Design of bile-based vesicles (BBVs) for hepatocytes specific delivery of Daclatasvir: Comparison of ex-vivo transenterocytic transport, in-vitro protein adsorption resistance and HepG2 cellular uptake of charged and β-sitosterol decorated vesicles
Design of bile-based vesicles (BBVs) for hepatocytes specific delivery of Daclatasvir: Comparison of ex-vivo transenterocytic transport, in-vitro protein adsorption resistance and HepG2 cellular uptake of charged and ?-sitosterol decorated vesicles
Amira A. BoseilaID 0 2
Amal Y. Abdel-Reheem 0 2
Emad B. Basalious 1 2
0 Department of Pharmaceutics, National Organization for Drug Control and Research , Cairo , Egypt
1 Department of Pharmaceutics and Industrial Pharmacy, Faculty of Pharmacy, Cairo University , Cairo , Egypt
2 Editor: Abdelwahab Omri , Laurentian , CANADA
Daclatasvir is a new direct acting antiviral used in treatment of Hepatitis C virus, in an attempt to increase its hepatocytes specificity and uptake. It was encapsulated within bile based vesicles (BBVs) containing egg phosphatidyl choline, cholesterol and sodium deoxycholate fabricated by thin-film hydration method. A D-optimal mixture design was applied to study the effect of formulation variables on vesicular characteristics. The dependent variables picked were the particle size, polydispersity index, zeta potential and entrapment efficiency. The optimized bile based vesicles were subjected for further modifications to prepare miniaturized anionic (ABBVs), cationic (CBBVs) and Sito-G decorated BBVs (SitoGBBVs) to be capable to penetrate liver fenestrae (<200 nm). The aim of the current work is to compare the potential of the ABBVs, CBBVs and Sito-GBBVs loaded with Daclatasvir for stability in simulated biological fluids, ex-vivo intestinal transenterocytic transport, HepG2 cellular uptake and resistance to blood protein adsorption. The miniaturized ABBVs, CBBVs and Sito-GBBVs showed acceptable stability in simulated biological fluids. CBBVs had the highest transenterocytic transport through intestinal membrane. The internalization of CBBVs into HepG2 cells was about 2.1 folds that of ABBVs and 1.45 folds that of SitoGBBVs. ABBVs and Sito-GBBVs showed superior resistance to opsonization compared to CBBVs which showed significant increase in particle size (p>0.05) due to protein adsorption. The miniaturized Sito-GBBVs constitute a promising strategy to overcome key biological barriers facing hepatocytes specific delivery of Daclatasvir.
Data Availability Statement: All relevant data are
within the manuscript and its Supporting
Funding: The authors received no specific funding
for this work.
Competing interests: The authors have declared
that no competing interests exist.
Hepatitis C virus (HCV) infection is the major cause for developing liver cirrhosis and
hepatocellular carcinoma [
]. HCV infection is a global health issue that threats millions of people
worldwide. Anti-HCV therapy currently aims to directly target HCV RNA and viral enzymes
or influence host-virus interactions [
]. HCV is a plus-strand RNA virus encoding a single
polyprotein that is proteolytically cleaved into 10 different parts [
], it?s replication takes place
in cytoplasmic membranous organelles [
]. It is stimulated by a concerted action of HCV
replicase protein [
] together with host cell factors [
]. Recently it has been proclaimed that
NS5A inhibitors block both RNA replication and assembly of HCV particles [
]. Drug under
investigation in this study is Daclatasvir (DAC), a direct-acting antiviral agent that targets the
nonstructural protein encoded by the NS5A protein of HCV [
Conventional vesicular nanocarriers systems showed a promising potential in improving
the bioavailability of several therapeutic agents and immunogenic effect of biological
]. Unfortunately, nanocarriers suffer from several biological obstacles. First of all
conventional vesicles have low stability in the GIT fluids which necessitated the improvement
of their structures . Different research work has exhibited the efficacy of incorporating bile
salts into vesicular bilayer structure to improve their performance after oral administration
]. It may be due to numerous factors including the defensive effect against GIT harsh
conditions, membrane fluidizing capability and physicochemical properties of integrated bile
]. The second biological barrier for nanocarriers to reach blood is their ability to pass
through the gut epithelia. Nanocarriers must adhere to the mucus or possess facilitated
diffusion through it leading to transenterocytic vesicular internalization [
]. The third biological
barrier is blood protein adsorptions on nanocarriers? surface "opsonization" inducing their
uptake by mononuclear phagocyte system (MPS) and excretion [
]. For effective delivery to
hepatocytes, circulating vesicles should have smaller diameter than liver sinusoidal
fenestrations (up to 150?200 nm), for ease extravasation into the space of Disse [
]. BBVs offer the
gastrointestinal track stability required for the delivery of DAC to hepatocytes. However, the
vesicles should be of small particle size and able to transport intact through the intestinal
membrane into the portal circulation and resist to some extent the protein adsorption. Also,
nanocarriers have to be capable for cell internalization through endocytic mechanisms . The
cellular uptake into hepatocytes is mediated through ligand endocytosis or membrane fusion.
The ligand Sito-G was affirmed to be able to promote (Asialoglycoprotein receptor)
ASGPRmediated endocytosis. Also positively charged nanocarriers preferably conveyed to
hepatocytes due to interaction with anionic group of ASGPR binding site followed by membrane
]. To the best of our knowledge, no endeavor has been accounted for comparing
the capability of the anionic, cationic and Sito-G decorated BBVs to overcome the different
biological barriers that encounter the delivery of drug into the liver cells. The optimized
vesicles were tested for in-vitro biological fluids stability, ex-vivo transenterocytic vesicular
internalization through the intestinal membrane and in-vitro cellular uptake using HepG2 cells as
an in-vitro model.
Materials and methods
Daclatasvir (DAC) was kindly gifted by Marcyrl for pharmaceutical industries (Cairo, Egypt).
?-sitosterol ?-D-glucoside (Sito-G), Rhodamine B isothiocyanate (Rh B), stearylamine (SA),
phosphate buffer saline (PBS) and dialysis membrane with 12000?14000 molecular weight
cut-off were purchased from Sigma-Aldrich Chemical Co. (St Louis, MO, USA). Egg
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phosphatidyl choline 90% (EPC) was obtained from Fisher Chemical (UK). Cholesterol 95%
was purchased from Acros Organics (New Jersey, USA). Sodium deoxycholate (SDC) was
purchased from BASF Co. (Florham Park, New Jersey, USA). Triton X-100 was purchased from
Fluka. Potassium dihydrogen orthophosphate, sodium hydroxide and Brij 35 were obtained
from Merck (Darmstadt, Germany). Chloroform HPLC grade, Methanol HPLC grade,
Acetonitrile HPLC grade and ethanol 75% were purchased from CARLO ERBA Reagents (France),
Deionized water from Ultrapure (Type 1) water system (Direct?Q 3 UV) was used for the
preparation of all buffer and water based solutions.
Preparation of DAC-loaded BBVs
DAC-loaded BBVs were prepared by thin film hydration method [
]. DAC (5% w/w of
total lipid weight), EPC, SDC and Cholesterol were dissolved in an organic solvent
(Chloroform and Methanol in ratios 2:1 v/v). This organic solvent mixture was placed in round
bottom flask and attached to a rotary evaporator (BUCHI, Rotavapor R-300, Germany) with a
water bath adjusted at 60?C and reduced pressure 300 mbar, rotating at 120 rpm until the
organic solvent evaporated completely leaving dried lipid thin film. The thin film was then
hydrated by 10 ml deionized water for 1 h at 50?C and 120 rpm to obtain BBVs dispersion.
The prepared BBVs dispersion was sonicated for 3 min in ultrasonic water bath (Crest
ultrasonic, 575DAE, New York) to obtain vesicular dispersion then stored at 4?C until use.
A D-optimal mixture design model was constructed using Design expert software (version
10). The established independent variables, the responses and the formulation trials are
illustrated in Table 1.
Characterization of DAC-loaded BBVs
Measurement of particle size (PS), polydispersity index (PDI) and zeta potential (ZP).
The average PS and PDI of the prepared BBVs were determined by Zetasizer Nano ZS
(Malvern Instruments, Malvern, UK) adopting the dynamic light-scattering mechanism. The ZP
estimation was carried out in deionized water utilizing the same apparatus which observes the
electrophoretic movability of the vesicles in an electrical field [
]. The dispersions were
diluted in a ratio 1:20 with deionized water before measurement. All measurements were
performed in triplicates.
Determination of DAC entrapment efficiency percent (EE %). The prepared BBVs
dispersion was centrifuged at 15000 rpm for 1.5 h at 4?C using cooling ultracentrifuge (Sigma 3K
30, Germany) [
]. The content of the unentrapped DAC in the supernatant was measured
spectrophotometrically (Shimadzu, model UV-2450, Japan) at ?max 316 nm. The EE of DAC
was determined indirectly by subtracting the amount of unentrapped drug in the supernatant
from the total amount of DAC added initially.
Drug EE% was calculated according to the following equation:
Where, Wt symbolizes the total amount of the drug available in the formulation; Wf
symbolizes the amount of the free drug exist in the supernatant [
Formulation optimization of DAC-loaded BBVs. In order to explore the impact of
formulation variables on the characteristics of BBVs, DAC-loaded nanocarriers systems were
prepared as indicated by the D-optimal mixture experimental design utilizing the Design-Expert
software version 10 (Stat-Ease, Inc., Minneapolis, MN). Mixture design is usually applied
when the formulation contains ingredients whose percentage sum is 100%. D-optimal design
was chosen since it minifies the variance related to the estimates of the coefficients in the
model. In this design, the amount of EPC (X1), the amount of cholesterol (X2) and the amount
of SDC (X3) were picked as independent variables. The total concentration of the three
variables was summed to 100%. The investigated responses were: particle size (PS; Y1),
polydispersity index (PDI; Y2), zeta potential (ZP; Y3) and entrapment efficiency percent (EE%; Y4). The
optimization procedures were aiming to accomplish PS (<500 nm), high EE% (>85%) and
PDI (<0.6), and the value of ZP (<-25 mV).
Transmission electron microscopy (TEM). The morphological features of the optimized
DAC-loaded BBVs were visualized via TEM (JEOL, JEM-1230, Tokyo, Japan). One drop of the
prepared dispersion was suitably diluted and adsorbed on a copper grid. The vesicles were
negatively stained with an aqueous solution of phosphotungstic acid (2% w/v) for 5 min and then
air dried at room temperature for 10 min before being inspected.
Preparation of miniaturized charged BBVs and ?-sitosterol decorated
The optimized DAC-loaded BBVs were subjected to further modifications to improve their
internalization and hepatocytes specificity. The particle size of the developed optimized BBVs
(ABBVs) was further reduced by intense sonication of the dispersion of BBVs formed after
hydration using an ultrasonic probe (VCX600, Sonics and Materials, Newtown, CT, USA) at
power input of 100W for 3 min at 60 Amplitude. Miniaturized cationic BBVs (CBBVs) and
?sitosterol decorated BBVs (Sito-GBBVs) were prepared by incorporation of 5% w/w (of the
total lipid weight) of stearylamine and Sito-G, respectively, into the organic solvent during the
preparation of BBVs and using the same sonication power.
Determination of PS, PDI, ZP and EE. These characteristics were evaluated for ABBVs,
CBBVs and Sito-GBBVs as previously mentioned.
Stability of the prepared BBVs in simulated biological fluids. Simulated gastric fluid
(SGF) was prepared using a 34.2 mM NaCl solution in 50 ml deionized water at pH 1.2
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adjusted with 1 M HCl. Pepsin (40 mg) was then added, followed by sodium taurocholate
(2.15 mg) and phosphatidylcholine (0.76 mg) in 50 ml at 37?C [
]. Simulated intestinal fluid
(SIF) was prepared by dissolving 6.8 g potassium dihydrogen orthophosphate in water and pH
was adjusted to 6.8 with 1M NaOH then sodium deoxycholate (5 mM) was dissolved in the
solution at 37?C [
BBVs dispersions (400 ?l) were diluted up to 3.6 ml with SGF or SIF, and then incubated at
37?C for 1 h (SGF) and 4 h (SIF). The stability was assessed by estimating the effect on particle
size distribution and percentage of DAC retained within BBVs formulations [
]. The quality
characteristics of the prepared BBVs were compared to that of vesicular dispersion prepared
with the same composition of the optimized BBVs without SDC (conventional liposomes).
DAC%retained within vesicles ?
EE% after incubation period
EE% before incubation period
In-vitro release study. The in-vitro release study was adopted using a dialysis membrane
of 12000?14000 molecular weights cut?off. Briefly, 1 ml of the different DAC loaded BBVs
containing 1 mg drug, was placed in the dialysis bags tied from both sides with a thread. The
receptor vessel was filled with 50 ml phosphate buffer pH 6.8 with 0.75% Brij 35 [
receptor vessel was kept at 37?0.5?C in a shaker water bath (GLF Shaker 1038, Germany) with
continuous stirring at 100 rpm. Samples of 1 ml were withdrawn at predetermined time
intervals and resubstituted by the same volume of release media. The DAC content was determined
spectrophotometrically at wavelength of 316 nm. The same procedures were performed for a
suspension of DAC in deionized water containing 1 mg/ml drug to compare the in-vitro
release of the developed BBVs with a conventional drug suspension.
Determination of the transenterocytic internalization of BBVs
Animals. The aim of this study was to evaluate the capability of the ABBVs, CBBVs and
Sito-GBBVs for transenterocytic internalization using non-everted gut sac technique.
Experiments were approved by the Research Ethics Committee (REC; PT 1492) at Faculty of
Pharmacy, Cairo University (Cairo, Egypt). Twelve male Wistar rats (200?250 g) were
placed in a temperature and humidity-controlled room (23?C, 55% air humidity) with free
access to water and standard rat chow. Rats were fasted overnight water access was
permitted before the experiment. Rats were sacrificed by spinal dislocation. The small intestine
was removed and washed cautiously with warm (37?C) 0.9% normal saline solution by a
blunt tipped needle syringe, then intestinal pieces (8?0.2 cm long and 0.5?0.5 cm diameter)
were ready [
Experimental protocol. DAC solution (in 0.1N HCL), the ABBVs, CBBVs and
SitoGBBVs (1 ml equivalent to 1 mg of DAC) were filled individually in an intestinal sac via
micropipette 1000 ?l, and the two sides of the intestine were tied firmly with a thread. Each intestinal
sac was tied in the paddle rotating at 50 rpm in a mini-dissolution vessel containing 50 ml of
0.9% saline maintained at 37?C using USP II dissolution apparatus (Hanson Research,
SR8PLUS, USA). Samples (1 ml) were withdrawn from the dissolution vessels at
predetermined time intervals of 0.5, 1, 2, 4 and 8 h and replaced with same volume of fresh medium.
The amount of DAC was determined in the samples both directly after withdrawal and after
dilution of the withdrawn samples (five times with methanol) and sonication for 30 min. The
assay of non-diluted samples represents the amount of drug permeated as free molecules.
However, the assay of methanol-diluted samples represents the amount of drug permeated as
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free and encapsulated forms.
% of transenterocytic internalization
? Total drug permeated ?free and encapsulted?
Total drug permeated
free drug permeated
HPLC determination of DAC. Samples were analyzed by an HPLC method developed
using Agilent 1100 HPLC (Agilent Technologies, Santa Clara, CA, USA) instrument.
Chromatographic separation of the samples was achieved by Zorbax SB, C18, 250 x 4.6 mm, 5 ?m
column (GL Sciences Inc., Torrance, CA, USA). The mobile phase consists of acetonitrile 30%
and buffer 70% (composed of 0.05 M potassium dihydrogen orthophosphate adjusted to pH 3
with orthophosphoric acid). The mobile phase was pumped at flow rate 1 ml/min with UV
detection at 310 nm. The injection volume was 20 ?l and column temperature was kept at
30?C. A calibration curve was constructed within the concentration range of 0.8?20 ?g/ml.
The method has been validated for inter and intraday differences (the equation of linear
regression for the calibration curve was y = 50.005x + 43.892; with coefficient R2 = 0.999, the
calculated C.V. % values of interday and intraday precision were 0.33% and 0.56, respectively).
In-vitro Cytotoxicity on HepG2 cells
HepG2 cells were seeded in Corning 96-well tissue culture plates at a density of (1?105 cell/
cm2). DAC solution, anionic, cationic and Sito-GBBVs were incubated with HepG2 cells for
24 h at different concentrations in serum-free media. After incubation period, the media was
removed and replaced with 100 ?l of neutral red saturated solution. The 96-well plates were
then incubated at 37?C and 5% CO2 for 4 h. Then, media was cautiously removed and the cells
were washed with 150 ?l PBS per well followed by removing the washing solution by gentle
tapping. Measure the absorbance of neutral red extract at 540 nm in a microtiter plate reader
spectrophotometer, using blanks free from cells as a reference [
]. The 50% inhibitory
concentration (IC50), the concentration required to cause toxic effects in 50% of intact cells, was
evaluated by configuring a relation between viable cells and drug concentration.
Cellular drug uptake assay on HepG2 cells
In cell culture flasks, HepG2 cell layers were initially treated with 0.25% trypsin/EDTA in
DMEM (Dulbecco?s Modified Eagle?s medium), then the cells were re-suspended in the cell
culture medium. Cells were then cultured in a 24 well plate at a cell density of 1?104 cells/per
well and incubated in a 5% CO2 incubator at 37?C for 24 h before incubation with drug
]. The cell association assay was carried out at 37?C in Opti-MEM containing DAC
solution or tested DAC loaded BBVs preparations (10?g/ml) so that each well contained the
same absolute amount of DAC. After 8 h, wells were washed with ice-cold PBS three times to
cease incubation. The washed cells were lysed in PBS containing 0.5% Triton X-100, and then
they were vortexed for 3 min. Then, the cell lysate was centrifuged to separate the cellular
debris. The amount of DAC in the cell lysate was quantified by the validated HPLC previously
Confocal laser scanning microscopy imaging
The ABBVs, CBBVs and Sito-GBBVs were prepared using the same method used for
preparing DAC-loaded BBVs; however, Rhodamine B (Rh B) in concentration of 0.5% of the total
lipid substituted DAC in these preparations. Dialysis of the BBVs dispersions was done in
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deionized water using cellulose membrane (cutoff 12000) until clear dialyzed water was
obtained indicating absence of free unentrapped Rh B. HepG2 cells were seeded on a glass
bottom 10 compartments sterile tray. Then the cells were incubated with Rh B loaded BBVs for 2
hours at 37?C. After incubation period, the excess BBVs dispersions were removed by washing
with cold PBS three successive times. Then 100 ?l 75% ethanol (kept at -20?C) was used to fix
the cells for 10 min and washed for three times with cold deionized water before imaging [
Testing protein adsorption resistance of the prepared BBVs in serum
Protein adsorption resistance of DAC loaded BBVs was assessed by determining the alteration
in the particle size following incubation of the BBVs in rat serum for 2 h [
]. Freshly prepared
ABBVs, CBBVs, Sito-GBBVs and conventional liposomes were mixed with rat serum (50%, v/
v in PBS) in a ratio of 1:1 (v/v) and incubated at 37?0.5?C. Dispersions were then checked for
alteration in size after dilution by dynamic light scattering.
The data acquired from different preparations were analyzed for statistical significance by
one-way ANOVA using SPSS statistics program (version 21, SPSS Inc., Chicago, IL) followed
by post hoc multiple comparisons. Differences were considered to be significant at p<0.05.
Results and Discussion
Formulation optimization of BBVs using D-optimal mixture design
In order to easily develop the optimal BBVs, D-optimal mixture experimental design was
applied in the current study. The amount of EPC (X1), the amount of cholesterol (X2) and the
amount of SDC (X3) were picked as independent variables. The investigated responses were:
particle size (PS; Y1), polydispersity index (PDI; Y2), Zeta-potential (ZP; Y3) and entrapment
efficiency percent (EE%; Y4). The responses of these formulations are summed up in Table 1.
The independent and response variables were correlated using polynomial equation with
statistical analysis through Design-Expert software. The values of the coefficients X1, X2 and X3
are related to the impact of these variables on the responses. A positive sign of coefficient
indicates a synergistic impact while a negative sign indicates an antagonistic impact upon the
response. The larger coefficient indicates that the independent variable has more powerful
effect on the response [
Investigation of preparation variables on the quality characteristics of
Effect on particle size distribution and zeta potential of DAC-loaded BBVs. As
illustrated in Table 1, the particle size of the different preparations of BBVs varied between 269.75
?0.8 nm and 906.9?60.5 nm. It can be concluded that all preparation factors had an effective
impact on the particle size. The approximation of response values of Y1 based on linear model
was the most suitable because its PRESS was the smallest and the values of r2 and adjusted r2
were the highest. By applying ANOVA test, it can be interpreted that the terms X1, X2, and X3
had a significant impact on the PS (p<0.05). Fig 1A shows the contour diagram clarifying the
impact of varying ratios of (X1), (X2) and (X3) on the PS of BBVs (Y1). The decrease in particle
size as a role of SDC content in vesicles may be attributed to increased flexibility and lowered
surface tension of the vesicles [
]. On the contrary, Cholesterol and EPC had a
significant positive impact on particle size this could be ascribed to the increase in the
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Fig 1. Contour plots of the impact of variables on the vesicle size (Y1) (a), PDI (Y2) (b), ZP (Y3) (c) and EE (Y4) of BBVs preparations and Overlay plot for the impact
of different variables on the responses.
lipophilicity and structure of the bilayer causing the development of stable vesicles
consequently increasing the space required for hydrophobic drug encapsulation .
The PDI of the developed BBVs varied between 0.42?0.02 and 0.79?0.03 as shown in
Table 1. The approximation of response values of Y2 based on reduced quadratic model was
the most appropriate as its PRESS was the smallest and the values of r2 and adjusted r2 were
the highest. ANOVA of the impact of variables on PDI of BBVs (Y2) outlined that all
preparation variables had a significant impact on this response (p<0.05). The lower PDI indicates that
the population of vesicles particle size is more homogeneously distributed [
]. The interaction
term X1X3 has a significant impact on PDI (p = 0.0078). Fig 1B presents the contour diagram
illustrating the impact of varying ratios of (X1), (X2) and (X3) on the PDI of BBVs (Y2). The
lowest PDI values could be acquired at the intermediate and high values of SDC and also at the
low and intermediate values of EPC.
8 / 19
The ZP of the developed BBVs varied between -36.4?1.7 and -44.8?1.3 mV. The
approximation of response values of Y3 based on reduced quadratic model was the most adequate.
ANOVA of the impact of variables on ZP of BBVs (Y3) showed that all preparation variables
had a nonsignificant impact on this response (p>0.05). Fig 1C presents the contour diagram
clarifying the impact of varying ratios of (X1), (X2) and (X3) on the ZP of BBVs (Y3). The
vesicles? surface charge affects the stability of the preparation. High positive or negative ZP values
increase the repulsive forces which enhances the physical stability of the BBVs dispersion. The
incorporation of EPC and SDC in the bilayer shell of the vesicles is responsible for imparting
the high negative charge.
Effect on entrapment efficiency of DAC in BBVs. As illustrated in Table 1, the EE of the
different preparations of BBVs varied between 82.4?2.4% and 98.2?3.2%. The approximation
of response values of Y4 based on reduced cubic mixture model was the most adequate.
ANOVA of the impact of variables on EE of BBVs (Y4) showed that all formulation variables
and the interaction terms X1X2 and X2X3 had significant effects on this response (p<0.05). Fig
1D illustrates the contour diagram showing the impact of varying ratios of (X1), (X2) and (X3)
on the EE of BBVs (Y4). The high values of EE (> 82%) for all preparations of DAC-loaded
BBVs could be interpreted based on the characteristics of the drug and the preparation
components. DAC is highly lipophilic, so it can be encapsulated easily in the bilayer of the
phospholipids. EPC is a mixture of saturated and unsaturated acyl chains with a transition temperature
below 0?C. The presence of the unsaturated phospholipids enhances the fluidity of the resulted
bilayer and may provide more space for the solubilization of lipophilic drugs [
could improve entrapment efficiency of DAC although this process is phosphatidyl choline
dependent through increasing the flexibility of the bilayer, and improving the solubility of
highly lipophilic agents in the bilayer [
]. Cholesterol enhances the incorporation of the
lipophilic agents by increasing the hydrophobicity of the interfacial region and decreasing the
permeability of the liposomal bilayer [
These results could be confirmed by the sign and values of the coefficient of independent
variables in the regression equations for the given responses (Table 2).
Formulation optimization of DAC-loaded BBVs. The purpose of pharmaceutical
preparations optimization is to define the variable levels from which a robust product with
acceptable quality features can be fabricated. Some of the assessed responses should be kept at a
minimum. In our study, these responses include the particle size (<500 nm) and PDI (<0.6).
Some other responses, such as the EE (>85%) and ZP (<-25 mV) should be maximized to
ensure reproducible upscaling and physical stability, respectively. The control methodology of
the optimized BBVs was resolved to maintain procedure performance and output quality. The
control space (or common used ranges) is set as the upper and lower limits for the preparation
and procedure variables between which the parameters are routinely monitored during
production so as to guarantee reproducibility. The control space should be within the design
space. If the control space range is smaller than the design space, the procedure is then
considered robust. In this case, the ideal operating ranges of the preparation variables (amount of
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EPC and the amount of SDC) for robust fabrication of BBVs are < 175 mg and > 20 mg,
respectively (Fig 1E). BBVs loaded-DAC fulfilling these specifications were prepared and
evaluated. An optimum response was found with Y1, Y2, Y3 and Y4 of 294.2?19.4 nm, 0.63?0.04,
-37.7?0.6 mV and 92.4?2.4% at X1, X2 and X3 values of 160.54 mg, 16.8 mg and 22.64 mg,
Morphological examination of the optimized DAC-loaded BBVs
Fig 2 shows TEM micrographs for the morphological examination of the optimized
DACloaded BBVs. The photomicrographs demonstrated that all the prepared nanovesicles were
distinct, non-agglomerated and round in shape. The vesicles size obtained from TEM ranged
from 300?430 nm which is in agreement of the results obtained from PS determination.
Characterization of miniaturized charged BBVs and ?-sitosterol decorated
The method of preparing BBVs was modified by subjecting the dispersion formed after
hydration to sonication using ultrasonic probe for further miniaturization of BBVs below 200 nm to
be able to penetrate the liver sinusoidal fenestrations. CBBVs and Sito-GBBVs were prepared
by incorporation of stearylamine (positive charge inducer) and Sito-G, respectively into the
miniaturized ABBVs to improve their internalization and specificity to hepatocytes.
Nanocarriers systems, particularly liposomes, have been widely investigated for the targeted delivery of
drugs to liver cells for the treatment of hepatic viral diseases [
Fig 2. TEM micrograph of the optimized DAC-loaded BBVs.
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Stability of BBVs in simulated biological fluids
The effect of various biological fluids (SGF and SIF) on vesicular size and % of DAC retained,
within the prepared BBVs, is illustrated in Table 3. The different BBVs containing SDC
retained their vesicular size and PDI. On the other hand, SDC free liposomes showed
significant reduction of vesicular size and an increase of PDI (p<0.05) indicating stability of bile
based vesicles in GIT fluids compared to conventional liposomes. The stability imposed by
BBVs was ascribed to the repulsion between the bile salts available in the vesicular membrane
and the bile salts present in the gut [
]. Incubation in presence of SGF caused significant
reduction (p<0.05) of the entrapped DAC in case of conventional liposomes compared to all
BBVs. The basic nature of DAC could be the primary explanation behind the escape of the
drug from the lipid bilayer of the vesicles especially the readily disrupted layer of the
In-vitro release study
Fig 3 shows the in-vitro release profiles of DAC from prepared suspension, ABBVs, CBBVs
and Sito-GBBVs in phosphate buffer pH 6.8 with 0.75% Brij 35. The release medium was
After incubation with SGF
After incubation with SIF
All values are represented as mean ? SD, (n = 3)
Fig 3. In-vitro release profiles of DAC from drug suspension, the ABBVs, CBBVs and Sito-GBBVs in phosphate buffer pH 6.8 with 0.75% Brij 35.
suggested by FDA dissolution database for the dissolution of DAC tablets as this medium
satisfies the sink condition required for the in-vitro release study [
]. The different preparations of
BBVs showed higher release rate (ranged from 18.2?3.2 to 22.2?1.6% after 8 h) compared to
drug suspension which showed 10.90?0.3% released after 8 h. The high release of DAC from
the vesicular systems could be due to the presence of EPC and SDC which are surface active
materials increasing the solubility and penetration of the free drug. The major disadvantages
of the in-vitro dialysis method are the lack of complete mimicking of in-vivo digestion and
neglecting the chance of vesicular disruption in physiological conditions [
The transenterocytic vesicular delivery of BBVs
The transport of drug from vesicular dispersion through intestinal membrane could be done
in the form of free drug or as the intact vesicles. Several authors have assumed the ability of
entire BBVs to permeate through the stagnant water layer followed by uptake of the vesicles by
membranous epithelial cells (M-cells) in the Payer?s patch [
] and through the
transenterocytic transport and internalization of the vesicles [
]. For effective delivery to hepatocytes after
administration, the intact vesicles should transport the intestinal membrane reaching the
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portal circulation and the liver cells. Then, these vesicles are taken up by liver cells through
endocytosis followed by entry into the cytoplasmic matrix via the endosomal or lysosomal
]. Thus, the first barrier which faces the delivery of drug after oral
administration is the absorption of intact vesicles into the blood. The intestinal permeation of the
different BBVs has been compared to that of DAC solution for the selection of the vesicular system
having the highest transenterocytic internalization. The permeation study was performed
through using non-everted rat intestine in 0.9% saline. Non-everted intestinal sac had
numerous advantages including simple preparation; small drug amount is needed, less intestinal
morphological destruction, and capability for successive sampling from serosal compartment
Fig 4A shows ex-vivo permeation profiles from different BBVs compared to drug solution.
For the determination of the free drug permeated through the intestine, as methanol is capable
to disrupt the vesicle wall releasing the encapsulated drug, the drug was quantified directly in
the samples withdrawn from the receptor compartment either without dilution with methanol
or after dilution with methanol then injected into HPLC for the determination of the total
drug permeated as free form and encapsulated drug permeated through transenterocytic
transport. As illustrated in (Fig 4A) it is obvious that there is a significant difference between the
permeation profiles of the different BBVs preparation through the intestine using non-diluted
and methanol-diluted samples (p<0.05) confirming that most of the drug was transported in
the encapsulated form. Drug solution showed the highest extent of permeation and there is no
significant difference between the permeation profiles of the drug solution through the
intestine using non-diluted and methanol diluted samples (p>0.05) as the drug was permeated in
the free form. From (Fig 4B), it could be inferred that the ABBVs and Sito-GBBVs showed
superior permeation than CBBVs up to 4 h of permeation. This could be due to the content of
free DAC in each formulation system. The free drug is minimal in CBBVs as most DAC is
encapsulated in the lipid bilayer of the vesicles and even the free DAC is adsorbed on the
positively charged surface of the vesicles. The % of transenterocytic vesicular delivery of the
ABBVs, CBBVs, Sito-GBBVs and drug solution are 84.1%, 93.1%, 85.7% and 0.4%,
respectively. Although the CBBVs had the largest vesicular size in the examined BBVs, it showed
superiority in transenterocytic vesicular delivery over other BBVs formulations. Positively
charged BBVs facilitates electrostatic interaction with negatively charged cell membrane
]. Positively charged nanocarriers permeability through gastrointestinal mucous barrier
Fig 4. (a) Cumulative amount permeated per unit area of DAC from ABBVs, CBBVs, Sito-GBBVs and drug solution
through non-everted rat intestine in 0.9% saline at 37?C. Data presented as mean ?SD (n = 3). Dotted line: before
dilution with methanol. Solid line: after dilution with methanol. (b) Percent of transenterocytic BBVs delivered through
intestinal rat epithelial cells.
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is easier than neutral and negatively charged ones due to the presence of negatively charged
proteins in the external surface of gastrointestinal epithelial cells .
In-vitro cytotoxicity and cellular uptake in HepG2 cell line
Cytotoxicity of different concentrations of the tested samples was tested using HepG2 cell line.
The results were used to determine the IC50% values of each formulation of BBVs. So we can
determine the appropriate concentration required for subsequent cellular uptake study. DAC
solution exhibited the highest cytotoxicity against HepG2 with IC50% of 17.2?g/ml. This value
increased to 22?g/ml for ABBVs and 25?g/ml for Sito-GBBVs. While DAC loaded CBBVs
IC50% decreased to 19.7?g/ml.
In order to investigate the specific delivery of the ABBVs, CBBVs, Sito-GBBVs to liver cells
compared to drug solution, the cellular uptake and internalization were tested in HepG2 cells.
DAC internalization into HepG2 cells was evaluated quantitively by HPLC method and by
fluorescence imaging. The cellular uptake study was performed to test the behavior of the
different BBVs formulations in comparison to DAC solution after 8 h incubation with HepG2
cells. The cellular uptake of all BBVs formulation was significantly higher than that of DAC
solution. It was found that the cumulative intracellular concentrations of the ABBVs, CBBVs,
Sito-GBBVs and drug solution after 8 h post incubation were 18.2%, 19.1%, 19.6% and 5.2%
respectively. Comparing these values, it was found that the cellular uptake of the BBVs
formulations was about 3 folds greater than that of drug solution.
To further investigate the internalization of the ABBVs, CBBVs and Sito-GBBVs into
hepatocytes, the internalization of Rh B-loaded ABBVs, CBBVs and Sito-GBBVs after 2 h
incubation with HepG2 cells was determined using fluorescence imaging by CLSM. The fluorescence
intensity was determined using Software ZEN lite from ZEISS Microscopy. Rh B was chosen
as a model lipid-soluble fluorophore to imitate the role of a lipophilic drug incorporated in
]. As illustrated in (Fig 5), the CBBVs images showed highest fluorescence
intensity (5899.2?1145.3) indicating the highest cell internalization. The fluorescence intensity of
CBBVs was significantly higher than that of the ABBVs (2818.8?449.2) and Sito-GBBVs
(4062.5?504.3), (p<0.05). The positively charged nanocarriers are broadly transported to
hepatocytes due to interaction with anionic group of ASGPR binding site [
internalization of Sito-GBBVs was facilitated by Clathrin-mediated endocytosis through interaction
Fig 5. Confocal laser scanning microscopy (CLSM) images of HepG2 cells after incubation with Rh B labelled BBVs
for 2 h at 37?C. (a) ABBVs, (b) CBBVs and (c) Sito-GBBVs.
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Fig 6. Representative bar chart of particle size of DAC loaded ABBVs, CBBVs, Sito-GBBVs and conventional liposomes before and after 2h incubation with rat
of Sito-G with ASGP-receptors on the hepatocytes cells. Sito-G containing BBVs showed
significant higher fluorescence intensity than that of negatively charged BBVs (p<0.05).
Protein adsorption resistance of the prepared BBVs in serum
For evaluation of BBVs stability against protein adsorption, the change in their particle size
after incubation with serum was evaluated [
] as protein adsorption (Opsonization) onto
BBVs makes them more noticeable to phagocytic cells [
]. This regularly facilitates instant
clearance from the circulation system and affects their bio-distribution [
]. Fig 6 shows the
particle size measured after incubation with rat serum for 2 h. The particle size of CBBVs
increased significantly (p<0.05) indicating the adsorption of serum proteins on positive
surfaces forming a ?protein corona? due to the negative nature of proteins [
]. Sito-GBBVs and
ABBVs showed non-significant increases in particle size (p = 0.078 and p = 0.350, respectively)
confirming the capability of both to resist adsorption of protein. Conventional liposomes
showed a significant decrease of particle size (p = 0.023) which might be due to the low
negative zeta potential of liposomes and the emulsifying properties of serum albumin during the
15 / 19
In this study, anionic, cationic and Sito-G decorated bile based vesicles (BBVs) were
successfully prepared. The three formulations of BBVs showed acceptable stability in SGF and SIF
compared to conventional liposomes due to incorporation of bile in the lipid wall of the
vesicles. CBBVs showed superiority in transenterocytic transport through intestinal membrane as
intact vesicles and HepG2 internalization (about 2.1 folds that of the ABBVs and 1.45 folds
that of Sito-GBBVs) but suffered from opsonization in serum which would lead to rapid
clearance by Kupffer cells. The optimum transenterocytic vesicular delivery, resistance to protein
adsorption and HepG2 internalization propose that DAC loaded Sito-GBBVs administered
orally may subsequently constitute an improvement in the treatment of hepatitis C infection.
Further in-vivo studies are presently investigated.
Conceptualization: Amira A. Boseila, Emad B. Basalious.
Data curation: Amira A. Boseila.
Formal analysis: Amira A. Boseila.
Investigation: Amira A. Boseila.
Methodology: Amira A. Boseila.
Project administration: Emad B. Basalious.
Resources: Amal Y. Abdel-Reheem, Emad B. Basalious.
Software: Emad B. Basalious.
Supervision: Amal Y. Abdel-Reheem, Emad B. Basalious.
Validation: Amira A. Boseila, Emad B. Basalious.
Visualization: Amira A. Boseila.
Writing ? original draft: Amira A. Boseila.
Writing ? review & editing: Amal Y. Abdel-Reheem, Emad B. Basalious.
16 / 19
17 / 19
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