An Overview of Preparation and Evaluation Sustained-Release Injectable Microspheres
An Overview of Preparation and Evaluation Sustained-Release Injectable Microspheres
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REVIEW
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Key Laboratory of Pharmaceutical Quality Control of Hebei Province, Hebei University, Baoding 071002, P.R. China
Abstract
Recently, sustained-release injectable microspheres as a novel parenteral administration system have been
interested on for many years, due to the excellent advantages when compared to traditional dosage forms:
less administration frequency, lower adverse side effects and no need for a surgical procedure. Therefore,
major progresses in the development of another successful marketed sustained-release injectable forma-
tion have been made, but most investigations are merely limited in laboratory levels; in addition, few
reports focus on giving some positive guidance to launch these novel microspheres into market. This
review addressed some commonly used polymers, preparation methods and sterilization processes relating
to biodegradable microspheres. Moreover, the processes for measuring the sustained-release behaviour of
this novel system are summarized in this report, including the methods to determine the in vitro and in vivo
For personal use only.
release behaviours and the strategies to analyse the in vitro and in vivo correlations.
Keywords: sustained-release injectable microspheres, evaluation, preparation, in vitro, in vivo
Address for correspondence: Liandong Hu, College of Pharmaceutical Sciences, Hebei University, No. 180, Wusi Road, Baoding 071002, P.R. China.
Tel: þ86 013463689875. Fax: þ86 312 5971107. E-mail: hbupharm@126.com
Trade name Main drug Company Year of FDA Patent Polymer Production methods
approval number
Lupron Depot Leuprolide acetate Takeda 1985 US5480656 PLGA Emulsion method
Risperdal Consta Risperidone Janssen 1997 US5650173 PLGA Phase separation method
Sandostatin LAR Octreotide acetate Novartis 1998 US5639480 PLGA Emulsion method
Nutropin Depot Growth hormone Genentech 1999 US5213810 PLGA Emulsion method
Trelstar Depot Triptorelin pamoate Watson 2000 US5134122 PLGA Spray drying method
Vivitrol Naltrexone Alkermes 2006 US6306425 PLA Emulsion method
Somatuline Depot Lanreotide acetate Ipsen 2007 US6475507 PLGA Spray drying method
Exenetide LAR Exenetide Amylin/Eli Lilly/Alkermes 2012 US2008146490 PLGA Emulsion method
Trade name Suitable molecular weights of polymers Suitable L/G Size of particles Weight of active substance (w/w)
The first market product (DecapeptylÕ ) of sustained- variability result in difficulties for defining the standards
release injectable microspheres was developed by Ipsen of natural polymers.
in 1986. DecapeptylÕ is a gonadotropin-releasing hormone Some generally used synthetic polymers are listed in
agonist, which can decrease pituitary secretion of gonado- Table 3. Among the above-mentioned synthetic polymers,
tropins luteinizing hormone and follicle stimulating polylactic-co-glycolic acid (PLGA) and polylactic acid
hormone. Nowadays, various FDA-approved sustained- (PLA) are used in a host of FDA approved therapeutic
release injectable microspheres are available in the devices and have been widely used in medical and phar-
market (Table 1); in addition, some detailed comparisons maceutical fields (Anderson and Shive, 1997; Jain, 2000).
are also introduced in Table 2. Some of the products pos- PLGA is composed of one or more of three different
sess excellent sustained-release effects, which can main- hydroxyl acid monomers (d-lactic, l-lactic and/or glycolic
tain therapeutic effects for several months in one dose. acids). In general, the polymer can be made to be highly
crystalline or completely amorphous and encapsulate mol-
ecules of virtually any size through changing the monomer
ratio, molecular mass and end-group chemistry (Jiang
Materials et al., 2005). The above-mentioned three parameters can
determine the hydrophobicity and degradation kinetics of
A key factor in designing sustained-release injectable the materials, and thereby, the microencapsulation effi-
microspheres is the choice of an appropriate biodegradable ciency, release rate and interactions of the microspheres
polymer. Generally speaking, the materials employed for with phagocytizing cells are also influenced (Tamber
injectable microspheres are divided into two major et al., 2005). For example, increase in polymer molecular
groups: natural polymers and synthetic polymers. The mass or higher lactic acid content can result in longer deg-
investigations of natural polymers for sustained-release radation times and slower release (Jiang et al., 2005).
injectable microspheres have focused on proteins (e.g. Molecular mass and monomer ratio can be served as two
albumin (Porta et al., 2010), gelatin (Habraken et al., major adjustable factors to achieve an expected sustained-
2009) and collagen (Nagai et al., 2010)) and polysaccha- release behaviour (Hutchinson, 1982). The molecular mass
rides (e.g. starch (Björses et al., 2010), dextran of PLGA often used in microsphere preparation is ranged
(Mohaghegh and Tafaghodi, 2011), cellulose (Shi et al., from 10 to 100 kDa, and the commonly used ratios of lactic
2009) and sodium alginate (Grellier et al., 2009)). The nat- to glycolic focus on 50:50 up to 100:0.
ural polymers exhibit their advantages in controlling When used for injectable microspheres, PLGA is
release behaviours and improving target activities. degraded into oligomers and monomers through the
However, their applications are still limited by large-scale hydrolytic scission of the ester bonds in first stage. In this
commercial manufacturing and difficulties in purification period, a large amount of lactic and glycolic acids are pro-
(Sinha and Trehan, 2003), and the complexity and duced resulting in a significant decline of pH values.
Preparation and evaluation sustained-release injectable microspheres 371
Table 3. The main types of commonly used synthetic polymers for the sustained-release injectable microspheres.
Polyesters
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Polyorthoesters
Polyanhydrides
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Polyamides
Polyalkylcyanoacrylates
Pseudo-polyamino acids
Polyphosphazenes
Therefore, most drugs used with PLGA in injectable micro- Hermeling et al., 2004). PLA is investigated as a drug deliv-
spheres are relatively stable in acidic media. In the second ery biodegradable material as early as 1971 and applied in
stage, the microspheres lose mass and the rate of polymer microsphere research works in early years (Brannon-
chain scission may increase (Fu et al., 2000). Some Peppas, 1995). However, PLA is not able to be appropriate
researchers summarize the two stages as degradation and for encapsulating molecules of virtually any size drugs
erosion (Tamber et al., 2005). The produced lactic and gly- through changing self-characters like PLGA, so the PLA
colic acids are metabolized in the Krebs cycle to CO2 and has a limitation in developing modern sustained-release
water ultimately (Yoo et al., 2005). Nowadays, PLGA micro- injectable microspheres.
spheres have a long safety record, and some sustained- Due to the need for better delivery formulations, various
release products are able to control the release of drugs types of copolymers have been developed. For example,
slowly and continuously from one to four months. PLGA/PEG (poly ethylene glycol) block copolymers have
Despite the excellent biocompatibility and widespread been processed as diblock (PLGA–PEG) or triblock mole-
application of PLGA, some mild inflammatory responses cules with PLGA–PEG–PLGA and PEG–PLGA–PEG types
are reported by some researchers (Gupta et al., 1997; (Jeong et al., 2000; Cheng et al., 2007; Makadia and
372 L. Hu et al.
Siegel, 2011). Better release kinetics from formulations of the emulsion or multiple emulsions are formed in presence
copolymers and the stability of the preparations have been of a suitable emulsifier following the addition of the drug
demonstrated in comparison to PLGA alone, but the addi- into polymer solution. The oil-in-water (O/W) method is
tion of PEG often leads to a reduction of the encapsulation the mostly used single emulsion method in preparing
efficiency. In addition, the triblock copolymers of both microspheres with water-insoluble drugs (Jalil and Nixon,
PLGA–PEG–PLGA and PEG–PLGA–PEG types can also act 1990), and water-in-oil-in-water method is widespread in
as thermogels (Makadia and Siegel, 2011). multiple emulsions for preparing microsphere with water-
Recently, inorganic artificial biomaterials such as bio- soluble drugs like peptides, proteins and vaccines (Genta
ceramics and metallic biomaterials have attracted a lot et al., 2001; Rosas et al., 2001). In addition to the two major
attention for medical applications. Some kinds of glass methods, some special emulsion methods have also been
microspheres and ferrimagnetic ceramic particles have employed for microsphere preparation. For example, the
exhibited great potential in treatment of cancer through oil-in-oil emulsification method has been developed to
via in situ radiotherapy or hyperthermia of cancer. In encapsulating water-soluble drugs in the single emulsion
1980s, Day et al. entrapped the Y2O3–Al2O3–SiO2 glass method (Sánchez et al., 2003); solid-in-oil-in-water, solid-
microspheres into capillary bed of the tumours and the in-oil-in-oil and even solid-in-oil-in-oil-in-water emulsifi-
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90
Y contained in these microspheres could irradiate cation methods have also been developed to avoid dena-
tumour tissue locally by emitting -rays with a half-life of turation in protein drugs (Tobı́o et al., 1999; Wang et al.,
64.1 h (Cianni et al., 2010). In this technique, the invasion 2004; Yuan et al., 2009).
of radiotherapy was significantly decreased. In 1990s, In the second stage, extraction or evaporation is
Kawashita et al. (1999) developed 32P-containing SiO2 employed to remove organic solvent and harden the drop-
glass microspheres for radiotherapy of cancer by implant- lets followed by the particles are harvested, washed and
ing Pþ ions into microspheres at high energy. In this dried or freezing-dried (Freitas et al., 2005). When extrac-
research, colloid particles were replaced by red phospho- tion is used, the emulsion is transferred to a large quantity
rus colloid particles, and the sustained-release effects were quench medium, and then the solvent associated with the
significantly improved. Moreover, Kawashita et al. (2003) oil droplets is diffused out. In evaporation process, emul-
also prepared YPO4 microspheres composed of crystalline sion is exposed to a large amount of water or cosolvent,
For personal use only.
YPO4, which exhibit better effects than Y2O3–Al2O3–SiO2 often under reduced pressure and increased temperature.
glass microspheres. In emulsion methods, the technology can be optimized by
Research in the past several years has indicated that the changing a number of factors in process, including: (a) the
ferromagnetic microspheres possessed significant superi- organic solvent, emulsifier and polymer used; (b) the drug/
orities for embolic hyperthermia treatment of cancer. polymer ratio; and (c) the parameters in emulsification
Fe3O4 and -Fe2O3 was frequently used as ferromagnetic process and extraction or evaporation process. Although
material, such as Fe3O4–SiO2 microspheres (Deng et al., a number of hydrophilic drugs have been successfully
2008), Fe3O4–TiO2 microspheres (Li et al., 2008), Fe3O4– encapsulated by this method, some disadvantages in emul-
C–Au microspheres (Qi et al., 2010) and the microspheres sion methods, such as consuming long time, lower loading
composed of small crystals of -Fe2O3 (Kawashita et al., capacity, poor encapsulation efficiency and large initial
2008). burst release properties, cannot be ignored still.
In addition, some investigators also developed some
kinds of microspheres containing different species of mate-
rials. For example, Habraken et al. (2006) developed an Phase separation
injectable PLGA microsphere/calcium phosphate (CaP)
cement system with sufficient setting/cohesive properties. The phase separation method is also called coacervation,
Results showed that all physical parameters were well in and a brief flow diagram is shown in Figure 2. When com-
range of 10:90–20:80 (PLGA microsphere: CaP cements; pared to emulsion methods, the requirement of solvents for
Habraken et al., 2006). Despite many other similar reports the polymer is less stringent in concentration and this pro-
about new type materials, there is a long way to go in devel- cess is more suitable for encapsulating water-soluble drugs
oping another classical material like PLGA and PLA. (Andrianov et al., 1998; Lim et al., 2000). In this process, the
water-soluble drugs are dissolved in water and then added
into an organic solution with the polymer to form W/O
Preparation methods emulsions, and water-insoluble drugs can be solubilized
or dispersed in the polymer solution. An organic nonsol-
Emulsion methods vent is then added into the system to achieve the phase
separation, followed by the polymer solvent is gradually
The emulsion methods have been widely used because of extracted from the coacervation phase. This organic non-
the convenience in controlling process parameters, and solvent should be miscible with the polymer solvent and
there is no need for producing with expensive and complex immiscible with the polymer or the drug, such as vegetable
instrument. This process is mainly divided into two major oils and low molecular weight liquid polybutadiene. As a
parts: emulsification and removal procedure; in addition, a result, the soft coacervate droplets are formed to entrap the
brief flow diagram is described in Figure 1. In the first stage, drug. The two-phase system is then transferred into a large
Preparation and evaluation sustained-release injectable microspheres 373
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volume of an organic hardening agent (different from the Spray drying method
former organic nonsolvent) to harden the droplets and
achieve the final microspheres. The second nonsolvent The two methods mentioned above both have fatal weak-
should be volatile and easy to wash the first nonsolvent, ness in large-scale production. Large quantities of organic
such as hexane and heptane. solvent are needed in these methods, and it is difficult to
Several kinetic parameters, such as the phase/organic achieve a favourable encapsulation efficacy. Contrary to
phase volume ratio, stirring rate for the drug dispersion in these methods, the spray drying method is relatively
polymer solution, the addition rate of organic nonsolvent simple and appropriate to large-scale production, involv-
and the used polymer and nonsolvents, are reported to ing mild conditions. Moreover, it has less demand on the
have influence on some aspects of the microencapsulation solubility parameter of drug, polymer and solvents
process. However, due to the absence of emulsion stabi- (Giunchedi et al., 2001; Vehring, 2008). In this process,
lizers in this process, agglomeration is a common problem the polymer is first dissolved in a volatile organic solvent,
in this method (Jain, 2000). and then the drug is dispersed in polymer solution usually
374 L. Hu et al.
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the microspheres are formed as a result of a rapid expan- microspheres are heat-sensitive, moist or dry heat sterili-
sion of SCF solvent. However, this technique is mainly zation is impossible. In addition, the microspheres are typ-
applicable to small molecular weight drugs, because the ically too large to pass through the 0.22 mm sterile filters
drug and the polymer both need sufficiently high solubility (Mohanan et al., 2012). Aseptic technique seems to be
in supercritical CO2. the guarantee for sterility, but it brings significant complex-
In supercritical anti-solvent methods, the drug is first ity and costs to large-scale manufacture. In recent years,
dissolved in an organic solvent and the solution is then sterilization by gamma-irradiation has been widely used in
sprayed into SCF. The quick mass transfer between SCFs this field, especially the PLGA microspheres, which can
and solution reduces the solubility properties, followed by significantly reduce the cost and complexity in aseptic
the drug particles which can be achieved by precipitation technique. However, some reports indicate that the
(Reverchon, 1999). In this technique, the microspheres can gamma-irradiation can increase the risk in changing the
be prepared to meet certain size, shape or porosity by vary- structure of both the drug and polymer, therefore,
ing necessary process parameters of the system. However, the release kinetics and even the pharmaceutical effect
some microspheres produced by anti-solvent methods are may be changed by the influence of gamma-irradiation
puzzled by the problem of residual solvent sometimes. (Montanari et al., 1998; Jain et al., 2011). Take PLGA as
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In addition, sometimes SCO2 can be used as a reaction an example, the ionization phenomena caused by irradia-
medium, in which the coating material synthesizes by a tion can create free radicals and reactive oxygen species
chemical reaction and coats the surface of particles. This from PLGA (Mohanan et al., 2012).
technique is mainly used to prepare nanospheres. Several efforts have been made to reduce the probability
The particles from gas saturated solutions production of ionizing radiation of microsphere preparations. Some
process was a single-step process and has significant researchers demonstrated that the use of low temperatures
advantages over conventional production methods, as it during the gamma-irradiation sterilization process can
requires neither drug particle nor polymer to dissolve in maintain the nature properties of some low molecular
SCO2, no organic solvents are needed, and the SCO2 is of weight drugs in microspheres (Fernandez-Carballido
low consumption. In this method, SCO2 acts as a molecular et al., 2004; Martinez-Sancho et al., 2004). However,
lubricant liquefying the polymer at temperatures signifi- Zbikowska et al. (2006) verified that the low temperatures
For personal use only.
cantly below its glass transition temperature. When were not the guarantee to protect the drug and polymer
exposed to SCO2 in a pressure vessel, the polymers can from undesirable reactions.
liquefy the main drug to be mixed efficiently into the poly- The use of antioxidants has been proved to have effects
mer. The mixture is then depressurized through a nozzle to remove the free radical intermediates or inhibit other
whereby the CO2 evaporates solidifying the polymer oxidation reactions produced by ionizing radiation
around the drug, resulting in the production of micro- (Martinez-Sancho et al., 2004; Mohanan et al., 2012).
spheres (Jordan et al., 2010). Furthermore, Schwach et al. (2003) demonstrated the
inclusion of the active agent in its solid form possessed
more stable properties in the process of gamma-irradiation
Others sterilization. Some researchers also reported that the use of
the three above-mentioned strategies could achieve a
With the development of technology, a number of new better protective effect during the gamma-irradiation ster-
methods and equipments are developed to prepare micro- ilization process (Checa-Casalengua et al., 2012). However,
spheres. Here, the authors give a brief introduction of some there are so many uncertain influences in the process of
widely recognized novel methods: (a) the ultrasonic atom- gamma-irradiation exposure including the known and
ization method, sometimes called ‘‘one-step’’ operation, unknown factors. At the present stage, no other strategies
can produce microspheres in different sizes by changing can replace the gamma-irradiation sterilization except for
the nozzle diameter, vibration frequency and the flow rate aseptic technique, which is one of the core problems to
of the polymer. Therefore, the drug release behaviours can restrict the development of the microsphere technique.
also be controlled by these parameters (Fini et al., 2011).
(b) An electrospray system, including a liquid delivery
system (pump), a needle with high electric potential and Evaluation of sustained-release behaviour
a grounded electrode, is employed for preparing micro-
spheres in various sizes by changing the potential differ- In vitro release
ence of inner and outer needles and the flow rates
(Loscertales et al., 2002). Besides the polymer characteristics, the in vitro release
behaviour is also dependent on dosage form characteris-
tics, such as particle size, morphology, porosity, residual
Sterilization solvents and drug loading rate (Anderson and Shive,
1997; Ertl et al., 1999). The in vitro release of sustained-
To enable the application of the preparations into human release injectable microspheres usually exhibits a typical
or animal settings, the process of sterilization is of signifi- triphasic profile: (a) an initial burst release; (b) a lag
cant importance. As most of the polymers used in phase and (c) an apparent zero-order or approximately
376 L. Hu et al.
Table 5. Advantages and disadvantages of some apparatuses and methods used for sustained-release injectable microspheres.
Shaker Simple equipment and easy operation (a) Loss in volume by sampling
(b) Deposit of degradation products
(c) Aggregation
Centrifugation Simple equipment, easy operation and a small (a) Loss in volume by sampling
amount of medium (b) Difficulty in maintaining sink conditions
(c) Aggregation
Paddle Traditional dissolution apparatus make the (a) Loss in volume by sampling
method more accessible (b) Evaporation of the media in a long assessment
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Flow-through cell (a) In situ monitoring at all times (a) Has not been widespread used
(b) Constantly circulating make it more rea- (b) Polymer degradation may lead to a clogging of the filter
sonable to simulate the in vivo environment
(c) A good IVIVC
(d) Minimum evaporation of the media
zero-order release phase (Zolnik and Burgess, 2007; Mitra described in Table 5; in addition, the advantages and dis-
and Wu, 2010; Rawat et al., 2011). The release kinetics from advantages of each method are also described.
biodegradable polymers are controlled via diffusion, poly-
(a) Shaken method: drug-loaded microspheres are sus-
mer erosion or a combination (Mitra and Wu, 2010).
pended into glass vials containing approximate
For personal use only.
(IVIVC), there is another problem needed to be focused on, increased temperature is based on the stability of the
that is some sustained-release injectable microspheres can drug and the glass transition temperature of the polymer.
provide continuous release for up to several months
in vivo. Therefore, the in vitro release behaviour should
also be tracked as long as several months, in traditional
In vivo release
views and practices, which can bring huge difficulties to
select formulations and establish standards. Recently,
The in vivo assessment consists of not only the release
some researchers have focused on developing accelerated
behaviour, but also some other factors, such as biocompat-
in vitro release test methods aiming to shorten the con-
ibility, undue toxicity and inflammatory response. Three
sumed time and keep a good correlation to normal
stage tissue responses are usually included in vivo:
in vitro or in vivo release behaviours. It is desired that the
(a) local inflammation; (b) thin fibre wall is formed in the
mechanism of drug release should be changed in acceler-
interface between microspheres and organization and (c)
ated release testing so that one-to-one correlations can be
phagocytosis emerges when the microspheres degrade into
established between accelerated and real-time release pro-
certain size (Ali et al., 1994).
files. Therefore, excessively extreme conditions and the
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Table 6. Recent reports about operations in vivo release tests for sustained-release injectable microspheres.
Gefvert et al. (2005) Humans Not mentioned Gluteal intramuscular/20G RisperdalÕ ConstaÕ
Han et al. (2010) Beagle dogs Forelimb veins/3 mL Gluteal area Pingyangmycin/PLGA
Jameela et al. (1998) New Zealand white male Marginal ear vessels/1 mL Gluteal muscle/23G Progesterone/Chitosan
rabbits
Murty et al. (2004) Sprague Dawley rats Tail vein/0.5 mL Subcutaneous injection Octreotide/PLA
Rhee et al. (2011) Rats Tail-vein nicking method/ Intramuscularly into the rat’s Octreotide/PLGA
0.6–0.8 mL quadriceps
Thompson et al. (1997) Swines Not mentioned Subcutaneous injection Rismorelin/PLGA
Woo et al. (2002) Sprague Dawley rats Tail vein Subcutaneously at the back Leuprolide/PLA
of the neck
Vlugt-Wensink et al. (2007) Humans Not mentioned Subcutaneous injection in Human growth hormone/
the abdomen PLGA
Zolnik et al. (2006) Sprague Dawley rats Subcutaneous tissues were Subcutaneous/18G Dexamethasone/PLGA
removed
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intervals turn to be larger with the time increased. suggest that this method may achieve good effects in
Moreover, the sampling time intervals can be over a laboratory conditions, but it is hard to possess signifi-
month after several months, when the micro- cance in building standard due to the individual varia-
spheres with an excellent sustained-release effect. tions. Blood collection method should still be given the
The finish time mainly depends on the detection first consideration to measure the in vivo release behav-
limit of main drugs. iours of sustained-release injectable microspheres.
(c) Rats are most commonly used due to ease of han- Although numerous sites for parental delivery are
dling, and fewer resources needed to maintain rats adopted in previous studies, currently, the marketed prod-
in a study. However, due to the limitation of the
For personal use only.
64, 67, 69 and 71 and then weekly to day 113 (Gefvert same time by a simple linear or an exponential function.
et al., 2005). The calculation of fraction absorbed relies on compart-
Here, the authors point out that some difficulties and mental models; in addition, the Wagner–Nelson method
problems still exist in the studies of in vivo release behav- and Loo–Riegelman method are commonly used to assay
iours of sustained-release injectable microspheres. the fraction absorbed (Wagner and Nelson, 1963; Loo and
Riegelman, 1968). Chu et al. (2006) prepared huperzine A-
(a) Large amount of reports have compared the in vivo
loaded PLGA microspheres by an O/W method, and the
release behaviours among polymers in different
pharmacokinetics research of three different formulations
molecular weights or between different doses,
were measured by five beagle dogs. In vitro release studies
aiming to select a optimize effect with less initial
were conducted in phosphate buffer (pH 7.4) employing a
burst and sustained-release behaviour. However,
shaken method. The Wagner–Nelson procedure and the
some reports merely focus on this point and with
Loo–Riegelman method with the linear trapezoidal rule
no consideration on effect concentration of main
were used to obtain in vivo cumulative release profiles.
drugs. It is meaningless to seek an excellent sus-
The IVIVC was established through the per cent drug
tained-release behaviour without the effect concen-
absorbed (anlysed by Wagner–Nelson procedure and
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