Effect of particle size of dry powder mannitol on the lung deposition in healthy volunteers

There is a lack of in vivo studies focusing on the effect of particle size of dry powder aerosols on lung deposition and distribution. We investigated the dose and distribution of radiolabelled powder aerosols of mannitol in the lungs using single photon emission tomography (SPECT). Three different sized radiolabelled powders were produced by co-spray drying mannitol with Tc-99m-DTPA. The primary particle size distribution of the powders measured by laser diffraction showed a volume median diameter of 2, 3 and 4 mu m with span 2.3, 2.0 and 2.1, respectively, which corresponded to an aerodynamic diameter of 2.7, 3.6, 5.4 mu m and geometric standard deviation of 2.6, 2.4 and 2.7 when the powders were dispersed using an Aeroliser (R) dry powder inhaler. Three capsules each containing approximately 20mg (i.e. a total of 60mg containing 60-90MBq) of each of the radiolabelled powders were inhaled by eight healthy volunteers using the Aeroliser (R) inhaler. Images of aerosol deposition in the lungs were acquired using fast, multi-bed position SPECT. The lung dose markedly decreased with increasing aerosol particle size (mean +/- S.E.M.: 44.8 +/- 2.4, 38.9 +/- 0.9, 20.6 +/- 1.6% for 2.7, 3.6, 5.4 mu m, respectively, p < 0.0001). The sites of deposition of the 2.7 and 3.6 mu m aerosols were similar (penetration index, PI = 0.63 +/- 0.05, 0.60 +/- 0.03, respectively, p > 0.3), but different to the 5.4 mu m aerosols (PI = 0.52 +/- 0.04, p < 0.02). The lung dose followed the in vitro powder dispersion performance, with the % lung dose being related to fine particle fraction by a slope of 0.8 for a regression with intercepts forced through the origin. The SPECT results provide direct evidence that the lung deposition of dry powder aerosols depends on the particle size. The lung dose of the 2.7 and 3.6 mu m aerosols using the Aeroliser (R) was double compared to that of the 5.4 mu m aerosols and the deposition of the smaller particles was more peripheral. (c) 2007 Published by Elsevier B.V..