Gels 07 00213 v2
Gels 07 00213 v2
Article
Preparation and Characterization of Curcumin Nanoemulgel
Utilizing Ultrasonication Technique for Wound Healing:
In Vitro, Ex Vivo, and In Vivo Evaluation
Mohammed S. Algahtani 1 , Mohammad Zaki Ahmad 1 , Ihab Hamed Nourein 2 , Hassan A. Albarqi 1 ,
Hamad S. Alyami 1 , Mohammad H. Alyami 1 , Abdulsalam A. Alqahtani 1 , Ali Alasiri 1 , Thamer S. Algahtani 1 ,
Abdul Aleem Mohammed 1 and Javed Ahmad 1, *
1 Department of Pharmaceutics, College of Pharmacy, Najran University, Najran 11001, Saudi Arabia;
[email protected] (M.S.A.); [email protected] (M.Z.A.); [email protected] (H.A.A.);
[email protected] (H.S.A.); [email protected] (M.H.A.); [email protected] (A.A.A.);
[email protected] (A.A.); [email protected] (T.S.A.); [email protected] (A.A.M.)
2 Department of Clinical Laboratory (Histopathology and Cytology), College of Applied Medical Sciences,
Najran University, Najran 11001, Saudi Arabia; [email protected]
* Correspondence: [email protected]; Tel.: +966-17542-8744
Abstract: Hydrogels being a drug delivery system has great significance particularly for topical appli-
cation in cutaneous open wound. Its specific physicochemical properties such as non-adhesiveness,
moisture retention, exudate absorption, and gas permeability make them ideal as a drug delivery
Citation: Algahtani, M.S.; Ahmad,
vehicle for wound healing application. Further, curcumin (a natural bioactive) was selected as a
M.Z.; Nourein, I.H.; Albarqi, H.A.;
therapeutic agent to incorporate into the hydrogel system to design and develop nanogel pharma-
Alyami, H.S.; Alyami, M.H.;
Alqahtani, A.A.; Alasiri, A.;
ceutical products for wound healing. Although, curcumin possesses remarkable anti-inflammatory,
Algahtani, T.S.; Mohammed, A.A.; antioxidant, and anti-infective activity along with hastening the healing process by acting over the
et al. Preparation and different stages of the wound healing process, but its poor biopharmaceutical (low aqueous solubility
Characterization of Curcumin and skin penetrability) attributes hamper their therapeutic efficacy for skin applications. The current
Nanoemulgel Utilizing investigation aimed to develop the curcumin-loaded nanogel system and evaluated to check the
Ultrasonication Technique for Wound improvement in the therapeutic efficacy of curcumin through a nanomedicine-based approach for
Healing: In Vitro, Ex Vivo, and In wound healing activity in Wistar rats. The curcumin was enclosed inside the nanoemulsion system
Vivo Evaluation. Gels 2021, 7, 213. prepared through a high-energy ultrasonic emulsification technique at a minimum concentration of
https://doi.org/10.3390/gels7040213
surfactant required to nanoemulsify the curcumin-loaded oil system (Labrafac PG) having droplet
size 56.25 ± 0.69 nm with polydispersity index 0.05 ± 0.01 and negatively surface charge with
Academic Editor: David Díaz Díaz
zeta potential −20.26 ± 0.65 mV. It was observed that the impact of Smix (surfactant/co-surfactant
Received: 15 October 2021
mixture) ratio on droplet size of generated nanoemulsion is more pronounced at lower Smix concen-
Accepted: 10 November 2021 tration (25%) compared to the higher Smix concentration (30%). The optimized curcumin-loaded
Published: 14 November 2021 nanoemulsion was incorporated into a 0.5% Carbopol® 940 hydrogel system for topical application.
The developed curcumin nanoemulgel exhibited thixotropic rheological behavior and a significant
Publisher’s Note: MDPI stays neutral (p < 0.05) increase in skin penetrability characteristics compared to curcumin dispersed in conven-
with regard to jurisdictional claims in tional hydrogel system. The in vivo wound healing efficacy study and histological examination of
published maps and institutional affil- healed tissue specimen further signify the role of the nanomedicine-based approach to improve the
iations. biopharmaceutical attributes of curcumin.
that starts from the response to an injury to restoring the function and integrity of damaged
tissues [2]. Wound healing involves numerous physiological events as clotting, coagulation,
inflammation, and the generation of fresh tissues, which may follow varied timescale from
minutes to numerous months or years [3]. Any deviations or delays to the multistage
healing process might be the reason for the failure of wound healing and the development
of an incomplete healing process [4]. Long-lasting wounds can seriously affect the quality
of life and their treatment requires a very high quality of care [5,6]. It may lead to an
increase in the risk of morbidity and mortality. This is especially true for people who suffer
from vascular diseases and diabetes mellitus [4]. Therefore, it is essential to optimize a
wound healing method that can minimize tissue damage and accelerate the wound healing
time. Wound healing agents are available in different routes of administration including
oral and parenteral; however, the systemic drug administration of these agents can cause
undesirable systemic side effects. Hence, a topical drug delivery system is an attractive
approach that can improve the wound healing process and minimize systemic side effects.
Curcumin (o-methoxy phenol derivative compound) is a hydrophobic polyphenol
derived from the rhizome of the herb Curcuma longa, belonging to the family Zingiberaceae.
Curcumin has been used traditionally for several diseases due to its wide spectrum of
biological and pharmacological activities [7]. It has been reported to exhibit multifunctional
properties, including antioxidant, anti-inflammatory, anti-microbial, and anti-carcinogenic
activities [8,9]. Furthermore, topical application of curcumin has been shown to improve
the wound healing process and prevent oxidative damage to tissues [8,9]. Additionally, it
has been reported that curcumin enhances the production of granulation in body tissue,
including a greater amount of cellular content and new vascularization, along with increas-
ing the process of re-epithelialization of wounds [9]. Despite the significant pharmaceutical
value of curcumin, the therapeutic applications of curcumin are limited due to its poor
aqueous solubility, poor absorption, rapid metabolism, rapid systemic elimination, and low
stability [5]. Moreover, the poor aqueous solubility of curcumin limits its skin permeation
through the stratum corneum (SC), and poses a major limitation on its topical application
in wound healing.
To solve this, there is a need for a topical delivery formulation that enhances the water
solubility of curcumin, which promotes its permeation through the skin. Recent studies
reported in which drugs are loaded inside the core of nanoemulsion (NE) have contributed
to increasing the drug permeation through the skin due to high penetrability through the
subcutaneous barrier [10,11]. For example, Algahtani et al. designed a NE formulation
to deliver curcumin utilizing the low energy technique for psoriasis treatment [12]. The
formulation then was loaded into Carbopol®gel to form a curcumin nanoemulgel (NEG).
This formulation has shown faster healing for the psoriatic symptoms when compared
to the curcumin suspension and betamethasone-17-valerate, which is commonly used for
the treatment of psoriasis. The NE-based formulation for topical delivery of curcumin
increases drug concentrations at the area treated, drug-loading capacity, improves skin
penetrability, and prolongs the amount of drug release and those properties helpful for
successful wound healing [13,14]. The poorly water-soluble curcumin is encapsulated into a
lipophilic environment of an oil droplet of nano dimension, which offers high drug-loading,
and is stabilized through an optimized amount of surfactant/co-surfactant mixture (Smix)
along with an aqueous phase [14].
The low-energy technique used for the production of NE consumes a high amount of
surfactants and co-surfactants that might irritate when applied to an open wound. Here,
the curcumin NE formulated utilizing the high energy technique through ultrasonication
of the formulation that reduces the needed amount of surfactants [15]. Different NE
compositions were evaluated to select the optimum formulation. Due to low retention
of NE system at the site of application because of low viscosity of NE system [14] and
because of the inconvenient application of such formulation, the optimized NE system was
dispersed into a hydrogel system to make NEG. Hydrogels being a drug delivery system
has great significance particularly for topical application in cutaneous open wound. Its
Gels 2021, 7, 213 3 of 17
2.2.1.
2.2.1. Influence
Influence of of Smix
Smix Ratio
Ratio and
and Smix
Smix Concentration
Concentration on on Droplet
DropletSize
Size
The droplet size of the curcumin-loaded NE system obtained
The droplet size of the curcumin-loaded NE system obtained through through the high-energy
the high-en-
ultrasonication technique was greatly influenced by the ratio of
ergy ultrasonication technique was greatly influenced by the ratio of Smix phase Smix phase present as
present
formulation
as formulation components
components of the
of NE
the system. It was
NE system. observed
It was that the
observed thatNEthesystem composed
NE system com-
of Smixofratio
posed Smix2:1 (at constant
ratio Smix concentration
2:1 (at constant and ultrasonication
Smix concentration time) significantly
and ultrasonication time) signifi-
(p < 0.05)
cantly (p <reduced the droplet
0.05) reduced size compared
the droplet to the to
size compared NEthesystem composed
NE system of Smix
composed of ratio
Smix
1:1 (at constant Smix concentration and ultrasonication time). This influence
ratio 1:1 (at constant Smix concentration and ultrasonication time). This influence is shown is shown in
Figure 1 at Smix concentration of 25 and 30% respectively. This influence
in Figure 1 at Smix concentration of 25 and 30% respectively. This influence of Smix ratio of Smix ratio on
droplet
on droplet sizesize
is more
is morepronounced
pronounced at at
lower
lowerconcentration
concentration (25%)
(25%)ofofSmix
Smixcompared
comparedto tothe
the
higher Smix concentration
higher Smix concentration (30%). (30%).
Figure
Figure 1.1. Impact
Impactofofthe
theprocess
processvariable
variable(ultrasonication
(ultrasonicationtime
time3 and 5 min)
3 and andand
5 min) composition variables
composition varia-
(Smix ratioratio
bles (Smix and and
% concentration) on on
% concentration) droplet size
droplet of of
size NE NE system
systemgenerated
generatedthrough
throughhigh-energy
high-energy
ultrasonication technique
ultrasonication technique at Smix
Smix concentration
concentration 25% (Smix
(Smix ratio
ratio 1:1
1:1 and
and 2:1)
2:1) and
and Smix
Smix 30%
30%(Smix
(Smix
ratio 1:1
ratio 1:1 and
and 2:1).
2:1). Colors
Colors and
and shaded
shaded bars
bars represent
represent variability
variability ininformulation
formulation compositions
compositions and
and
process conditions.
process conditions.
2.3. Characterization of NE
2.3.1. Analysis of Thermodynamic Stability and Zeta Potential
Thermodynamic stress testing was performed to find out the presence of any metastable
NE in the screened formulations. It is determined by the exchange of free energy between
the system’s milieu and the system itself [24]. Table 2 shows the results of the thermo-
dynamic stability investigation of the selected formulations (NE5, NE6, NE7, and NE8).
The four NE formulations tested were stable under the heat-cooling cycle, freeze-thaw
cycle, and centrifugation study. This stability may be related to the high zeta poten-
tial of the screened NE formulations (NE5, NE6, NE7, and NE8), which ranges between
−15.96 ± 0.55 mV and −20.26 ± 0.65 mV (Table 2). The magnitude of the surface charges
has a direct relationship to the stability of the NE system. The high repulsive force between
NE droplets minimizes any chances of coalescence and prevents the possibility of physical
instability of generated NE system [25].
2.3.2. Viscosity
The viscosity of four screened NE system (NE5, NE6, NE7, and NE8) were tested at
room temperature through rotational viscometer. The NE5 has the lowest viscosity value
with 83.74 ± 1.92 mPas, while NE8 has the highest viscosity value with 89.82 ± 1.27 mPas
(Table 2). This variation in viscosity value is related to the higher concentration of surfactant
(Tween 80) in the NE8 formulation system compared to the NE5 formulation system.
Gels 2021, 7, 213 6 of 17
Table 2. Characterization of selected CUR-loaded NE for thermodynamic stability, droplet size distribution, zeta potential,
% drug content, and viscosity.
Figure2.2.In
Figure Invitro
vitrorelease
releaseofofcurcumin
curcuminfrom
fromcurcumin-loaded
curcumin-loadedNE
NE(nanoemulsion)
(nanoemulsion)system.
system.
2.5.
2.5.Preparation
PreparationandandCharacterization
CharacterizationofofNanoemulgel
Nanoemulgel
NE
NEformulations
formulationsin ingeneral
generalhave
havelowlowviscosity
viscosityandandliquid
liquidininnature
natureandandspecifically
specifically
the
the curcumin NE has the addition of staining ability, which makes it difficult to beapplied
curcumin NE has the addition of staining ability, which makes it difficult to be applied
topically. ®
topically. Therefore,
Therefore, thetheNE6NE6waswasevenly
evenlydispersed
dispersedininthetheCarbopol
Carbopol® 940 940gelgelmatrix
matrixtoto
achieve
achievethe
thefinal
finalconcentration
concentrationofof0.5% 0.5%(w/w)
(w/w)of ofcurcumin
curcumininto intoaadeveloped
developedNEG NEGsystem
system
with
withthe
thedesired
desiredconsistency
consistencyfor forpatient-friendly
patient-friendlytopical
topicalapplication.
application.The Thegelgelstrength
strengthofof
curcumin
curcuminNEG NEG system (46.33 ±±1.154
system (46.33 1.154s) s)
andand placebo
placebo gelgel system
system (44.66
(44.66 ± 1.154
± 1.154 s) was s)meas-
was
measured and observed to be comparable to each other. The spreadability
ured and observed to be comparable to each other. The spreadability coefficient of curcu- coefficient
of
mincurcumin NEG and
NEG system system and gel
placebo placebo
system gelwere
system were determined
determined and comparatively
and comparatively illustrated
illustrated in supplementary Figure S5. The pH range
in supplementary Figure S5. The pH range of the prepared curcumin NEG of the prepared curcumin
system NEG
was
system was within the acceptable range of skin application and found close
within the acceptable range of skin application and found close to the pH skin acid mantle to the pH skin
acid
(5.53mantle This±suggests
± 0.03).(5.53 0.03). Thisthatsuggests that theformulation
the developed developed formulation
is safe to useisfor safe
skinto applica-
use for
skin
tion,application,
particularlyparticularly
for woundfor wound
healing healing
[20,23]. The[20,23].
% drugThe % drug
content content uniformity
uniformity of
of the curcu-
the curcumin NEG system was calculated. The formulation of curcumin
min NEG system was calculated. The formulation of curcumin NEG exhibited a uniform NEG exhibited a
uniform dispersion of curcumin in the hydrogel system with a uniformity of 98.93 ± 0.11%.
dispersion of curcumin in the hydrogel system with a uniformity of 98.93 ± 0.11%. The
® 940 of
The rheological profile of developed curcumin NEG and placebo gel of Carbopol
rheological profile of developed curcumin NEG and placebo gel of Carbopol® 940 of the
the same concentration (0.5% w/v) are graphically shown in Figure 3a,b. The prepared
same concentration (0.5% w/v) are graphically shown in Figure 3a,b. The prepared curcu-
curcumin NEG demonstrated a similar rheological profile as compared to placebo gel, and
min NEG demonstrated a similar rheological profile as compared to placebo gel, and the
the incorporated curcumin NEG did not affect its rheology behavior. It is observed that the
incorporated curcumin NEG did not affect its rheology behavior. It is observed that the
viscosity of placebo gel and curcumin NEG decreased upon an increase in applied shear
viscosity of placebo gel and curcumin NEG decreased upon an increase in applied shear
rate and vice-versa (illustrated through downward and upward curves in Figure 3a,b).
rate and vice-versa (illustrated through downward and upward curves in Figure 3a,b).
This property indicates the thixotropic behavior of the developed curcumin NEG system
This property indicates the thixotropic behavior of the developed curcumin NEG system
which is a desirable attribute for pharmaceutical dosage forms for topical application [30].
which is a desirable attribute for pharmaceutical dosage forms for topical application [30].
Gels 2021, 7, 213 8 of 17
Gels 2021, 7, x FOR PEER REVIEW 8 of 17
Figure
Figure 3. 3. Rheology
Rheology profile
profile ofof
(a)(a) placebo
placebo gelgel
andand
(b)(b) Nanoemulgel
Nanoemulgel ofof curcumin.
curcumin.
2.6.
2.6.Ex-Vivo
Ex-VivoSkin
SkinPermeability
PermeabilityStudy
Study
For
Fordrug
drugpermeability
permeabilitythrough
throughthe
theskin
skinand
anditsits
skin deposition,
skin deposition,analysis
analysisfrom
from NEG
NEG
and
andconventional
conventionalgelgelofofcurcumin
curcumin were
werecarried
carriedwith
with the help
the ofof
help Franz-diffusion
Franz-diffusion cell. The
cell. The
results
resultsobtained
obtainedfrom
fromthetheex-vivo
ex-vivo skin permeability
permeability are areshown
shownininTable
Table3.3.The
ThepHpHforfor
cur-
curcumin-loaded
cumin-loaded NEG NEG (5.53
(5.53 ± 0.03)
± 0.03) andand conventional
conventional gel gel of curcumin
of curcumin (5.56
(5.56 ± 0.02)
± 0.02) was was
main-
maintained with drug content uniformity of 98.93 ± 0.11 and 98.60 ± 0.52,
tained with drug content uniformity of 98.93 ± 0.11 and 98.60 ± 0.52, respectively. respectively.
For drug permeation, the cumulative amount of curcumin permeated through the
skin was 773.82 ± 1.08 from the curcumin NEG and 156.90 ± 0.95 µ g/cm2 from the curcumin
gel preparation. Whereas, the amount of curcumin deposited on the skin was 1161.54 ±
2.78 from the curcumin NEG and 179.47 ± 1.56 µ g/cm2 from the curcumin gel preparation.
It is noteworthy to mention that there was an approximately six-fold increase of the
percutaneous drug flux of curcumin from CUR-NEG (13.74 ± 1.08), compared to the drug
flux of curcumin from the curcumin gel (2.19 ± 0.10). Likewise, the permeability coefficient
Gels 2021, 7, 213 9 of 17
Table 3. Characterization of curcumin-loaded nanoemulgel to determine skin penetrability profile compared to conventional
curcumin gel. “ER—enhancement ratio”.
For drug permeation, the cumulative amount of curcumin permeated through the skin
was 773.82 ± 1.08 from the curcumin NEG and 156.90 ± 0.95 µg/cm2 from the curcumin gel
preparation. Whereas, the amount of curcumin deposited on the skin was 1161.54 ± 2.78
from the curcumin NEG and 179.47 ± 1.56 µg/cm2 from the curcumin gel preparation.
It is noteworthy to mention that there was an approximately six-fold increase of
the percutaneous drug flux of curcumin from CUR-NEG (13.74 ± 1.08), compared to the
drug flux of curcumin from the curcumin gel (2.19 ± 0.10). Likewise, the permeability
coefficient (K × 10−3 ) of curcumin increased approximately six-fold from the curcumin
NEG formulation (5.49 ± 0.67) when compared to the curcumin gel (0.876 ± 0.01). The
permeation enhancement ratio (ER) of curcumin from the curcumin NEG was 6.27 ± 0.77,
whereas the local accumulation efficiency (LAE) for curcumin was 1.50 ± 0.01 from the
curcumin NEG and 1.14 ± 0.01 from the curcumin gel preparation.
The ex-vivo studies were performed to evaluate and compare the permeation and skin-
deposition profile for the curcumin loaded in the two types of gel formulations. The high
skin permeability of curcumin from the curcumin NEG system might be correlated to the
encapsulation of curcumin inside the NE system. The encapsulation of loaded therapeutics
inside nano oil droplets enhances its skin permeability profile and decreases the lag time
for permeation [31]. The lag time (h) for curcumin released from the curcumin NEG
was decreased to (0.75 ± 0.03) compared to the released curcumin from the conventional
curcumin gel (2.37 ± 0.09). The enhanced skin-deposition of curcumin from curcumin
NEG is imparted due to the use of Tween 80 in the Smix formulation as surfactant and it is
known to enhance the dermal delivery of drugs [32]. Tween 80 modifies the skin barriers
via readily entering the stratum corneum of the skin and showing a strong interaction with
water within the cells, which affects the skin’s lipid and protein permeability, whereby the
skin-permeation and deposition for the drugs are increased [33]. In this study, the high
LAE value of curcumin released from the curcumin NEG is suggested to be related to the
negatively charged surfaces of the drug-loaded oil droplets (Table 2) [34].
4. (a) In-vivo
Figure Figure wound
4. (a) In-vivo healing
wound activity
healing in Wistar
activity in Wistarrats (b)(b)
rats percentage
percentagecontraction
contraction of woundarea
of wound areaasasananevaluation
evaluation
parameter for wound
parameter healinghealing
for wound activity. Four groups
activity. were were
Four groups studied, Group
studied, I is the
Group I is untreated group,
the untreated Group
group, II was
Group treated
II was with
treated
with silver sulfadiazine
silver sulfadiazine cream,
cream, Group Group
III was III was
treated treated
with with the conventional
the conventional curcumin curcumin gel (CUR-gel),
gel (CUR-gel), and Group
and Group IV was IVtreated
was
with thetreated with NEG
curcumin the curcumin NEG (CUR-NEG).
(CUR-NEG). Shaded barsShaded barsthe
represent represent the day number.
day number.
Group I animals the
Furthermore, revealed a swellingevaluation
histopathological with exudates on day four
was performed of post-wound
to record the inflam-ob-
servations
mation,(Figure
collagen4a). The three
formation, and treated
growth ofgroups showed
the epithelial a soft thrombus
membrane. with a lack
For this purpose, the of
discharge and reduced inflammation with a descending order of wound healing activity as
Group IV > Group II > Group III. Moreover, the formation of brown-reddish tissues in the
wound of G-I and III was observed on day eight; however, the formation of this structure
was observed on day six for Group II and IV (not shown).
All the treated groups (Group II, III, IV) exhibited a remarkable wound healing activity
compared to the untreated group (Group I), particularly the group treated with curcumin
NEG (Group IV) and the group treated with silver sulfadiazine marketed cream (Group II)
with almost complete wound contraction at the end of study i.e., day 20 (Figure 5a,b).
For a proper epithelization of the observed wound, the untreated group required 16 days,
Gels 2021, 7, 213 11 of 17
whereas the time for epithelization observed in the three treated groups was as following:
14 days for the group treated with the curcumin gel (Group III), 11 days for the group
treated with the silver sulfadiazine cream (Group II), and 10 days for the group treated
with the curcumin NEG (Group IV).
Figure 4a,b denotes an almost equivalent wound healing activity for the animals
treated with silver sulfadiazine marketed cream (standard drug) and with the curcumin
NEG system. Curcumin is well-known for its wound healing activity [35,36], whereas, the
formulation of curcumin in the form of NEG system further enhanced the wound healing
Gels 2021, 7, x FOR PEER REVIEW 11 of 17
activity of curcumin compared to the conventional gel formulation of curcumin.
Furthermore, the histopathological evaluation was performed to record the inflam-
mation, collagen formation, and growth of the epithelial membrane. For this purpose,
Wistar
the rats’rats’
Wistar skinskin
from the the
from tested groups
tested (day(day
groups 20) was
20) wassubjected to histopathological
subjected to histopathological pro-
cedures (Figure 5).
procedures (Figure 5).
The comparative
The comparative analysis
analysis revealed
revealed aa high
high amount
amount of of granulomatous
granulomatous mass, mass, fewer in-
flammatory cells, and extensive collagen fibers for the animals
flammatory cells, and extensive collagen fibers for the animals treated with curcumin treated with curcuminNEG
NEG (Group
(Group IV) followed
IV) followed by the by the treated
treated group
group with withsulfadiazine
silver silver sulfadiazine
marketed marketed cream
cream (Group
(Group
II) II) and
and the the treated
group group treated
with thewith the conventional
conventional gel ofgel of curcumin
curcumin (Group(GroupIII) III) (Figure
(Figure 5).
5). Additionally,
Additionally, the histopathological
the histopathological studies
studies foranimal
for the the animal treated
treated with with curcumin
curcumin NEGNEG and
and silver
silver sulfadiazine
sulfadiazine revealed
revealed the presence
the presence of papillary
of papillary dermis dermis
with awiththicka epidermal
thick epidermallayer,
layer, regeneration
regeneration of sebaceous
of sebaceous glands, glands,
as wellas as
well as follicles
hair hair follicles
withwith
no signno sign of inflamma-
of inflammation
tion (Figure
(Figure 5). formation
5). The The formation of granulation
of granulation tissues,
tissues, woundwound contraction,
contraction, tissue
tissue remodel-
remodeling,
and
ing, collagen
and collagendeposition properties
deposition for curcumin
properties for curcumin are already widely
are already reported
widely in the
reported lit-
in the
erature [8,9].
literature Indeed,
[8,9]. Indeed,the thewound
woundhealing
healingproperties
propertiesofofloaded
loadedtherapeutics
therapeuticsalong along with
with
incorporation
incorporation of it into NEG NEG as asaadelivery
deliveryvehicle
vehiclefurther
furtherimparts
impartsananauxiliary
auxiliary property
property to
to curcumin
curcumin through
through deeper
deeper skin
skin penetration,
penetration, local
local deposition
deposition of of
drugdrugin in
thethe skin,
skin, hence
hence an
an augmented
augmented woundwound healing
healing activity
activity was was observed
observed for curcumin.
for curcumin. The outcomes
The outcomes for
for in vivo
in vivo healing process and histopathological examinations are in line
healing process and histopathological examinations are in line with the previous investi- with the previous
investigation
gation [17,24].[17,24].
Figure 5. Histopathology analysis of newly healed tissue at day 20. (a) Stained with hematoxylin-eosin; (b) stained with
Figure 5. Histopathology
vangeison analysis
to observe collagen of newly
formation healed
(at 10 tissue at dayA—stratum
× magnification). 20. (a) Stained with hematoxylin-eosin;
corneum; (b) C—collagen
B—papillary dermis; stained with
vangeison to observe collagen formation (at
fibers; D—sebaceous gland; E—hair follicles. 10× magnification). A—stratum corneum; B—papillary dermis; C—collagen
fibers; D—sebaceous gland; E—hair follicles.
3. Conclusions
A nanoemulgel system with a uniform dispersion of curcumin was successfully de-
signed and evaluated for ex vivo skin penetrability attributes along with in vivo wound
healing efficacy in Wistar rats. The encapsulation of curcumin in O/W nanoemulsion of
Gels 2021, 7, 213 12 of 17
3. Conclusions
A nanoemulgel system with a uniform dispersion of curcumin was successfully
designed and evaluated for ex vivo skin penetrability attributes along with in vivo wound
healing efficacy in Wistar rats. The encapsulation of curcumin in O/W nanoemulsion of
droplet size around 50 nm using a minimum concentration of surfactant is desirable for
wound healing application and achieved effectively exploiting ultrasonic emulsification
technique. This simple step product development process is of great significance for
the industrial scalability of a nanoemulsion-based pharmaceutical product containing a
therapeutic agent of poor biopharmaceutical attributes.
4.8.3. Histopathology
On the last day of the wound healing experiment, the animals were anesthetized
using Ketamine HCl (50 mg/kg, i.p.), euthanized, and specimens of wound tissue with the
adjacent healthy tissue were collected. The collected samples were fixed in 10% formalin
and were subjected to routine histopathological tissue examination [17]. The wound
tissue specimen was sectioned with a microtome (Leica RM 2245) and then stained with
hematoxylin-eosin. The prepared tissue slide was examined under a light microscope.
Further, to evaluate the collagen content, the wound tissue specimen was sectioned using
a microtome, stained with Van Gieson stain for collagen fiber, and examined under a
microscope (Leica DM IRM, Leica Microsystems, Wetzlar, Germany).
efficiency and corresponding value of the percentage transmittance., Figure S2: Droplet size (56.64
nm with PDI 0.054) and zeta potential (−20.3 mV) of NE6., Figure S3: Droplet size (51.10 nm with
PDI 0.181) and zeta potential (−18.8 mV) of NE7, Figure S4: Droplet size (49.39 nm with PDI 0.113)
and zeta potential (−18.1 mV) of NE8., Figure S5: Spreadability behavior of curcumin NEG system
and placebo gel system.
Author Contributions: Conceptualization, M.S.A. and J.A.; Formal analysis, M.Z.A., I.H.N., H.A.A.,
H.S.A., M.H.A., A.A.A., A.A., T.S.A., A.A.M. and J.A.; Funding acquisition, M.S.A.; Investigation,
M.S.A., H.A.A., H.S.A., M.H.A., A.A.A., A.A. and J.A.; Methodology, M.Z.A., T.S.A., A.A.M. and J.A.;
Project administration, M.S.A.; Software, M.S.A. and M.Z.A.; Supervision, J.A.; Validation, I.H.N.
and J.A.; Visualization, M.Z.A. and I.H.N.; Writing—original draft, M.Z.A., H.A.A., H.S.A., M.H.A.,
A.A.A., A.A., T.S.A. and A.A.M.; Writing—review & editing, M.S.A. and J.A. All authors have read
and agreed to the published version of the manuscript.
Funding: The authors extend their appreciation to the Deputyship for Research & Innovation,
Ministry of Education in Saudi Arabia for funding this research work through the project number
(NU/IFC/ENT/01/005).
Institutional Review Board Statement: The study was conducted according to the guidelines of the
Declaration of Helsinki, and approved by the Ethics Committee of NAJRAN UNIVERSITY (protocol
code 25-01-02-20-EC; 25.01.2020).
Informed Consent Statement: Not applicable.
Data Availability Statement: The data presented in this study are available in article or Supplemen-
tary Materials.
Acknowledgments: The authors extend their appreciation to the Deputyship for Research & Inno-
vation, Ministry of Education in Saudi Arabia for funding this research work through the project
number (NU/IFC/ENT/01/005).
Conflicts of Interest: The authors declare no conflict of interest.
References
1. Singh, M.; Govindarajan, R.; Nath, V.; Rawat, A.K.S.; Mehrotra, S. Antimicrobial, wound healing and antioxidant activity of
Plagiochasma appendiculatum Lehm. et Lind. J. Ethnopharmacol. 2006, 107, 67–72. [CrossRef] [PubMed]
2. Gadekar, R.; Saurabh, M.K.; Thakur, G.S.; Saurabh, A. Study of formulation, characterisation and wound healing potential of
transdermal patches of curcumin. Asian J. Pharm. Clin. Res. 2012, 5, 225–230.
3. Boateng, J.S.; Catanzano, O. Advanced Therapeutic Dressings for Effective Wound Healing—A Review. J. Pharm. Sci. 2015, 104,
3653–3680. [CrossRef]
4. Gould, L.; Abadir, P.; Brem, H.; Carter, M.; Conner-Kerr, T.; Davidson, J.; DiPietro, L.; Falanga, V.; Fife, C.; Gardner, S.; et al.
Chronic wound repair and healing in older adults: Current status and future research. J. Am. Geriatr. Soc. 2015, 63, 427–438.
[CrossRef] [PubMed]
5. Stejskalova, A.; Almquist, B.D. Using biomaterials to rewire the process of wound repair. Biomater. Sci. 2017, 5, 1421–1434.
[CrossRef] [PubMed]
6. Saporito, F.; Sandri, G.; Bonferoni, M.C.; Rossi, S.; Boselli, C.; Cornaglia, A.I.; Mannucci, B.; Grisoli, P.; Vigani, B.; Ferrari, F.
Essential oil-loaded lipid nanoparticles for wound healing. Int. J. Nanomed. 2018, 13, 175–186. [CrossRef] [PubMed]
7. Anand, P.; Kunnumakkara, A.B.; Newman, R.A.; Aggarwal, B.B. Bioavailability of Curcumin: Problems and Promises. Mol.
Pharm. 2007, 4, 807–818. [CrossRef] [PubMed]
8. Gopinath, D.; Ahmed, M.; Gomathi, K.; Chitra, K.; Sehgal, P.; Jayakumar, R. Dermal wound healing processes with curcumin
incorporated collagen films. Biomaterials 2004, 25, 1911–1917. [CrossRef]
9. Sidhu, G.S.; Singh, A.K.; Thaloor, D.; Banaudha, K.K.; Patnaik, G.K.; Srimal, R.C.; Maheshwari, R.K. Enhancement of wound
healing by curcumin in animals. Wound Repair Regen. 1998, 6, 167–177. [CrossRef]
10. El-Leithy, E.S.; Makky, A.M.; Khattab, A.M.; Hussein, D.G. Optimization of nutraceutical coenzyme Q10 nanoemulsion with
improved skin permeability and anti-wrinkle efficiency. Drug Dev. Ind. Pharm. 2018, 44, 316–328. [CrossRef]
11. Farooq, U.; Rasul, A.; Zafarullah, M.; Abbas, G.; Rasool, M.; Ali, F.; Ahmed, S.; Javaid, Z.; Abid, Z.; Riaz, H.; et al. Nanoemulsions
as novel nanocarrieres for drug delivery across the skin: In-vitro, in-vivo evaluation of miconazole nanoemulsions for treatment
of Candidiasis albicans. Des. Monomers Polym. 2021, 24, 240–258. [CrossRef] [PubMed]
12. Algahtani, M.S.; Ahmad, M.Z.; Ahmad, J. Nanoemulsion loaded polymeric hydrogel for topical delivery of curcumin in psoriasis.
J. Drug Deliv. Sci. Technol. 2020, 59, 101847. [CrossRef]
13. Peltola, S.; Saarinen-Savolainen, P.; Kiesvaara, J.; Suhonen, T.; Urtti, A. Microemulsions for topical delivery of estradiol. Int. J.
Pharm. 2003, 254, 99–107. [CrossRef]
Gels 2021, 7, 213 16 of 17
14. Akrawi, S.H.; Gorain, B.; Nair, A.B.; Choudhury, H.; Pandey, M.; Shah, J.N.; Venugopala, K.N. Development and Optimization
of Naringenin-Loaded Chitosan-Coated Nanoemulsion for Topical Therapy in Wound Healing. Pharmaceutics 2020, 12, 893.
[CrossRef] [PubMed]
15. Alam, M.S.; AlGahtani, M.S.; Ahmad, J.; Kohli, K.; Shafiq-Un-Nabi, S.; Warsi, M.H.; Ahmad, M.Z. Formulation design and
evaluation of aceclofenac nanogel for topical application. Ther. Deliv. 2020, 11, 767–778. [CrossRef] [PubMed]
16. Stan, D.; Tanase, C.; Avram, M.; Apetrei, R.; Mincu, N.B.; Mateescu, A.L.; Stan, D. Wound healing applications of creams and
“smart” hydrogels. Exp. Dermatol. 2021, 30, 1218–1232. [CrossRef]
17. Algahtani, M.; Ahmad, M.; Shaikh, I.; Abdel-Wahab, B.; Nourein, I.; Ahmad, J. Thymoquinone Loaded Topical Nanoemulgel for
Wound Healing: Formulation Design and In-Vivo Evaluation. Molecules 2021, 26, 3863. [CrossRef]
18. Kaur, K.; Kumar, R.; Arpita; Goel, S.; Uppal, S.; Bhatia, A.; Mehta, S.K. Physiochemical and cytotoxicity study of TPGS stabilized
nanoemulsion designed by ultrasonication method. Ultrason. Sonochem. 2017, 34, 173–182. [CrossRef]
19. Li, P.-H.; Chiang, B.-H. Process optimization and stability of d-limonene-in-water nanoemulsions prepared by ultrasonic
emulsification using response surface methodology. Ultrason. Sonochem. 2012, 19, 192–197. [CrossRef] [PubMed]
20. Algahtani, M.S.; Ahmad, M.Z.; Ahmad, J. Nanoemulgel for Improved Topical Delivery of Retinyl Palmitate: Formulation Design
and Stability Evaluation. Nanomaterials 2020, 10, 848. [CrossRef]
21. Shafiq, S.; Shakeel, F.; Talegaonkar, S.; Ahmad, F.J.; Khar, R.K.; Ali, M. Development and bioavailability assessment of ramipril
nanoemulsion formulation. Eur. J. Pharm. Biopharm. 2007, 66, 227–243. [CrossRef]
22. Akhter, S.; Anwar, M.; Siddiqui, M.A.; Ahmad, I.; Ahmad, J.; Ahmad, M.Z.; Bhatnagar, A.; Ahmad, F.J. Improving the topical
ocular pharmacokinetics of an immunosuppressant agent with mucoadhesive nanoemulsions: Formulation development, in-vitro
and in-vivo studies. Colloids Surf. B Biointerfaces 2016, 148, 19–29. [CrossRef] [PubMed]
23. Algahtani, M.S.; Ahmad, M.Z.; Nourein, I.H.; Ahmad, J. Co-Delivery of Imiquimod and Curcumin by Nanoemugel for Improved
Topical Delivery and Reduced Psoriasis-Like Skin Lesions. Biomolecules 2020, 10, 968. [CrossRef] [PubMed]
24. Salehi, B.; Rodrigues, C.F.; Peron, G.; Dall’Acqua, S.; Sharifi-Rad, J.; Azmi, L.; Shukla, I.; Singh Baghel, U.; Prakash Mishra, A.;
Elissawy, A.M.; et al. Curcumin nanoformulations for antimicrobial and wound healing purposes. Phytother. Res. 2021, 35,
2487–2499. [CrossRef] [PubMed]
25. Pavoni, L.; Perinelli, D.R.; Bonacucina, G.; Cespi, M.; Palmieri, G.F. An Overview of Micro- and Nanoemulsions as Vehicles for
Essential Oils: Formulation, Preparation and Stability. Nanomaterials 2020, 10, 135. [CrossRef] [PubMed]
26. Artigas, M.A.; Lanjari-Pérez, Y.; Martín-Belloso, O. Curcumin-loaded nanoemulsions stability as affected by the nature and
concentration of surfactant. Food Chem. 2018, 266, 466–474. [CrossRef]
27. Ma, P.; Zeng, Q.; Tai, K.; He, X.; Yao, Y.; Hong, X.; Yuan, F. Preparation of curcumin-loaded emulsion using high pressure
homogenization: Impact of oil phase and concentration on physicochemical stability. LWT 2017, 84, 34–46. [CrossRef]
28. Campos, F.F.; Campmany, A.C.C.; Delgado, G.R.; Serrano, O.L.; Naveros, B.C. Development and Characterization of a Novel
Nystatin-Loaded Nanoemulsion for the Buccal Treatment of Candidosis: Ultrastructural Effects and Release Studies. J. Pharm. Sci.
2012, 101, 3739–3752. [CrossRef] [PubMed]
29. Garduño-Ramírez, M.L.; Clares, B.; Domínguez-Villegas, V.; Peraire, C.; Ruiz, M.A.; García, M.L.; Calpena, A.C. Skin Permeation
of Cacalol, Cacalone and 6-epi-Cacalone Sesquiterpenes from a Nanoemulsion. Nat. Prod. Commun. 2012, 7, 821–823. [CrossRef]
30. Lee, C.H.; Moturi, V.; Lee, Y. Thixotropic property in pharmaceutical formulations. J. Control. Release 2009, 136, 88–98. [CrossRef]
31. Arora, R.; Aggarwal, G.; Harikumar, S.L.; Kaur, K. Nanoemulsion Based Hydrogel for Enhanced Transdermal Delivery of
Ketoprofen. Adv. Pharm. 2014, 2014, 468456. [CrossRef]
32. Akhtar, N.; Rehman, M.; Khan, H.; Rasool, F.; Saeed, T.; Murtaz, G. Penetration Enhancing Effect of Polysorbate 20 and 80 on the
In Vitro Percutaneous Absorption of LAscorbic Acid. Trop. J. Pharm. Res. 2011, 10, 281–288. [CrossRef]
33. Osborne, D.W.; Musakhanian, J. Skin Penetration and Permeation Properties of Transcutol® —Neat or Diluted Mixtures. AAPS
PharmSciTech 2018, 19, 3512–3533. [CrossRef]
34. Manconi, M.; Sinico, C.; Valenti, D.; Lai, F.; Fadda, A.M. Niosomes as carriers for tretinoin: III. A study into the in vitro cutaneous
delivery of vesicle-incorporated tretinoin. Int. J. Pharm. 2006, 311, 11–19. [CrossRef] [PubMed]
35. Akbik, D.; Ghadiri, M.; Chrzanowski, W.; Rohanizadeh, R. Curcumin as a wound healing agent. Life Sci. 2014, 116, 1–7. [CrossRef]
36. Tejada, S.; Manayi, A.; Daglia, M.; FNabavi, S.; Sureda, A.; Hajheydari, Z.; Gortzi, O.; Pazoki-Toroudi, H.; MNabavi, S. Wound
healing effects of curcumin: A short review. Curr. Pharm. Biotechnol. 2016, 17, 1002–1007. [CrossRef]
37. Xi, J.; Chang, Q.; Chan, C.K.; Meng, Z.Y.; Wang, G.N.; Sun, J.B.; Wang, Y.T.; Tong, H.H.Y.; Zheng, Y. Formulation Development
and Bioavailability Evaluation of a Self-Nanoemulsified Drug Delivery System of Oleanolic Acid. AAPS PharmSciTech 2009, 10,
172–182. [CrossRef]
38. Ntimenou, V.; Fahr, A.; Antimisiaris, S. Elastic vesicles for transdermal drug delivery of hydrophilic drugs: A comparison of
important physicochemical characteristics of different vesicle types. J. Biomed. Nanotechnol. 2012, 8, 613–623. [CrossRef]
39. El-Hadidy, G.N.; Ibrahim, H.K.; Mohamed, M.I.; El-Milligi, M.F. Microemulsions as vehicles for topical administration of
voriconazole: Formulation and in vitro evaluation. Drug. Dev. Ind. Pharm. 2012, 38, 64–72. [CrossRef]
40. Chollet, J.L.; Jozwiakowski, M.J.; Phares, K.R.; Reiter, M.J.; Roddy, P.J.; Schultz, H.J.; Ta, Q.V.; Tomai, M.A. Development of a
topically active imiquimod formulation. Pharm. Dev. Technol. 1999, 4, 35–43. [CrossRef] [PubMed]
Gels 2021, 7, 213 17 of 17
41. Nagar, H.K.; Srivastava, A.K.; Srivastava, R.; Kurmi, M.L.; Chandel, H.S.; Ranawat, M.S. Pharmacological Investigation of the
Wound Healing Activity of Cestrum nocturnum (L.) Ointment in Wistar Albino Rats. J. Pharm. 2016, 2016, 9249040. [CrossRef]
[PubMed]
42. Castro Souza, J.D.; Estevão, L.R.; Baratella-Evêncio, L.; Vieira, M.G.; Simões, R.S.; Florencio-Silva, R.; Evêncio-Luz, L.;
Evêncio-Neto, J. Mast cell concentration and skin wound contraction in rats treated with Ximenia americana L1. Acta Cir. Bras.
2017, 32, 148–156. [CrossRef] [PubMed]