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Castangia I, Aroffu M, Allaw M, Perra M, Baroli B, Usach I, Peris JE, Valenti D, Diez-Sales O, Sauri AR, Nacher A, Fernàndez-Busquets X, Manconi M, Manca ML. Beclomethasone loaded liposomes enriched with mucin: A suitable approach for the control of skin disorders. Biomed Pharmacother 2024; 177:116998. [PMID: 38901197 DOI: 10.1016/j.biopha.2024.116998] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2024] [Revised: 05/30/2024] [Accepted: 06/15/2024] [Indexed: 06/22/2024] Open
Abstract
Inflammatory skin disorders are the fourth leading cause of chronic non-fatal conditions, which have a serious impact on the patient quality of life. Due to their treatment with conventional corticosteroids, which often result in poor therapeutic efficacy, relapses and systemic side effects from prolonged therapy, these diseases represent a global burden that negatively impacts the global economy. To avoid these problems and optimize corticosteroid benefits, beclomethasone was loaded into liposome formulations specifically tailored for skin delivery. These formulations were enhanced with mucin (0.1 and 0.5 % w/v) to further ensure prolonged formulation permanence at the site of application. The addition of 0.5 % w/v mucin resulted in the formation of small unilamellar vesicles and multicompartment vesicles. Liposomes and 1mucin-liposomes were smaller (∼48 and ∼61 nm, respectively) and more monodispersed (PI ∼ 0.14 and ∼ 0.17, respectively) than 5mucin-liposomes, which were larger (∼137 nm), slightly polydispersed (PI ∼ 0.23), and less stable during storage (4 months in the dark at 25 °C). Liposomes were negatively charged (∼ -79 mV) irrespective of their composition, and capable of incorporating high amount of beclomethasone (∼ 80 %). In vitro studies on skin fibroblasts and keratinocytes confirmed the high biocompatibility of all formulations (viability ≥ 95 %). However, the use of mucin-liposomes resulted in higher efficacy against nitric oxide production and free radical damage. Finally, topical applications using 12-O-tetradecanoylphorbol-13-acetate-injured skin in vivo experiments showed that only the mucin-enriched formulations could restore healthy conditions within 4 days, underscoring promise as a treatment for skin disorders.
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Affiliation(s)
- Ines Castangia
- Department of Life and Environmental Sciences, University of Cagliari, University Campus, S.P. Monserrato-Sestu Km 0.700, Monserrato, CA 09042, Italy
| | - Matteo Aroffu
- Department of Life and Environmental Sciences, University of Cagliari, University Campus, S.P. Monserrato-Sestu Km 0.700, Monserrato, CA 09042, Italy.
| | - Mohamad Allaw
- Department of Life and Environmental Sciences, University of Cagliari, University Campus, S.P. Monserrato-Sestu Km 0.700, Monserrato, CA 09042, Italy
| | - Matteo Perra
- Department of Life and Environmental Sciences, University of Cagliari, University Campus, S.P. Monserrato-Sestu Km 0.700, Monserrato, CA 09042, Italy
| | - Biancamaria Baroli
- Department of Life and Environmental Sciences, University of Cagliari, University Campus, S.P. Monserrato-Sestu Km 0.700, Monserrato, CA 09042, Italy
| | - Iris Usach
- Department. of Pharmacy and Pharmaceutical Technology and Parasitology, University of Valencia, Valencia, Burjassot 46100, Spain
| | - José Esteban Peris
- Department. of Pharmacy and Pharmaceutical Technology and Parasitology, University of Valencia, Valencia, Burjassot 46100, Spain
| | - Donatella Valenti
- Department of Life and Environmental Sciences, University of Cagliari, University Campus, S.P. Monserrato-Sestu Km 0.700, Monserrato, CA 09042, Italy
| | - Octavio Diez-Sales
- Department. of Pharmacy and Pharmaceutical Technology and Parasitology, University of Valencia, Valencia, Burjassot 46100, Spain; Instituto Interuniversitario de Investigación de Reconocimiento Molecular y Desarrollo Tecnológico (IDM), Universitat Politècnica de València, Universitat de València, Av. Vicent Andrés Estellés s/n, Valencia, Burjassot 46100, Spain
| | - Amparo Ruiz Sauri
- Departamento de Patología, Facultad de Medicina, Universidad de Valencia, Valencia, Spain
| | - Amparo Nacher
- Department. of Pharmacy and Pharmaceutical Technology and Parasitology, University of Valencia, Valencia, Burjassot 46100, Spain; Instituto Interuniversitario de Investigación de Reconocimiento Molecular y Desarrollo Tecnológico (IDM), Universitat Politècnica de València, Universitat de València, Av. Vicent Andrés Estellés s/n, Valencia, Burjassot 46100, Spain
| | - Xavier Fernàndez-Busquets
- Barcelona Institute for Global Health (ISGlobal, Hospital Clínic-Universitat de Barcelona), Rosselló 149-153, Barcelona ES-08036, Spain; Nanomalaria Group, Institute for Bioengineering of Catalonia (IBEC), The Barcelona Institute of Science and Technology, Baldiri Reixac 10-12, Barcelona ES-08028, Spain
| | - Maria Manconi
- Department of Life and Environmental Sciences, University of Cagliari, University Campus, S.P. Monserrato-Sestu Km 0.700, Monserrato, CA 09042, Italy
| | - Maria Letizia Manca
- Department of Life and Environmental Sciences, University of Cagliari, University Campus, S.P. Monserrato-Sestu Km 0.700, Monserrato, CA 09042, Italy
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Shetty K, Sherje AP. Nano intervention in topical delivery of corticosteroid for psoriasis and atopic dermatitis-a systematic review. JOURNAL OF MATERIALS SCIENCE. MATERIALS IN MEDICINE 2021; 32:88. [PMID: 34331599 PMCID: PMC8325647 DOI: 10.1007/s10856-021-06558-y] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/09/2020] [Accepted: 07/07/2021] [Indexed: 05/03/2023]
Abstract
Atopic dermatitis (AD) and psoriasis are highly prevalent, complex, chronic inflammatory skin diseases that immensly affect the patient's quality of life. While there is no definitive cure for these conditions, suppressive medications aim at managing the symptoms of these diseases. The application of emollients accompanied by symptomatic anti-inflammatory therapy consisting of topical corticosteroids (TCS) is extensively employed for controlling the symptoms among general practitioners making this therapeutic class an indispensable pillar of dermatotherapeutics. The first TCS, hydrocortisone (HC) introduced in the early 1950s led to the development of different steroidal moieties of varying potencies by inducing chemical modifications to the basic steroid structure. The wide spectrum of the available range of formulations and potency provides flexibility to treat all patient groups, different phases of the diseases, and different anatomical sites. Conventional TCS therapy suffers from drawbacks such as low drug permeation and retention rate. Thus, novel nanoformulations have been developed to overcome these problems. This review provides an insight into the current state of nanocarrier-mediated topical delivery of corticosteroids monotherapy and combination therapy with special emphasis on targeting psoriasis and AD.
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Affiliation(s)
- Kshitya Shetty
- SVKM's Dr. Bhanuben Nanavati College of Pharmacy, Mumbai, 400 056, India
| | - Atul P Sherje
- SVKM's Dr. Bhanuben Nanavati College of Pharmacy, Mumbai, 400 056, India.
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Altamimi M, Haq N, Alshehri S, Qamar W, Shakeel F. Enhanced Skin Permeation of Hydrocortisone Using Nanoemulsion as Potential Vehicle. ChemistrySelect 2019. [DOI: 10.1002/slct.201902007] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Affiliation(s)
- Mohammad Altamimi
- Department of PharmaceuticsCollege of PharmacyKing Saud University, P.O. Box 2457 Riyadh 11451 Saudi Arabia
| | - Nazrul Haq
- Department of PharmaceuticsCollege of PharmacyKing Saud University, P.O. Box 2457 Riyadh 11451 Saudi Arabia
| | - Sultan Alshehri
- Department of PharmaceuticsCollege of PharmacyKing Saud University, P.O. Box 2457 Riyadh 11451 Saudi Arabia
| | - Wajhul Qamar
- Central LaboratoryCollege of PharmacyKing Saud University, P.O. Box 2457 Riyadh 11451 Saudi Arabia
- Department of Pharmacology and ToxicologyCollege of PharmacyKing Saud University, P.O. Box 2457 Riyadh 11451 Saudi Arabia
| | - Faiyaz Shakeel
- Department of PharmaceuticsCollege of PharmacyKing Saud University, P.O. Box 2457 Riyadh 11451 Saudi Arabia
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Mourtas S, Aggelopoulos CA, Klepetsanis P, Tsakiroglou CD, Antimisiaris SG. Complex hydrogel systems composed of polymers, liposomes, and cyclodextrins: implications of composition on rheological properties and aging. LANGMUIR : THE ACS JOURNAL OF SURFACES AND COLLOIDS 2009; 25:8480-8488. [PMID: 19496549 DOI: 10.1021/la804305z] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
Rheological properties of complex hydrogels containing different amounts of liposomes and/or cyclodextrin (CD) were evaluated. Sonicated unilamellar vesicles (SUV) were loaded in a hydrogel composed of Carbopol 974 NF and hydroxyethylcellulose (Natrosol 250 HX). Phosphatidylcholine (PC) and hydrogenated-PC (HPC) liposomes, both mixed with cholesterol in a 2:1 lipid/chol mol ratio, were used. In some cases, hydroxypropyl-beta-cyclodextrin was also added (100 or 400 mg/mL). Gels were incubated at 40 degrees C/75% humidity for 7 days or 1 month to evaluate the effect of aging on their rheological properties. FTIR and DSC studies were performed to investigate possible interactions between the polymers and CD molecules at different CD concentrations. Static and dynamic rheological measurements were carried out. All gels had shear-thinning behavior (fitted well by the Cross model) with the exception of gels containing high concentrations of CD that were transformed into nonflowing elastic sticky solids, especially after aging. The more pronounced elastic behavior of gels containing 400 mg/mL CD is reflected by the higher values of relaxation strengths over all relaxation times. Complete interaction between polymers and CD, in the high-CD-content gels, as proven by FTIR and DSC studies, explains the dominating contribution of CD on gel characteristics. The addition of liposomes to such CD-containing gels has a substantial effect on their rheological properties, which are dependent on the liposome type (HPC/chol liposomes > PC/chol) and the lipid/CD ratio. This is explained by the "neutralization" of some CD molecules that prefer to interact with chol molecules that they extract from the lipid membranes. Gels with a high CD concentration (400 mg/mL) are almost insensitive to aging, whereas all other gels become slightly more elastic and less viscous as aging proceeds.
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Affiliation(s)
- Spyridon Mourtas
- Laboratory of Pharmaceutical Technology, Department of Pharmacy, School of Health Sciences, University of Patras, 26510 Rio, Greece
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