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Drug Development and Industrial Pharmacy

ISSN: 0363-9045 (Print) 1520-5762 (Online) Journal homepage: http://www.tandfonline.com/loi/iddi20

Optimization of nutraceutical coenzyme Q10


nanoemulsion with improved skin permeability
and anti-wrinkle efficiency

Eman S. El-Leithy, Amna M. Makky, Abeer M. Khattab & Doaa G. Hussein

To cite this article: Eman S. El-Leithy, Amna M. Makky, Abeer M. Khattab & Doaa G. Hussein
(2017): Optimization of nutraceutical coenzyme Q10 nanoemulsion with improved skin
permeability and anti-wrinkle efficiency, Drug Development and Industrial Pharmacy, DOI:
10.1080/03639045.2017.1391836

To link to this article: http://dx.doi.org/10.1080/03639045.2017.1391836

Published online: 02 Nov 2017.

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Download by: [Gothenburg University Library] Date: 03 November 2017, At: 06:48
DRUG DEVELOPMENT AND INDUSTRIAL PHARMACY, 2017
https://doi.org/10.1080/03639045.2017.1391836

RESEARCH ARTICLE

Optimization of nutraceutical coenzyme Q10 nanoemulsion with improved skin


permeability and anti-wrinkle efficiency
Eman S. El-Leithya,b, Amna M. Makkyc, Abeer M. Khattabd and Doaa G. Husseind
a
Department of Pharmaceutics and Industrial Pharmacy, Faculty of Pharmacy, October University for Modern Sciences and Arts (MSA), Cairo,
Egypt; bDepartment of Pharmaceutics and Industrial Pharmacy, Faculty of Pharmacy, Helwan University, Ain Helwan, Cairo, Egypt;
c
Department of Pharmaceutics and Industrial Pharmacy, Faculty of Pharmacy, Cairo University, Cairo, Egypt; dNational Organization for Drug
Control and Research, Cairo, Egypt

ABSTRACT ARTICLE HISTORY


Coenzyme Q10 (CoQ10) is an insoluble, poorly permeable antioxidant with great biological value which Received 30 May 2017
Downloaded by [Gothenburg University Library] at 06:48 03 November 2017

acts as anti-aging and anti-wrinkle agent. To improve its permeability through topical application, the cur- Revised 26 September 2017
rent study aimed at formulating oil/water (o/w) nanoemulsion (NE) as an efficient vehicle for delivering Accepted 1 October 2017
(CoQ10) through the skin barriers. The solubility of (CoQ10) was tested for various oils, surfactants (S), and
co-surfactants (CoS). The NE region was determined by constructing pseudoternary phase diagrams. NE KEYWORDS
formulae containing 1, 2, and 3% w/w drug have been subjected to thermodynamic stability test. The for- Coenzyme Q10;
mulae that passed thermodynamic stability tests were characterized by physical properties as pH, viscosity, nanoemulsion; phase
refractive index, droplet size, zeta-potential, TEM, electroconductivity, in vitro release, and ex vivo perme- diagram; permeability;
ation. The formula ‘F2’ containing 10% w/w isopropyl myristate (oil phase), 60% w/w of Tween 80: anti-wrinkle
Transcutol HP mixture (S/CoSmix) at ratio 2:1, 30% w/w water and 2% w/w drug was evaluated for its anti-
wrinkle efficiency using an animal model. The ‘F2’ formula showed 11.76 ± 1.1 nm droplet size,
1.4260 ± 0.0016 refractive index, 0.228 PDI, 14.7 ± 1.23 mv zeta potential, 7.06 ± 0.051 pH, 199.05 ± 0.35 cp
viscosity, and the highest percentage of drug release in the selected dissolution media. About 47.21% of
the drug was released in phosphate buffer 7.4 containing 5% w/v Labrasol and 5% w/v isopropyl alcohol
through 24 h. It also showed the highest drug flux (Jss ¼ 3.164 mg/cm2/h), enhancement ratio (Er ¼ 8.32),
and permeability coefficient (Kp ¼ 22.14  104 cm2/h). CoQ10 NE reduced the skin wrinkles and gave the
skin smooth appearance. Our investigation suggests the potential use of NE as a vehicle for enhancing
solubility and permeability of CoQ10 and thus improving its anti-wrinkle efficiency.

Introduction
retinoic acid, alpha hydroxy acids, antioxidants, estrogens, and
Skin is the outermost tissue of the body that represents the larg- growth factors to reduce signs and symptoms of skin aging.
est organ per body weight or surface (10% of the body weight Antioxidants include (CoQ10), alpha-lipoic acid (ALA), niacina-
and nearly 2 m2 of the body surface area) [1]. It has robustness mide (B3 vitamin), L-ascorbic acid, and a-tocopherol (vitamin E)
barrier’s activity against environmental stress, including hydration, can quench free radicals, which can accelerate the process of
dehydration, temperature, and UV radiation [2]. Stratum corneum aging [9]. CoQ10 has a tail of 10 isoprene units made up of 50 car-
(SC) consists of horny cells that made up of peripheral nonviable bon atoms attached to its benzoquinone head structure, that pro-
layers of epiderm is considering the control barrier rate of trans- vides it with highly lipophilic characteristics (as a freely fat soluble)
dermal absorption, which directly relates to the lipophilicity of and very low water solubility (<1 mg/L) [10]. CoQ10 exists in mito-
drugs [3]. chondria of all body cells that have an essential role as an electron
Skin aging is a complex biological process that is directly influ- and proton transporter [11]. CoQ10 concentration in the skin epi-
enced by endogenous and exogenous (intrinsic and extrinsic) fac- dermis layer is 10-folds higher than the dermis layer [12]. Recent
tors [4]. These factors lead to a progressive increase in wrinkles investigations proved the obvious anti-aging effect of CoQ10 on
due to cumulative changes in structural, physiological, and appear- the skin, which attributed to increase the production of basement
ance of skin layers, especially those exposed to sun [5]. membrane components such as keratinocytes, laminin, and colla-
The ultra violet (UV) radiation is an important factor that causes gen fibers, as well as increasing the fibroblast proliferation
an imbalance between pro-oxidants and antioxidants which in together with protecting cells against oxidative stress [13].
turn leads to oxidative stress and photoaging of the skin [6]. The Potential sensitivity and photo-degradation of most antioxi-
constant action of UV rays on the skin diminishes the antioxidants dants to light exposure are considered factors that reduce their
existing inside the skin over time. The antioxidants commonly activities. Furthermore, inefficient percutaneous penetration is
placed over stratum corneum are susceptible to ultra violet (UV) deemed as another problem that limits their permeation through
exposure and a single dose can decrease their concentration to the viable epidermis and dermis layers. Thus, the real challenge of
almost half amount [7]. antioxidant is to increase the permeation through stratum cor-
Rabe et al. [8] proposed three strategies for treatment and pre- neum and reach to the deep of cutaneous layers without signifi-
vention of skin aging. One of which is based on applying the cant absorption to blood circulation [14].

CONTACT Abeer Mostafa Khattab abeer_khattab75@yahoo.com National Organization for Drug Control and Research, Cairo, Egypt
ß 2017 Informa UK Limited, trading as Taylor & Francis Group
2 E. S. EL-LEITHY ET AL.

Although the conventional encapsulation techniques such as equilibrium state. The equilibrated samples were centrifuged at
the inclusion complex of CoQ10 with cyclodextrin succeed to 3000 rpm for 15 min. The supernatant was filtered through a
increase its solubility, oral bioavailability, and stability [15], it was 0.45 mm membrane filter and diluted with the mobile phase (etha-
reported that the usage of the chemical permeation enhancers as nol:isopropanol) at a ratio of 75:25 v/v [23]. The concentration of
cyclodextrin is not considered as the best choice for transdermal CoQ10 was determined by HPLC method reported by Joe and
delivery. The capability of such permeation enhancer for enhanc- Sunil [24]. Briefly, the chromatographic conditions used were rep-
ing transport across the skin does not accomplish the desired skin resented as follows; Hypersil column ODS C18 250 mm  4.6 mm,
disturbance. They demonstrate poor permeation across the stra- 5 mm particle size, and the mobile phase consists of 75:25 (%v/v)
tum corneum themselves and therefore their activity is limited to mixture of ethanol:isopropanol, the injection volume of 20 mL and
the top layer of the stratum corneum. Furthermore, they should the flow rate of 2 mL/min. The effluent was monitored at 275 nm.
be used in high concentration to be effective as skin permeation The sample was analyzed in triplicate.
enhancers with which it may increase the risk of skin irritation.
Consequently, cyclodextrin application as a chemical permeation
enhancer offers poor transdermal delivery of candidate drug mole- Screening of surfactants/co-surfactants mixture
cules [16]. Selection of surfactant/co-surfactant (S/CoS) mixture that forms oil
Various novel strategies are currently being developed for effi- in water NE is based on using those mixtures with (HLB) value
cient delivery of poorly water-soluble drugs, such as nanoemulsion greater than 10 [25]. Theoretical calculation of HLB values for three
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(NE) [17,18]. Nanoemulsion is a thermodynamically stable system surfactants (Labrasol, Tween 80, and Cremophor EL) and three co-
of two immiscible liquids (oil and water), which is stabilized by an surfactants (Span20, Transcutol HP, and Propylene glycol) at differ-
interfacial film of surfactant and co-surfactant molecules. It is iso- ent ratios (1:1, 1:2, 1:3, 1:4, 2:1, 3:1, and 4:1) w/w were carried out
tropically clear colloidal dispersion that has droplets size less than using an internet program (HLB-surfactant-Tripod Iran-surfactant.-
100 nm [19]. Nanoemulsion is easily used in skin care due to its tripod.com). The S/CoS mixtures with HLB values at the range of
good sensorial properties (merging textures, rapid penetration) 10–13 were screened for o/w NE formation following the method
and its biophysical properties (hydrating power).The high solubility developed by Ljiljana and Marija [26]. The S/CoS mixture was
potential for drugs of the NE system might increase the thermo- added dropwise to the weighed amounts of oils and water at
dynamic activity towards the skin [20]. Ingredients of NE act as fixed ratio 1:1 w/w at 25  C. During titration, samples were mag-
permeation enhancers that increase the drug flux via the skin [21]. netically stirred in order to reach equilibrium state. The amounts
The permeation rate of drug increases as a result of increasing of of S/CoS mixture required to emulsify the oil with water and form
drug affinity of NE internal phase, which can be modified easily transparent emulsion were recorded [27].
partitioning into the stratum cornea [22].
Accordingly, the present research study is focused on develop-
ing a new successful nanoemulsion as a potential carrier for Constructing of pseudo-ternary phase diagram
CoQ10 to increase its solubility, skin permeability, and thus
Based on the solubility and screening studies, IPM and IPM:Oleic
enhancing its anti-wrinkle efficiency.
acid mixture at ratio of 3:1 w/w were selected as oil, Labrasol,
Cremophor EL, and Tween 80 were selected as surfactants; mean-
Materials and methods while Transcutol HP and propylene glycol were selected as co-sur-
factants. Various pseudoternary phase diagrams were constructed
Materials using aqueous titration method. The weight ratios of S/CoS were
CoQ10 was kindly donated as a gift from Mebaco Company, Cairo, 4:1, 3:1, and 2:1 w/w. Different combinations of different weight
Egypt. Tween 80 with the hydrophilic/lipophilic balance ratios of oil and S/CoS mixture 1:9–9:1 w/w were made to con-
(HLB ¼ 15), Span 20 (HLB ¼ 8.6), olive oil, sodium lauryl sulfate struct phase diagrams. Briefly, water was added dropwise under
(SLS), Tween 20, oleic acid, ethanol, and isopropanol (HPLC grade) magnetic stirring at 25  C to each weight ratio of oil and S/CoS
were purchased from El-Nasr Pharmaceutical Chemical Company, until it turned turbid [28]. The volume of water used was then
Cairo, Egypt. Avocado oil was obtained as a gift from (Jan Dekker recorded in each system. The physical state of NE was marked on
Nederland B.V, Wormerveer, Holland). Caproyl 90, Labrasol pseudo-3-component phase diagrams. One axis of the pseudo-
(HLB ¼ 14), Labrafil M1944 and Transcutol HP (HLB ¼ 4.2) were three-component phase diagram represented the aqueous phase,
given as a gift from Gattefosse (Cedex, France). Cremophor EL the other represented the oil phase, and the third represented a
(HLB ¼ 13.5), isopropyl myristate (IPM) and propylene glycol mixture of surfactant and co-surfactant phase at a fixed weight
(HLB ¼ 4.45) were purchased from Sigma-Aldrich, Germany. ratio [29]. The existence of the micro/nanoemulsion field was
monitored by clear and transparent areas in phase diagrams.

Solubility study
Optimization of CoQ10 loaded NE formulations
Successful development of NE is based on selecting oil, surfactant,
and co-surfactant that showed higher solubility capacity for drug. From the selected phase diagrams, different formulae were pre-
Solubility of CoQ10 in various oils such as oleic acid, avocado oil, pared using 10% of oil, S/CoS mixture ranged 50–60%, and water
Labrafil M1944, IPM, caproyl 90, olive oil, IPM:oleic acid at a ratio ranged 30–40% to optimize their composition to form NE and
of 3:1 w/w and IPM:oleic acid at a ratio of 2:1 w/w, surfactants ensuring emulsification stability in the presence of the drug. Drug-
(e.g. Labrasol, Tween 80, and Cremophor EL) and co-surfactants loaded NE formulations were prepared by dissolving accurately
(e.g. Transcutol HP, propylene glycol, and Span 20). An excess weighed amount of CoQ10 into the pre-weighed oil-S/CoS mix-
amount of CoQ10 was allowed to dissolve in 1 g of each vehicle in ture. The specified amount of water was added dropwise under
capped vials. The mixtures were vortexed to facilitate drug solubil- ultrasonication till a clear and transparent liquid was obtained.
ity and kept at 37  C ± 1.0 in an isothermal shaker for 72 h to reach To optimize the NE formulations, the prepared formulae were
DRUG DEVELOPMENT AND INDUSTRIAL PHARMACY 3

subjected to two tests, namely, dilution test followed by thermo- Electroconductivity study
dynamic stability test. The electrical conductivity (r) of NE was determined using digital
conductometer (HANNA Instrument, H1255, Romania) at a dilution
ratio of 1:50 and 1:100 v/v [34].
Dilution test and thermodynamic stability study
From each formula, 1 g of the sample was diluted with 100 ml dis-
tilled water. The formula is judged good in case of a transparent Transmission electron microscopy examination
and homogeneous NE is formed with no phase separation and Morphology and structure of the NE globules were performed
drug precipitation. The formulae that passed the dilution test were using transmission electron microscope (TEM, Tecnai G20, Super
subjected to thermostability test [30]. In this stability test, the for- twin, double tilt, FEI, Netherlands) which is operated at 200 kV. A
mulae were firstly centrifuged at 3500 rpm for 30 min. The formu- drop of diluted nanoemulsion mixed with water at ratio 1:10 v/v
lae that did not show any phase separations were subjected to was directly deposited on the holey film grid, stained by 1%w/v
heating-cooling cycle test. Six cycles between 4 and 45  C with aqueous solution of phosphotungstic acid, and observed after dry-
storage at each temperature for not less than 48 h were under- ing it [35].
taken. The formulae that passed these circumstances and showed
good stability were subsequently subjected to three freeze-thaw
In vitro release studies
cycles test between 21  C and 25  C temperature [31]. Formulae
In vitro release of CoQ10 from NE formulae was investigated
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that survived the thermodynamic stability tests were selected for


through a semipermeable membrane (Sigma, molecular weight
further characterization.
cut off is 12,000 Da) using the modified dissolution apparatus I.
Different dissolution mediums were applied to determine the opti-
Characterization of CoQ10 NE mal and most discriminating dissolution medium that allows effi-
cient dissolution and release the highly lipophilic drug (CoQ10).
Percentage of drug content Evaluated dissolution mediums were phosphate buffers with differ-
Approximately 1 g of NE was dissolved in 50 mL (ethanol:isopropa- ent compositions: phosphate buffer at pH 5.5, phosphate buffer at
nol at a ratio of 75:25 v/v) and drug content was measured using pH 7.4, phosphate buffer at pH 7.4 containing 0.25% w/v SLS,
HPLC method. The percentage of drug content was estimated fol- 0.25% w/v Tween 20, and 10% w/v isopropyl alcohol [36], phos-
lowing the given equation: phate buffer at pH 7.4 and 5%w/v Labrasol [37], and a newly
% Drug content ¼ Actual content=Theoretical content  100: developed one (phosphate buffer at pH 7.4, 5% w/v Labrasol and
5% w/v isopropyl alcohol). A glass cylindrical tube of 2.5 cm diam-
eter and 6 cm length was tightly covered with semipermeable
membrane and hanged on the shaft of dissolution apparatus. One
pH determination
gram of CoQ10 loaded NE was transferred to the cylindrical tube,
The pH for each formula was determined in triplicate at 25  C with
dipped into 100 ml of dissolution medium. Release study was car-
a digital pH meter (HANNA Instrument, Woonsocket, RI) [32].
ried out for 24 h at the 37  C with stirring speed of 100 rpm [38].
At pre-determined time intervals: 0.5, 1, 2, 4, 6, 8, 10, 12, 14, 16,
Viscosity determination and 24 h; an aliquot (1 mL) of dissolution medium was withdrawn,
The viscosity of 0.5 g NE was determined at 50 rpm using spindle filtered through a 0.45 mm filter, and replaced with an equal
(CPE40) at 25 ± 0.5  C (Brookfield Digital Viscometer DV III, volume of fresh medium to maintain sink condition. The
Middleboro, MA) [31]. collected samples were analyzed for drug concentrations using
HPLC at k max 275 nm.

Globule size and distribution analysis Kinetic analysis of CoQ10 nanoemulsion release data. To examine
The average of droplet size and polydispersity index (PDI) of NE the kinetics and mechanism of the drug release from different for-
were determined using Malvern ZetaSizer (NanoZS90, Malvern mulae of NE, the data obtained from the drug release study was
instrument Ltd., UK) with a 50 MV laser. The measurements were fitted to models representing zero-order, first-order, and Higuchi's
performed at 25  C at a fixed angle of 90 . The measurement time square root of time. The results were also analyzed according to
was 3 min. One gram of each formula was dispersed into 100 ml the Korsmeyer–Peppas equation [39]:
of distilled water with gentle stirring in a glass beaker. An aliquot
of diluted NE was transferred into the cell sample holder for drop- Mt =M1 ¼ k  tn
let size analysis. The data was represented triplicate samples ± SD where Mt/M1 represents the fraction of the drug released after
[33]. time t, k is the kinetic constant and n is the slope value of log mt/
m1 versus log time. The ‘n’ exponent is a characteristic value for
Zeta potential measurement the release mechanism. The ‘n’  0.5 is for Fickian diffusion,
Zeta potential was measured using a zeta potential analyzer, whereas n (0.5–1) indicates anomalous mechanism due to matrix
Malvern ZetaSizer (NanoZS90, Malvern Instrument Ltd., UK). relaxation or erosion. (n ¼ 1) is expected for zero-order release.
The diluted NE formulation was exposed to an electric field (1 V).
The data was represented triplicate samples ± SD.
Ex vivo skin permeation studies
The ex vivo permeation studies were carried out using Franz diffu-
Refractive index sion cell, which is a reliable method for prediction of drug trans-
The refractive index of NE has been determined at 25  C using an port across the skin [40]. These studies were conducted by
Abbe refractometer (Digital Abbe refractometer, WAG-25, employing excised skin of Wistar rats and phosphate buffer at pH
Shanghai, China) [31]. 7.4 containing 5% w/v Labrasol and 5%w/v isopropyl alcohol as
4 E. S. EL-LEITHY ET AL.

dissolution medium. For preparing the skin for permeation study, month-old female rats weighing 200–240 g were obtained from
the hair on the dorsal side of the skin was firstly removed by a the animal house of National Organization for Drug Control and
hair removing cream, followed by removing the adhering fat layer Research. This work was carried out according to the international
on the other skin side using a clipper and the whole skin was guidelines for caring and usage of laboratory animals. The experi-
washed with distilled water. The skin was wrapped in aluminum mental protocol had been ethically approved by the Animal Care
foil and stored at 20  C until used. Before the experiment, the Committee, Faculty of Pharmacy, Helwan University (No (3) for 14/
skin was taken from the freezer and allowed to be unraveling 6/2016). In the current study, two methods were adopted for eval-
from ice freezer then cut into 4.5 cm 4.5 cm pieces and soaked uating the anti-wrinkle activity of the optimum nanoemulsion
in phosphate buffer overnight at 4  C to allow full skin hydration formula.
[41]. The skin pieces were clamped between the donor and the
receptor compartment of Franz diffusion cells with an effective dif-
fusion area of 1.77 cm2 whereas; the stratum corneum layer was Morphological examination
facing the donor compartment. Aliquots of 0.5 g of NE formulae Laboratory rats had free access to food and water and were
(F2, F8, and F14) and CoQ10 suspension equivalent to 10 mg adapted to the air-conditioned room (23 ± 2  C and 50 ± 10%
CoQ10 were injected to the donor compartments. The CoQ10 sus- humidity with 12 h light/12 h dark cycle) for 1 week before the
pension was prepared according to Wen and Tung [10] (1% w/v study. First, the rat dorsal hair was removed using hair removal
CoQ10 in 1% w/v sodium lauryl sulfate aqueous solution). The cream then divided into two groups, each group contains three
receptor compartment with volume 7.5 ml was filled with the rats. The first group was marked as a control (untreated) and the
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above mentioned the phosphate buffer and maintained at second group was treated with 1 g of the optimum NE formula
37  C ± 1 with stirring at 500 rpm. At pre-determined time intervals: (F2) twice a day for 1 month. The formula was applied topically
0.5, 1, 2, 4, 6, 8, 10, 12, 24 h; 1 ml aliquot of the receptor medium on the skin on the square area of 10  5 cm of the rat dorsal part.
was withdrawn and replaced with the same volume of fresh The morphological examination of the animal groups was carried
medium. All the collected samples were filtered using 0.45 mm and out after 0, 7, 14, 21, and 30 days of treatment by taking photo-
then CoQ10 content was determined using HPLC method. graphs for animal skin [44].
The cumulative amounts of permeated CoQ10 through the skin
per unit surface area were calculated using the given equation
and subsequently used for plotting the profiles of the drug perme- Histopathological evaluation
ation per unit time (t). At the end of 30 days, the rats were sacrificed and the skin was
taken for histopathological examination. The skin of rats was cut
Cumulative amount of drug permeated ¼ and fixed in 10% v/v formalin solution for 24 h. Before the examin-
Concentration ð lg=mlÞ  dilution factor ation, the skin was washed with tap water and followed by a
Surface area of skin ðcm2 Þ diluted alcohol for dehydration. The specimens were cleared in
xylene and embedded in paraffin at 56 in hot air oven for 24 h.
The rate of drug permeation at steady state (drug flux) (Jss) was Paraffin beeswax tissue blocks were prepared for sectioning at 4 m
presented by the slope of the linear portion of the plotted pro- thickness by sledgemicrotome. The obtained tissue sections were
files. The permeability coefficient (Kp) was calculated by dividing collected on glass slides, deparaffinized, and stained with hema-
the Jss with an initial concentration of the drug in the donor cell toxylin & eosin stain for examination under the light electric
(Co) mg/ml by using the following equation [42]. microscope [45].
Kp ¼ Jss =Co
Enhancement ratio (Er) was calculated by dividing the Jss of the Results and discussion
respective formula by that of control using the following equation:
Solubility studies
Er ¼ Jss of formulation=Jss of control:
The ability of NE to maintain the drug in a soluble form is greatly
The skin pieces were collected, rinsed with distilled water, gen- influenced by its solubility in the oil phase. However, drug solubil-
tly dried with a cotton swab, cut into small pieces, and soaked in ity due to the presence of surfactant or co-surfactant may lead to
a 10 mL mixture of ethanol:isopropyl alcohol at a ratio of 75:25 v/v a risk of drug precipitation [46]. Solubility limit of CoQ10 in differ-
for 12 h in closed tubes. The tubes were sonicated for three cycles ent oils (Figure 1) was arranged in the following descending order;
each 15 min to avoid the rise of the temperature during the IPM: oleic acid at a ratio of 3:1 w/w > IPM > IPM: oleic acid at a
extraction process. The supernatant was filtered using 0.45 mm and ratio of 2:1 w/w > oleic acid > avocado oil > caproyl 90 > Labrafil
the CoQ10 content was estimated using HPLC [43]. M 1944 > olive oil. The solubility of IPM: oleic acid mixture at
mass ratio 3:1 w/w and IPM were 169.98 ±17.43 and
118.89 ± 0.084 mg/g, respectively, accordingly both were chosen as
Statistical analysis
optimum oil phases for subsequent study. The solubility of CoQ10
The experimental in vitro release and ex vivo permeation data in surfactants was found to be 36.90 ± 0.04, 28.29 ± 1.76, and
were further subjected to statistical analysis using one way 13.22 ± 0.51 mg/g for Labrasol, Tween 80, and Cremophor EL,
ANOVA test ‘SPSS version 17.0 for Windows’ (SPSS Inc., Chicago, respectively. For co-surfactants, the solubility has been as follows
IL) followed by post-HOC LSD alpha (0.05) (95% confidence 24.29 ± 5.81, 0.55 ± 0.01, and 0.52 ± 0.03 mg/g for Span 20,
intervals). Transcutol HP, and propylene glycol, respectively (Figure 1).

In vivo anti-wrinkle evaluation of CoQ10 NE Screening of surfactants/co-surfactants mixtures


The anti-wrinkling activity of the optimized CoQ10 NE formula (F2) All S/CoS mixtures with an HLB value greater than 10 were
was evaluated through an animal model. Twelve- to eighteen- selected and dropped into a mixture of water and oil (IPM or IPM
DRUG DEVELOPMENT AND INDUSTRIAL PHARMACY 5
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Figure 1. Solubility of coenzyme Q10 in different oils, surfactants, and co-surfactants.

Table 1. Selected system for subsequent phase diagram construction.


Oil Composition of S/CoS Ratio of S/CoS
IPM Tween 80:Transcutol HP 2:1, 3:1, 4:1
Cremophor EL:Transcutol HP 2:1, 3:1, 4:1
IPM:oleic acid Labrasol:PG 2:1, 3:1, 4:1
3:1 Tween80:Transcutol HP 2:1
Cremophor EL:Transcutol HP 2:1, 3:1, 4:1
Labrasol:Transcutol HP 2:1 ,3:1, 4:1
Concentrations of oil (10–30%), S/CoS (40–60%), and water (35–50%).

Figure 2. Pseudoternary phase diagrams of IPM:oleic acid (3:1; oil), Labrasol: Transcutol HP (S/COS) at ratio (A) 2:1, (B) 3:1, and (C) 4:1 and water as an example of a
system with a poor nanoemulsion region.
6 E. S. EL-LEITHY ET AL.
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Figure 3. Pseudoternary phase diagrams of IPM (oil), Tween80:Transcutol HP(S/COS) at ratio (A) 2:1, (B) 3:1, and (C) 4:1 and water as an example of a system with a
large nanoemulsion region.

Table 2. Composition and thermodynamic stability evaluation for CoQ10 nanoemulsion.


Composition of
Nanoemulsion %w/wa Thermodynamic stability test
Formula Drug %w/w Dilution
Code S/CoSratio Oil S/CoS Water of drug Test Centrifugation Heating-cooling Freeze-thaw Inference
F1 2:1 10 60 30 1 Clear 冑 冑 冑 Pass
F2 10 60 30 2 Clear 冑 冑 冑 Passb
F3 10 60 30 3 Clear 冑 冑  Failed
F4 10 50 40 1 Clear    Failed
F5 10 50 40 2 Turbid _ _ _ Failed
F6 10 50 40 3 Turbid _ _ _ Failed
F7 3:1 10 60 30 1 Clear 冑 冑 冑 Pass
F8 10 60 30 2 Clear 冑 冑 冑 Passb
F9 10 60 30 3 Clear 冑 冑  Failed
F10 10 50 40 1 Clear    Failed
F11 10 50 40 2 Clear    Failed
F12 10 50 40 3 Clear    Failed
F13 4:1 10 60 30 1 Clear 冑 冑 冑 Pass
F14 10 60 30 2 Clear 冑 冑 冑 Passb
F15 10 60 30 3 Clear 冑 冑  Failed
F16 10 50 40 1 Clear    Failed
F17 10 50 40 2 Clear    Failed
F18 10 50 40 3 Clear    Failed
a
Oil ¼ IPM, S/CoS ¼ Tween 80: Transcutol HP.
b
Refer to the stable formulations that containing the optimum amount of the drug and subjected to further characterization.

and oleic acid mixture) at a ratio of 1:1 w/w until obtaining trans- constructing pseudo-ternary phase diagrams to identify and opti-
parent NE. The systems that gave transparent NE were judged mize the o/w NE regions as shown in Table 1. The results showed
‘good’, while the systems that gave turbidly or no NE formation that although Co-surfactant Span 20 exhibited the maximum solu-
were judged ‘bad’. The S/CoS mixture that succeeded to emulsify bility for CoQ10, all of its NE formulae with both oil types were
the water/oil mixture with minimum concentration ranged judged bad and in turn, it was excluded from our study. Also, all
30–60% w/w were selected and subsequently used for S/CoS mixtures (e.g. Labrasol–propylene glycol mixture) with
DRUG DEVELOPMENT AND INDUSTRIAL PHARMACY 7

Table 3. Characterization of Q10 nanoemulsion. 60 F2


Characterization F2 F8 F14 F8
50 F14
pH 7.06 ± 0.051 7.16 ± 0.045 7.15 ± 0.180
Viscosity (cp) at 50 rpm 199.05 ± 0.35 236.75 ± 18.87 8035.5 ± 375.47 40

% Q10 release
Droplet size (nm) 11.76 ± 1.1 11.17 ± 0.95 11.73 ± 1.17
Polydispersity index 0.228 0.278 0.262 30
Zeta potential (mv) 14.7 ± 1.23 17.2 ± 1.70 11.3 ± 0.99
Drug content 101.58 ± 0.142 102.85 ± 0.500 101.08 ± 0.800 20
Refractive index 1.4260 ± 0.001 1.4262 ± 0.00077 1.4250 ± 0.001
Electroconductivitya 48.03 ± 0.55 52.36 ± 0.77 58.53 ± 0.5 10
Electroconductivityb 42.5 ± 2.29 50.06 ± 0.2 53.83 ± 0.76
a
At dilution ratio 1:100. 0
b
At dilution ratio 1:50 (mean value ± SD) (n ¼ 3). 0 5 10 15 20 25 30
Time hr

Figure 5. In vitro release studies of CoQ10 nanoemulsions in phosphate buffer


pH 7.4 containing 5% w/v Labrasol and 5% w/v isopropyl alcohol.
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Figure 4. Typical TEM image of CoQ10 nanoemulsion (a) and its size distribution (b) measured by zetasizer at room temperature.

Table 4. Percentage of Q10 released from nanoemulsion formulas in the different dissolution media at specified periods of time.
Percentage drug released from different formulas
In phosphate buffer at pH 7.4 containing
0.25% w/v SLS, 5% w/v
Tween 80, 10% w/v 5% w/v Labrasol,
Time (h) isopropyl alcohol 5%w/v Labrasol 5% w/v isopropyl alcohol
10 F2 1.61 ± 0.23 9.41 ± 0.50 7.31 ± 0.04
16 5.88 ± 0.06 10.86 ± 0.16 39.44 ± 1.02
24 6.79 ± 0.43 10.92 ± 0.48 47.21 ± 4.41
10 F8 0.59 ± 0.11 2.13 ± 0.22 0.94 ± 0.1
16 4.23 ± 0.29 3.53 ± 0.33 4.48 ± 0.2
24 5.08 ± 0.1 3.54 ± 0.33 5.49 ± 0.17
10 F14 0.57 ± 0.08 0.82 ± 0.116 2.41 ± 0.31
16 2.42 ± 0.12 1.98 ± 0.021 4.01 ± 0.19
24 2.66 ± 0.38 2.06 ± 0.097 4.08 ± 0.08
8 E. S. EL-LEITHY ET AL.

Table 5. Kinetic analysis of the drug release data.


Zero-order Higuchi Krosemeyer–Peppas
(m0  m) ¼ kt First order (lnm ¼ kt) (mt/m1 ¼ kt1/2) (mt/m1 ¼ ktn)
Formulation R2 K R2 K R2 K R2 N Order of release
F2 0.948 5.89 0.88 0.156 0.958 40.86 0.964 0.17 Higuchi
F8 0.998 0.637 0.979 0.091 0.999 4.75 0.913 0.43 Higuchi
F14 0.921 0.262 0.902 0.039 0.934 1.824 0.989 0.44 Higuchi

120 Control the efficient NE formulae with a high capacity for drug loading
Cumulative amount of Q10

F2 and acceptable thermodynamic stability. These 18 formulae


100
permeated µg/cm2

F8 were subjected to dilution test, the formula that showed a


80 F14 transparent and clear solution was judged clear and the formula
60 showed precipitation or phase separation was judged turbid.
The results showed that all formulae passed the test except for-
40
mula (F5) and (F6) which showed drug precipitation upon dilu-
20 tion with water at ratio 1:100 v/v. This could be due to the
presence of a low concentration of the surfactant than other
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0
0 5 10 15 20 25 30 formulae (Table 2).
Time hr The formulae that passed the dilution test were subjected to
Figure 6. Ex vivo permeation studies of CoQ10 nanoemulsions in comparison to thermodynamic stability test to differentiate NE from the emulsion
control (CoQ10 suspension in 1%w/v SDS) in Phosphate buffer pH 7.4 containing formulae [32]. Results presented in Table 2 revealed that the for-
5%w/v Labrasol and 5%w/v isopropyl alcohol.
mulae F3, F9, F12, F15, and F18 containing 3%w/w drug and those
containing 50% w/w S/CoS mixture (F4, F10, F11, F12, F16, F17,
concentration more than 60%, even showed good NE formation, and F18) were unstable and showed precipitation of the drug dur-
was excluded to avoid the possibility of skin irritation [47]. Co-sur- ing the thermodynamic stability tests. This might be attributed to
the internal phase coagulation at low temperature and the
factants improve drug permeation, decrease bending stress of
unusual pressures exerted by the ice crystals on the dispersed
interface, give sufficient interfacial film flexibility, and take up dif-
globules and the absorbing layers of S/CoS [51]. The formulae F1,
ferent curvatures required to form NE [48].
F2, F7, F8, F13, and F14 containing 1 and 2% w/w of the drug and
60% w/w S/CoS mixture was clear, transparent, and showed no
Construction of pseudoternary phase diagram phase separation, cracking, or drug precipitation. The stability of
these formulae was due to low drug percentage (1 and 2% w/w)
Various pseudo-ternary phase systems (68 systems) were prepared and the higher percentage of S/CoS that increased the solubility
from IPM or IPM:oleic acid as oil (10–30%), S/CoS (40–60%) at dif- of the drug and prevented its precipitation [25]. As the drug per-
ferent ratios and water (35–50%). Table 1 illustrated 16 systems meation through the skin is highly dependent on the drug con-
selected based on their clarity, miscibility, and flowability. The rest centration, the stable formulae containing 2% w/w CoQ10 (F2, F8,
was turbid, immiscible, and viscous. Figure 2 shows three dia- and F14) were selected for further characterization.
grams of IPM:oleic acid mixture 3:1 w/w as oil, Labrasol, and
Transcutol as S/CoS mixture at three ratios 4:1, 3:1, and 2:1 w/w
and water as an example for system with poor NE region. While Characterization of CoQ10 NE
Figure 3 shows three diagrams of IPM as oil, Tween 80,
The pH, drug content, and viscosity determination
and Transcutol HP as S/CoS mixture at three ratios 4:1, 3:1, and
The topically delivered formulations should have a pH range of
2:1 w/w and water as an example to a system with the large
6–8 to minimize the skin irritation [32]. The pH of the three
nanoemulsion region. The black areas represent the o/w NE
selected formulae F2, F8, and F14 was around 7 (Table 3). The per-
regions and the rest regions represent the turbid or conventional
centage drugs content of the selected NEs F2, F8, and F14 were
emulsions [49]. The results showed that all diagrams constructed
101.58 ± 0.142, 102.85 ± 0.5, and 101.08 ± 0.8% w/w, respectively.
with IPM:oleic acid mixture had poor NE regions in comparison to
These results revealed the efficacy of the method of preparation
those constructed with IPM.
and the best capability of these formulas to be loaded with
The figures clearly revealed that nanoemulsion formation was
CoQ10 up to 2% w/w. The viscosity values were found as
highly dependent on the amount of oil, surfactant, and co-surfac-
follows199.05 ± 0.35, 236.75 ± 18.87, and 8035.5 ± 375.47 cp for F2,
tant and their mass ratio. Largest black zones for NE were shown
F8, and F14, respectively (Table 2). The high viscosity recorded
at higher S/CoS ratio, which was arranged descendingly as
with the formula F14 was attributed to the high percentage of
4:1 > 3:1 > 2:1 w/w. Increasing the S/CoS ratio improves the
Tween 80 (48% w/w) [52].
micelle formation and increases the solubilizing capacity of the
NE. Co-surfactant was inserted into the cavities between the sur-
factant molecules and consequently, it increases the solubility of The TEM, droplet size, and particle size distribution
formed NE to maximum value [50]. The TEM image of CoQ10 NE revealed spherical shaped droplets
with a nearly uniform particle size (<100 nm) (Figure 4(a)). These
results coincided with the results of particle size analysis that
Optimization of CoQ10 loaded NE
recorded 11.76 ± 1.1, 11.17 ± 0.95, and 11.73 ± 1.17 nm as an aver-
From the above results, 18 formulae from the three diagrams of age droplets size and polydispersity index (PDI) 0.228, 0.278, and
the IPM system were selected and prepared for discriminating 0.262 for F2, F8, and F14, respectively, refer to Figure 4(b) and
DRUG DEVELOPMENT AND INDUSTRIAL PHARMACY 9

Table 6. Permeability parameters and the extracted amount of Q10 from the skin.
Formulation code Jss (mg/cm2/h) Kp (cm2/h)  104 Er Amount of the drug extracted per area (mg/cm2) ± S.D
Control 0.38 2.66 – 199.22 ± 18.3
F2 3.164 22.14 8.32 1389.04 ± 15.66
F8 2.666 18.66 7.015 882.41 ± 41.79
F14 0.744 5.2 1.957 761.65 ± 14.05
Jss: drug flux; Kp: permeability coefficient; Er: enhancement ratio.

1600 the normal buffered aqueous media (with or without surfactants),


Extracted amount of Q10 from

1400 the use of a non-aqueous media is deemed as an alternative


1200 approach. Isopropyl alcohol as ‘co-solvent’ reduces water–water
skin µg/cm2

1000 interactions and increases the solubility of lipophilic drugs [57].


800 The solubility of CoQ10 had been previously recorded as
600
36.9 mg/ml in (Labrasol) and was reported as 38.8 mg/ml in (iso-
propyl alcohol) [58].
400
Release profiles of nanoemulsion formulae F2, F8, and F14 in
200
the selected dissolution media were presented in Figure 5.
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0
F2 F8 F14 Control
Formula F2 exhibited the highest significant percentage of drug
release after 24 h (p < .001), that reached 8.5 folds higher than F8
Buffer 7.4+5%L abrasol+5%isopropanol
and 11.57 folds higher than F14, while there is no significant dif-
Figure 7. Extracted amount of CoQ10 from the rat skin at the end of ex vivo per- ference between those amounts released from F8 to F14 (p > .05).
meation studies of CoQ10 nanoemulsions in comparison to control (CoQ10 sus-
pension in 1%w/v SLS). These results were attributed to lower viscosity of F2
(199.05 ± 0.35 cp), smaller droplet size (11.76 ± 1.1 nm) of its glob-
ules and low surfactant concentration. At higher surfactant con-
Table 3. These results reflect the homogeneity and nanometric centration, the affinity of drug would be higher to the vehicle and
droplet size for all NE formulae. the thermodynamic activity would be lower leading to slow
release of drug and/or a poor transfer of drug from the vehicle to
the receptor medium [59].
Zeta potential measurement
The zeta potential values of F2, F8, and F14 were negative values
of 14.7 ± 1.23, 17.2 ± 1.7, and 11.3 ± 0.99 mv, respectively Kinetic analysis data. Correlation coefficients (r2) and release con-
(Table 3). The negative charge on the emulsion droplets was stants derived from kinetics analysis of the CoQ10 NE release data
attributed to the free fatty acids and/or the surfactants and co-sur- are presented in Table 5. The mechanism of drug release is actu-
factants used since these two materials are mostly derivatives of ally best fitted Higuchi model, whereas Korsmeyer–Peppas plots
fatty acids [33]. showed high linearity (R2 values are between 0.913 and 0.989) and
slope values ‘n’ are less than 0.5 [60]. These results indicated that
the drug diffusion was the rate limiting step.
Refractive index and electro-conductivity study
The mean values of the refractive index of the NE formulae were
in the range of 1.425–1.426 (Table 3). These values were much Ex vivo skin permeation studies
closer to the refractive index of water (1.33) indicating o/w nanoe- Permeation profiles of the cumulative amounts of CoQ10 released
mulsions formation that had percentage transmittance more than in the selected phosphate buffer from F2, F8, F14 NE formulae,
99% [53]. Meanwhile, the electrical conductivity was used to meas- and CoQ10 suspension (as control) per unit time are presented in
ure the electroconductive nature of the system. The conductivity Figure 6. The three NE formulae showed a highly significant effect
of the nanoemulsion formulae diluted at ratios 1:50 v/v and 1:100 on the amounts of CoQ10 permeated through rat skin compared
v/v were high and ranged from 42.5 to 58.5 mS/cm (Table 3). to CoQ10 suspension in 1% w/v SLS (p < .001) that enhances the
These high values were attributed to the presence of water as an skin penetration by perturbing skin barrier and stratum corneum
external phase which allows free mobility of ions [54,55]. skin layers [10].
The formula F2 showed a highly prominent effect on improv-
ing the drug permeation compared to the other formulae that
In vitro release studies ordered descendingly as F8 > F14 > control. Our results revealed
Different dissolution mediums were evaluated for the drug release the efficacy of the NE on improving the skin permeation of the
from NE formulae (F2, F8, and F14) through a semipermeable highly lipophilic drug CoQ10). NE penetrates the stratum cor-
membrane. Our results revealed the undetectable concentration of neum skin layers and alters both lipid and polar pathways. The
CoQ10 in phosphate buffers at pH 5.5 and 7.4. Both media were drug dissolved in the lipid domain of the NE can directly pene-
recognized as unsuitable dissolution media for the highly lipo- trate the lipid of stratum corneum skin layer, thereby destabiliz-
philic drug CoQ10. The percentage of CoQ10 released from the NE ing its bilayer structure. These interactions will increase the lipid
formulae in the different dissolution media at specified periods of pathway permeability to drugs. On the other hand, the hydro-
time was presented in Table 4. It could be seen that the dissol- philic domain of NE can hydrate the stratum corneum skin
ution media composed of phosphate buffer at pH 7.4, 5% w/v layers to a greater extent and enhance percutaneous uptake of
Labrasol and 5%w/v isopropyl alcohol showed the highest per- drugs [61].
centage of drug release. The presence of 5% w/v Labrasol estab- NE presents drugs in nanosized and solubilized globules. The
lished sink conditions and sustained better solubility of CoQ10 in presence of surfactants in NE formulae enhances skin permeation
the dissolution media [56]. When a drug is practically insoluble in due to their solubility or extracting effect on the lipid barrier of
10 E. S. EL-LEITHY ET AL.

the stratum corneum skin layers, thus increasing the membrane with NE formulae in comparison to control (p < .001). The values
fluidity and leading to alterations in the tight junction properties of 3.164 mg/cm2/h, 8.32 and 22.14  104 cm2/h were recorded for
of stratum corneum skin layers [62]. F2 as the highest flux (Jss), enhancement ratio (Er), and permeation
Transcutol HP, which is used as co-surfactant in all NE formulae, coefficient (Kp), respectively.
has been reported as an efficient permeation enhancer [63]. Also, At the end of permeation experiment, the efficacy of the NE
the IPM oil used in all NE formulae is an aliphatic ester having the formulae on penetrating into skin layer was evaluated by deter-
ability to penetrate the skin lipid bilayers of the stratum corneum mining the amount of CoQ10 retained in rat skin [65]. The accu-
skin layers by disrupting their arrangement and orders. The IPM mulated amounts in rat skin after exposing to NE formulae and
has lower values of Hildebrand solubility parameter (d ¼ 8.02), CoQ10 suspension as control was determined and presented in
which is near to that of human skin (d ¼ 10.5). Thus, IPM was con- Figure 7. It was found that CoQ10 NE formulae allowed for high
sidered as an excellent selection for formulating the typical NE for- drug retention in rat skin. The amounts of CoQ10 extracted from
mulae [64]. the skin after 24 h were 1389.04 ± 15.66, 882.41 ± 41.79, and
Permeability parameters including drug flux (Jss), permeation 761.65 ± 14.05 mg/cm2 for F2, F8, and F14, respectively. These val-
coefficient (Kp), and enhancement ratio (Er) were calculated and ues present about 6.97, 4.42, and 3.82 folds of CoQ10 accumulated
presented in Table 6. All parameters were significantly increased in skin treated with coenzyme (CoQ10) from suspension (control).
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Figure 8. Photographs showed thick and deep wrinkles on the skin of control (un-treated group) of rats (A), smooth skin surfaces with the absence of wrinkles after
30 days of treatment with NEF2 (B), multiple numbers of wrinkles folds associated with hyperkeratosis, parakeratosis and squamous thick horny layer in untreated group
(C) and mild wrinkles associated with thick prickle cell layer, lower keratosis, and parakeratosis and cells retaining their structure with obvious nuclei in NEF2 group (D),
declined sebaceous glands in control (E) while hypertrophy and hyperplasia of gland in NEF2 group (F), the sweat glands and hair follicles with narrow lumen and
pyknotic nuclei (G) in control and hyperplasia and hypertrophy in the sweat gland with wide lumen of the hair follicles in NEF2 group (H), hyalinization in the collagen
and elastin fibers in control group (I) while a define, well differentiated fibrillar structure of the collagen and elastin fibers in NEF2 group (J), hylonization in muscle
fiber (K) in control group while a defined, well differentiated fibrillar in muscle structure in NEF2 group (L).
DRUG DEVELOPMENT AND INDUSTRIAL PHARMACY 11

Skin histopathological evaluation and characterization of o/w NE containing CoQ10 (2% w/v) with
minimum surfactant concentration. NE ‘F2’ showed the highest
Skin aging is characterized by changing the skin thickness, elasti-
release through 24 h (47.21%) and the highest drug flux (Jss),
city, color, vascular dilatation, and wrinkles. The formation of wrin-
kles and fine lines on the skin is attributed to epidermal atrophy, enhancement ratio (Er), and permeability coefficient (Kp), their val-
degeneration of dermal collagen, and elastic fiber deterioration ues were 3.164 mg/cm2/h, 8.32, and 22.14  104cm2/h, respect-
[44]. Morphological examination of the skin of both old rat ively. Application of coenzyme CoQ10 NE on wrinkled skin showed
groups (untreated and treated) from 0 to 30 days are shown in a decrease in the skin wrinkles with the appearance of the smooth
Figure 8(A,B). It could be seen that the control group had no surface and less parakeratosis and hyperkeratosis in the epidermal
changes in the skin that showed multiple numbers of wrinkles layer. Well-define fibrillar histological structure without hyaliniza-
folds in epidermis (Figure 8(A)), the rat group treated with NE F2 tion appeared in the elastic and collagen fibers of the dermis and
showed a complete decrease in the number of wrinkles and skeletal muscles beneath dermis and hypodermis. It can be con-
appearance of smooth skin after 30 days of treatment (Figure 8(B)). cluded that the developed NE can be used as a potential vehicle
Further evaluation of the effect of CoQ10 NE on the skin wrin- for enhancement of solubility and permeability of CoQ10 through
kles was carried out through the histopathological evaluation of topical applications as well as improvement of its anti-wrinkle
skin layers. efficacy.
Figure 8(C,D) shows the histopathological examination of upper
epidermal layers of untreated and treated rat skin. The untreated Acknowledgements
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rat skin (Figure 8(C)) showed hyperkeratosis and parakeratosis in


the epidermal layer and flatten thick horny layer. Hyperkeratosis is The authors are thankful to Gattefosse (Cedex, France) for provid-
a thickening of stratum corneum layers caused by the accumula- ing the gift samples. Authors would like also to acknowledge
tion of excess numbers of stratum corneum cells and disorders of National Organization for Drug Control and Research for providing
keratinization because the process of desquamation is disturbed. all necessary facilities during experimental work. The authors are
Parakeratosis is a nucleated keratinocyte in the stratum corneum thankful to Prof. Dr. Adel Bakeer Kholoussy, Professor of
layers, which may occur due to accelerated keratinocyte turnover. Pathology, Cairo University, Egypt.
Parakeratosis can be used as morphological examination character
in differentiating and classifying certain inflammatory skin diseases
in the epidermal layer [66]. The treated group with CoQ10 NE (F2) Disclosure statement
showed less hyperkeratosis and parakeratosis with the appearance No potential conflict of interest was reported by the authors.
of the thick prickle cell layer and well retained healthy cells with
obvious nuclei.
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