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. 2022 Mar 3;14(3):563.
doi: 10.3390/pharmaceutics14030563.

Surface-Modified Bilosomes Nanogel Bearing a Natural Plant Alkaloid for Safe Management of Rheumatoid Arthritis Inflammation

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Surface-Modified Bilosomes Nanogel Bearing a Natural Plant Alkaloid for Safe Management of Rheumatoid Arthritis Inflammation

Mohammed H Elkomy et al. Pharmaceutics. .

Abstract

Rheumatoid arthritis (RA) is a chronic inflammatory illness affecting the joints. The characteristic of RA is gradual joint deterioration. Current RA treatment alleviates signs such as inflammation and pain and substantially slows the progression of the disease. In this study, we aimed to boost the transdermal delivery of berberine (a natural product) by encapsulating it in chitosan, surface-modified bilosomes nanogel for better management of the inflammation of RA. The chitosan-coated bilosomes loaded with berberine (BER-CTS-BLS) were formulated according to the thin-film hydration approach and optimized for various causal variables, considering the effect of lipid, sodium deoxycholate, and chitosan concentrations on the size of the particles, entrapment, and the surface charge. The optimized BER-CTS-BLS has 202.3 nm mean diameter, 83.8% entrapment, and 30.8 mV surface charge. The optimized BER-CTS-BLS exhibited a delayed-release profile in vitro and increased skin permeability ex vivo. Additionally, histological examination revealed that the formulated BLS had no irritating effects on the skin. Furthermore, the optimized BER-CTS-BLS ability to reduce inflammation was evaluated in rats with carrageenan-induced paw edema. Our results demonstrate that the group treated with topical BER-CTS-BLS gel exhibited a dramatic reduction in rat paw edema swelling percentage to reach 24.4% after 12 h, which was substantially lower than other groups. Collectively, chitosan-coated bilosomes containing berberine have emerged as a promising therapeutic approach to control RA inflammation.

Keywords: berberine; bilosomes; carrageenan-induced paw edema; chitosan; inflammation; nanogel; rheumatoid arthritis.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
The diagnostic graphs of the response variables models.
Figure 2
Figure 2
RSM plots for the impacts of the independent variables on the response variables concerning the optimization of BER-CTS-BLS.
Figure 3
Figure 3
Ex vivo permeation of berberine from BER-CTS-BLS (optimal formula) and BER solution through rat skin.
Figure 4
Figure 4
In vitro release profile of berberine from BER-CTS-BLS (optimal formula) and BER solution.
Figure 5
Figure 5
Transmission electron microscopy micrograph of the optimized BER-CTS-BLS formulation.
Figure 6
Figure 6
Particle size and entrapment efficiency analysis of the optimized BER-CTS-BLS preparation during three months of storage (4 °C).
Figure 7
Figure 7
Representative histopathological images of untreated rat skin group (a) and BER-CTS-BLS gel treated rat skin group (b).
Figure 8
Figure 8
Percentage swelling in the untreated (Control), CTS-BLS gel (empty nanoparticles), free BER gel, Voltaren® emulgel, and the optimized BER-CTS-BLS formulation group in carrageenan-induced paw edema rat model.

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