nano technology is impacting the way medicine is developing ... · web viewtargeting of...

45
Nano Curcumin: Making it useful for human therapy Sitabja Mukherjee 1 , Gopesh Ray 2 , Puneet Gandhi 3 , Santosh K. Kar 2 1 School of Biotechnology, KIIT deemed to be University, Bhubaneswar, Odisha, India 2 Nano Herb Research Laboratory, KIIT Technology Business Incubator, KIIT deemed to be University, Bhubaneswar, Odisha, India 3 Department of Research and Training, Bhopal Memorial Hospital and Research Centre, Bhopal, India Corresponding author: Professor Santosh K. Kar, Nano Herb Research Laboratory, KIIT Technology Business Incubator, Kalinga Institute of Industrial Technology (Deemed University), Bhubaneswar-751024, Odisha, India e-mail : [email protected] , Phone : +919937085111

Upload: others

Post on 11-Aug-2021

2 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: Nano technology is impacting the way medicine is developing ... · Web viewTargeting of liposome-encapsulated drugs to particular cells or tissues can be achieved by covalent attachment

Nano Curcumin: Making it useful for human therapy

Sitabja Mukherjee1, Gopesh Ray2, Puneet Gandhi3, Santosh K. Kar2

1School of Biotechnology, KIIT deemed to be University, Bhubaneswar, Odisha, India

2Nano Herb Research Laboratory, KIIT Technology Business Incubator, KIIT deemed to be

University, Bhubaneswar, Odisha, India

3Department of Research and Training, Bhopal Memorial Hospital and Research Centre, Bhopal,

India

Corresponding author:

Professor Santosh K. Kar,

Nano Herb Research Laboratory, KIIT Technology Business Incubator,

Kalinga Institute of Industrial Technology (Deemed University),

Bhubaneswar-751024, Odisha, India

e-mail : [email protected],

Phone : +919937085111

Page 2: Nano technology is impacting the way medicine is developing ... · Web viewTargeting of liposome-encapsulated drugs to particular cells or tissues can be achieved by covalent attachment

Abstract:

Curcumin, the polyphenolic pigment from turmeric has excellent therapeutic potential but due to

poor aqueous solubility and metabolic instability it has not yet been possible to use it as a drug.

Structure-activity relationship studies have revealed that curcumin can remain in keto-enol

tautomeric forms depending upon the pH of the milleu in which it exists. The keto form is

generated at acidic pH and due to the presence of β-diketone domain in the molecule it has an

active methylene group which is responsible for its anti-oxidative properties. The enol form

becomes a planar molecule due to extensive delocalization of electron from one aromatic ring

to the other through the pi orbital of C=C bonds in the heptadione linkage. It gets degraded to

smaller molecules which have been shown to have therapeutic activity. Molecular interaction

studies have identified the methylene group, the methoxy group and phenol hydroxyl group on

the aromatic rings to be the contact points of curcumin molecule with enzymes and signaling

molecules for inactivating them. The bioavailable forms of curcumin which has been cited in this

review have been formulated using curcumin entrapped or bound to organic nanoparticles,

liposome, phospholipid complexes, nanoemulsions, or polymeric micelles and have been tested

against chronic inflammatory conditions in animal models with remarkable success. As an

alternative approach, we also have prepared nanocurcumin of 200 nm size using anti solvent

precipitation method and observed it to be effective in animal models of cancer, tuberculosis and

hypoxic conditions.

Introduction:

Turmeric prepared from the rhizome of Curcuma longa plant has been used in Indian traditional

system of medicine for centuries for healing wounds, reducing pain and as an anti bacterial

Page 3: Nano technology is impacting the way medicine is developing ... · Web viewTargeting of liposome-encapsulated drugs to particular cells or tissues can be achieved by covalent attachment

agent. But no one had any idea about the component of turmeric which gave it this medicinal

properties till the yellow pigment responsible for the bioactivity was isolated by Vogel Jr in 1842

and it’s chemical structure was identified by Milobedzka and Lampe (1). Subsequently careful

fractionation by Srinivasan in 1953 showed that it consisted of three different molecules namely

curcumin, demethoxy curcumin and bis-demethoxy curcumin (2). Recently a fourth molecule

called cyclocurcumin has been added to this list (Fig. 1) (3).

Development of sensitive methods of separation and mass spectroscopic analysis has now

revealed that turmeric has many more molecules with potential therapeutic use. Except for very

few of them none of those molecules has been studied extensively (4). Once the methods for

isolation of Curcumin from curcuma longa extract was established it became commercially

available and many laboratories from different parts of the world got involved in evaluating its

potential as a therapeutic agent against bacteria, parasites and cancer cells in culture or in animal

models. This generated a large body of interesting data. Knowing that Curcumin has the

potential to reduce inflammation, efforts were made to find out whether Curcumin can be

developed into an adjunct drug to be used in chronic inflammatory diseases like Cancer,

Neurodegenerative diseases and arthritis in humans. It would require testing of the natural

curcumin for determination of its pharmacokinetics and short term as well as long term toxicity

in animals so that clinical trial in humans could be started and if found safe it could be used. Till

date more than 200 clinical trials have been conducted using natural curcumin and it has been

declared as “Generally Recognised as Safe”( GRAS). It was found that an individual can take at

least 12 grams of natural curcumin per day without any toxicity (5). But curcumin is very poorly

soluble in water (400ng/ml) and is metabolically unstable (6) Therefore it could not fulfil the

pharmaceutical requirement of proper absorption, distribution,metabolism,excretion and toxicity

Page 4: Nano technology is impacting the way medicine is developing ... · Web viewTargeting of liposome-encapsulated drugs to particular cells or tissues can be achieved by covalent attachment

( ADMET ) to be developed into a drug. Therefore efforts to make curcumin bioavailable with

greater metabolic stability were taken up on a mission mode (7).

This review will therefore discuss briefly about Curcumin as a molecule and it’s pharmacology

and would highlight efforts that has gone into making it into nano form with better

bioavailability and its activity using cell lines and animal models. We would also point out how

it could be developed into a formulation which can be useful to humans. Since literature is vast

and many excellent reviews have been published recently we would mostly focus on preparation

of nano formulations with improved bioavailability which has been used with some success in

disease models involving cell lines and animal models. We would also mention about the

structural features of Curcumin which makes it an unique molecule, it’s pharmacological

properties and the role the degradation products may be playing in it’s therapeutic activity. We

would highlight our approach where pure curcumin has been used to make nano curcumin of 200

nm size without any carrier which has been used in animal models with equal efficacy and have

better chance of being developed as a therapeutic agent for chronic inflammatory diseases in

humans.

Curcumin the molecule: structure activity relationship

Curcumin,(1,7-bis (4'-hydroxy-3'-methoxyphenyl) hepta-1,6-diene-3,5-dione), the orange yellow

crystalline powder with a molecular weight of 368.38 kDa is an interesting molecule which has

a bis-α,β-unsaturated β-diketone form which exists in equilibrium with its enol tautomer (8). One

form or the other predominates depending upon the pH of the tissue in which it is present (Fig 2).

The keto form is found in acidic or neutral condition and is mostly found embedded into the lipid

bilayer of the cell membrane has the methylene group flanked by two keto groups as well as the

Page 5: Nano technology is impacting the way medicine is developing ... · Web viewTargeting of liposome-encapsulated drugs to particular cells or tissues can be achieved by covalent attachment

phenolic OH groups on the aromatic rings which has been ascribed to make curcumin bioactive

and the enol form which is generated in alkaline condition is degraded fast. This keto-enol-

enolate equilibrium of curcumin determines its physicochemical and antioxidant properties. It is

interesting to note here that when curcumin is present in the enol form both the aromatic rings

present at either end of the molecule can interact with each other through extensive

delocalization of electrons. Due to these structural constraints the aromatic rings at either end of

the molecule will have to be in the same plane and the whole molecule will be planar. Such a

molecule will have the propensity to bind to a large number of proteins circulating in the blood

as it can just slip into the active site of the enzyme or even non specifically into a hydrophobic

cavity in the protein. The keto form will be flexible due to freedom of rotation of c-c bonds

present in the bis-α, β-unsaturated β-diketone form (Fig. 1). The two aromatic rings with

hydroxyl and o-methyl groups can be in different planes and can interact with other molecules

independent of each other. Therefore the keto form can have different physiological properties

than the enol form which has to be a planar molecule.

When curcumin in the native form is administered into the body either orally or by

intraperitoneal injection it is rapidly eliminated from the body due to its low solubility which

leads to diminished absorption and extensive systemic clearance due to its degradation or

metabolic conversion to more water soluble forms and rapid secretion. The curcumin is

enzymatically converted to more soluble forms like glucuronide and sulfate conjugates or

reduced to tetrahydrocurcumin and hexahydrocurcumin glucuronides in the gut of mice, rats or

humans (Fig. 3).

The basic antioxidant activity of curcumin is directly dependent on the presence of hydrogen on

the phenolic groups or on the central-methylene groups . A phenoxy radical can be generated

Page 6: Nano technology is impacting the way medicine is developing ... · Web viewTargeting of liposome-encapsulated drugs to particular cells or tissues can be achieved by covalent attachment

from the phenolic groups present in the curcumin molecule by loss of a proton and similar

reactions can generate a carbon radical from the central methylene group. The stability of the

phenoxy-radical is higher than that of the carbon-radical, but experimental data where curcumin

has been used indicate that both the phenoxy radicals as well as the carbon radicals contribute to

the biological activity of curcumin. The phenoxy or the carbon radicals generated in the

curcumin molecules are resonance stabilized and could be inter-converted through extensive

conjugation. Therefore curcumin can act as a powerful scavenger of different reactive oxygen

species (ROS), such as the hydroxyl radicals, hydrogen peroxide, singlet oxygen, superoxide

anion etc., thereby preventing damage to macromolecules in circulation in the blood or present in

the tissue. Therefore phenolic groups or the active methylene groups are one of the most

important parts of the curcumin molecule. Confirmation of such statement comes from the fact

that after replacing the hydroxyl group by other functional groups, the ability of curcumin to

remove the free radicals is generally lost.

The pharmacology of curcumin molecule: role of degradation products

Curcumin is poorly bioavailable and unstable under the physiologic condition prevalent in the

tissue. So it is very likely that the degradation products of curcumin which are relatively more

water soluble may be responsible for the observed health benefits ascribed to curcumin.

Wang et al. found that 90% of curcumin degraded within 30 min in phosphate buffer at pH 7.4

into various products, identified as trans-6-(4`-hydroxy-3`- methoxyphenyl)-2,4-dioxo-5-hexenal,

ferulic aldehyde, ferulic acid, feruloyl methane, and vanillin (9) (Fig 3) In addition, it is not

clear how curcumin exerts inhibitory effects against so many enzymes, whose binding

pockets cannot bind to curcumin. By analyzing the similarities between the biological

Page 7: Nano technology is impacting the way medicine is developing ... · Web viewTargeting of liposome-encapsulated drugs to particular cells or tissues can be achieved by covalent attachment

activities of curcumin and its degradation products against diseases such as Alzheimer’s

disease and cancer, as well as the preferential inhibition of some enzymes by these

products, it appears that the bioactive degradation products may contribute to the

pharmacological effects of curcumin. But when curcumin enters the body it binds to the

proteins like albumin and fibrinogen circulating in the blood and gets stabilized

(10).Therefore the degradation of curcumin which is observed in the absence of proteins

may not happen that rapidly in the tissue. This possibility should be examined in greater

details for elucidating the pharmacology of curcumin against various diseases.

Nanoformulations of Curcumin: How is it different?

Nano technology is impacting the way medicine is developing by combining nano science

with the technology of drug delivery. It tries to address poor bioavailabilty with targeted

delivery and reduction of organ toxicity. During the past two decades a large number of

methods have been developed to make nano formulations of curcumin. Out of these the

antisolvent precipitation method and ionic gelation methods are emerging to be the two most

efficient and superior techniques. Antisolvent precipitation method is a widely used

technique, where curcumin is dissolved in a solvent which is miscible with water and then

curcumin is precipitated from this solution by adding water while stirring the solution very

vigorously. Ionic gelation technique is based on the capability of polymers to crosslink in the

presence of counter ions. This technique emerged as one of the most promising systems by

using natural polymers that are non-toxic, biocompatible, and biodegradable like chitosan

and alginate. Several studies have described the potential use of such natural polymer

(chitosan/alginate) nanoparticles for oral delivery of curcumin. Literature review suggest that

the antisolvent precipitation-based methods and ionic gelation method resulted in the

Page 8: Nano technology is impacting the way medicine is developing ... · Web viewTargeting of liposome-encapsulated drugs to particular cells or tissues can be achieved by covalent attachment

synthesis of curcumin nanoparticles with better solubility and stability compared to other

techniques. Many studies have reported that the antisolvent precipitation technique is

promising and cost-effective. It provides better solubility and stability of the curcumin

nanoparticles that are produced. This simple to operate technique is easy to apply for the

industrial scale production of drug nanoparticles.

Nanoparticles

Nanoparticles are usually defined as particles of approximately 1–100 nm in diameter which

possess unique physical, chemical, and biological properties which can be used for drug delivery.

Even particles of slightly bigger size can be considered as long as they are suitable for both

controlled and targeted drug delivery purposes. If a drug can be made into such a nano particle it

is excellent but otherwise the intended drug can be encapsulated inside nanoparticles which

can enhance the pharmacokinetics and solubility of the drug, help in targeted delivery and

controlled release of the drugs. In recent times, there has been increase in approved nano-based

pharmaceutical products which are the therapeutic agents themselves, or which act as

vehicles to carry different active pharmaceutical agents into specific parts of the body.

Liposomes

Liposomes are vesicular structures consisting of an aqueous core surrounded with single or multiple

phospholipid bilayers. They may vary in their charge, dimensions, and composition which

arises due to presence of different types of phospholipids. They can be

multilamellar consisting of several concentric bilayers of phospholipids or unilamellar

consisting of only one phospholipid bilayer. Liposomes can be ideal delivery systems for

Page 9: Nano technology is impacting the way medicine is developing ... · Web viewTargeting of liposome-encapsulated drugs to particular cells or tissues can be achieved by covalent attachment

biologically active substances. Targeting of liposome-encapsulated drugs to particular cells

or tissues can be achieved by covalent attachment of monoclonal antibodies. Many studies

have shown that liposome solubilizes curcumin in the phospholipidic bilayer and allows

curcumin to be distributed over the aqueous medium so that it can be delivered into the

target cell after fusion of the liposome with the cell. Extensive studies showed that liposomal

curcumin was the most suitable vehicle to treat various cancer diseases.

Micelles

Ampipathic molecules like lipids and detergents having both polar and non polar regions

spontaneously aggregate in an aqueous solution above a critical concentration to form micelles.

While forming the micelles the polar region of the ampipathic molecule form the outer layer

and remains in contact with water and non polar tails are sequestered in the interior and in this

process they can trap hydrophobic molecules inside. The nature and length of the non polar

tail,the nature and size of the polar head, the temperature at which the aggregates are formed,

the salt concentration and the pH of the aqueous suspension determines what kind of

aggregates will be formed.

Micelles therefore can trap hydrophobic drugs inside and move them across hydrophilic

environment. It has been used to deliver poorly water-soluble drugs like curcumin into the

tissue. The carrying ability of micelles can be altered if parameters determining their size and

shape are changed.

Solid Dispersions

Page 10: Nano technology is impacting the way medicine is developing ... · Web viewTargeting of liposome-encapsulated drugs to particular cells or tissues can be achieved by covalent attachment

Poor aqueous solubility of drugs leading to low bioavailability is the main problem of making

effective drug formulations for therapy. Solid dispersion have become an attractive way to

tackle this problem where a hydrophilic matrix is used to disperse a hydrophobic drug at solid

state to improve its bioavailability. Solid dispersions are usually made through fusion and melt

or solvent-based methods and the bound drugs are released by making nano range colloidal

particles from the solid dispersion in an aqueous media which improves the oral biodistribution

of the drug. Therefore suitable solid dispersions can be used for oral delivery of curcumin.

Conjugates

Use of hydrophilic polymers to disperse a drug molecule to improve bioavailability of the drug

which is known as solid dispersion is quite popular in pharmaceutical industry. But the methods

of making hydrophilic–hydrophobic polymer nanoconjugates and hydrophobic drug-

hydrophilic polymer nanoconjugates have been developed to have alternate strategy for drug

development. The conjugation process induces formation of structures where in aqueous

environment the poorly water-soluble drugs is reduced to nanosize leading to enhanced

bioavailability.

It has been shown that conjugation of curcumin to small molecules or hydrophilic polymers

increase its solubility and oral bioavailability. Therefore curcumin conjugates will be quite

effective in delivering the drug to the target site.

Nanospheres and Microcapsules

As another alternative to solid dispersion or conjugates, polymer-based nanocapsules have

been widely studied as a potential drug delivery system for hydrophobic drugs with poor

Page 11: Nano technology is impacting the way medicine is developing ... · Web viewTargeting of liposome-encapsulated drugs to particular cells or tissues can be achieved by covalent attachment

bioavailability. Nanocapsules provide a unique nanostructure, consisting of a liquid/solid core

and a polymeric shell which will have important role in drug delivery applications. Using

curcumin it has been shown to be quite effective.

Miscellaneous Nanoformulations

Besides what we have discussed till now other nano formulations like nanogels and metallo-

complexes of curcumin can be used to enhance curcumin’s biological activities. A nanogel is

formed by either physical or chemical cross-linking of curcumin with a polymers under

controlled conditions. It can become a structure for storing curcumin and protecting it from

degradation. Curcumin can be released slowly and therefore can be effective.

Therapeutic use of Nanocurcumin in different disease models

Cardiovascular Diseases

Wang et al. (11) designed a self-assembled amphiphilic carbomethylhexanol chitosan (CHC)

nanomatrix with demethoxycurcumin (DMC), with an approach to inhibit the proliferation and

migration of vascular smooth muscle cells (VSMCs); a process that is associated with response

to vascular injury and atherogenesis. In this approach DMC and CHC were solubilized in an

organic solvent::aqueous mixture, from which the organic solvent was slowly removed under

reduced pressure using a rotary vacuum evaporator at room temperature. The modified

amphiphilic chitosan used in the preparation demonstrated the ability to self-associate in contact

with aqueous media to form polymeric nanoparticles and hydrogels and encapsulating the DMC

present in the solution. The drug encapsulated nanomatrix prepared this way was then tested and

Page 12: Nano technology is impacting the way medicine is developing ... · Web viewTargeting of liposome-encapsulated drugs to particular cells or tissues can be achieved by covalent attachment

found to be successful in manipulating the cellular internalization and exerting a controlled

cytotoxic effect on the growth and migration of VSMCs. Carlson et al. (12) demonstrated the

preparation of a polymeric micellar delivery system of curcumin which could mitigate the severe

cardiotoxicity that is associated with Doxorubicin hydrochloride (DOX) treatment, by reducing

apoptosis and reactive oxygen species (ROS) levels in vitro. Pramanik et al. (13) further

confirmed that the curcumin entrapped nano-micellar formulation not only led to amelioration of

doxorubicin-associated cardiomyopathy but also successfully aided in overcoming multidrug

resistance in cancer cells. The mitigation of cardiopathy observed in this study was attributed to

the reduction of DOX induced intracellular oxidative stress in cardiac tissue brought about by the

activity of curcumin present in the nanoformulation. In another study, a preparation comprising

curcumin loaded onto poly(ester amine) nanoparticles was tested by Ding et al. for enhancement

of hydrophilic characteristics and improvement of therapeutic efficacy against angiogenesis in a

transgenic zebrafish model. The study demonstrated the effectiveness of poly(ester amine)

nanoparticles as a suitable curcumin delivery system for efficient anti-angiogenesis therapy (14).

Neurodegenerative diseases

The dysfunctioning of the central nervous system (CNS), brain, or the spinal cord is at the root of

several complex diseases that are observed in humans. Drug delivery at these anatomical sites for

effective therapy requires overcoming the complexity of the blood– brain barrier (BBB). Given

the neuroprotective benefits curcumin is known to exert, one of the more successful strategies in

the attempt for delivering curcumin across the BBB for therapeutic purposes has been to

synthesize apolipoprotein E (ApoE)-derived peptide nanoparticles and incorporate curcumin or

Page 13: Nano technology is impacting the way medicine is developing ... · Web viewTargeting of liposome-encapsulated drugs to particular cells or tissues can be achieved by covalent attachment

suitable derivatives of curcumin onto the synthesized peptide nanoparticles as demonstrated by

Re et al.(15). Curcumin is a molecule that has been studied to possess anti-amyloid-β activities,

which can help prevent the pathological manifestations associated with the development of

Alzheimer’s disease (AD). As a result, successful delivery of curcumin to targeted sites received

great focus and attention. In this context, Sihem et al. attempted to encapsulate curcumin into

biodegradable PLGA–nanoparticles and deliver it to neuronal cells to facilitate internalization of

the molecule inside the cellular environment. The formulation was observed to exert neuro-

protective effects against H2O2- induced elevation of ROS. The curcumin encapsulated PLGA

nanoparticles used in this study was demonstrated to be able to prevent Nrf2 induction in the

presence of H2O2, thereby conferring protection against oxidative damage (16). Apart from

PLGA, curcumin has been formulated using biotin coupling poly(ethylene glycol)ylated

(PEGylated), biodegradable poly(alkyl cyanoacrylate) (17), PEG liposomes with the anti-

transferrin (18), lipid conjugate liposome (19), nanoliposomes (20), PEG–polylactic acid block

co-polymer (20), and click-chemistry-based nanoliposomes (21) and demonstrated to inhibit

aggregation of Aβ and Aβ associated cytotoxicities observable in AD.

Inflammatory Diseases

Inflammatory diseases include a vast array of disorders and conditions that are characterized by

inflammation. Curcumin, for a long time, has been regarded as a strong anti-inflammatory agent

and hence several attempts have been made to develop it into a suitable formulation that can be

employed to treat a variety of inflammation related ailments. In a rat model of inflammation,

gold nanoparticle formulated curcumin was demonstrated to successfully suppress

lipopolysaccharide (LPS)-induced inflammation and cytotoxicity(22). In another study curcumin

Page 14: Nano technology is impacting the way medicine is developing ... · Web viewTargeting of liposome-encapsulated drugs to particular cells or tissues can be achieved by covalent attachment

loaded onto PLGA-Eudragit(®) S100-based nanoformulations was observed to significantly

reduce TNF-α secretion by LPS-activated macrophages (J774 cells) (23). Shukla et al. (24)

showed that treatment with nanoemulsion of curcumin inhibited LPS-induced lung- and liver-

associated injury by minimizing neutrophil migration, TNF-α levels and oxidative stress in rats.

Sun et al. demonstrated exosome-mediated delivery as an approach for delivering curcumin

efficiently to activated myeloid cells for reducing inflammatory damage in vivo, as awell as in a

lipopolysaccharide (LPS)- induced septic shock mouse model) (25). Curcumin-loaded solid lipid

nanoparticles were observed to be beneficial in the treatment for sepsis (26) and for providing

hepatoprotection (27). Arora et al. (28) established an effective curcumin-loaded solid lipid

nanoparticle utility in complete Freund’s adjuvant-induced arthritis rat model. The results in

arthritic rat model showed that treatment with curcumin loaded solid lipid nanoparticles

significantly ameliorated several symptoms that are associated with arthritis in rats which

support the protective effects exerted by this particular form of curcumin nanoformulation.

Nehra et al. (29) demonstrated the therapeutic efficacy of pure nanotized curcumin particles (200

nm average size) in ameliorating hyperbaric hypoxia induced lung injury by modulation of the

Akt/Erk signalling pathway in rat lungs.

Infectious Diseases

Curcumin has been used in several investigations for demonstrating anti microbial activities

against different types of bacteria, fungi, viruses and parasites. Parenteral administration of lipid-

based curcumin nanoparticles in an in vivo model was demonstrated to result in a 2- fold

increase in anti-malarial activity over free curcumin (30). Furthermore, a novel PEGylated

liposome-based curcumin nanoformulation was observed to provide therapeutic benefit in

Page 15: Nano technology is impacting the way medicine is developing ... · Web viewTargeting of liposome-encapsulated drugs to particular cells or tissues can be achieved by covalent attachment

Plasmodium berghei NK-65-infected mice (31). Curcumin bound to chitosan nanoparticles was

demonstrated to be able to inhibit hemozoin synthesis indicating its potential to be developed as

a potent anti-malarial compound. One of the major complications of malaria in humans is the

development of cerebral malaria which results in severe neurological impairments, coma and

death. The pathophysiology of human cerebral malaria is largely reflected in murine models of

cerebral malaria. The efficacy of curcumin in being able to prevent cerebral malaria in mice was

demonstrated by Dende et al. Dende et al. further showed that entrapping curcumin into PLGA

nanoparticles and orally administering into mice infected with P. berghei ANKA enables

prevention of disease pathology in infected mice at fifteen fold lower concentration as compared

to free curcumin owing to the improvement in the bioavilability of curcumin when formulated

into PLGA nanoparticles. Gandapu et al. (32) developed apotransferrin tagged curcumin

nanoparticles by sol–oil chemistry for improved uptake in T cells through transferrin-mediated

endocytosis, which showed a higher anti HIV activity of nanocurcumin (IC(50). Tousif et al.

(33) demonstrated the preparation of nanoparticles of pure curcumin of 200 nm size and its

application in reducing hepatotoxicity associated with isoniazid treatment in M.tb infected mice.

Ahmed et al. (34) demonstrated the use of the same formulation in enhancing the capacity of

BCG to induce central memory T cells of Th1 and Th17 lineages that result in augmentation of

host protective responses against TB infection.

Cancer

Cancer is one of the leading causes of death in human. The most commonly used treatment

options include surgery, chemotherapy, radiation therapy, targeted therapy, immunotherapy,

hyperthermia, photothermic therapy, and other alternative therapies. For solid and metastatic

tumors chemotherapy is the usual choice of treatment but is associated with adverse effects to

Page 16: Nano technology is impacting the way medicine is developing ... · Web viewTargeting of liposome-encapsulated drugs to particular cells or tissues can be achieved by covalent attachment

healthy tissues, leading to organ damage. Use of curcumin and its nanoformulations therefore

play a significant role in enhancing the effectiveness of anti cancer drugs by chemosensitization

of cancer cells. Curcumin nanoformulations significantly internalize inside cancer cells through

endocytosis or receptor-mediated and release curcumin in active form in order to induce its

biological effects (35, 36). Dextran–CCM nanoparticles have been demonstrated to be

significantly taken up in HeLa cells in a selective manner. Maitra et al. have engineered a

curcumin nanoformulation (NanoCurc™) (37–39), developed by a random copolymerization of

N-isopropylacrylamide with N-vinyl-2-pyrrolidone, poly(ethylene glycol)–monoacrylate in the

presence of N,N′-methylenebisacrylamide, ammonium persulfate, ferrous ammonium sulfate,

and tetramethylethylenediamine. This formulation produced micellar aggregates of 50 nm

amphiphilic polymers which release 40% of curcumin at physiological pH. NanoCurc

formulation was demonstrated to possess high systemic bioavailability in plasma and tissues over

free curcumin (37–39). This formulation was demonstrated to inhibit tumor growth by

significantly reducing activation of nuclear factor kappa B (NF-κB), inhibiting the expression of

matrix metalloproteinase-9 (MMP-9) and cyclin D1 I animal models (40-43). Newer approaches

for delivery of curcumin with augmented activity include layer-by-layer deposition of

polyelectrolytes (polystyrene sulfonate/polyallylamine hydrochloride, polyglutamic acid/poly-l-

lysine, dextran sulfate/protamine sulfate, and carboxymethyl cellulose/gelatin loaded with

curcumin formulations) which successfully blocks the hepatocyte growth factor induced

signaling in the breast cancer cell line, MDA-MB-231 (44). Curcumin encapsulation in Eudragit

S100 polymer nanoparticles, which dissolves at colonic pH, was shown to influence cellular

uptake and exhibit a two-fold superior anti-cancer potential in HT-29 human colorectal cell line

(45). Hossain et al. demonstrated that nanoparticles of pure curcumin prepared by a modified

Page 17: Nano technology is impacting the way medicine is developing ... · Web viewTargeting of liposome-encapsulated drugs to particular cells or tissues can be achieved by covalent attachment

solvent co-precipitation method exhibit better bioavailability as compared to ordinary curcumin

and reverses tumour-shed TGF- β-induced Treg cell augmentation in tumour micro environment

(46).

Summary

Even though anti solvent precipation method could produce stable nanocurcumin particles,

numerous attempts to develop delivery strategies involving preparation of curcumin formulations

comprising of organic nanoparticles, liposome, phospholipid complexes, nanoemulsions, or

polymeric micelles which has been referred to as “Nanocurcumin” has been made and tested

against chronic inflammatory conditions in animal models with remarkable success. One issue

which has not received enough attendtion is the role of the degradation products of curcumin in

bringing abaout therapeutic efficacy. This needs to be tested using appropriate models.

As an alternative approach to preparing curcumin bound or entrapped to polymeric nanoparticles

we have prepared pure nano curcumin particles of 200 nm size using anti solvent precipation

method which has been patented and published. Our formulation has enhanced the

bioavailability of curcumin by about 4 to 5 folds without the need of embedding or entrapping

into any carrier matrix but still showing efficacy in animal models. Use of nanoparticles of pure

curcumin provides a better control over Cmax and T1/2 of curcumin in the blood which

determines the therapeutic efficacy of the formulation. The use of nano formulations of

curcumin for therapeutic purposes needs further attention.

Page 18: Nano technology is impacting the way medicine is developing ... · Web viewTargeting of liposome-encapsulated drugs to particular cells or tissues can be achieved by covalent attachment

References :

1. Gupta SC, Patchva S, Koh W, Aggarwal BB. Discovery of curcumin, a component of

golden spice, and its miraculous biological activities. Clin Exp Pharmacol Physiol. 2012

Mar;39(3):283-99. doi: 10.1111/j.1440-1681.2011.05648.x.

2. Srinivasan KR. A chromatographic study of the curcuminoids in Curcuma longa, L. J

Pharm Pharmacol. 1953 Jul;5(7):448-57. doi: 10.1111/j.2042-7158.1953.tb14007.x.

3. Fu M, Chen L, Zhang L, Yu X, Yang Q. Cyclocurcumin, a curcumin derivative, exhibits

immune-modulating ability and is a potential compound for the treatment of rheumatoid

arthritis as predicted by the MM-PBSA method. Int J Mol Med. 2017 May;39(5):1164-

1172. doi: 10.3892/ijmm.2017.2926.

4. Dosoky NS, Setzer WN. Chemical Composition and Biological Activities of Essential

Oils of Curcuma Species. Nutrients. 2018 Sep 1;10(9):1196. doi: 10.3390/nu10091196.

5. Gupta SC, Patchva S, Aggarwal BB. Therapeutic roles of curcumin: lessons learned from

clinical trials. AAPS J. 2013 Jan;15(1):195-218. doi: 10.1208/s12248-012-9432-8.

6. Modasiya MK ,Patel VM. Solubility of curcumin in water. Int. J. of Pharm. & Life Sci.

(IJPLS), Vol. 3, Issue 3: March: 2012, 1490-1497.

7. Yu H, Huang Q. Improving the oral bioavailability of curcumin using novel organogel-

based nanoemulsions. J Agric Food Chem. 2012 May 30;60(21):5373-9. doi:

10.1021/jf300609p.

8. Rega. SA, Arya M, Momin SA. Structure activity relationship of tautomers of curcumin:

A review. Ukrainian Food Technology.2019. DOI: 10.24263/2304- 974X-2019-8-1-6

Page 19: Nano technology is impacting the way medicine is developing ... · Web viewTargeting of liposome-encapsulated drugs to particular cells or tissues can be achieved by covalent attachment

9. Jankun J, Wyganowska-Świątkowska M, Dettlaff K, Jelińska A, Surdacka A, Wątróbska-

Świetlikowska D, Skrzypczak-Jankun E. Determining whether curcumin

degradation/condensation is actually bioactivation (Review). Int J Mol Med. 2016

May;37(5):1151-8. doi: 10.3892/ijmm.2016.2524.

10. Leung MH, Kee TW. Effective stabilization of curcumin by association to plasma

proteins: human serum albumin and fibrinogen. Langmuir. 2009 May 19;25(10):5773-7.

doi: 10.1021/la804215v.

11. Wang YJ, Lin HY, Wu CH, Liu DM. Forming of demethoxycurcumin nanocrystallite-

chitosan nanocarrier for controlled low dose cellular release for inhibition of the migration of

vascular smooth muscle cells. Mol Pharm. 2012 Aug 6;9(8):2268-79. doi:

10.1021/mp300150q

12. Carlson LJ, Cote B, Alani AW, Rao DA. Polymeric micellar co-delivery of resveratrol

and curcumin to mitigate in vitro doxorubicin-induced cardiotoxicity. J Pharm Sci. 2014

Aug;103(8):2315-22. doi: 10.1002/jps.24042.

13. Pramanik D, Campbell NR, Das S, Gupta S, Chenna V, Bisht S, Sysa-Shah P, Bedja D,

Karikari C, Steenbergen C, Gabrielson KL, Maitra A, Maitra A. A composite polymer

nanoparticle overcomes multidrug resistance and ameliorates doxorubicin-associated

cardiomyopathy. Oncotarget. 2012 Jun;3(6):640-50. doi: 10.18632/oncotarget.543.

14. Ding Q, Niu T, Yang Y, Guo Q, Luo F, Qian Z. Preparation of curcumin-loaded

poly(ester amine) nanoparticles for the treatment of anti-angiogenesis. J Biomed

Nanotechnol. 2014 Apr;10(4):632-41. doi: 10.1166/jbn.2014.1829.

Page 20: Nano technology is impacting the way medicine is developing ... · Web viewTargeting of liposome-encapsulated drugs to particular cells or tissues can be achieved by covalent attachment

15. Re F, Cambianica I, Zona C, Sesana S, Gregori M, Rigolio R, La Ferla B, Nicotra F,

Forloni G, Cagnotto A, Salmona M, Masserini M, Sancini G. Functionalization of liposomes

with ApoE-derived peptides at different density affects cellular uptake and drug transport

across a blood-brain barrier model. Nanomedicine. 2011 Oct;7(5):551-9. doi:

10.1016/j.nano.2011.05.004.

16. Doggui S, Sahni JK, Arseneault M, Dao L, Ramassamy C. Neuronal uptake and

neuroprotective effect of curcumin-loaded PLGA nanoparticles on the human SK-N-SH cell

line. J Alzheimers Dis. 2012;30(2):377-92. doi: 10.3233/JAD-2012-112141.

17. Le Droumaguet B, Nicolas J, Brambilla D, Mura S, Maksimenko A, De Kimpe L, Salvati

E, Zona C, Airoldi C, Canovi M, Gobbi M, Magali N, La Ferla B, Nicotra F, Scheper W,

Flores O, Masserini M, Andrieux K, Couvreur P. Versatile and efficient targeting using a

single nanoparticulate platform: application to cancer and Alzheimer's disease. ACS Nano.

2012 Jul 24;6(7):5866-79. doi: 10.1021/nn3004372.

18. Mourtas S, Lazar AN, Markoutsa E, Duyckaerts C, Antimisiaris SG. Multifunctional

nanoliposomes with curcumin-lipid derivative and brain targeting functionality with potential

applications for Alzheimer disease. Eur J Med Chem. 2014 Jun 10;80:175-83. doi:

10.1016/j.ejmech.2014.04.050.

19. Taylor M, Moore S, Mourtas S, Niarakis A, Re F, Zona C, La Ferla B, Nicotra F,

Masserini M, Antimisiaris SG, Gregori M, Allsop D. Effect of curcumin-associated and lipid

ligand-functionalized nanoliposomes on aggregation of the Alzheimer's Aβ peptide.

Nanomedicine. 2011 Oct;7(5):541-50. doi: 10.1016/j.nano.2011.06.015.

Page 21: Nano technology is impacting the way medicine is developing ... · Web viewTargeting of liposome-encapsulated drugs to particular cells or tissues can be achieved by covalent attachment

20. Lazar AN, Mourtas S, Youssef I, Parizot C, Dauphin A, Delatour B, Antimisiaris SG,

Duyckaerts C. Curcumin-conjugated nanoliposomes with high affinity for Aβ deposits:

possible applications to Alzheimer disease. Nanomedicine. 2013 Jul;9(5):712-21. doi:

10.1016/j.nano.2012.11.004.

21. Mourtas S, Canovi M, Zona C, Aurilia D, Niarakis A, La Ferla B, Salmona M, Nicotra F,

Gobbi M, Antimisiaris SG. Curcumin-decorated nanoliposomes with very high affinity for

amyloid-β1-42 peptide. Biomaterials. 2011 Feb;32(6):1635-45. doi:

10.1016/j.biomaterials.2010.10.027.

22. Singh AK, Jiang Y, Gupta S, Younus M, Ramzan M. Anti-inflammatory potency of

nano-formulated puerarin and curcumin in rats subjected to the lipopolysaccharide-induced

inflammation. J Med Food. 2013 Oct;16(10):899-911. doi: 10.1089/jmf.2012.0049.

23. Beloqui A, Coco R, Memvanga PB, Ucakar B, des Rieux A, Préat V. pH-sensitive

nanoparticles for colonic delivery of curcumin in inflammatory bowel disease. Int J Pharm.

2014 Oct 1;473(1-2):203-12. doi: 10.1016/j.ijpharm.2014.07.009.

24. Shukla P, Dwivedi P, Gupta PK, Mishra PR. Optimization of novel tocopheryl acetate

nanoemulsions for parenteral delivery of curcumin for therapeutic intervention of sepsis.

Expert Opin Drug Deliv. 2014 Nov;11(11):1697-712. doi: 10.1517/17425247.2014.932769.

25. Sun D, Zhuang X, Xiang X, Liu Y, Zhang S, Liu C, Barnes S, Grizzle W, Miller D,

Zhang HG. A novel nanoparticle drug delivery system: the anti-inflammatory activity of

curcumin is enhanced when encapsulated in exosomes. Mol Ther. 2010 Sep;18(9):1606-14.

doi: 10.1038/mt.2010.105.

Page 22: Nano technology is impacting the way medicine is developing ... · Web viewTargeting of liposome-encapsulated drugs to particular cells or tissues can be achieved by covalent attachment

26. Wang J, Wang H, Zhu R, Liu Q, Fei J, Wang S. Anti-inflammatory activity of curcumin-

loaded solid lipid nanoparticles in IL-1β transgenic mice subjected to the lipopolysaccharide-

induced sepsis. Biomaterials. 2015 Mar;53:475-83. doi: 10.1016/j.biomaterials.2015.02.116.

27. Singh N, Khullar N, Kakkar V, Kaur IP. Attenuation of carbon tetrachloride-induced

hepatic injury with curcumin-loaded solid lipid nanoparticles. BioDrugs. 2014

Jun;28(3):297-312. doi: 10.1007/s40259-014-0086-1.

28. Arora R, Kuhad A, Kaur IP, Chopra K. Curcumin loaded solid lipid nanoparticles

ameliorate adjuvant-induced arthritis in rats. Eur J Pain. 2015 Aug;19(7):940-52. doi:

10.1002/ejp.620.

29. Nehra S, Bhardwaj V, Bansal A, Saraswat D. Nanocurcumin accords protection against

acute hypobaric hypoxia induced lung injury in rats. J Physiol Biochem. 2016

Dec;72(4):763-779. doi: 10.1007/s13105-016-0515-3.

30. Nayak AP, Tiyaboonchai W, Patankar S, Madhusudhan B, Souto EB. Curcuminoids-

loaded lipid nanoparticles: novel approach towards malaria treatment. Colloids Surf B

Biointerfaces. 2010 Nov 1;81(1):263-73. doi: 10.1016/j.colsurfb.2010.07.020.

31. Isacchi B, Bergonzi MC, Grazioso M, Righeschi C, Pietretti A, Severini C, Bilia AR.

Artemisinin and artemisinin plus curcumin liposomal formulations: enhanced antimalarial

efficacy against Plasmodium berghei-infected mice. Eur J Pharm Biopharm. 2012

Apr;80(3):528-34. doi: 10.1016/j.ejpb.2011.11.015.

Page 23: Nano technology is impacting the way medicine is developing ... · Web viewTargeting of liposome-encapsulated drugs to particular cells or tissues can be achieved by covalent attachment

32. Gandapu U, Chaitanya RK, Kishore G, Reddy RC, Kondapi AK. Curcumin-loaded

apotransferrin nanoparticles provide efficient cellular uptake and effectively inhibit HIV-1

replication in vitro. PLoS One. 2011;6(8):e23388. doi: 10.1371/journal.pone.0023388.

33. Tousif S, Singh DK, Mukherjee S, Ahmad S, Arya R, Nanda R, Ranganathan A,

Bhattacharyya M, Van Kaer L, Kar SK, Das G. Nanoparticle-Formulated Curcumin Prevents

Posttherapeutic Disease Reactivation and Reinfection with Mycobacterium

tuberculosis following Isoniazid Therapy. Front Immunol. 2017 Jun 30;8:739. doi:

10.3389/fimmu.2017.00739.

34. Ahmad S, Bhattacharya D, Kar S, Ranganathan A, Van Kaer L, Das G. Curcumin

Nanoparticles Enhance Mycobacterium bovis BCG Vaccine Efficacy by Modulating Host

Immune Responses. Infect Immun. 2019 Oct 18;87(11):e00291-19. doi: 10.1128/IAI.00291-

19.

35. Yallapu MM, Khan S, Maher DM, Ebeling MC, Sundram V, Chauhan N, Ganju A,

Balakrishna S, Gupta BK, Zafar N, Jaggi M, Chauhan SC. Anti-cancer activity of curcumin

loaded nanoparticles in prostate cancer. Biomaterials. 2014 Oct;35(30):8635-48. doi:

10.1016/j.biomaterials.2014.06.040.

36. Nagahama K, Sano Y, Kumano T. Anticancer drug-based multifunctional nanogels

through self-assembly of dextran-curcumin conjugates toward cancer theranostics. Bioorg

Med Chem Lett. 2015 Jun 15;25(12):2519-22. doi: 10.1016/j.bmcl.2015.04.062.

37. Zou P, Helson L, Maitra A, Stern ST, McNeil SE. Polymeric curcumin nanoparticle

pharmacokinetics and metabolism in bile duct cannulated rats. Mol Pharm. 2013 May

6;10(5):1977-87. doi: 10.1021/mp4000019.

Page 24: Nano technology is impacting the way medicine is developing ... · Web viewTargeting of liposome-encapsulated drugs to particular cells or tissues can be achieved by covalent attachment

38. Chiu SS, Lui E, Majeed M, Vishwanatha JK, Ranjan AP, Maitra A, Pramanik D, Smith

JA, Helson L. Differential distribution of intravenous curcumin formulations in the rat brain.

Anticancer Res. 2011 Mar;31(3):907-11. PMID: 21498712; PMCID: PMC3568517.

39. Bisht S, Feldmann G, Soni S, Ravi R, Karikar C, Maitra A, Maitra A. Polymeric

nanoparticle-encapsulated curcumin ("nanocurcumin"): a novel strategy for human cancer

therapy. J Nanobiotechnology. 2007 Apr 17;5:3. doi: 10.1186/1477-3155-5-3.

40. Lim KJ, Bisht S, Bar EE, Maitra A, Eberhart CG. A polymeric nanoparticle formulation

of curcumin inhibits growth, clonogenicity and stem-like fraction in malignant brain

tumors. Cancer Biol Ther. 2011;11(5):464-473. doi:10.4161/cbt.11.5.14410

41. Chun YS, Bisht S, Chenna V, et al. Intraductal administration of a polymeric nanoparticle

formulation of curcumin (NanoCurc) significantly attenuates incidence of mammary tumors

in a rodent chemical carcinogenesis model: Implications for breast cancer chemoprevention

in at-risk populations. Carcinogenesis. 2012;33(11):2242-2249. doi:10.1093/carcin/bgs248

42. Bisht S, Mizuma M, Feldmann G, Ottenhof NA, Hong SM, Pramanik D, Chenna V,

Karikari C, Sharma R, Goggins MG, Rudek MA, Ravi R, Maitra A, Maitra A. Systemic

administration of polymeric nanoparticle-encapsulated curcumin (NanoCurc) blocks tumor

growth and metastases in preclinical models of pancreatic cancer. Mol Cancer Ther. 2010

Aug;9(8):2255-64. doi: 10.1158/1535-7163.MCT-10-0172.

43. Bisht S, Khan MA, Bekhit M, et al. A polymeric nanoparticle formulation of curcumin

(NanoCurc™) ameliorates CCl4-induced hepatic injury and fibrosis through reduction of

pro-inflammatory cytokines and stellate cell activation. Lab Invest. 2011;91(9):1383-1395.

doi:10.1038/labinvest.2011.86

Page 25: Nano technology is impacting the way medicine is developing ... · Web viewTargeting of liposome-encapsulated drugs to particular cells or tissues can be achieved by covalent attachment

44. Shutava TG, Balkundi SS, Vangala P, Steffan JJ, Bigelow RL, Cardelli JA, O'Neal DP,

Lvov YM. Layer-by-Layer-Coated Gelatin Nanoparticles as a Vehicle for Delivery of

Natural Polyphenols. ACS Nano. 2009 Jul 28;3(7):1877-85. doi: 10.1021/nn900451a.

45. Prajakta D, Ratnesh J, Chandan K, Suresh S, Grace S, Meera V, Vandana P. Curcumin

loaded pH-sensitive nanoparticles for the treatment of colon cancer. J Biomed Nanotechnol.

2009 Oct;5(5):445-55. doi: 10.1166/jbn.2009.1038.

46. Hossain DM, Panda AK, Chakrabarty S, Bhattacharjee P, Kajal K, Mohanty S, Sarkar I,

Sarkar DK, Kar SK, Sa G. MEK inhibition prevents tumour-shed transforming growth

factor-β-induced T-regulatory cell augmentation in tumour milieu. Immunology. 2015

Apr;144(4):561-73. doi: 10.1111/imm.12397. 

Page 26: Nano technology is impacting the way medicine is developing ... · Web viewTargeting of liposome-encapsulated drugs to particular cells or tissues can be achieved by covalent attachment

Figures:

Figure 1. Molecules present in Curcumin. A) Curcumin B) Bisdemthoxycurcumin C) Demethoxycurcumin D) Cyclocurcumin

Adapted from Karthikeyan A, Senthil N, Min T. Nanocurcumin: A Promising Candidate for Therapeutic Applications. Front Pharmacol. 2020 May 1;11:487. doi: 10.3389/fphar.2020.00487. PMID: 32425772; PMCID: PMC7206872.

Page 27: Nano technology is impacting the way medicine is developing ... · Web viewTargeting of liposome-encapsulated drugs to particular cells or tissues can be achieved by covalent attachment

Figure 2. Keto enol tautomerism of curcumin. Adapted from Stanić Z. Curcumin, a Compound from Natural Sources, a True Scientific Challenge - A Review. Plant Foods Hum Nutr. 2017 Mar;72(1):1-12. doi: 10.1007/s11130-016-0590-1. PMID: 27995378.

Keto- form of curcumin Enol- form of curcumin

Page 28: Nano technology is impacting the way medicine is developing ... · Web viewTargeting of liposome-encapsulated drugs to particular cells or tissues can be achieved by covalent attachment

Figure 3. Degradation products of curcumin. Adapted from Shen L, Ji HF. The pharmacology of curcumin: is it the degradation products? Trends Mol Med. 2012 Mar;18(3):138-44. doi: 10.1016/j.molmed.2012.01.004. Epub 2012 Mar 1. PMID: 22386732.