Abstract

Methotrexate, which is widely used in the treatment of cancer and immune-related diseases, has limitations in use because of its low bioavailability, short half-life, and tissue toxicity. Thus, in this study, a nano-sized water-in-oil-in-water (W/O/W) double emulsion containing methotrexate was prepared to enhance its lymphatic delivery and bioavailability. Based on the results from solubility testing and a pseudo-ternary diagram study, olive oil as the oil, Labrasol as a surfactant, and ethanol as a co-surfactant, were selected as the optimal components for the nanoemulsion. The prepared nanoemulsion was evaluated for size, zeta potential, encapsulation efficiency, pH, morphology, and in vitro release profiles. Furthermore, pharmacokinetics and lymphatic targeting efficiency were assessed after oral and intravenous administration of methotrexate-loaded nanoemulsion to rats. Mean droplet size, zeta potential, encapsulation efficiency, and pH of formulated nanoemulsion were 173.77 ± 5.76 nm, −35.63 ± 0.78 mV, 90.37 ± 0.96%, and 4.07 ± 0.03, respectively. In vitro release profile of the formulation indicated a higher dissolution and faster rate of methotrexate than that of free drug. The prepared nanoemulsion showed significant increases in maximum plasma concentration, area under the plasma concentration-time curve, half-life, oral bioavailability, and lymphatic targeting efficiency in both oral and intravenous administration. Therefore, our research proposes a methotrexate-loaded nanoemulsion as a good candidate for enhancing targeted lymphatic delivery of methotrexate.

Highlights

  • Interest has been steady in the lymphatic system as a pathway for lipid absorption, cancer metastasis, and immune system response

  • Increasing the lymphatic delivery of anticancer drugs and immune-related drugs could improve the therapeutic effects while reducing side effects; in addition, the therapeutic effects might be possible with low doses

  • That study’s findings are further strong evidence that the lymphatic system is a major pathway for cancer metastasis. These findings suggest that studies on lymphatic targeting and migration of anticancer drugs are crucial, and, researchers have studied a number of targeting strategies and benefits based on the structural and physiological characteristics of the lymphatic system related to drug delivery [6,7,8,9]

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Summary

Introduction

Interest has been steady in the lymphatic system as a pathway for lipid absorption, cancer metastasis, and immune system response. As tumor-induced lymphatic remodeling, lymphatic vessel contraction around cancer cells occurs, thereby promoting the spread of cancer cells through altered lymph flow [4]. This suggests that lymphatic delivery of anticancer drugs is very important for effective metastatic cancer treatment. Increasing the lymphatic delivery of anticancer drugs and immune-related drugs could improve the therapeutic effects while reducing side effects; in addition, the therapeutic effects might be possible with low doses. In this regard, lymphatic targeting and drug delivery using formulation of anticancer and immune-related drugs could be of great interest for cancer and immune disease treatment

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