Abstract:
Background and aims: The human skin is the primary barrier that protects internal tissues
from mechanical injury, infection, extreme heat and is crucial for haemostasias. The skin is
vulnerable to injury, which has many consequences for both individual patients and the
healthcare economy. Skin injuries and wounds should eventually heal normally through the
natural process of skin cell restoration. However, significant clinical challenges act as an
obstacle for time-controlled clean wound healing. Asiaticoside (ASC) and asiatic acid (AA)
are natural bioactive compounds from Centella asiatica. Many effects of these two compounds,
including promoting fibroblast proliferation, increased epithelial cell migration, and new
capillary formation, has been reported. Their efficacy has been demonstrated in in vitro and in
vivo studies. However, these compounds are fragile and need to be protected from degradation.
Taken together, it would be advantageous if the compounds were encapsulated, which would
shield them from the external environment and also facilitate sustained release, enhancing their
therapeutic effects. In addition, enriching a biocompatible hydrogel with drug-loaded niosomes
will allow easy application, and the beneficial effects of the hydrogel will also enhance healing.
Objective: The aim of this project was to develop a niosome loaded hydrogel system to deliver
bioactive compounds to skin wounds to accelerate wound healing. The drug candidates are two
compounds from Centella asiatica, namely, asiaticoside (ASC) and asiatic acid (AA).
Methods: A high-performance liquid chromatography (HPLC) method was developed and
validated to simultaneously quantify the two compounds; preformulation studies were
performed to study their physicochemical properties. ASC-loaded and AA-loaded niosomes
were prepared using film hydration method and the Design of Experiment strategy was applied
to optimise the formulations. Optimised niosomes were coated with hyaluronic acid and
subjected to characterisation studies to determine their morphology, particle size, entrapment
efficiency, zeta potential, thermal activities, drug and excipient interactions and in vitro release
profiles. The effects of the two drugs and the drug-loaded niosomes on human skin fibroblasts
(Fbs), including cytotoxicity, uptake and wound healing were evaluated. A self-healing
hydrogel was developed based on oxidised konjac glucomannan and carboxymethyl and was
characterised. In vivo studies were carried out on Sprague Dawley rats using a full-thickness
excisional wound model to examine the effects of the niosome loaded hydrogel. Results and discussion: The optimised hyaluronic acid-coated ASC niosome (HaASC) and
AA niosome (HaAA) were spherical and with acceptable size in the nanoscale (234.60 ± 15.24
nm and 175.80 ± 13.54 nm, respectively), with entrapment efficiencies of 79.45 ±4.32 % and
94.18 ± 3.98 %, respectively. DSC and FTIR confirmed that the drugs were entrapped in
niosomes in an amorphous state. The in vitro drug release study showed that both HaASC and
HaAA could effectively release their drug in a sustained manner over 48 h prolonged period.
The stability studies showed a protective effect of the niosomes on drugs, and they were
relatively stable when stored between 2-8 °C for 90 days. Drug deposition in the skin layers
was significantly enhanced by niosome carriers (p <0.05). The in vitro wound-healing assay
showed that a combination of ASC and AA loaded niosomes enhanced cell migration and
proliferation compared to free drugs. The niosome carrier was effective for delivering ASC
and AA across the stratum corneum to the dermis layer and enhancing cellular uptake in vitro,
improving their biological effects. A self-healing hydrogel based on carboxymethyl chitosan
and oxidised konjac glucomannan was successfully prepared and enriched with drug-loaded
niosomes. The self-healing properties were observed via a macroscopic self-healing test and a
cyclic strain test. Following the addition of niosomes, the storage modulus was close to the
blank hydrogel, suggesting that the inclusion of niosomes did not affect the self-healing
properties. Drug release from hydrogel showed an initial fast release followed by a sustained
release phase, which is ideal for wound healing applications as the frequency of dressing
changes could be reduced. Neither blank nor niosome-enriched hydrogels affected the cell
viability after incubation for 48 h. In the in vivo wound healing study, SD rats treated with
HaASC+HaAA noisome-enriched hydrogel showed much faster-wound closure on day 3, 6, 9
and completely healed on day 14, which was significantly higher than the control (p < 0.01)
and blank hydrogel (p < 0.05). Histological and immunohistochemical examination revealed
that niosomes enriched hydrogel enhanced epithelialisation and collagen deposition,
corresponding to accelerated healing compared with the other groups.
Conclusion: The project has demonstrated that the development of niosomes improved the
stability of ASC and AA and enhanced their uptake into cells. The research highlighted that
niosomes are a potential carrier for ASC and AA for wound healing. The functionalised
hydrogel served as a promising dressing for accelerating wound healing and could potentially
treat wounds. This system may serve as a platform into which a range of compounds with
wound healing properties can be loaded.