Mahendra Singha,
Jovita Kanoujiaa,
Pooja Singha,
Chandra B. Tripathia,
Malti Aryaa,
Poonam Parashara,
Vivek R. Sinhab and
Shubhini A. Saraf*a
aDepartment of Pharmaceutical Sciences, Babasaheb Bhimrao Ambedkar University (A Central University), Vidya Vihar, Raebareli Road, Lucknow-226025, U.P., India. E-mail: shubhini.saraf@gmail.com
bUniversity Institute of Pharmaceutical Sciences, Panjab University, Sector-14, Chandigarh-160014 (UT), India
First published on 10th August 2016
The oral bioavailability of simvastatin (SIM) a 3-hydroxy-3-methylglutaryl coenzyme A reductase (HMG-CoA) inhibitor is about 5%. That may be due to low intestinal permeability and hepatic first pass metabolism (FPM). The objective of the present investigation was to increase the therapeutic efficacy of SIM via developing a soft nanocarrier i.e. a microemulsion to enhance the intestinal permeability in addition to bioavailability. α-Linolenic acid (ALA) was used in the oil phase with Kolliphor EL 40 as surfactant and Transcutol HP as cosurfactant. A microemulsion formulation was developed for the oral delivery of SIM and characterized for physicochemical parameters. The SIM-loaded microemulsion (MES) was investigated for pharmacodynamic and pharmacokinetic parameters to investigate its suitability as a potential drug delivery system for the treatment of Hyperlipidemia in albino Wistar rats. In pharmacodynamic studies, significant differences in parameters were found between the optimized and marketed formulations. Optimized MES showed significantly higher (P < 0.05) Cmax (107.84 ± 8.95 ng ml−1) than marketed tablets (57.65 ± 4.48 ng ml−1). It was found that AUClast obtained from the optimized MES (409.6 ± 22.54 ng h ml−1) was significantly higher (P < 0.01) than the marketed tablet (155.4 ± 12.78 ng h mL−1). The relative bioavailability (Fr) of the optimized formulation was about 263.5% higher than that of the marketed tablets. Optimized MES exhibited no cytotoxicity. Cellular uptake studies confirmed payload delivery to a cellular site (J774.A1 cell line). The results prove that the prepared microemulsion formulation is an improved and effective oral delivery of SIM for the management of lipid levels.
Simvastatin is a BCS class-II drug,1 and its oral absorption is dissolution rate-limited. It is employed to alleviate primary dyslipidemia and hypercholesterolemia. It is a specific and potent competitive inhibitor of HMG-CoA (3-hydroxy-3-methyl-glutaryl coenzyme A) reductase enzyme, which act as a rate-limiting step in cholesterol biosynthesis in the liver.2,3
It also stimulates the hepatic low-density lipoproteins (LDL) receptors, hence increases the breakdown of LDL. Simvastatin, at gastric pH, is stable and remains in a unionized state. However, at intestinal pH, it gets ionized due to which gastrointestinal tract (GIT) absorption is reduced, resulting in low bioavailability. It also has an extensive hepatic first-pass metabolism (FPM) in the liver, which results in low oral bioavailability. The absolute oral bioavailability of simvastatin is ≤5%.4 Around 13% is excreted in urine4 and 60% in feces in unabsorbed form. The half-life of simvastatin is 0.5–3 hours. Half life of a drug might depend on the different factors such as extent of metabolism and genetic variation among individuals. Simvastatin activation requires hydrolysis by carboxyesterases (CYP3A and other enzymes like CYP3A4, CYP2D6 and CYP2C9 present in plasma and liver) which play an important role in its metabolism. The response to simvastatin in different individuals varies depending upon the level of activity of carboxyesterases found in plasma as well as in liver. Therefore, various pharmacokinetic parameters like bioavailability, half-life, and clearance of simvastatin were found to vary. Such an effect is often seen in the statins class of drugs.
As per the data of WHO, cardiovascular diseases (CVDs) are the leading cause of disability and death in developed countries. It has been predicted that CVDs shall become the main cause of mortality in developing countries by 2020. WHO estimates that 17 million people die from CVD annually,5 and that accounts for around 30% of deaths worldwide, including approximately 40% in high-income countries and 28% in low and middle-income countries. Researchers indicated that non-communicable diseases would account for more than three-quarters of deaths worldwide by 2030; in which CVD alone would be responsible for more deaths in low-income countries than infectious diseases.6
Hyperlipidemia is a lipid metabolic disorder (LMD) and a major reason for cardiovascular diseases.7 Nearly twelve million people die every year due to cardiovascular diseases and cerebral apoplexy.8 Instead of CVDs such as atherosclerosis (hardening of blood vessels) and high blood pressure, some other diseases like hypothyroidism, diabetes mellitus, obesity, renal insufficiency (nephrosis-kidney disease) are the secondary diseases which occurs due to hypertriglyceridemia and high total cholesterol level in body.9
Some diseases such as Gaucher disease, Niemann–Pick disease, and Fabry's disease occur due to the accumulation of fat and cholesterol in the spleen, liver, kidney, lungs, bone marrow, brain, autonomic nervous system, eyes and cardiovascular system.10 Hence, it is important to discover better drug delivery to manage triglyceride and total cholesterol levels for better treatment of diseases pertinent to lipid levels.
In recent advancements, nanotechnology has led to the development of nanosized delivery systems to improve the bioavailability hence the therapeutic effectiveness of lipophilic drugs. Lipid-based nanocarriers like microemulsions are beneficial in the enhancement of drug solubility, protection against enzymatic hydrolysis, and increase in absorption due to membrane fluidity and permeability caused by surfactants, hence improvement of bioavailability. Microemulsions are isotropically clear and thermodynamically stable dispersions of two immiscible liquids (oil and water) that get stabilized by an interfacial film of surfactant molecules or surfactant mixture. Research reports suggest that o/w microemulsions (lipid-based nanocarriers) can be used to improve the aqueous solubility, bioavailability and potential delivery system for hydrophobic/poorly water soluble drugs.11,12
The use of α-linolenic acid as an oil phase for microemulsion preparation with synergistic effect of oil in lowering of lipid levels in combination with simvastatin is the novelty of this work. Further, no such study for combined effect of α-linolenic acid and simvastatin microemulsion has been reported till date, to the best of our knowledge.
The major objective of this work was to develop a stable microemulsion system to improve the oral bioavailability of simvastatin and to compare the results of simvastatin-loaded microemulsions with marketed tablet.
For this purpose, firstly the solubility of the drug in different components such as oils, surfactants and co-surfactants was determined. Then, α-linolenic acid (ω-fatty acid) was selected as the oil phase, with Kolliphor EL40 as surfactant and transcutol HP as co-surfactant. Pseudoternary phase diagrams were constructed with the selected components. Then, final microemulsion formulations were prepared from selected pseudo-ternary phase diagrams (Smix ratio 1:1) and evaluated for in vitro release and particle size analysis. Optimized microemulsion formulation was evaluated for ex vivo intestinal permeability and compared with conventional formulations such as oily solution, emulsion, pure drug suspension and marketed tablet, in vivo pharmacodynamic (antihyperlipidemic activity) and pharmacokinetic studies, cell cytotoxicity, cellular uptake and rheology for an effective oral delivery system of simvastatin.
Formulation code | Lipid phase (% w/w) | Smix (1:1) (% w/w) | Water (% w/w) | Particle size and PDI | Drug content (mg ml−1) ± SD | pH | |
---|---|---|---|---|---|---|---|
Particle size (nm) (mean ± SD) | PDI (mean ± SD) | ||||||
MES1 | 10 | 40 | 50 | 149.9 ± 16.8 | 0.315 ± 0.06 | 9.83 ± 0.39 | 6.6 ± 0.09 |
MES2 | 10 | 50 | 40 | 143.1 ± 15.9 | 0.290 ± 0.08 | 9.59 ± 0.48 | 6.6 ± 0.18 |
MES3 | 15 | 40 | 45 | 179.6 ± 18.6 | 0.289 ± 0.06 | 9.62 ± 0.53 | 6.4 ± 0.22 |
MES4 | 15 | 50 | 35 | 157.2 ± 15.7 | 0.261 ± 0.04 | 10.02 ± 0.03 | 6.5 ± 0.14 |
MES5 | 20 | 40 | 40 | 297.1 ± 30.6 | 0.300 ± 0.05 | 9.93 ± 0.25 | 5.8 ± 0.30 |
MES6 | 20 | 50 | 30 | 257.4 ± 35.7 | 0.297 ± 0.06 | 10.01 ± 0.08 | 5.9 ± 0.12 |
Conventional formulations like suspension, oily solution and conventional emulsion, containing an equal amount of SIM were also prepared for the sake of comparison. The particle size of SIM was reduced using pestle mortar, and the 2.0% w/v sodium carboxymethyl cellulose (SCMC) solution added. The mixture was made homogeneous and made up to volume (10 mg mL−1 of suspension). For the preparation of the oily solution, SIM was added to α-linolenic acid (oil) and mixed. The emulsion was prepared by weighing and mixing 30% w/w of α-linolenic acid (oil) and 70% w/w of surfactant (a 5% w/v aqueous solution of Kolliphor EL40). The drug (SIM) was then mixed by agitating at room temperature for 10–15 minutes.
Transmission electron microscopy (H-7500, Hitachi made, Tokyo, Japan) was used to carry out a morphological and structural examination of drug-loaded microemulsion formulation on H7500 machine operating at 100 kV capable of point-to-point resolution. Briefly, 0.5 ml droplets of the microemulsion formulation, stained with 1.0% w/v aqueous solution of phosphotungstic acid (PTA), were directly placed on the copper electron microscopy grids. By using different combinations of bright-field imaging scan at increasing magnification power, the surface morphology and structure of the microemulsion was determined.
Albino Wistar rats (200–250 g) were fasted for around 18 hours with free access to water before performing the experiment. Rats were anesthetized by excessive inhalation of ether. For intestinal permeability, after a midline opening in the abdomen, the small intestine was cut out at two positions: one cut at 4 cm distal from the stomach and another cut at the ileocecal junction. The small intestine (entire part) was vigilantly removed and placed in cold Kreb's Ringer Phosphate buffer (KRPb) and solution ceaselessly aerated with the help of an aerator, before use.
Medial jejunal segments of the small intestine (∼6 cm long part) was used for the ex vivo permeation studies in the present experiments (n = 3). This part was cut and then the circular and longitudinal muscle layers removed carefully without damage of the mucosal layer. This tissue segment was washed (6–8 times) with 5 ml KRPb solution each time, one end ligated with silk thread and carefully everted on the glass rod.
Weight (1 g – glass weight) was tied to the ligated end of the everted gut to create an empty gut sac and to avert peristaltic muscular contractions, which could alter the shape and internal volume of the sac. A 1 g weight was used to maintain required conditions and prevent the sac from thinning. Subsequently, the everted gut sac septum acts as a serosal compartment, filled with 2.0 ml of simulated serosal fluid (KRPb solution). Then it was placed in a bath having 45 ml (acts as mucosal fluid) of the test solution (10 mg mL−1 of formulation) constantly bubbled with atmospheric air (at a rate of 15–20 bubbles per minute) with the help of electrical aerator. The bath containing everted sac was enclosed in an external water jacket to maintain the bath temperature at 37 ± 5 °C.
An aliquot of samples was withdrawn from a serosal compartment at predetermined time intervals (up to 5 hours) and replaced with fresh KRPb solution (maintained at 37 ± 5 °C). Drug concentration was determined spectrophotometrically at 238 nm. The ex vivo permeability of simvastatin was calculated with the help of obtained data.15
Papp (cm s−1) = (dQ/dt)/(A × Co) | (1) |
Animals were divided into five groups (n = 6 animals in each group) i.e. Group I to Group V. Triton X-100 (100 mg kg−1) was freshly prepared in physiological saline solution and administered in a single dose of intraperitoneal injection to induce Hyperlipidemia. After 72 h of Triton injection animals received a defined dose of a standard marketed tablet (SIM), and SIM loaded MES4 for seven days orally. Group I – control animal received CMC (0.5% w/v, p.o.), group II – hyperlipidemic control (Triton X-100, treatment), group III – positive control (SIM – 10 mg per kg per day treated), group IV – dummy formulation (Blank MES4, treatment) and group V – test formulation (SIM loaded-MES4 treatment). On the 8th day, blood samples were collected in tubes by retro-orbital sinus puncture, under mild anesthesia. The collected blood samples were centrifuged (2400 rpm for 10 min) to separate serum and used for various biochemical experiments.
Serum total cholesterol (SC), total serum triglyceride (ST), low-density lipoprotein (LDL), very low-density lipoprotein (VLDL) and high-density lipoprotein (HDL) levels were calculated using commercial kits from Span Diagnostics Ltd, (Gujarat, India) according to the manufacturer's specifications. LDL/HDL ratio, SC/HDL ratio and atherogenic index (AI) were also calculated.
Briefly, in this method liquid–liquid extraction was done using a mixture of acetonitrile:water (60:40) by gradient HPLC (Waters 2489, with UV-Visible Detector). The separation was done with analytical reverse phase column (Spherosorb C18, 250 × 4.6 mm) with a flow rate of mobile phase 1.0 ml min−1. The mobile phase contained a mixture of 0.025 M sodium dihydrogen phosphate (acidic i.e. pH 4.5):acetonitrile (25:75 v/v). For analysis of plasma samples, plasma was mixed with mobile phase, vortexed and centrifuged (5000 rpm, 10 min) and extracted supernatant collected in 2 ml centrifuge tube. The extracted supernatant was dried and reconstituted with the mobile phase, filtered through a 0.22 μm membrane filter and then analyzed by HPLC. Obtained data was treated with the help of software (WinNonlin® Software, Version 1.5) and pharmacokinetic parameters obtained.
The relative bioavailability (Fr) of final optimized microemulsion (test) was calculated with respect to marketed tablet (standard) using the equation:
Fr (%) = AUCtest /AUCstandard × 100 | (2) |
Cytotoxicity (%) = (absorbance of test/absorbance of blank) × 100 | (3) |
The solubility of SIM in Kolliphor EL 40 (surfactants, 86.06 ± 4.75 mg ml−1) and Transcutol P (cosurfactants, 108.35 ± 8.77 mg ml−1) and α-linolenic acid (oil phase, 35.72 ± 3.46 mg ml−1) was found higher compared to other vehicles used in solubility analysis. These components were selected respectively, for the preparation of microemulsion formulations resulting in high drug loading capacity. ALA was selected as oil phase since it had significantly higher drug solubility than olive oil, sesame oil, soyabean oil and almond oil. Drug solubility in oils was in the order: α-linolenic acid > sesame oil > almond oil > soyabean oil > olive oil.
The selection of the oil phase i.e. internal lipid phase is the most significant factor since drug solubility in the formulation depends largely on it.18,19 Thus, selection of a suitable oil, surfactant, and cosurfactant which maximizes drug solubility is necessary to get optimal drug loading.20
Fig. 2 Pseudoternary phase diagrams containing Kolliphor EL40 and Transcutol HP (A) Smix (1:0), (B) Smix (1:1) (C) Smix (2:1). |
That could be owing to less solubilization capacity of oil in the particular ratio of Smix. To minimize potential toxicity of high surfactant content and to avoid gel formation due to the high content of Kolliphor EL40, the Smix ratio of 1:1 was selected.
Further, microemulsion formulation components were selected from the pseudo-ternary phase diagram having largest microemulsion region for a transparent and one phase, low-viscosity microemulsion system.
Microemulsions formed a fine oil-in-water (o/w) system with mere shaking when oil and Smix were added into the aqueous medium. As the free energy involved in forming a microemulsion is very low, the microemulsion formation is spontaneous and thermodynamically stable.21 Since surfactants make a layer around the droplets, hence they lessen the interfacial energy in addition to providing a mechanical barrier to coalescence of the droplets. The visual test measured the evident spontaneity of microemulsion formation.
Microemulsion MES1 and MES2 contained the same quantities of oil (10% w/w), but Smix concentration changed. It was observed that MES1 showed gel-like viscosity while MES2 displayed a lower viscosity and flowability. This could be attributed to high water content and hydrophilic nature of surfactants (Kolliphor EL40 and Transcutol HP) which swell and form continuous structures when mixed in respective ratios. Other microemulsion formulations i.e. MES3 to MES6 were less viscous with better flow properties. It has been observed that when oil concentration increases and water concentration decreases, less viscous microemulsions having better flow properties are formed.
The mean globule size of all the prepared microemulsion formulations containing ALA as oil, Transcutol HP as co-surfactant and Kolliphor EL 40 as a surfactant (Smix in 1:1 ratio), were found to be in the range of 143.1 to 297.1 nm, and PDI values varied from 0.261 to 0.315, respectively. Formulations demonstrated low PDI values, indicating uniform droplet size distribution. The smaller the droplet size larger is the surface area available for partitioning of the drug, which may enhance the rate of intestinal absorption of SIM. Lowest particle size was recorded for MES2 (143.1 ± 15.9 nm) with a PDI of 0.290 ± 0.08. Highest particle size was observed for MES5 (297.1 ± 30.6 nm) with a PDI of 0.300 ± 0.05.
Surface morphology of optimized microemulsion formulation was performed through TEM analysis. Microemulsions revealed spherical globule formation as shown in Fig. 3A. The interphase of oils and Kolliphor EL40 and Transcutol HP displayed a denser region which indicated film formation by Smix, which prevented the globules from coalescence.
Thus, it was concluded that the presentation of simvastatin at the molecular level in the form of the microemulsions formulation led to enhanced solubilization and increased drug release. This finding also supports the hypothesis that nanosized droplets of microemulsion can increase the release of poorly soluble drugs.22
Fig. 4 Apparent permeability (Papp, cm s−1) of SIM-loaded formulations through everted rat gut sac after 1 h. |
The permeability of simvastatin from microemulsion was found to be significantly higher (P < 0.01) when compared to the drug suspension, drug emulsion and oily solution, indicating the effect of nanosized droplets (Fig. 4). It was observed that as globule size decreases, the permeation of drug increases. A SIM-loaded microemulsion showed Papp 4.20 × 10−5 cm s−1, 4.18 × 10−5 cm s−1 and 3.62 × 10−5 cm s−1 for MES2 MES4 and MES6 respectively after 1 h, while conventional formulations showed a maximum Papp of 2.36 × 10−5 cm s−1, 2.88 × 10−5 cm s−1 and 2.69 × 10−5 cm s−1 from drug suspension, emulsion, and oily solution, respectively. Nanosized globules have better interaction with the biological membrane and are able to permeate through intestinal membranes. Based on the apparent permeability, (Paap) MES4 formulation was selected for rheological behavior, cell cytotoxicity, cellular uptake, in vivo pharmacodynamic and pharmacokinetics studies. Since MES4 contains a higher concentration of oil than MES2 and the selected oil also has some extent of lipid lowering activity,23 therefore MES4 was selected for further studies.
The rheological analysis showed that the viscosity was low for prepared microemulsion. It appeared to decrease at low shear rates and remained almost constant at higher shear rates as shown in Fig. 5B, while the flow curves confirmed that the ME system revealed a linear relationship between the shear stress and shear rate, which is a characteristic of newtonian flow (Fig. 5A).25
Fig. 5 Rheology of prepared optimized microemulsion with and without drug: (A) flow behavior and (B) viscosity with respect to shear rate. |
The results confirmed that prepared formulation is discontinuous ME. As reported in the literature, discontinuous MEs display constant viscosity over a wider range of shear rates than bicontinuous MEs.26 As a result of their low viscosity such prepared delivery systems are considered suitable for oral drug delivery.27 The effect of SIM on the microstructures of the MEs was also examined. No change in the linear profile of the flow curves was observed (Fig. 5A), demonstrating that the drug did not influence the flow properties of the prepared microemulsion.
High plasma concentrations of cholesterol, especially those of low-density lipoprotein (LDL) cholesterol, have been illustrated as one of the prime risk factors for atherosclerotic cardiovascular disease and many other ailments.9,10,31 Therefore, the present study was designed to compare the in vivo hypolipidemic activity of the optimized simvastatin loaded microemulsion (MES4) formulation with the marketed tablet suspension. For induction of hyperlipidemia in rats, Triton was used. A significant increment was found in SC, ST, LDL, VLDL levels while HDL level decreased in Triton treated rats when compared with control rats (without Triton treatment).
In vivo results revealed significant activity (P < 0.001, using one-way ANOVA with Dunnet Multiple comparison tests) towards lipid profiles. An increase in HDL level was found in the optimized MES4 (48.933 ± 5.07 mg dl−1) when compared with marketed tablet (29.77 ± 5.351947 mg dl−1). Significant reduction (P < 0.001) in the SC, ST and LDL levels was observed with optimized MES4 with values of (37.23 ± 5.65 mg dl−1), (33.60 ± 4.88 mg dl−1) and (10.07 ± 3.52 mg dl−1) respectively as compared to marketed tablet having values of (54.67 ± 6.03 mg dl−1), (59.33 ± 13.05 mg dl−1) and (27.13 ± 4.16 mg dl−1) respectively and VLDL significantly reduced (P < 0.01) for optimized ME (3.97 ± 2.35 mg dl−1) as compared to marketed tablet suspension (11.87 ± 2.61 mg dl−1). Optimized ME is a simvastatin-loaded microemulsion (containing ω-3-fatty acid as the oil phase, MES4). Optimized ME (MES4) significantly increased the level of HDL while significantly reducing the levels of SC, ST, LDL and VLDL when compared with simvastatin marketed tablet as shown in Fig. 7. That could be attributed to the solubilization of drug leading to increased absorption of the drug and therefore, improved lipid levels. These results indicate that the prepared microemulsion was efficient in controlling lipid levels as compared to marketed tablet suspension.
Some clinical studies revealed that taking of α-linolenic acid (ω-3-fatty acid) as a supplement alters the serum and tissue triglycerides and free fatty acids levels in fasting and postprandial conditions.23 It was found that omega −3 fatty acids decrease hepatic secretion of triglyceride-rich lipoproteins (VLDL and LDL).32,33 There are various studies which report that when ω-3-fatty acid in combination with simvastatin is administered to hypertriglyceridemia patients, non-HDL cholesterol lowered significantly and also reduced the triglycerides and VLDL levels.33–35
Placebo ME (without SIM) showed some extent of anticholesterolemic activity which could be attributed to its ω-3-fatty acid content.32,33 The combination of ω-3-fatty acid and therapeutic agent (simvastatin) as microemulsion can reduce the risk of cardiovascular diseases via regulation of cholesterol.34,36
Various epidemiological and clinical studies have reported that the total cholesterol (SC)/total high-density lipoprotein (HDL) also known as the atherogenic index (AI) and low-density lipoprotein (LDL)/HDL ratios are indicator of cardiovascular risk and monitor the efficacy of lipid-lowering therapies.37–39
In vivo anti-hyperlipidemic studies revealed a significant (P < 0.01) difference in AI ratios as shown in Fig. 7, when the AI of optimised MES4 (0.76 ± 0.112) was compared with marketed tablet (1.88 ± 0.406) and significant difference (P < 0.05) in LDL/HDL ratios were observed, when optimized MES4 (0.206 ± 0.0703) was compared with marketed (0.91 ± 0.0318) tablet (Fig. 7). It was therefore concluded that optimized MES4 significantly reduces AI and LDL/HDL ratios when compared with marketed tablet. A significant reduction in AI and LDL/HDL ratio with prepared formulation could give better protection from cardiovascular risks.38
H/M assay describes the degree of cholesterol synthesis by measuring the activity of enzyme HMG-CoA reductase.16 The H/M ratio was found to be (1.81 ± 0.32) for control, (1.25 ± 0.14) for toxic, (2.95 ± 0.20) for marketed tablet, (4.52 ± 0.19) for optimized MES4 formulation, and (1.41 ± 0.59) for dummy MES4 respectively. In MES4 formulation treated groups, cholesterol synthesis in liver was significantly lower (high H/M ratio) as compared to marketed tablet treated groups (P < 0.001) as shown in Fig. 7.
The plasma concentration and time profile curve for simvastatin after oral administration of the marketed tablet suspension (10 mg Tablet) and SIM-loaded optimized microemulsion (MES4) formulation (Fig. 8) and the pharmacokinetic parameters (WinNonlin software) are presented in Table 2.
Fig. 8 Mean plasma concentration (mean ± SD, n = 6) and time curve of simvastatin after oral administration of microemulsion (MES4) and marketed tablet. |
Pharmacokinetics parameters | Marketed tablet | MES4 formulation |
---|---|---|
a P < 0.01 statistically significant difference in AUClast and AUMClast of optimized MES4 as compared to marketed tablet.b P < 0.05 statistically significant difference in Cmax of optimized ME as compared to marketed tablet. | ||
Tmax (h) | 2.0 | 1.0 |
Cmax (ng ml−1) | 57.65 ± 4.48 | 107.84 ± 8.95b |
AUClast (ng h ml−1) | 155.40 ± 12.78 | 409.46 ± 22.54a |
AUMClast (ng h2 ml−1) | 461.43 ± 30.58 | 1611.56 ± 32.68a |
MRTlast (h) | 2.97 | 3.94 |
Formulation MES4 revealed significantly higher plasma concentration (Cmax, 107.84 ± 8.95 ng ml−1) (P < 0.05, unpaired t-test with Welch correction) compared to marketed formulation (Cmax 57.65 ± 4.48 ng ml−1). The AUClast for MES4 was found to be 409.46 ± 22.54 ng h ml−1, which was significantly higher (P < 0.01, unpaired t-test with Welch correction) than that of marketed formulations (155.40 ± 12.78 ng h ml−1). AUMClast for MES4 was found to be 1611.56 ± 32.68 ng h2 ml−1, which was significantly higher (P < 0.01) than that of marketed formulations (461.44 ± 30.58 ng h2 ml−1). The enhancement in AUC and Cmax could be due to the fact that drug molecules were absorbed faster from the gastrointestinal tract, due to the reduction in globules size, increased surface area for absorption and also increased dissolution rate.
When Tmax of the optimized MES4 formulation was compared with marketed formulation, Tmax of the optimized formulation was observed to be lesser than marketed formulation which could be attributed to faster dissolution rate and higher Tmax could be observed for marketed formulation due to crystalline nature of the pure drug.40
Area under the curve (AUC) for optimized MES4 showed a 2.635-fold improvement from AUC generated after administering marketed tablet formulation, indicating a significant improvement of simvastatin bioavailability when given orally as microemulsion.41
In addition to the surface area of the microemulsion globules, changes in the permeability of the intestinal mucosa due to the presence of surfactant mixture (Kolliphor EL40 and Transcutol HP) and better permeation of simvastatin across the gastric barrier, as well as a decrease in the interfacial tension between the formulation and lipophilic mucosal layers occurred, hence absorption of simvastatin increased. Other components of the microemulsion formulations i.e. α-linolenic acid may be expected to enhance permeation due to interaction with intestinal lipids making them suitable excipients for such formulations.19
The surfactant and co-surfactant (Kolliphor EL40 and Transcutol P) may have contributed to enhancement in permeability of biomembranes or improved affinity between lipid particles and the gut wall. MES4 may adhere to the gut membrane or enter the intervillar spaces thus extending the time of contact in the gastrointestinal tract and may thus modulate intestinal permeability through apically polarized efflux system, leading to enhanced oral bioavailability.42
When the mean residence time (MRT) of the optimized MES4 was compared with marketed tablet, a significant difference was observed which indicated that their elimination time was comparable. The relative bioavailability of the MES4 increased 263.5% with respect to marketed tablet suspension. Thus, there was about 2.635 fold increase in bioavailability of Simvastatin from MES4 which could be attributed to increased surface area due to nanosizing and improved dissolution rate.
Fig. 9 Histopathology of liver A. Control, B. Toxic control, C. Dummy microemulsion, D. Optimized SIM-loaded microemulsion (MES4) and E. Marketed tablet treatment. |
While morphological changes (sinusoidal dilatation, necrosis of hepatocytes) were observed in the toxic control group with wide spaces (Fig. 9B), further investigation on liver tissue of rats treated with dummy optimized microemulsion formulation showed some extent of regaining of sinusoidal dilatation and necrosis of hepatocytes compared with toxic control group liver cells. Liver histopathology of rats treated with optimized placebo microemulsion (Fig. 9C) confirmed mild sinusoidal congestion and wide sinusoidal spaces. The sections of rats treated with drug loaded optimized microemulsion (Fig. 9D) showed more recovery of hepatic architecture with preserved parenchymal structures (darkly stained nucleus, no sinusoidal dilatation, and congestion, no necrosis in hepatocytes) than marketed tablet treated rats (Fig. 9E).
Finally, it was concluded that the experiments could be prudently extrapolated to develop a novel colloidal soft-nanocarriers containing α-linolenic acid as the oil phase, providing appropriate platform technology(ies) for enhancing the oral bioavailability of other BCS class-II drugs, especially those undergoing extensive hepatic first-pass metabolism. Further, there is a need to develop an in vitro and in vivo correlation between the developed and marketed formulation.
In future, instead of cardiovascular disease treatment, this type of delivery system may also be useful to treat various types of ailments such as diabetes, obesity, hypothyroidism, Gaucher disease, and Niemann–Pick disease, which are associated with lipids level.
This journal is © The Royal Society of Chemistry 2016 |