Design and evaluation of chrysin-loaded nanoemulsion against lithium/pilocarpine-induced status epilepticus in rats; emphasis on formulation, neuronal excitotoxicity, oxidative stress, microglia polarization, and AMPK/SIRT-1/PGC-1α pathway

Expert Opin Drug Deliv. 2023 Jan;20(1):159-174. doi: 10.1080/17425247.2023.2153831. Epub 2022 Dec 12.

Abstract

Objectives: The present study aims to formulate and evaluate the efficacy of chrysin-loaded nanoemulsion (CH NE) against lithium/pilocarpine-induced epilepsy in rats, as well as, elucidate its effect on main epilepsy pathogenesis cornerstones; neuronal hyperactivity, oxidative stress, and neuroinflammation.

Methods: NEs were characterized by droplet size, zeta potential, pH, in vitro release, accelerated and long-term stability studies. Anti-convulsant efficacy of the optimized formula and underlying mechanisms involved were assessed and compared to that from CH suspension given orally at a 30 folds higher dose.

Results: Optimized formula displayed a droplet size of 48.09 ± 0.83 nm, PDI 0.25 ± 0.011, sustained release, and good stability. CH treatment reduced seizures scoring, corrected behavioral and histological changes induced by Li/Pilo. Moreover, CH restored neurotransmitters balance and oxidative stress markers levels. Besides, CH induced microglia polarization from M1 to M2 hindering inflammation induced by Li/Pilo. Also, CH restored energy metabolism homeostasis via regulating protein expression of AMPK/SIRT-1/PGC-1α pathway markers. CH NE formulation was found to significantly enhance drug delivery to rats' hippocampus compared to CH suspension.

Conclusion: Our findings prove the therapeutic efficacy of CH NE at a lower dose which could be a potential brain targeting platform to combat epilepsy.

Keywords: AMPK/SIRT-1/PGC-1α; chrysin; microglia polarization; nanoemulsion; oxidative stress; status epilepticus.

MeSH terms

  • AMP-Activated Protein Kinases / pharmacology
  • AMP-Activated Protein Kinases / therapeutic use
  • Animals
  • Epilepsy* / drug therapy
  • Lithium / adverse effects
  • Microglia / pathology
  • Oxidative Stress
  • Pilocarpine / toxicity
  • Rats
  • Status Epilepticus* / chemically induced
  • Status Epilepticus* / drug therapy
  • Status Epilepticus* / pathology

Substances

  • Pilocarpine
  • Lithium
  • chrysin
  • AMP-Activated Protein Kinases