Добавил:
kiopkiopkiop18@yandex.ru t.me/Prokururor I Вовсе не секретарь, но почту проверяю Опубликованный материал нарушает ваши авторские права? Сообщите нам.
Вуз: Предмет: Файл:

Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_5607_Библиотеки_им_академика_М_И_Перельмана

.pdf
Скачиваний:
0
Добавлен:
02.09.2026
Размер:
21 Мб
Скачать
184
https://t.me/medicina_free
Biomarkers as Targeted Herbal Drug Discovery
nutraceuticals are of great challenges at central as well as state government regulations (Mahfoozur et al., 2017).

Various challenges are to analyze the under dispute parameters like herbal toxicity and epidemiology. The key issues in using herbals in the formula­tions are as follows (Thillaivanan et al., 2014):
• Lack of planning in assessing risk management, improper communi­cation on herbal developments as direct therapy.
• Non-availability of pharmacological, toxicity, and clinical data.
• In-effective pharmacovigilance;
• Poor availability of data on drug interaction;
• Improper measurement and constraints with clinical trials;
• Deficiency of standardization procedures;
• In-sufficient data on safety and efficacy parameters;
• Lack of information on developmental approach of high yielding plant species and their cultivation, etc.;
• Improper quality control measures;
• Poor GMP guidelines;
• Poor research and developmental standards establishment.
There are various medicines such as steroids, nonsteroidal anti-inamma-
tory drugs (NSAIDs), and immunosuppressant and widely used for control-
ling and suppressing inammatory response but are associated with adverse
effects. So, Herbal therapy is best suited as an alternate or complementary therapy to achieve increased pharmacological response with no or minimal side effects (Mona et al., 2016).
 

Nanotechnology is the science and technology that have the ability to measure, design material at atomic, molecular, and supermolecular level. Development of NMs focuses on the treatment at cellular level in
185 Phytoconstituent-Loaded Nanomedicines for Arthritis Management
https://t.me/medicina_free
specific disease condition; reduce the toxicity and enhancing effective­ness. Targeted Release of bioactive from nanoparticles may follow active targeting and passive targeting process. These nanocarrier systems are biocompatible and degradable (Butoescu et al., 2009; Brennan et al., 2008).
Nanocarrier systems such as vesicles, liquid crystal nanoparticles,
micelles as well as polymeric nanoparticles dispersions made up of very ne
particles ranging in nano-scale (10–400 nm, depending upon type), offers wide scope for drug delivery and other applications like imaging, diagnosis, etc., (Figure 8.1). During the development of these nanoformulations, the ultimate aim remains is to formulate the drug delivery system with opti-
mized drug entrapment, modied release proles, low toxicity proles, and
prolonged shelf life (Sakuta et al., 2010) (Figure 8.2).
The active principle remains entangled within the core of the micellar
structure and transported at concentrations with an increase in the intrinsic
water-solubility prole. In the micellar structure, the hydrogen bonding
generally takes place with the aqueous surroundings in the hydrophilic blocks which develops an intact covering layer around the micellar core. This provides nice protection to the hydrophobic contents of the core against chemical reactions such as hydrolysis and enzymatic degradation. Amphi­philic block copolymers can be easily changed their chemical composition of compounds, structural block length ration and molecular weight (total) which allows monitoring of surface morphology 9 (size, shape, and surface charge, etc.), of the micelles, represent extraordinary feature for drug delivery
applications. Surface charge modication facilitates the functionalization
of block copolymers with crosslinking groups (ligands), during micellar formation, resulting in high stability and site-selectivity of formed structure (Costas et al., 2006).
 General classifications of pharmaceutical drug carriers.
186
https://t.me/medicina_free
Biomarkers as Targeted Herbal Drug Discovery

By standard description, nanoparticles are nano-range sized polymeric colloids in which active medicament entrapped or dispersed (core) within the polymeric matrix or adsorbed or conjugate onto the surface (shell) and are considered to have at least one specific dimension of less than 100 nm. Depending on their respective micro and macro-scale counterparts, nanopar­ticles show different properties with the same chemical compositions. The more the surface energy of nanoparticles more will be the cohesion between nanoparticles. In addition, the progressive improvement in energy on nanoparticles surface may lead to alteration in crystal arrangement of nanoparticles, reactive nature at interface and intrinsic properties may be affected (Lee et al., 2012).
The polymers used to synthetically formulate the nanoparticles consist of biodegradable and nonbiodegradable. Currently, biodegradable polymers are often considered to be a more attracted approach towards the synthesis of nanoparticles. Nanoparticles may also be designed using different materials like silica, silver, gold, copper, zinc oxides, therapeutics, quantum dots, Nanotubes, and various contrast agents. Major improvements through these nanocarrier systems has been investigated in respect of their effectiveness in escaping multidrug resistance and targeted delivery via active targeting of drug (Biswajit et al., 2014).
There are different methods through which nanoparticles can be synthe­sized. The following aspects are involved in formulating nanoparticles are neutral pH, low cost, and environmental friendly approach (nontoxic). Nanoparticles production by plants is considered as more acceptable mode in terms of more stability and faster rate of synthesis as compared to other cases of organisms. Thus, suitable methods for synthesizing nanoparticles using herbs need to be developed in upcoming days, considering cost-effectiveness
and maintenance issues. NMs are further classied into sub-groups which
are depicted in Figure 8.3 (Heera et al., 2015).
Generally, multiple mechanisms that contribute to drug release from nanocarriers such as diffusion-controlled, degradation controlled, stimuli controlled and solvent controlled, though each and every mechanism has
its own inuence on drug release. For example, in polymeric nanogels,
drug release is controlled by two mechanisms, i.e., swelling, and diffusion
through the membrane. Nanoparticles are further designed and modied
in several other ways to attain patterned monitoring on the drug release kinetics as given in Table 8.1 (Jinhyun et al., 2015).
 Types of nanomaterials for drug delivery.
https://t.me/medicina_free
187 Phytoconstituent-Loaded Nanomedicines for Arthritis Management

Drug release from nanocarriers, with respect to its temporal control; focuses on maintaining drug levels in systemic circulation and target tissue effectively. Different mathematical models has been developed and can be used to analyze release kinetics (such as zero order, first order, Huguchi model, Hixson-Crowell, Korsmeyer-Peppas model, and regression model) from delivery systems. Several mechanisms involved in drug release from the carriers can control or modify system kinetics. For instance, release kinetics can be modified and is controlled by drug diffusion across the carrier matrix or a barrier. Different approaches like swelling of matrix and breakdown of drug-polymer linkage also are of concern in terms of controlling rate of drug release (Jinhyun et al., 2015).

Nanomedicine is an interdisciplinary technology which has become field of great importance worldwide, in respect to advancement in multiple branches
TABLE 8.1 Types of Nanomaterials Used in Drug Delivery of Pharmaceuticals
https://t.me/medicina_free
Nanoparticles Polymeric 10–100 (nm) Spherical colloidal particles with Useful in encapsulating water- Costas et
micelles hydrophobic interior (core) and soluble pharmaceuticals al., 2006
hydrophilic body (shell) amphiphilic copolymer micelles, high drug entrapment, and biostability
Polymeric 10–1000 (nm) These are biocompatible and Surface modified nano-carriers Bhatia et nanoparticles biodegradable systems and can be used for active and passive al., 2016
efficiently protect the drug from the delivery of bioactive as well as surrounding environment. carriers for controlled drug delivery.
Metallic <100 (nm) Different metals used in the Metallic nanoparticles are Biswajit et nanoparticles fabrication of these tiny particles biosensors and excellent carriers al., 2014
(such as Gold, silver, and other for therapeutics delivery in cancer heavy metals), Highly stable and treatment. functionalized in nature due to the availability of high surface area.
Liposomes 50–200 (nm) Bilayer vesicles consisting of Carrier for controlled delivery and Lee et al.,
phospholipids. also used for active and passive 2012 Offers good drug entrapment and are
biocompatible
Dendrimers <10 (nm) Three dimensional, branched Used as contrast agents, drug Rye et al.,
structures contain three moieties delivery for anti-cancerous drugs, 2013 such as core part branched part and and gene vectors. tight-packed surface.
delivery of proteins, peptide, and genes.
188
Biomarkers as Targeted Herbal Drug Discovery
Solid lipid 50–1000 (nm) Prepared by phospholipids (such Adjuvant for vaccines, targeted Ekambaram
https://t.me/medicina_free
nanoparticles as mono-di-tri-glycerides and fatty carrier for anticancer drug, lung et al., 2012
acids) dispersed in an aqueous infection, brain delivery, ultrasonic medium containing surfactants. drug, and gene delivery, cosmetic,
and dermatological preparations and agricultural purpose.
Liquid 2–9.5 (nm) The ordered self-organization of Applications in Photonic crystal Camila et crystals rod-shaped structures, and are paper or advanced composites. al., 2018 nanoparticles electrically charged.
They exhibit both liquid and solid­state properties.
Carbon nanotubes (CNT) Diameter: Two dimensional, made up of Biosensors for Proteins and DNA, Anna et al.,
0.5–3 (nm) the third allotrope of carbon as Ion channel blocking agents, 2015 Length:
20–1000 (nm) Coating for prosthetics and surgical
Quantum dots 10–100 (Å) Three dimensional, semiconductors, Disease diagnosis and screening Biswajit et
crystalline carbon sheets and divided bioseparators, and biocatalysts. into single-walled or multi-walled types.
Electrically charged, great mechanical strength but lightweight.
formulated with II, III-V, and VI technologies like cellular imaging, al., 2014; column element. Offers intense real-time tracking of molecules and Rye et al., fluorescence, fine emission, and high cells in sustained profiles and tumor 2013 photostability. targeting
implants (e.g., vascular stents)
189 Phytoconstituent-Loaded Nanomedicines for Arthritis Management
190
https://t.me/medicina_free
Biomarkers as Targeted Herbal Drug Discovery
of treatment towards high-level disorders due to advantages such as efficacy and efficiency. It is assumed that in the coming 10–15 years, the Indian market of nanomedicines is believed to expand the growth of USD 1.6 billion values and after that India would be able to be a ranker among the top three healthcare markets by 2020. The government of India is also supporting the research and development activities in the field of nanomedicines to fulfill the current societal needs.
Government departments involved in research activities also focus on the drug delivery advancement by setting new standards for these nanomedi­cines and their implementation in research organizations working on it. Few examples are the Department of Science and Technology (DST), in 2007, started a mission namely “nanomission” to boost fundamental research, designing of research infrastructure, to make better international collabo­rations, strengthen the platform for developing nano-based technologies.
Other organizations such as the Council of Scientic and Industrial Research
(CSIR), Defense Research and Development Organization (DRDO), Depart­ment of Biotechnology (DBT) and Indian Council of Medical Research (ICMR), also promoting and providing funds for the research-based related to nanomedicines associated with herbals.
Although with this progression in nanomedicines research in India, the involvement of Indian departments in the area of nanomedicines and innova-
tions is currently not up to the level that may be difcult to provide a proper
landscape on nanomedicines (Pooja et al., 2018). Another reason is that these nanomedicines affected by individual biological variation because of diseased conditions offer a restricted landscape as scale-up production as additional steps in the process may be required for surface conjugation of ligand moieties which makes the manufacturing process more complex (Bruno et al., 2017).
 
 
The production of nanostructured system may be a serious issue with respect to toxicology as the high reactivity increases from the large surface-to-volume ratio of these nanosystems compared to bulk systems, which is a matter of concern. Any newly developed nanostructures system needs to be tested carefully with respect to its potential side effects within the human body and the environment.
191 Phytoconstituent-Loaded Nanomedicines for Arthritis Management
https://t.me/medicina_free
Nanotechnology concepts for its clinical application also require for strict regu­latory guidelines to ensure the safe and proper use of new nano-medical devices and drugs originating from nanoscience (Kristina et al., 2009).
Anti-inammatory mechanism is an important wound healing mechanism
responsible for the production of immune responsive agents like cytokines and interleukins, lymphocytes, and macrophages which are secreted from
primary immune organs. These anti-inammatory mediators induce the
healing process and control the expansion of diseases after being involved in biochemical pathways. Some other inammatory mediators (enzymes, anti­bodies, etc.), are secreted by endocrine system. Various studies on synthesis of gold nanoparticles attract the researcher to think over it as future therapy because these systems are compatible and have wide scope in drug delivery. It has also been studies that gold nanoparticles have been explored as effective
therapy in wound repair and tissue generation in inammatory conditions.
Hence, this evidence strongly supports the fact that gold and other metal nanoparticles can be explored as an alternative therapy for the treatment of
inammatory conditions (Palaniselvam et al., 2016).
Green synthesis refers the process which uses natural source agents (plant, bacteria, fungi, etc.). As well, all know that plants are sustainable resources in nature and hence may be explored in the green synthesis of nanoparticles and other nanosystems along with these factors like wide distribution, easy avail­ability and reproducibility make them a better candidate for nanomedicines. The green chemistry is an alternative approach to formulate biocompatible nanoparticles by a chemical process and represents the anchor between two emerging specializations such as material science and biotechnology (Nano­biotechnology). Green synthesis is the method of synthesizing nanoparticles from herbal resources. Several metallic nanoparticles using herbal bioactives have been synthesized by this process (Table 8.2). The metal nanoparticle-herb
combination may show better efcacy against different inammatory conditions.
  
Several herbal bioactive has been explored for their therapeutic efficiency against the pathological conditions of arthritis. Incorporating these herbal compounds in the systems for synthesizing different nanostructured systems for biomedical applications has been produced in recent times. Several benefits attract herbals for the synthesis of nanosystems is availability, easy,
192
https://t.me/medicina_free
Biomarkers as Targeted Herbal Drug Discovery
and harmless handling as well as to the environment. Few plants are listed in Table 8.3 which has been used to formulate the different nanomedicines (Jayanta et al., 2014).
TABLE 8.2 Metal Nanoparticles Using Herbal Compounds for the Management of Arthritis
Sl. Nanoparticles Plant used Part used Treatment References No.
1. Ag-NP Night Jasmine Aqueous Extract Rheumatoid Arumugam (Nyctanthes Arthritis et al., 2013 arbor-tristis)
2. Ag-NP
3. CD Conjugated Curcumin Rhizomes Osteoarthritis Murali et
Au-NP extract al., 2015
4. Ag-NP
5. Ag-NP
6. Ag-NP
7. Au-NP
8. ZnO-NP
Tylophora ovata
Cardiospermum halicacabum
Morinda tinctoria Roxb
Centratherum punctatum
Cass.
Achyranthes aspera Linn
Moringa oleifera
The leaves and Arthritis Joy et al., roots 2015
The leaves Rheumatism Mahipal et extract and arthritis al., 2013
The leaves Arthritis Geetha et extract al., 2017
The leaves Arthritis Krithika et extract al., 2016
Seeds Arthritis Anand et
al., 2014
Immature pods Arthritis Monakari and flowers et al., 2016
9. Ag-NP Caffeic acid The plant source Osteoarthritis Qingyan et
10. Cu-NP
* Ag: Silver, Au: Gold, ZnO: Zinc Oxide, Cu: Copper, CD: Cyclodextrin.

 
Site-specific delivery of drugs to target cells and tissues is considered to be an important application of engineered nanoparticles as medicines. Recent
Delonix elata
al., 2017
Flower extract Arthritis Suganya et
al., 2016
193 Phytoconstituent-Loaded Nanomedicines for Arthritis Management
https://t.me/medicina_free
investigation for herbal drugs has been tested against various forms of arthritic conditions and indicates a significant decrease in the levels of IL-6
and TNF-α in the synovial fluid. Active medicaments derived from herbals
exhibits a great impact in lowering amounts of cytokines in the Synovial fluid resulting in the relief from the diseased condition that may lead to better quality of life of patients. This aspect presents a promising approach of developing nanostructures systems using active drugs which enables drug release in surrounding environment at controlled rate, thereby, requires less drug dosages and avoids the non-specific side effects of the drugs (Li et al., 2010; Kowalski et al., 2013).
TABLE 8.3 Inclusion of Bioactive Compound in Different Forms of Nanomedicines
Sl.
Bioactive
No.
Group
1. Polyphenols Quercetin Nanoparticles Quercetin PLGA-NP
2. Phytocanna-
binoid
3. Stanols Phytosterols Nanodispersion Produced by
4. Carbohydrates Mannose-6-phosphate Nanocapsule Polyamide NC
5. Essential oil
(EO)
Bioactive Component Nano Carrier
System
Nanocapsule Lipid coated NC
Resveratrol Nanoparticles PLGA NP containing
Solid lipid nanoparticles
Cyclodextrin CD-based nanosponge nanosponge
Ellagic acid Nanoparticles Ellagic acid-loaded
∆-9-Tetrahydrocanna-
binol
Oregano and cassia EO Nanoparticle Corn zein NP
Thymol and Carvacrol Nanoparticle Corn zein NP
Lipid nanoparticles
Nanoparticles PLGA-NP
Liposomes Liposome containing
Type of Delivery
System
Resveratrol Resveratrol loaded
SLN
PLGA NP NLC
emulsification­evaporation
Suspension of submicron particles of phytosterols
Aloe vera gel