest distance.

Zeta potential

Figure 3 shows the zeta potential distribution of PTH-ANC. The product was found to have a zeta potential of –27.6 ± 8.9 mV.

Figure 3 Zeta potential distribution of PTH-ANC. Abbreviation: PTH-ANC, parathyroid hormone 1-34 (PTH 1-34)-loaded cockle shell aragonite calcium carbonate nanocrystals.

FT-IR spectra

Figure 4 compares the FT-IR spectra of PTH 1-34, PTH-ANC, ANC, and MAC. The spectra were composed of bands ranged from 4000 to 280 cm⁻¹. Most of the peaks of the four products matched with one another, meaning that the purity of the MAC is not affected by the top-down method of ANC synthesis using BS-12 and that PTH 1-34 is well conjugated with ANC, forming PTH-ANC. The carbonate absorption peaks (1449, 1083, 857, and 714 cm⁻¹) were clearly obvious in the MAC, ANC, and PTH-ANC spectra patterns.

Figure 4 FT-IR spectra of PTH 1-34, PTH-ANC, MAC, and ANC depicting how their absorption peaks matched. Abbreviations: ANC, aragonite calcium carbonate nanocrystals; FT-IR, Fourier transform infrared; MAC, micron-sized aragonite CaCO3; PTH 1-34, parathyroid hormone 1-34; PTH-ANC, PTH 1-34-loaded cockle shell aragonite calcium carbonate nanocrystals.

XRD

Figure 5 shows that the XRD absorption peaks in the PTH-ANC, ANC, and MAC matched with one another. This means that the crystalline quality of aragonite CaCO₃ in these powders is maintained throughout the process of PTH-ANC production.

Figure 5 XRD spectra showing crystalline phases and qualities of PTH 1-34, PTH-ANC, ANC, and MAC. Note: The absorption peaks matched with one another. Abbreviations: ANC, aragonite calcium carbonate nanocrystals; MAC, micron-sized aragonite CaCO3; PTH 1-34, parathyroid hormone 1-34; PTH-ANC, PTH 1-34-loaded cockle shell aragonite calcium carbonate nanocrystals; XRD, X-ray diffraction.

Drug release profile of PTH-ANC

Figure 6 and Table S1 depict PTH 1-34 release profile from PTH-ANC. They depict the cumulative PTH 1-34 released from 2.5 mg PTH-ANC (containing 9.8 µg PTH 1-34) over a week (168 h) period at pH 7.5, as quantified with the Human PTH 1-34 Enzyme Immunoassay (EK-055-08; Phoenix Pharmaceuticals Company Inc., Karlsruhe, Germany). The release profile was characterized by an initial burst release at 0 h followed by a marked decline at 0.5 h and steady rise to attain a highest peak by 24 h. It was then sustained for the remaining period of the release.

Figure 6 Cumulative PTH 1-34 release from PTH-ANC at pH 7.5 over 168-h period. Abbreviations: PTH 1-34, parathyroid hormone 1-34; PTH-ANC, PTH 1-34-loaded cockle shell aragonite calcium carbonate nanocrystals; h, hours.

MTT relative proliferation assays

Figure 7 depicts the 72 h MTT proliferation assays of PTH 1-34, ANC, and PTH-ANC at 20, 10, 5, 2.5, and 0 µg/mL on the hFOB 1.19 (ATCC^® CRL11372^™) cell line. It was observed that relative to the control, all the three treatments supported the proliferation of the osteoblast cells at the said period in a concentration-dependent manner. Generally, ANC and PTH-ANC gave better performance in the 24- and 48-h periods. ANC had the best performance in the 24 and 48 h, whereas PTH-ANC performed best at the 72-h period due to the sustained release of its encapsulated PTH 1-34.

Figure 7 72-h MTT proliferation assay of PTH 1-34, ANC, and PTH-ANC on the hFOB 1.19 (ATCC® CRL11372™) cell line. Abbreviations: PTH 1-34, parathyroid hormone 1-34; PTH-ANC, PTH 1-34-loaded cockle shell aragonite calcium carbonate nanocrystals; h, hours.

Discussion

Physicochemical characterization and in vitro bioassays have been identified as essential parts of an ideal characterization plan of nanoparticles prior to biomedical applications. This is to fully understand their efficacy and safety, the other component being in vivo studies.²⁷ Cockle shells are excellent sources of naturally purified aragonite polymorph of CaCO₃.²⁵ Although CaCO₃ is renowned for its multifaceted applicability in the fields of human endeavours,^{9,20,25,28–31} it is poised for greater advancement through nanotechnology. Nanotechnology offers numerous prospects and gains to medical research by making pharmaceuticals more effective.²⁷ The nanotechnological top-down of synthesis ANC from this natural reservoir holds huge benefits. It enables obtaining aragonite crystals in their natural forms while retaining most of their special features.^25,32 The method of ANC synthesis used in this study is an improvement over the Islam et al’s³² top-down synthesis of CaCO₃ nanoparticles, by reducing the volume of surfactant and quantity and size of MAC used per round of synthesis from 2 mL, 5 g, and 90 µm to 0.5 mL, 2 g, and 75 µm, respectively, while maintaining other parameters therein (stirring speed, time, and temperature). This enhanced the homogeneity and overall quality and safety of the synthesized crystals for biological applications, while improving its environmental friendliness and low-cost features. Although surfactant inclusions in nanoformulations promote the dispersion of nanoparticles, they also interfere with conventional characterization methods and cause ambiguity in analytical results. They thus hamper the standardization of characterization techniques and clinical application of nanoparticles.²⁷ The modified technique thus enabled the synthesis of highly homogenized spherical shape ANC of 30 ± 5 nm size, as determined by TEM and FESEM. This size concurs with the size of CaCO₃ synthesized by Islam et al³² and smaller than that of Kamba et al³³ using the homogenizer method. The size fell within the range of sizes ideal for drug delivery. The –27.6 ± 8.9 mV zeta potential obtained from this present study is an improvement over those earlier workers, due to its incorporated PTH 1-34. Although morphology, structure, surface area, size, oil adsorption, and chemical purity are important determinant factors for the use of CaCO₃ in varying applications, morphology seems to be more important. As such, synthesis of CaCO₃ crystals with homogenous shape and size is now a topic of research due to the interesting mechanical and optical properties.^34–37

The loading content of PTH 1-34 and the encapsulation efficiency of ANC in the PTH-ANC composition were directly proportional to the concentrations of the drug fed. The formulations used have a loading content of 0.09%, 0.19%, and 0.39% and encapsulation efficiency of 85.2%, 94.45%, and 97.83% after 10 mg of ANC was separately loaded with 0.01, 0.02, and 0.03 mg of PTH 1-34. Calcium carbonate nanocrystals have been observed to contain surface pores (nanopores) that enable them load drugs or macromolecules by capillary force, irrespective of their surface charge and hydrophilicity.^38–40

The FTIR spectra of PTH 1-34, MAC, ANC, and PTH-ANC were composed of bands ranging from 4000 to 280 cm⁻¹. FTIR spectroscopy is a precise technique for identifying diverse phases of organic and inorganic compounds. It is a useful instrument for characterizing CaCO₃ phases based on dissimilarities in their constituent carbonate ions. Carbonate ions and alike molecules, normally have four (v₁ to v₄) vibrational peak modes: symmetric stretching, out-of-plane bending, doubly degenerate planar asymmetric stretching, and doubly degenerate planar bending.³⁹ The observed absorption peaks in this study (1449, 1083, 857, and 714 cm⁻¹) fell within the ranges that were earlier described as characteristic peaks for carbonates in CaCO₃⁴¹ and correspond to the v₁ to v₄ vibrations with some structural changes. These changes are attributed to the shift of the carbonate vibration mode in the milieu of oxygen atoms and the associated modification of the electrostatic valence of the Ca–O bond.^41–43 Similar peaks were reported by Raju et al,⁴¹ Islam et al,^25,32 and Kamba et al.³³ The peak at 1083 cm⁻¹ is the only characteristic aragonite phase of CaCO₃ spectrum, whose carbonate ions are indiscernible in the infrared region.^33,41 The absorption peaks in MAC correspond to those of ANC. The PTH 1-34 loading in ANC was established by sharp peaks at 1670, 1449, 1083, 857, and 714 cm⁻¹ of ANC in accommodating the amine component of the PTH 1-34 absorption peaks in the formation of PTH-ANC. In the same vein, a sharp peak was observed at 2520 cm⁻¹ of ANC in accommodating the carboxyl component of the PTH 1-34 absorption peaks.

XRD is a sensitive test that is used for the recognition of crystalline phases of inorganic compounds. XRD absorption peaks in PTH-ANC, ANC, and MAC matched with one another without positional shift. Two prominent peaks were found each for MAC, ANC, and PTH-ANC spectra. The first set of peaks were within 2θ = 26.3° and 26.4° while the second set were within 2θ = 33.2° and 33.3°. This means that the crystalline quality of MAC and ANC is maintained throughout the process of PTH-ANC production.

This study presents cumulative PTH 1-34 released from 2.5 mg PTH-ANC (containing 9.8 µg of PTH 1-34) over a week (168 h) period at pH 7.5. Recent decades have witnessed speedy advancement in the area of drug delivery, with emphasis on sustained release systems, the main purpose of which is to maintain a given concentration of drug locally or systemically for a desired duration of time.^44,45 An initial burst release of 8.37% of the total released drug was released at 0 h followed by a marked decline at 0.5 h and steady rise to attain a highest peak by 24 h. It was then sustained for the remaining period of the release. A similar pattern of PTH 1-34 release was observed by Narayanan et al⁴⁶ and Eswaramoorthy et al⁴⁷ in studies on PTH 1-34-loaded polymers. Drug release patterns have been observed to take two forms: a slow zero (first-order rate) or an initial swift dose that is followed by sustained slow zero release of incorporated drug.⁴⁵

It was observed from this present study that relative to the control, cellular viabilities in the PTH 1-34, ANC-, and PTH-ANC-treated cells were inversely proportional to their concentrations during the incubation periods of 24, 48, and 72 h. Generally, ANC and PTH-ANC sustained better proliferations in the 24 and 48 h periods. PTH 1-34 sustained better viability over PTH-ANC at a concentration of 2.5 mg/mL in the 24 h period. ANC-treated wells had best viability of cells during the 24 and 48 h periods, whereas PTH-ANC sustained best viability at the 72 h period. This shows the dual potential of ANC as a bone anabolic and a nanocarrier for sustained release of PTH 1-34. The cockle shell-derived CaCO₃ nanocrystal is a facilitator of osteoblast proliferation, differentiation, and adhesion.⁴⁸ Tran and Webster⁴⁹ observed an increase in cell viability without apparent toxicity from a similar research on pearl shell nanograde powder. Hydroxyapatite coated magnetic nanoparticles were also observed to cause increased osteoblast proliferation when compared to the uncoated form after 5 days of treatment.⁵⁰

Conclusion

Conclusively, although earlier researchers do not consider the capability of CaCO₃ as a nanocarrier for osteoporosis outcomes, the present study attests to the fact that ANC, just like other CaCO₃ nanoparticles derived from shells, is a potential bone anabolic that can synergize with encapsulated antiosteoporotic agent for a cost-effective, safe, and better management of osteoporosis due to its biogenic nature.

Disclosure

The authors report no conflicts of interest in this work.

References

1.		Cosman F, de Beur SJ, LeBoff MS, Lewiecki EM, Tanner B, Randall S, Lindsay R. Clinician’s guide to prevention and treatment of osteoporosis. Osteoporos Int. 2014;25(10):2359–2381.
2.		Kamel HK. Postmenopausal osteoporosis: etiology, current diagnostic strategies, and nonprescription interventions. J Manag Care Pharm. 2006;12(6 Suppl A):S4–S9; quiz S26-8.
3.		Holroyd C, Cooper C, Dennison E. Epidemiology of osteoporosis. Best Pract Res Clin Endocrinol Metab. 2008;22(5):671–685.
4.		Matthew S, Sharon B, Midura RJM. Parathyroid hormone suppresses osteoblast apoptosis by augmenting DNA repair. Bone. 2009;45:590.
5.		Lotinun S, Sibonga JD, Turner RT. Differential effects of intermittent and continuous administration of parathyroid hormone on bone histomorphometry and gene expression. Endocrine. 2002;17:29.
6.		Jilka RL. Molecular and cellular mechanisms of the anabolic effect of intermittent PTH. Bone. 2007;40:1434.
7.		Hu Z, Niu H, Yang X, Li H, Sang G, Li B. Recombinant human parathyroid hormone 1-34: pharmacokinetics, tissue distribution and excretion in rats. Int J Pharm. 2006;317(2):144–154.
8.		Lily E. Medication guide Forteo teriparatide rDNA origin injection; 2010. Available from: http://pi.lilly.com/us/forteo-pi.pdf. Accessed March 16, 2016.
9.		Naka K, Huang SC, Chujo Y. Formation of stable vaterite with poly(acrylic acid) by the delayed addition method. Langmuir. 2006;22:7760–7767.
10.		Frank A, Eric P, Molnar LK, Omid CF. Factors affecting the clearance and biodistribution of polymeric nanoparticles. Mol. Pharmacol. 2008;5:505.
11.		Omudhome O. Calcium Carbonate, Caltrate 600, Os-Cal 500, Tums Extra, Tums Chewy Delight, and Many Others. Medicinenet, Inc.; 2004. Available from: http://www.medicinenet.com/calcium_carbonate/article.htm. Accessed March 29, 2016.
12.		Merriam-Webster Online Medical Dictionary. An Encyclopedia Britannica Company. Available from: http://www.merriam-webster.com/dictionary/calcium%20carbonate. Accessed April 21, 2016.
13.		Sugawara A, Ishii T, Kato T. Self-organized calcium carbonate with regular surface-relief structures. Angewandte Chemie. 2003;115(43):5457–5461.
14.		Rodríguez R, Anna T, Jose M, et al. pH-responsive delivery of doxorubicin from citrate-apatite nanocrystals with tailored carbonate content. Langmuir. 2013;29:8213–8221.
15.		Ming-Jium S, Chia-Yen H, Ling-Yi H, et al. Reversal of doxorubicin-resistance by multifunctional nanoparticles in MCF-7/ADR cells. J Control Release. 2011;152(3):418–442.
16.		Render D, Vijaya R, Khalda F, et al. Bio-based calcium carbonate nanoparticles for drug delivery applications. Int J Biomed Nanosci Nanotechnol. 2014;3:3.
17.		Hayward BW. Kawerua mollusca. Tane. 1990;32:1.
18.		Ibrahim N. Trace element content of Malaysian cockles (Anadara granosa). Food Chem. 1995;54(2):133–135.
19.		Awang-Hazmi AJ, Zuki ABZ, Noordin MM, Jalila A, Norimah Y. Mineral composition of the cockle (Anadara granosa) shells of west coast of Peninsular Malaysia and its potential as biomaterial for use in bone repair. J Anim Vet Adv. 2007;6:591–594.
20.		Wang LF, Sondi I, Matijevic E. Preparation of uniform needle-like aragonite particles by homogeneous precipitation. J Colloid Interface Sci. 1999;218(2):545–553.
21.		Guo F, Li Y, Xu H, Zhao G, He X. Size-controllable synthesis of calcium carbonate nanoparticles using aqueous foam films as templates. Mater Lett. 2007;61(27):4937–4939.
22.		Wang C, Zhao J, Zhao X, Bala H, Wang Z. Synthesis of nanosized calcium carbonate (aragonite) via a polyacrylamide inducing process. Powder Technol. 2006;163(3):134–138.
23.		Chen J, Xiang L. Controllable synthesis of calcium carbonate polymorphs at different temperatures. Powder Technol. 2009;189:64–69.
24.		Wang C, Liu Y, Bala H, et al. Facile preparation of CaCO3 nanoparticles with self-dispersing properties in the presence of dodecyl dimethyl betaine. Colloids Surf A. 2007;297:179–182.
25.		Islam KN, Zuki ABZ, Noordin MM, et al. Characterisation of calcium carbonate and its polymorphs from cockle shells (Anadara granosa). Powder Technol. 2011;213:188–191.
26.		Rajat SM, Yasir SB, Mohd A. Formulation and evaluation of paclitaxel loaded PSA-PEG nanoparticles. J Appl Pharm Sci. 2011;1(5):96–98.
27.		McNeil SE, editor. Characterization of Nanoparticles Intended for Drug Delivery, Methods in Molecular Biology. Series Volume 697. New York: Humana Press; 2011.
28.		Colfen H, Mann S. Higher-order organization by mesoscale self-assembly and transformation of hybrid nanostructures. Angew Chem Int Ed Engl. 2003;42(21):2350–2365.
29.		Dabbs DM, Aksay IA. Self-assembled ceramics produced by complex-fluid templation. Annu Rev Phys Chem. 2000;51:601.
30.		Mann S. Biomineralization: Principles and Concepts in Bioinorganic Materials Chemistry. Oxford: Oxford University Press; 2001:216 p.
31.		McLeod MC, Gale WF, Roberts CB. Metallic nanoparticle production utilizing a supercritical carbon dioxide flow process. Langmuir. 2004;20:7078–7082.
32.		Islam KN, Zakaria MZAB, Ali ME, Hussein MZ. Facile synthesis of calcium carbonate nanoparticles from cockle shells. J Nanomater. 2012; 2012:534010.
33.		Kamba AS, Ismail M, Ibrahim TAT, Zuki ABZ. A pH-sensitive, biobased calcium carbonate aragonite nanocrystal as a novel anticancer delivery system. BioMed Res Int. 2013;2013:587451.
34.		Loy JE, Guo JH, Severtson SJ. Role of adsorption fractionation in determining the CaCO3 scale inhibition performance of polydisperse sodium polyacrylate. Ind Eng Chem Res. 2004;43(8):1882–1887.
35.		Xu AW, Antonietti M, Colfen H, Fang YP. Uniform hexagonal plates of vaterite CaCO3 mesocrystals formed by biomimetic mineralization. Adv Funct Mater. 2006;16:903–908.
36.		Zhang CX, Zhang JL, Feng XY, et al. Influence of surfactants on the morphologies of CaCO3 by carbonation route with compressed CO2. Colloids Surf A. 2008;324:167–170.
37.		Zhang Q, Ren L, Sheng Y, Ji Y, Fu J. Control of morphologies and polymorphs of CaCO3 via multi-additives system. Mater Chem Phys. 2010;122:156–163.
38.		Zhao Q, Han B, Wang, Z, et al. Hollow chitosan-alginate multilayer microcapsules as drug delivery vehicle: doxorubicin loading and in vitro and in vivo studies. Nanomed Nanotechnol Biol Med. 2007;3:63–74.
39.		Wang Y, Moo YX, Chen C, Gunawan P, Xu R. Fast precipitation of uniform CaCO3 nanospheres and their transformation to hollow hydroxyapatite nanospheres. J Colloid Interface Sci. 2010;352(2):393–400.
40.		Kamba, SA, Ismail M, Hussein-Al-Ali, SH, Ibrahim TAT, Zuki ABZ. In vitro delivery and controlled release of doxorubicin for targeting osteosarcoma bone cancer. Molecules. 2013;18:10580–10598.
41.		Raju CL, Narasimhulu KV, Gopal NO, et al. Electron paramagnetic resonance, optical and infrared spectral studies on the marine mussel Arca burnesi shells. J Mol Struct. 2002;608(2–3):201–211.
42.		Vongsavat V, Winotai P, Meejoo S. Phase transitions of natural corals monitored by ESR spectroscopy. Nucl Instrum Methods Phys Res B. 2006;2431:167–173.
43.		Cheng B, Cai W, Yu J. DNA-mediated morphosynthesis of calcium carbonate particles. J Colloid Interface Sci. 2010;352(1):43–49.
44.		Langer RS, Wise DL, editors. Medical Applications of Controlled Release, Applications and Evaluation. Vol. I and II. Boca Raton (FL): CRC Press; 1984.
45.		Dash S, Murthy PN, Nath L, Chowdhury P. Kinetic modelling on drug release from controlled drug delivery systems. Acta Pol Pharm. 2010;673:217–223.
46.		Narayanan D, Anitha A, Jayakumar R, Nair SV, Chennazhi KP. Synthesis, characterization and preliminary in vitro evaluation of PTH 1-34 loaded chitosan nanoparticles for osteoporosis. J Biomed Nanotechnol. 2012;8(1):98–106.
47.		Eswaramoorthy R, Chang C, Wu S, Wang GJ, Chang JK, Ho ML. Sustained release of PTH (1–34) from PLGA microspheres suppresses osteoarthritis progression in rats. Acta Biomaterialia. 2012;8(2012):2254–2262.
48.		Kamba SA, Zakaria ZAB. Osteoblasts growth behaviour on bio-based calcium carbonate aragonite nanocrystal. Biomed Res Int. 2014;215097.
49.		Tran N, Webster TJ. Increased osteoblast functions in the presence of hydroxyapatite-coated iron oxide nanoparticles. Acta Biomaterialia. 2011;7(3):1298–1306.
50.		Choi S-J, Oh J-M, Choy J-H. Toxicological effects of inorganic nanoparticles on human lung cancer A549 cells. J Inorganic Biochem. 2009;103(3):463–471.

Supplementary materials

Figure S1 PTH 1-34 calibration curve. Abbreviation: PTH 1-34, parathyroid hormone 1-34.

Table S1 Cumulative PTH 1-34 release from PTH-ANC at pH 7.5 over 168 h Abbreviations: PTH 1-34, parathyroid hormone 1-34; PTH-ANC, PTH 1-34-loaded cockle shell aragonite calcium carbonate nanocrystals.