Enhancing the Bioavailability and Efficacy of Vismodegib for the Control of Skin Cancer: In Vitro and In Vivo Studies

Skin cancer is the most frequent cancer throughout the world. Vismodegib (VSD) is a hedgehog blocker approved for the prevention and treatment of skin cancer. VSD, however, is poorly bioavailable and has been linked to side effects. This work focused on designing a nano-invasome gel as a vehicle for...

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Main Authors: Heba F. Salem, Amr Gamal, Haitham Saeed, Marwa Kamal, Alaa S. Tulbah
Format: Article
Language:English
Published: MDPI AG 2022-01-01
Series:Pharmaceuticals
Subjects:
Online Access:https://www.mdpi.com/1424-8247/15/2/126
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author Heba F. Salem
Amr Gamal
Haitham Saeed
Marwa Kamal
Alaa S. Tulbah
author_facet Heba F. Salem
Amr Gamal
Haitham Saeed
Marwa Kamal
Alaa S. Tulbah
author_sort Heba F. Salem
collection DOAJ
description Skin cancer is the most frequent cancer throughout the world. Vismodegib (VSD) is a hedgehog blocker approved for the prevention and treatment of skin cancer. VSD, however, is poorly bioavailable and has been linked to side effects. This work focused on designing a nano-invasome gel as a vehicle for enhancing the permeation, bioavailability, and efficacy of VSD. Additionally, the combined effect of terpenes and ethanol was studied on the permeation of VSD compared with liposomes. The prepared VSD-loaded invasomes (VLI) formulation included cineole (1%<i>v/v</i>), cholesterol (0.15%<i>w/w</i>), phospholipid (2%<i>w/w</i>), and ethanol (3%<i>v/v</i>) and displayed an entrapment efficiency of 87.73 ± 3.82%, a vesicle size of 188.27 ± 3.25 nm, and a steady-state flux of 9.83 ± 0.11 µg/cm<sup>2</sup>/h. The VLI formulation was vigorously stirred into a carbopol base before being characterized in vivo to investigate the permeation, bioavailability, and efficacy of VSD. The VLI gel enhanced the dermal permeation of VSD and, as a result, had 3.59 times higher bioavailability with excellent antitumor action as compared to oral VSD. In summary, as an alternative to oral administration for skin cancer treatment, invasomes are efficient carriers for delivering VSD and enhancing its transdermal flux into deep skin layers.
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spelling doaj.art-c3e6e9faea6542f6833fc73a04ab6f832023-11-23T21:33:25ZengMDPI AGPharmaceuticals1424-82472022-01-0115212610.3390/ph15020126Enhancing the Bioavailability and Efficacy of Vismodegib for the Control of Skin Cancer: In Vitro and In Vivo StudiesHeba F. Salem0Amr Gamal1Haitham Saeed2Marwa Kamal3Alaa S. Tulbah4Department of Pharmaceutics and Industrial Pharmacy, Faculty of Pharmacy, Beni-Suef University, Beni-Suef 625617, EgyptDepartment of Pharmaceutics and Industrial Pharmacy, Faculty of Pharmacy, Beni-Suef University, Beni-Suef 625617, EgyptClinical Pharmacy Department, Faculty of Pharmacy, Beni-Suef University, Beni-Suef 625617, EgyptClinical Pharmacy Department, Faculty of Pharmacy, Fayoum University, Fayoum 63514, EgyptDepartment of Pharmaceutics, College of Pharmacy, Umm Al-Qura University, Makkah 21955, Saudi ArabiaSkin cancer is the most frequent cancer throughout the world. Vismodegib (VSD) is a hedgehog blocker approved for the prevention and treatment of skin cancer. VSD, however, is poorly bioavailable and has been linked to side effects. This work focused on designing a nano-invasome gel as a vehicle for enhancing the permeation, bioavailability, and efficacy of VSD. Additionally, the combined effect of terpenes and ethanol was studied on the permeation of VSD compared with liposomes. The prepared VSD-loaded invasomes (VLI) formulation included cineole (1%<i>v/v</i>), cholesterol (0.15%<i>w/w</i>), phospholipid (2%<i>w/w</i>), and ethanol (3%<i>v/v</i>) and displayed an entrapment efficiency of 87.73 ± 3.82%, a vesicle size of 188.27 ± 3.25 nm, and a steady-state flux of 9.83 ± 0.11 µg/cm<sup>2</sup>/h. The VLI formulation was vigorously stirred into a carbopol base before being characterized in vivo to investigate the permeation, bioavailability, and efficacy of VSD. The VLI gel enhanced the dermal permeation of VSD and, as a result, had 3.59 times higher bioavailability with excellent antitumor action as compared to oral VSD. In summary, as an alternative to oral administration for skin cancer treatment, invasomes are efficient carriers for delivering VSD and enhancing its transdermal flux into deep skin layers.https://www.mdpi.com/1424-8247/15/2/126skin cancervismodegibinvasomesterpenesbioavailability
spellingShingle Heba F. Salem
Amr Gamal
Haitham Saeed
Marwa Kamal
Alaa S. Tulbah
Enhancing the Bioavailability and Efficacy of Vismodegib for the Control of Skin Cancer: In Vitro and In Vivo Studies
Pharmaceuticals
skin cancer
vismodegib
invasomes
terpenes
bioavailability
title Enhancing the Bioavailability and Efficacy of Vismodegib for the Control of Skin Cancer: In Vitro and In Vivo Studies
title_full Enhancing the Bioavailability and Efficacy of Vismodegib for the Control of Skin Cancer: In Vitro and In Vivo Studies
title_fullStr Enhancing the Bioavailability and Efficacy of Vismodegib for the Control of Skin Cancer: In Vitro and In Vivo Studies
title_full_unstemmed Enhancing the Bioavailability and Efficacy of Vismodegib for the Control of Skin Cancer: In Vitro and In Vivo Studies
title_short Enhancing the Bioavailability and Efficacy of Vismodegib for the Control of Skin Cancer: In Vitro and In Vivo Studies
title_sort enhancing the bioavailability and efficacy of vismodegib for the control of skin cancer in vitro and in vivo studies
topic skin cancer
vismodegib
invasomes
terpenes
bioavailability
url https://www.mdpi.com/1424-8247/15/2/126
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