Elmorsy Elsayed A, Saber Sameh, Al-Majdoub Zubida M, Hamad Rabab S, Abdel-Reheim Mustafa Ahmed, Ramadan Asmaa, Alsoqih Norah Suliman, Alharbi Mariam S, Alsaykhan Hamad, Farrag Alshaimaa A, Eissa Hanan, Abdelhady Rasha, Ellethy Abousree T, Khodeir Mostafa M, Elsisi Hossam A, Ahmed Syed Suhail, Kira Ahmed Y
Department of Pharmacology and Toxicology, College of Pharmacy, Qassim University, Buraidah, Saudi Arabia.
Department of Clinical Pharmacology, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Front Pharmacol. 2025 Jun 18;16:1546010. doi: 10.3389/fphar.2025.1546010. eCollection 2025.
This study developed and optimized an innovative oral pH-dependent drug delivery system utilizing rosuvastatin-loaded chitosan nanoparticles (RSV-CSNPs) coated with sodium alginate (ALG). The goal was to protect RSV-CSNPs from degradation in the acidic gastric environment and facilitate targeted sustained release in the colon to address inflammatory bowel disease. Nanoparticles were initially prepared by ionic gelation. A subsequent ALG coating process was optimized using a 2 factorial design. The optimal ALG-coated formulation demonstrated minimal drug loss (0.88% ± 0.09%), desirable particle size (407.2 ± 1.95 nm), and suitable zeta potential (-27.13 ± 1.36 mV). release tests highlighted the superiority of ALG-coated RSV-CSNPs, with significantly reduced RSV release in simulated gastric fluid (6.8% ± 1.06% after 2 h) compared to uncoated nanoparticles (38.45% ± 1.79%), affirming the protective effectiveness of the ALG coating. Extended-release studies at colonic pH (6.8) demonstrated sustained RSV release suitable for colon-specific targeting. assessments in a dextran sodium sulfate (DSS)-induced rat model of colitis revealed that ALG-RSV-CSNPs significantly outperformed both plain RSV and RSV-CSNPs. Treatment notably decreased colonic inflammation, disease severity scores, macroscopic damage, and oxidative stress indicators. Additionally, histopathological analyses showed remarkable restoration of colon tissue integrity, crypt preservation, and mucosal protection in animals treated with ALG-RSV-CSNPs. Mechanistically, ALG-RSV-CSNPs effectively attenuated colitis by significantly inhibiting the HMGB1-triggered RAGE/TLR4-NFκB inflammatory signaling pathway. Treatment resulted in substantial reductions in key inflammatory markers, including HMGB1, RAGE, TLR4 expression, NFκB activity, pro-inflammatory cytokines (TNF-α and IL-6), and apoptosis marker caspase-3. The anti-inflammatory actions were further supported by reduced neutrophil infiltration, lipid peroxidation, and enhanced antioxidant enzyme activities (SOD and GSH levels). The study identified HMGB1, RAGE, TLR4, and NFκB as critical biomarkers predicting disease activity. Correlation analysis highlighted strong positive associations among these markers, underscoring their collective involvement in colitis pathogenesis and emphasizing the multitarget therapeutic efficacy of ALG-RSV-CSNPs. Overall, this study demonstrates that the optimized pH-responsive ALG-coated RSV-CSNPs significantly enhance the therapeutic outcomes of RSV in colonic inflammation through targeted delivery and sustained release. These nanoparticles represent a promising strategy for effectively managing ulcerative colitis and related inflammatory bowel diseases. Future clinical studies are warranted to validate these findings and facilitate translation into human therapeutic applications.
本研究开发并优化了一种创新的口服pH依赖性药物递送系统,该系统利用负载瑞舒伐他汀的壳聚糖纳米粒(RSV-CSNPs)并包裹海藻酸钠(ALG)。目的是保护RSV-CSNPs在酸性胃环境中不被降解,并促进其在结肠中的靶向持续释放,以治疗炎症性肠病。纳米粒最初通过离子凝胶法制备。随后使用二因素设计优化了ALG包衣工艺。优化后的ALG包衣制剂显示出最小的药物损失(0.88%±0.09%)、理想的粒径(407.2±1.95 nm)和合适的zeta电位(-27.13±1.36 mV)。释放试验突出了ALG包衣的RSV-CSNPs的优势,与未包衣的纳米粒相比,其在模拟胃液中的RSV释放显著减少(2小时后为6.8%±1.06%),而未包衣纳米粒为(38.45%±1.79%),证实了ALG包衣的保护效果。在结肠pH值(6.8)下的缓释研究表明,RSV能持续释放,适合结肠特异性靶向。在葡聚糖硫酸钠(DSS)诱导的大鼠结肠炎模型中的评估显示,ALG-RSV-CSNPs明显优于普通RSV和RSV-CSNPs。治疗显著降低了结肠炎症、疾病严重程度评分、宏观损伤和氧化应激指标。此外,组织病理学分析显示,用ALG-RSV-CSNPs治疗的动物的结肠组织完整性、隐窝保存和黏膜保护有显著恢复。从机制上讲,ALG-RSV-CSNPs通过显著抑制HMGB1触发的RAGE/TLR4-NFκB炎症信号通路有效减轻结肠炎。治疗导致关键炎症标志物大量减少,包括HMGB1、RAGE、TLR4表达、NFκB活性、促炎细胞因子(TNF-α和IL-6)以及凋亡标志物caspase-3。中性粒细胞浸润减少、脂质过氧化降低和抗氧化酶活性增强(SOD和GSH水平)进一步支持了其抗炎作用。该研究确定HMGB1、RAGE、TLR4和NFκB为预测疾病活动的关键生物标志物。相关性分析突出了这些标志物之间的强正相关,强调了它们在结肠炎发病机制中的共同参与,并强调了ALG-RSV-CSNPs的多靶点治疗效果。总体而言,本研究表明,优化后的pH响应性ALG包衣的RSV-CSNPs通过靶向递送和持续释放显著提高了RSV在结肠炎症中的治疗效果。这些纳米粒代表了一种有效管理溃疡性结肠炎和相关炎症性肠病的有前景的策略。未来有必要进行临床研究以验证这些发现,并促进其转化为人类治疗应用。
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