Department of Pharmaceutics, Faculty of Pharmacy, Minia University, Minia, 61519, Egypt.
Department of Pharmaceutics, Faculty of Pharmacy, Deraya University, Minia, 61111, Egypt.
AAPS PharmSciTech. 2023 Sep 19;24(7):190. doi: 10.1208/s12249-023-02637-1.
A severe form of autoimmune-mediated inflammatory bowel disease (IBD) is termed as ulcerative colitis (UC) which ultimately results in significant mucosal damage and ulceration. Herbal remedies may be employed as an alternative for treatment of UC instead of conventional medications such as Sulfasalazine. Promising natural remedies for the treatment of IBD, including colitis, are propolis extract (PP) and thymoquinone (TQ). This study is aimed at assessing the potential of liposomal formulations of TQ and Egyptian PP in combination therapy on improving their therapeutic efficacy against ulcerative colitis in order to maximize the potential of their beneficial clinical effects. Clinical, biochemical, and histological evaluations of colonic mucosal damage and inflammation were evaluated. The results exhibited a significant increase in tissue MDA, TNFα, and nitrite levels with activation of caspase-3 in the acetic acid-induced colitis group, which is predominantly downregulated in the treatment groups. The prepared formulations of TQ and PP revealed liposomal vesicles in a nanoscale size (192 ± 20.3 and 98.2 ± 20.3 nm, respectively) and accepted stability indicated with a zeta potential of 19.3 ± 0.11 and 17.1 ± 0.25 mV, respectively. They showed an entrapment efficiency of 85.3 ± 12.6% and 69.3 ± 11.8%, respectively. At comparable doses, combination therapy with thymoquinone liposomes and propolis liposomes considerably outperformed free TQ and free PP in reducing inflammation of UC as shown in the present study by clinical, biochemical, and histological evaluations.
一种严重的自身免疫性炎症性肠病(IBD)形式被称为溃疡性结肠炎(UC),它最终会导致严重的黏膜损伤和溃疡。草药疗法可以作为替代传统药物(如柳氮磺胺吡啶)治疗 UC 的方法。用于治疗 IBD(包括结肠炎)的有前途的天然疗法是蜂胶提取物(PP)和百里醌(TQ)。本研究旨在评估 TQ 和埃及 PP 的脂质体制剂在联合治疗中的潜力,以提高其治疗溃疡性结肠炎的疗效,从而最大限度地发挥其有益的临床效果。对结肠黏膜损伤和炎症进行了临床、生化和组织学评估。结果显示,在乙酸诱导的结肠炎组中,组织 MDA、TNFα 和亚硝酸盐水平显著升高,半胱天冬酶-3 被激活,而在治疗组中这些水平明显下调。TQ 和 PP 的制备制剂显示出纳米级别的脂质体囊泡(分别为 192±20.3 和 98.2±20.3nm)和可接受的稳定性,其 zeta 电位分别为 19.3±0.11 和 17.1±0.25mV。它们的包封效率分别为 85.3±12.6%和 69.3±11.8%。在可比剂量下,与游离 TQ 和游离 PP 相比,百里醌脂质体和蜂胶脂质体的联合治疗在减轻 UC 炎症方面表现出了显著的优势,这在本研究中通过临床、生化和组织学评估得到了证实。
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