Long-Circulating Lipid Nanospheres Loaded with Flurbiprofen Axetil for Targeted Rheumatoid Arthritis Treatment.

Int J Nanomedicine

Key Laboratory of Medical Electrophysiology, Ministry of Education, School of Pharmacy, Southwest Medical University, Luzhou, Sichuan, 646000, People's Republic of China.

Published: September 2023

AI Article Synopsis

  • Flurbiprofen axetil (FA) is a promising anti-inflammatory drug but has limitations like poor solubility and short circulation time.
  • Researchers improved FA delivery by loading it into stealth lipid microspheres modified with an RGD peptide (cRGD-FA-SLM) to enhance its reliability in treating rheumatoid arthritis (RA).
  • The developed platform showed effective targeting to inflamed joints, reduced inflammation and joint damage in arthritis models, and prolonged the drug's presence in the bloodstream, highlighting its potential for RA treatment.

Article Abstract

Background: Flurbiprofen axetil (FA) is a non-steroidal anti-inflammatory drug with good analgesic and anti-inflammatory effects. However, it suffers from poor solubility, short circulation time, and off-target binding profile, which significantly limit its clinical application. Here, we loaded FA into stealth lipid microspheres modified with the arginine-glycine-aspartic acid (RGD) peptide (cRGD-FA-SLM), and examined the therapeutic potential of the resulting platform for the treatment of rheumatoid arthritis (RA).

Methods: cRGD-FA-SLM was prepared by high pressure homogenization, and its toxicity and uptake by macrophages were examined using cultures of RAW264.7 cells. Hemolysis and hepatotoxicity tests were performed to assess the safety of the developed platform, while its pharmacokinetics, biodistribution, and therapeutic efficacy were investigated in a collagen-induced arthritis rat model.

Results: cRGD-FA-SLM showed homogeneous spherical morphology and efficient encapsulation of FA. The developed platform was non-toxic to normal macrophages and was selectively internalized by lipopolysaccharide-activated macrophages in vitro, while it distributed mainly to arthritic joints and significantly prolonged FA in circulation in vivo. cRGD-FA-SLM also significantly reduced the expression of prostaglandin E2 and alleviated joint edema and bone erosion, showing prolonged analgesic effects in arthritic rats.

Conclusion: cRGD-FA-SLM shows good inflammation-targeting ability and prolongs drug circulation in vivo, suggesting promise as an anti-inflammatory and analgesic agent for targeted RA treatment.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10497098PMC
http://dx.doi.org/10.2147/IJN.S419502DOI Listing

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