Department of Histology and Cell Biology, Faculty of Medicine, Alexandria University, Alexandria, Egypt.
Department of Medical Physiology, Faculty of Medicine, Alexandria University, Alexandria, Egypt.
Drug Deliv. 2022 Dec;29(1):2592-2608. doi: 10.1080/10717544.2022.2105445.
Acute lung injury (ALI) is a life-threatening illness which may progress to chronic pulmonary fibrosis (CPF). Resveratrol (RSV), a natural polyphenol, is known to exert several pharmacological effects on lung injury. However, its physicochemical properties and pharmacokinetic profile limit its clinical applications. In this study, RSV was loaded into lipid nanocapsules (LNCs) aiming to overcome these limitations. RSV-LNCs were prepared by phase inversion method and showed small uniform particle size (∼55 nm, PdI 0.04) with high entrapment efficiency >99%. The efficacy of RSV-LNCs in the prophylaxis against ALI and treatment of CPF was investigated in bleomycin-induced lung injury. For assessment of ALI, rats were administered a single oral dose of RSV (10 mg/kg) either free or as RSV-LNCs 4 h before bleomycin and euthanized 3 days later. For CPF, treatments in the same dose were given daily from days 10-20 after bleomycin and rats were euthanized on day-21. Results showed enhanced beneficial role for RSV-LNCs, compared to RSV, in the prevention of ALI as demonstrated by preservation of pulmonary microscopic and ultrastructural architecture and improvement of pulmonary functions. Analysis of BALF revealed reduction in oxidative stress markers, IL-6 level, leukocytosis and neutrophilia. iNOS and c-caspase 3 immunohistochemical expression and CD68 cells immunofluorescence were inhibited. However, RSV-LNCs failed to show any improvement in oxidative stress, chronic inflammation, apoptosis and collagen deposition in CPF. In conclusion, RSV-LNCs are promising nanoplatforms for mitigating ALI detrimental effects. Future research investigating higher doses and longer durations of treatment is recommended to evaluate RSV-LNCs anti-fibrotic potential in CPF.
急性肺损伤(ALI)是一种危及生命的疾病,可能进展为慢性肺纤维化(CPF)。白藜芦醇(RSV)是一种天然多酚,已知对肺损伤具有多种药理作用。然而,其物理化学性质和药代动力学特征限制了其临床应用。在本研究中,RSV 被载入脂质纳米囊(LNCs)中,旨在克服这些限制。RSV-LNCs 通过相转化法制备,粒径均匀(约 55nm,PdI 0.04),包封率>99%。研究了 RSV-LNCs 对博来霉素诱导的肺损伤的预防和治疗作用。为了评估 ALI,大鼠在博来霉素前 4 小时口服给予 RSV(10mg/kg)游离或作为 RSV-LNCs,3 天后安乐死。对于 CPF,以相同剂量的药物从博来霉素后第 10-20 天每日给药,第 21 天安乐死。结果表明,与 RSV 相比,RSV-LNCs 在预防 ALI 方面具有更好的效果,表现为肺的微观和超微结构保存,肺功能改善。BALF 分析显示氧化应激标志物、IL-6 水平、白细胞增多和中性粒细胞增多减少。iNOS 和 c-caspase 3 免疫组化表达和 CD68 细胞免疫荧光被抑制。然而,RSV-LNCs 未能在 CPF 中显示出对氧化应激、慢性炎症、细胞凋亡和胶原沉积的任何改善。总之,RSV-LNCs 是减轻 ALI 有害作用的有前途的纳米平台。建议进行更高剂量和更长时间治疗的研究,以评估 RSV-LNCs 在 CPF 中的抗纤维化潜力。