PENGARUH PENGEMBANGAN SELF-NANOEMULSIFYING DRUG DELIVERY SYSTEM TERHADAP DISOLUSI, BIOAVAILABILITAS, DAN AKTIVITAS AGEN ANTIHIPERLIPIDEMIA

Sani Ega Priani

Abstract


Hiperlipidemia adalah suatu kondisi peningkatkan kadar lipid plasma yang dapat menjadi faktor resiko berbagai penyakit kardiovaskular. Diketahui beberapa agen antihiperlipidemia bersifat sukar larut dalam air sehingga dapat berpengaruh pada disolusi, bioavailabilitas, dan efek farmakologi yang dihasilkan. Self-nanoemulsifying Drug Delivery System (SNEDDS) merupakan salah satu sistem penghantaran obat  yang diketahui mampu memperbaiki kelarutan zat sukar larut air. Kajian ini bertujuan untuk mengetahui pengaruh formulasi SNEDDS terhadap disolusi, bioavailabilitas, dan efektivitas dari agen antihiperlipidemia. Kajian berbasis  systematic literature review dengan melakukan pengkajian artikel yang diperoleh dari database bereputasi yang  memenuhi kriteria inklusi dan eksklusi yang telah ditetapkan. Hasil kajian menunjukkan formulasi SNEDDS terhadap agen antihiperlipidemia dapat menyebabkan peningkatan % disolusi zat sukar larut air hingga mencapai >80%. Formulasi SNEDDS mampu meningkatkan bioavailabilitas zat, yang ditandai dengan peningkatan signifikan dari nilai  Cmax dan AUC (area under curve) dibandingkan dengan bentuk murni/suspensi. Formulasi SNEDDS juga mampu meningkatkan efektivitas antihiperlipidemia, yang ditandai dengan penurunan kadar  kolesterol total, trigliserida, dan LDL yang  lebih baik dibandingkan dengan zat murni/sediaan di pasaran. Dari hasil kajian dapat disimpulkan bahwa pengembangan sediaan SNEDDS potensial untuk meningkatkan disolusi, bioavaibilitas, dan efektivitas terapi dari agen antihiperlipidemia.


Keywords


SNEDDS, hiperlipidemia, systematic literature review

Full Text:

PDF

References


bioavailability of rosuvastatin using natural oil antihyperlipdemic. Drug Development and Industrial Pharmacy, 41(7). https://doi.org/10.3109/03639045.2014.983113

Ahsan, M. N., & Prasad Verma, P. R. (2017). Solidified self nano-emulsifying drug delivery system of rosuvastatin calcium to treat diet-induced hyperlipidemia in rat: In vitro and in vivo evaluations. Therapeutic Delivery, 8(3). https://doi.org/10.4155/tde-2016-0071

Akiladevi, D., Prakash, H., Biju, G., & Madumitha, N. (2020). Nano-novel approach: Self nano emulsifying drug delivery system (SNEDDS) - Review article. In Research Journal of Pharmacy and Technology (Vol. 13, Issue 2). https://doi.org/10.5958/0974-360X.2020.00183.3

Allam, A. N., El gamal, S. S., & Naggar, V. F. (2011). Bioavailability : A Pharmaceutical Review Bioavailability. Novel Drug Deliv Tech, 1(1).

Bandyopadhyay, S., Katare, O. P., & Singh, B. (2012). Optimized self nano-emulsifying systems of ezetimibe with enhanced bioavailability potential using long chain and medium chain triglycerides. Colloids and Surfaces B: Biointerfaces, 100. https://doi.org/10.1016/j.colsurfb.2012.05.019

Beg, S., Katare, O. P., & Singh, B. (2017). Formulation by design approach for development of ultrafine self-nanoemulsifying systems of rosuvastatin calcium containing long-chain lipophiles for hyperlipidemia management. Colloids and Surfaces B: Biointerfaces, 159. https://doi.org/10.1016/j.colsurfb.2017.08.050

Butt, S., Hasan, S. M. F., Hassan, M. M., Alkharfy, K. M., & Neau, S. H. (2019). Directly compressed rosuvastatin calcium tablets that offer hydrotropic and micellar solubilization for improved dissolution rate and extent of drug release. Saudi Pharmaceutical Journal, 27(5). https://doi.org/10.1016/j.jsps.2019.03.002

Celik-Tekeli, M., Celebi, N., Tekeli, M. Y., & Aktas, Y. (2021). Evaluation of the hypoglycemic effect of exendin-4’s new oral self-nanoemulsifying system in rats. European Journal of Pharmaceutical Sciences, 158. https://doi.org/10.1016/j.ejps.2020.105644

Elgart, A., Cherniakov, I., Aldouby, Y., Domb, A. J., & Hoffman, A. (2013). Improved oral bioavailability of BCS class 2 compounds by self nano-emulsifying drug delivery systems (SNEDDS): The underlying mechanisms for amiodarone and talinolol. Pharmaceutical Research, 30(12). https://doi.org/10.1007/s11095-013-1063-y

Ezeh, K. J., & Ezeudemba, O. (2021). Hyperlipidemia: A Review of the Novel Methods for the Management of Lipids. Cureus. https://doi.org/10.7759/cureus.16412

Gardouh, A. R., Nasef, A. M., Mostafa, Y., & Gad, S. (2020). Design and evaluation of combined atorvastatin and ezetimibe optimized self- nano emulsifying drug delivery system. Journal of Drug Delivery Science and Technology, 60. https://doi.org/10.1016/j.jddst.2020.102093

Harikumar, K., Althaf, S. A., Kishore Kumar, B., Ramunaik, M., & Suvarna, C. (2013). A Review on Hyperlipidemic. Nternational Journal of Novel Trends in Pharmaceutical Sciences, 3(4).

Hashem, F. M., Al-Sawahli, M. M., Nasr, M., & Ahmed, O. A. A. (2015). Custom fractional factorial designs to develop atorvastatin self-nanoemulsifying and nanosuspension delivery systems – Enhancement of oral bioavailability. Drug Design, Development and Therapy, 9. https://doi.org/10.2147/DDDT.S86126

Jiang, T., Han, N., Zhao, B., Xie, Y., & Wang, S. (2012). Enhanced dissolution rate and oral bioavailability of simvastatin nanocrystal prepared by sonoprecipitation. Drug Development and Industrial Pharmacy, 38(10). https://doi.org/10.3109/03639045.2011.645830

Karr, S. (2017). Epidemiology and management of hyperlipidemia. In The American journal of managed care (Vol. 23, Issue 9).

Kassem, A. M., Ibrahim, H. M., & Samy, A. M. (2017). Development and optimisation of atorvastatin calcium loaded self-nanoemulsifying drug delivery system (SNEDDS) for enhancing oral bioavailability: in vitro and in vivo evaluation. Journal of Microencapsulation, 34(3). https://doi.org/10.1080/02652048.2017.1328464

Khattab, A., Hassanin, L., & Zaki, N. (2017). Self-Nanoemulsifying Drug Delivery System of Coenzyme (Q10) with Improved Dissolution, Bioavailability, and Protective Efficiency on Liver Fibrosis. AAPS PharmSciTech, 18(5). https://doi.org/10.1208/s12249-016-0632-x

Krstić, M., Medarević, Đ., Đuriš, J., & Ibrić, S. (2018). Self-nanoemulsifying drug delivery systems (SNEDDS) and self-microemulsifying drug delivery systems (SMEDDS) as lipid nanocarriers for improving dissolution rate and bioavailability of poorly soluble drugs. In Lipid Nanocarriers for Drug Targeting. https://doi.org/10.1016/B978-0-12-813687-4.00012-8

Mc Namara, K., Alzubaidi, H., & Jackson, J. K. (2019).

Cardiovascular disease as a leading cause of death: how are pharmacists getting involved?

. Integrated Pharmacy Research and Practice, Volume 8. https://doi.org/10.2147/iprp.s133088

Mustapha, D. S., & Bawa-Allah, K. A. (2020). Differential toxicities of anionic and nonionic surfactants in fish. Environmental Science and Pollution Research, 27(14). https://doi.org/10.1007/s11356-020-08212-6

Nasr, A., Gardouh, A., & Ghorab, M. (2016). Novel solid self-nanoemulsifying drug delivery system (S-SNEDDS) for oral delivery of olmesartan medoxomil: Design, formulation, pharmacokinetic and bioavailability evaluation. Pharmaceutics, 8(3). https://doi.org/10.3390/pharmaceutics8030020

Omari-Siaw, E., Zhu, Y., Wang, H., Peng, W., Firempong, C. K., Wang, Y. W., Cao, X., Deng, W., Yu, J., & Xu, X. (2016). Hypolipidemic potential of perillaldehyde-loaded self-nanoemulsifying delivery system in high-fat diet induced hyperlipidemic mice: Formulation, in vitro and in vivo evaluation. European Journal of Pharmaceutical Sciences, 85. https://doi.org/10.1016/j.ejps.2016.02.003

Onwe, P., Folawiyo, M., Ogah, A., Umahi, G., Okorocha, A., & Afoke, A. (2015). Hyperlipidemia: Etiology and Possible Control. IOSR Journal of Dental and Medical Sciences, 14(10).

Prabhu, P., & Patravale, V. (2016). Dissolution enhancement of atorvastatin calcium by co-grinding technique. Drug Delivery and Translational Research, 6(4). https://doi.org/10.1007/s13346-015-0271-x

Priani, S. E., Setianty, T. N., Aryani, R., Fitrianingsih, S. P., & Syafnir, L. (2021). Development of Nanocapsules Containing Cytotoxic Agents- A Review. Jurnal Farmasi Galenika (Galenika Journal of Pharmacy) (e-Journal), 7(2). https://doi.org/10.22487/j24428744.2021.v7.i2.15578

Reddy, K. V., Reddy, D. N., & Reddy, K. H. (2011). Conseption and evaluation of Gemfibrozil as immediate drug delivery system. Journal of Chemical and Pharmaceutical Research, 3(2).

Ruscica, M., Ferri, N., Santos, R. D., Sirtori, C. R., & Corsini, A. (2021). Lipid Lowering Drugs: Present Status and Future Developments. In Current Atherosclerosis Reports (Vol. 23, Issue 5). https://doi.org/10.1007/s11883-021-00918-3

Savale, S. K. (2015). a Review - Self Nanoemulsifying Drug Delivery System (Snedds). International Journal of Research in Pharmaceutical and Nano Sciences.

Sharma, P., Singh, S. K., Pandey, N. K., Rajesh, S. Y., Bawa, P., Kumar, B., Gulati, M., Singh, S., Verma, S., Yadav, A. K., Wadhwa, S., Jain, S. K., Gowthamarajan, K., Malik, A. H., Gupta, S., & Khursheed, R. (2018). Impact of solid carriers and spray drying on pre/post-compression properties, dissolution rate and bioavailability of solid self-nanoemulsifying drug delivery system loaded with simvastatin. Powder Technology, 338. https://doi.org/10.1016/j.powtec.2018.07.092

Shattat, G. F. (2014). A review article on hyperlipidemia: Types, treatments and new drug targets. In Biomedical and Pharmacology Journal (Vol. 7, Issue 2). https://doi.org/10.13005/bpj/504

Su, L., Mittal, R., Ramgobin, D., Jain, R., & Jain, R. (2021). Current Management Guidelines on Hyperlipidemia: The Silent Killer. Journal of Lipids, 2021. https://doi.org/10.1155/2021/9883352

Tripathi, C. B., Gupta, N., Kumar, P., Singh, A. K., Raj, V., Parashar, P., Singh, M., Kanoujia, J., Arya, M., Saraf, S. A., & Saha, S. (2018). ω-3 Fatty Acid Synergized Novel Nanoemulsifying System for Rosuvastatin Delivery: In Vitro and In Vivo Evaluation. AAPS PharmSciTech, 19(3). https://doi.org/10.1208/s12249-017-0933-8

Van Den Abeele, J., Brouwers, J., Mattheus, R., Tack, J., & Augustijns, P. (2016). Gastrointestinal Behavior of Weakly Acidic BCS Class II Drugs in Man - Case Study of Diclofenac Potassium. Journal of Pharmaceutical Sciences, 105(2). https://doi.org/10.1002/jps.24647

Verma, R., Kaushik, A., Almeer, R., Habibur Rahman, M., Abdel-Daim, M. M., & Kaushik, D. (2021). Improved pharmacodynamic potential of rosuvastatin by self-nanoemulsifying drug delivery system: An in vitro and in vivo evaluation. International Journal of Nanomedicine, 16. https://doi.org/10.2147/IJN.S287665

Villar, A. M. S., Naveros, B. C., Campmany, A. C. C., Trenchs, M. A., Rocabert, C. B., & Bellowa, L. H. (2012). Design and optimization of self-nanoemulsifying drug delivery systems (SNEDDS) for enhanced dissolution of gemfibrozil. International Journal of Pharmaceutics, 431(1–2). https://doi.org/10.1016/j.ijpharm.2012.04.001

Vu, G. T. T., Phan, N. T., Nguyen, H. T., Nguyen, H. C., Hai Tran, Y. T., Pham, T. B., Nguyen, L. T., & Nguyen, H. D. (2020). Application of the artificial neural network to optimize the formulation of self-nanoemulsifying drug delivery system containing rosuvastatin. Journal of Applied Pharmaceutical Science, 10(9). https://doi.org/10.7324/JAPS.2020.10901




DOI: https://doi.org/10.29313/jiff.v5i1.8967

Refbacks

  • There are currently no refbacks.



Indexed and Journal List Title by :

Neliti

CiteFactorResearch BIB
MorarefDRJIESJIEuroPubScientific Indexing Services
CrossRefPortal GarudaWorldCatScilitIndonesia One Search
Publons

JIFF Flag Counter
 
Visitor Since 20 December 2018 :


View My Summary StatCounter

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License