Cancer poses a perpetual threat to public health, presenting challenges in therapy due to the unregulated proliferation and intricate nature of tumors. Xanthone (Xan) exhibits anti-cancer activity, yet its therapeutic potential is hindered by its limited aqueous solubility and intestinal permeability. To address this issue, we attempted to formulate Xan into niosomes using a (21.41) full factorial design, investigating lipid amount and surfactant/stabilizer ratio impact on vesicle size (VS), entrapment efficiency percentage (EE%) and release efficacy percentage (RE%). The optimal formula was characterized for its ex-vivo permeation, morphology, and in-vitro cytotoxicity using a panel of eight human cancer cell lines. Cell cycle analysis was employed to determine the optimal formula's potential for inducing cell cycle arrest. Annexin V-FITC binding, Bax (BCL2-Associated X Protein), and Bcl-xl (B-cell lymphoma-extra-large) protein expression levels were assessed to determine the degree of apoptosis. Cell migration was assessed by the wound healing assay. The optimal formula (F1), with a desirability value of 0.924, demonstrated minimized VS (83.21±4.37 nm), maximized EE% (66.50±4.43%), and maximized RE% (77.05±1.19%). F1 exhibited enhanced ex-vivo permeation (by 4.96-fold compared to Xan suspension), and morphological integrity. F1 displayed notable antiproliferative effects, particularly in HepG2 and MCF-7 cells with IC50 values of 5.4±0.11 μM and 15.6±0.22 μM, respectively. The anticancer effect was further evidenced by its ability to inhibit cell migration, G1 phase cell cycle arrest, apoptosis induction, and increased Bax/Bcl-xl expression in HepG2 and MCF-7 cells. Accordingly, Xan-loaded niosomes exhibit encouraging potential as a potent anticancer therapy, warranting further exploration.
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