Professional Documents
Culture Documents
I. INTRODUCTION
Over the years, researchers have given considerable emphasis to improve the safety, af-
fordability, and efficiency regarding the prevention and treatment of chronic diseases.
This has led to a widespread attention into the pharmacopoeia of traditional medicines
as a potent therapeutic choice.
Curcumin is one such naturally occurring low molecular weight polyphenol that
is regarded as the principal active agent of the plant turmeric (Curcuma longa) and is
extracted from its rhizome. It has a long history of being used as a nutritional spice,
coloring agent, and food preservative in India, China, and Southeast Asia. This bioac-
tive agent, apart from its condimental properties, has a surprisingly wide range of phar-
macological activities that includes anticancer, antiviral, antifungal, antioxidant, anti-
angiogenic, and anti-inflammatory properties.1–3
Despite having such promising medicinal attributes, use of curcumin as an effective
therapeutic agent is highly limited. This is on account of its poor pharamacodynamic
action in vivo arising due to poor aqueous dispersion in the environment of neutral or
acidic pH, less absorption in gastrointestinal tract, and rapid metabolism to reduced
Administration of drug into body is done by thoroughly taking into consideration vari-
ous principal factors that include controlling of the rate, time, and location of release of
drug along with its efficacy. All these parameters constitute the pillars of any drug deliv-
ery system and decide the fate and efficiency of any introduced therapeutic substance.
It is observed that conversion of conventional curcumin into the nanometric range sig-
nificantly strengthens its pharmacological effects by providing various features such as
enhanced solubilization, superior biocompatibility, better pharmacokinetic profile, and
controlled drug release.19 These improvements are mainly because of numerous unique
physical and chemical properties that are imparted on conversion of bulk curcumin into
the nano range. These properties include particle size, surface area, hydrophobicity, and
surface charge.20
A. Particle Size
The submicron size of NPs is the single most important physical characteristic that makes
nanocurcumin stand out in terms of its efficacy when compared to free curcumin. This
attribute allows nanocurcumin to reach even those organs where curcumin is virtually
inaccessible. Tsai et al. for the first time conducted a study on rats comparing curcumin
and nanocurcumin in terms of its distribution pattern among different organs after their
intravenous administration. They found that the concentration of curcumin was larger in
liver and kidney than in any other contemporary organ. This was because the systemic
B. Surface Charge
Surface charge basically represents the electric potential of the NPs, which depends
entirely on its chemical composition. It is observed that NPs with high negative or posi-
tive zeta potential (electrokinetic potential in colloidal systems) are extremely stable in
suspension because these charges avert the aggregation of these particles.24
Curcumin, due to its low solubility in water, aggregates together making it highly
susceptible to opsonization, which involves phagocytosis and eventual clearance of
these aggregates by RES from the body. On the other hand, nanocurcumin due to the
presence of zeta potential disperses entirely in aqueous media forming no aggregates.25
Anitha et al. synthesized curcumin NPs using chitosan and dextran sulphate. The zeta
potential of such particles was found to be reasonably good (–30 mV), which made the
suspension highly stable.26
Formulation of curcumin NPs using inert hydrophilic polymers such as poly(ethylene)
glycol and poly(vinyl)alcohol has also been reported of preventing the aggregation phe-
nomenon on account of its surface charge.27,28
C. Surface Area
Compared to the use of normal curcumin as a drug, its NP formulation has a much larger
surface area. The underlying reason behind this is attributed to its size, which varies
inversely with specific surface area and any reduction in particle size is accompanied by
an increase in surface-to-volume ratio.
The surface area of any nanodrug directly influences its sustained release since it affects
the pharmacokinetics of the drug encapsulated inside the nanocarrier. It was established that
PLGA microspheres exhibit a multiple phase release pattern that constitutes an initial burst
phase followed by a lag phase and a zero-order phase. The initial burst release was accred-
ited to the diffusion of the drug associated with surface and pores. Whereas, the lag phase
and zero-order phase were related to the polymer erosion combined with diffusion.29,30
On similar terms, in vitro release profiles of curcumin from various nanocarriers
such as curcumin-loaded PLGA NPs,21,25,31 curcumin-loaded poly(butyl) cyanoacrylate
NPs,32 curcumin-loaded alginate-chitosan-pluronic composite NPs,15 and curcumin-
loaded dextran sulphate–chitosan NPs26 have suggested a typical biphasic release pat-
tern. Initially, there is a burst release of curcumin for the first 5–12 h. This is followed
by controlled release that can last up to a week.
Temperature and pH also significantly affect the surface area of the nanocarrier
and thus display some control over the pharmacokinetics of loaded curcumin. Lin et
al. studied the in vitro drug release profile of curcumin in curcumin-loaded cationic
liposome-PEG-PEI complex and found that low temperature appreciably hindered the
release of curcumin (10–15% release at 4°C after 120 h), which improved with gradual
increase in temperature (30 and 90% release at 25°C and 37°C, respectively, after 120
h).33 Generally, a faster release of curcumin is observed from its nanocarrier at acidic pH
in comparison to basic pH. But the effect of pH varies with change in the material used
to encapsulate the curcumin.32,34,35
D. Hydrophobicity
The surface charge of the NP alone is not the only factor that has an influence on the re-
lease kinetics of the encapsulated drug. However, it is the collective role of both surface
charge and hydrophobicity of the material that significantly decides its pharmacokinetic
fate. This occurs because hydrophobic drugs such as curcumin have the ability to alter
the degradation kinetics of the polymeric shell of the nanocarrier, which is hydrophilic
in nature. This in turn improves its half-life causing an increment in the biodistribution
of the drug coupled with its efficacy. This approach can also lead to decrement in the
dosage along with reducing the frequency of administration of the drug.36,37
The type of carrier system along with the preparation method applied for production of
any nanodrug determines its entrapment efficiency (EE) and loading efficiency (LE).
Entrapment efficiency is the ratio of amount of drug present in the carrier system to the
amount of drug used in the loading process. Whereas drug loading efficiency is the ratio
of drug to the weight of total carrier system.38,39 Both loading and entrapment efficiency
influence the rate and level of drug release from the carrier.
A. Liposomes
Liposomes are spherical vesicles that are prepared through the self-assembly of amphi-
philic phospholipid molecules in an aqueous environment. The phospholipid molecules
arrange in a closed bilayer structure with an aqueous core (Fig. 2). Lipid bilayer and
aqueous core are proficient in encapsulating lipophilic and hydrophilic pharmaceutical
agent, respectively. The properties of liposomes depends on its method of preparation
and the composition of the lipids.43 Liposomes are highly biocompatible structures that
are chemically versatile in nature, and any slight modification in the chemical composi-
tion of lipid bilayer can substantially alter its pharmacokinetic properties, thereby mak-
ing it a suitable choice for drug delivery systems.44,45
Considering these aforementioned properties of liposomes, they have been widely
used in the past few years as a potent vehicle for ameliorating curcumin’s bioavailability
and efficacy. Diverse forms of liposomal curcumin have been prepared with each one
having its own distinct benefits. Liposome-encapsulated curcumin inhibited head and
neck squamous cell carcinoma growth (HNSCC) in vitro and in vivo. Results also sug-
gested that liposomal curcumin is a viable nontoxic therapeutic agent for HNSCC.13 In
FIGURE 2. General representation of the typically used liposome for encapsulation of curcumin in
the hydrophobic region. Liposomes are self-assembling, closed spherical vesicles that consist of
amphiphilic phospholipid bilayers and an inner aqueous core. The lipid bilayer is capable of car-
rying lipophilic curcumin. The phospholipid moieties form a closed bilayer sphere that shields the
hydrophobic groups from the aqueous phase while still keeping contact the with aqueous environ-
ment through its hydrophilic head groups.
B. Nanoparticles
These drug carriers have a size range of about 1–100 nm and are highly preferred by
researchers because of their ability to bring about targeted drug delivery coupled with
delivery systems.54 In addition, they have distinct physical and chemical properties that
allow them to carry large doses of chemotherapeutic agents into the targeted cells.55
By the same token, NPs are being extensively used to exploit the high therapeutic
nature of curcumin that is otherwise overshadowed by its hydrophobic nature. Different
types of NPs can be synthesized by altering the carrier materials. In context to curcumin,
polymeric NPs, solid lipid NPs, magnetic NPs, albumin NPs, and polymeric micelles
have been used for its encapsulation and practical assessment of its therapeutic regime.
1. Polymeric Nanoparticles
In contrast to liposomal nanocarriers, which consist of an aqueous core and a lipid bi-
layer, polymeric NPs are comprised of a solid polymer-filled core that provides a better
platform for carrying hydrophobic drugs (Fig. 3). Generally, polymeric NPs are pre-
pared by self-assembly of amphiphillic diblock copolymers. Drug encapsulation into
them is achieved by the gentle mixing of the drug in the copolymeric solution, which
involves the process of self-assembly of copolymers into well-defined NPs. This is fol-
lowed by physical entrapment of the drug molecules in the polymeric matrix.
Numerous types of biodegradable and biocompatible polymers such as poly(D,L-
lactic-co-glycolic acid), poly(ethylene glycol), and poly(butyl)cyanoacrylate have been
widely investigated for synthesizing polymeric NPs to encapsulate curcumin. Recently,
FIGURE 3. General representation of the typically used polymeric nanoparticle for encapsulation
of curcumin. Polymeric nanoparticles are comprised of a solid polymeric core matrix capable of
encapsulating curcumin. It is attributed with having a dimension range between 1 and 1000 nm
with a high surface-to-mass ratio. A modifiable chemical interface can be included in the organic
layer in order to improve the specificity and interaction of the NP with the biological system.
These are the submicron colloidal particles made up of natural or synthetic lipid dis-
persed in water or in aqueous surfactant solution (Fig. 4). Lipids used can be highly
purified triglycerides, complex glyceride mixtures, or even waxes.66 Curcumin can be
dissolved or dispersed in the solid core made up of high melting fat matrix and the
hydrophobic end of phospholipid chains. The mean particle diameter of SLNs ranges
from 50 to 1000 nm. SLNs can be administered through various routes such as oral,
parenteral, rectal, ophthalmic, and topical.67 They have numerous advantages such as
low toxicity profile, good biocompatibility, controlled release of the incorporated drug,
long-term stability, and prevention of drug from chemical degradation.68 Various SLN
formulations have been reported for encapsulating curcumin.
In one study, curcumin-loaded SLNs were developed with an aim of enhancing bio-
availability and investigating its therapeutic effects through treatment of biochemical,
behavioral, and histopathological changes induced after oral administration of AlCl3 in
mice. This study for the first time established the curative-therapeutic role (rather than
a mere protective role) of curcumin in Alzheimer’s disease–like symptoms.69 Another
formulation of curcumin-loaded SLNs augmented the therapeutic efficacy of curcumin in
an ovalbumin (OVA)–induced allergic rat model of asthma. Compared to the curcumin-
treated group, administration of curcumin-SLNs into asthmatic rats significantly reduced
the airway hyperresponsiveness and the number of inflammatory cells in lung tissue.70
Table 3 summarizes the studies71–74 that showed comparatively superior therapeutic
efficacy of curcumin-loaded SLNs against free curcumin.
Introduction of MNPs can be regarded as one of the finest examples of the extent of
robust flexibility the field of nanotherapeutics offers. These particles are comprised of a
metal or metallic oxide core encapsulated inside a polymer or inorganic metal coating
that can be functionalized.75 It is this coating that ensures the stability and biocompat-
ibility of the MNP (Fig. 5). This kind of drug delivery involves the use of an external
magnetic field to guide the labeled drug to the target tissue, which assures site-specific
delivery thus improving its efficiency and reducing toxic side effects.76 Curcumin has
been reported as being encapsulated in a few magnetic nanoconstructs.
FIGURE 4. General illustration of the typically used solid lipid nanoparticle for encapsulation of
curcumin. SLNs are spherical nanometric particles having a size range of 50 to 1000 nm. They
are comprisd of a matrix made up of solid physiological lipids dispersed in an aqueous surfactant
solution. It is this matrix that constitutes the core of the SLN and incorporates curcumin in highly
dispersed form.
4. Albumin Nanoparticles
Human serum albumin (HSA) is regarded as the most abundant and highly versatile
plasma protein that carries out various important biological activities of the body.78 It
acts as a natural carrier of numerous hydrophobic molecules such as fatty acids, hor-
mones, and fat-soluble vitamins. Recently, a good deal of focus has been given to ex-
plore the possibility of exploiting albumin in improving the pharmacokinetic profile of
hydrophobic drugs mainly because of its nontoxic and non-immunogenic nature.79
FIGURE 5. General representation of the typically used magnetic nanoparticle for encapsulation
of curcumin. MNPs range from 1 to 100 nm in size and are comprised of a solid magnetic core that
is generally made of iron oxide encapsulated inside a polymeric shell or inorganic metal coating.
The metallic core is bound to curcumin and is responsible for its delivery. An MNP is concentrated
in the targeted area of the body by means of a magnetic field that ensures its site-specific delivery.
C. Polymeric Micelles
These kinds of NPs are composed of polymeric chains that are formed by the spontane-
ous self-assembly of the polymeric segments in liquid arising as a result of hydrophobic
or ion pair interactions between them. Its structure encompasses a hydrophobic core and
an outer hydrophilic shell. It is the core that carries therapeutic drugs such as curcumin,
while the shell is responsible for its interaction with the solvent (Fig. 6).81,82 Polymeric
micelles carrying drugs have high water solubility, high drug loading capacity, and lon-
ger circulation in blood.83
Curcumin-loaded pluronic/polycaprolactone micelless were created that exhibited
better loading efficiency and sustained release, and displayed superior performance
through in vitro cytotoxicity and cellular uptake in Caco2 cells compared to its native
free curcumin.84 Ma et al.85 prepared injectable CUR-loaded polymer micelle by means
of poly-(ethylene oxide)-b-poly(e-caprolactone) (PEO-PCL). PEO-PCL micelle-encap-
sulated curcumin retained its cytotoxicity in B16-F10 mouse melanoma cell line, SP-53,
Mino, and JeKo-1 human mantle cell lymphoma cell lines. Even after 96 h, the level of
drug release or micellar internalization provided enough drug concentration within the
cell for a similar effect to that of free curcumin.85
Table 4 summarizes the studies86–89 that showed comparatively superior therapeutic
efficacy of curcumin-loaded polymeric micelles against free curcumin.
FIGURE 6. General representation of the typically used polymeric micelles for encapsulation of
curcumin. Polymeric micelles are made up of an amphiphilic block or graft copolymers that pro-
vide it with a core-shell structure with a size range of 10 to 200 nm. The core forms the hydro-
phobic domain and is responsible for encapsulation of curcumin, while the shell constitutes the
hydrophilic domain.
waves strongly enhanced those effects, especially on oral squamous cell carcinoma cell
line OSCC-25. It was suggested that the effect of sound on the release of curcumin may
help to maintain its effective concentration for chemotherapy, especially for the more
aggressive cell lines.92 An improvement in the skin permeation ability of curcumin was
seen through its delivery in the form of an oil-in-water microemulsion assembled using
lecithin and Tween 80 as surfactants and ethyloleate as the oil phase.93
FIGURE 7. General representation of the typically used microemulsion for encapsulation of cur-
cumin. Microemulsions are isotropically clear and thermodynamically stable mixtures of two im-
miscible liquids such as oil and water having a size range of approximately 10 to 100 nm. These
mixtures are stabilized using surfactants and cosurfactants. They are biphasic, having a hydro-
phobic phase that carries curcumin together with a hydrophilic phase.
Since the past decade, significant advancement has been done in the ways drugs are be-
ing administered. The improvements have considerably made organ-targeted delivery
highly feasible in combination with sustained drug release kinetics. Nanospheres and
microcapsules form an integral part of this league that have been prepared exclusively
with the aim of controlled drug delivery for an extended period of time.106 Although the
terms nanosphere and microcapsule are used synonymously, they have a minute differ-
ence. Nanospheres are strictly solid matrix particles in which the principal ingredient
(drug) is blended, whereas a microcapsule is comprised of an inner core and an outer
polymeric shell. The inner core, just like a nanosphere, is the carrier of drug (Fig. 8).107,108
Curcumin was successfully accumulated in hollow microcapsules with polyelectro-
lyte multilayer shells. Cytotoxicity studies conducted on L929 cell lines to evaluate the
FIGURE 8. General representations of the typically used microcapsule and microsphere for en-
capsulation of curcumin. Microcapsules are comprised of a solid or liquid core carrying curcumin
that is bordered by a polymeric shell. Whereas microspheres are solid polymeric particles having
curcumin embedded in its matrix. Both the formulations have a size in range of 1–1000 mm.
bioactivity of released drug revealed that microcapsules were cytocompatible while the
extract of capsules loaded with curcumin showed severe cytotoxicity on mouse fibro-
blast cells, indicating that the released curcumin was active.109 Another group reported
that curcumin retained the broad spectrum inhibitory activity of the curcumin after the
microencapsulation process against food-borne pathogens and spoilage microbes, such
as E. coli, Y. enterocolitica, S. aureus, B. subtilis, B. cereus, A. niger, P. notatum, and S.
cerevisiae. The maintenance inhibition ratio of microcapsule curcumin was about 85%,
the maximum value 90.8 ± 0.97% was that of microcapsule curcumin against A. niger,
while the minimum value 80.6 ± 4.25% was against E. coli. Its antibacterial activity was
more pronounced against gram-positive bacteria than gram-negative bacteria. Further-
more, its antifungal activity was found better than its antibacterial activity.110 Mukerjee
et al. prepared curcumin-loaded nanospheres that were found to be smooth and spheri-
cal, exhibiting high yield and drug-entrapment efficiency. The in vitro curcumin release
studies from the nanospheres showed that curcumin was released in a sustained manner
over a prolonged period of time. Intracellular uptake and cell viability assays also dem-
onstrated efficient uptake and high efficiency in arresting cell growth as compared to free
curcumin in prostate cancer cell lines. Nanospheres were able to inhibit NF-κB function
to a greater degree as compared to free curcumin.25 In a recent study, curcumin-loaded
lipid-core nanocapsules (C-LNCs) were synthesized with the aim to improve the anti-
glioma activity of curcumin in vitro and in vivo. The cytotoxicity of C-LNC was found to
be equivalent with nonencapsulated curcumin only after 96 h against C6 cells, whereas
C-LNCs were more cytotoxic than nonencapsulated curcumin after 24 h of incubation in
U251MG cells. In rats bearing C6 gliomas, C-LNC (1.5 mg/kg/day, i.p.) decreased the
tumor size and malignance and prolonged animal survival when compared to the same
dose of nonencapsulated drug.111 The same formulation was assessed for its defensive ac-
tion against cigarette smoke–induced cognitive impairment. It was seen that both free and
C-LNC were efficient in reversing the decrement of Na+, K+-ATPase, and Ca2+-ATPase
stimulated by cigarette smoke exposure. Remarkably, owing to superior bioavailability,
a low dose (4 mg/kg) of C-LNC reproduced results similar to that of higher doses of free
curcumin. C-LNC was also effective in treating oxidative stress that was a consequence
of cigarette smoke–induced damage to antioxidant defense systems.112
G. Miscellaneous Preparations
To improve the overall therapeutic profile of curcumin, continuous research efforts are
devising novel strategies for administration of curcumin with improved efficacy. Apart
from the aforesaid strategies, researchers have explored numerous other possibilities to
improve the biological activity of curcumin. These include the use of hybrid nanogels,
hydrogel NPs, metallocomplexes, nanodisks, yeast cells, etc.
1. Nanogels
2. Nanodisks
3. β-Cyclodextrin–Curcumin Complexes
FIGURE 9. Miscellaneous drug delivery formulations for curcumin. (a, b) Nanogel formulations
(hybrid and hydrogel) are highly cross-linked porous structures essentially made up of hydrophilic
polymers with a diameter in the range of 10 to100 nm. The pores of the nanogel act as the carri-
ers of curcumin and its release can be controlled through various mechanisms depending on pH
response, thermoresponse, and photochemical degradation response. (c) Yeast cells (Saccharo-
myces cerevisiae) can carry curcumin integrated in its cell membrane and hydrogen bonded with
the permeable cell wall. (d) Nanodisks are disk-shaped structures made up of phospholipids car-
rying curcumin in their core. Their size ranges up to 50 nm and is stabilized by an apolipoprotein
scaffold.
efficacy to treat prostate cancer. The new complex was said to be highly useful for
bringing about improvements in the biological action and therapeutic efficacy of cur-
cumin against prostate cancer.117 The same authors in another investigation reported the
effectiveness of (β-cyclodextrin)/curcumin self-assembly as an anticancer agent. The
formulation showed solubility of 1.84 mg/ml as against 20 μg/ml for crude curcumin in
phosphate buffered saline solution. Apart from this, cyclodextrin-curcumin preparations
showed increased uptake of curcumin in prostate cancer cells with superior therapeutic
efficacy compared to free curcumin.118
Paramera et al. reported the encapsulation of curcumin inside the cell membrane of
Saccharomyces cerevisiae and some part was found to be hydrogen bonded with the
cell wall.119 In another investigation, the stability of yeast cell–encapsulated curcumin
was evaluated with regard to environmental factors such as light, humidity, and heat.
It was found that yeast cells appreciably confined curcumin from detrimental effects
of light, as well as from oxidative degradation at elevated relative humidity120 (Fig. 9).
5. Curcumin Metallocomplexes
Barik et al. reported the preparation of two stoichiometrically different copper (II) com-
plexes of curcumin (1:1 and 1:2 for copper:curcumin). On the basis of the structure of
the two complexes, they were found to possess different superoxide dismutase (SOD)
activities, free radical neutralizing abilities, and antioxidant potentials.121
Maintaining the stability of the drug inside the nanocarrier is the most challenging and
essential aspect that is considered during the synthesis of nanometric drugs. The stabil-
ity of a nanodrug ensures its sustained release and targeted delivery while maintaining
its properties under different conditions (buffer, serum, blood, etc). Stability rests on
numerous factors such as particle size, charge (zeta potental), morphology, dosage form
(nanosuspension versus dry solid), dispersion medium (aqueous versus nonaqueous),
delivery route (oral, inhalation, IV, or other routes), nature of drug (small molecules
versus large biomolecules), and storage.122
Different nanoencapsulated formulations of curcumin have been reported as showing
enhanced stability over native curcumin. Mohanty and Sahoo observed that on incuba-
tion of free curcumin and nanoparticulate curcumin in PBS, the former endured rapid
degradation (only 6% of curcumin remained intact after 6 h of incubation) on account of
hydrolysis and biotransformation. Whereas, 90% of nanoparticulate curcumin was stable
under the same condition.123 Similar results were given by liposomal and PLGA formula-
tions of curcumin resulting in improved curcumin stability in PBS in contrast to its native
form.46,124 In another study, it was observed that only 5% of free curcumin remained intact
after an incubation of 8 h in PBS, whereas 94% of curcumin encapsulated in the pluronic/
polycaprolactone micelles remained intact indicating higher stability profile.84
Zeta potential also directly determines the long-term stability of drug-loaded nano-
carriers since it prevents particle aggregation by creating electric repulsion or steric
barriers between them. The formulation of curcumin in solid lipid NPs described by
Wang et al. had a zeta potential of −20.7 ± 1.2 mV, which was high enough to make the
NPs repel each other, thereby avoiding particle aggregation and keeping the long-term
stability of the nanoparticles. In another study, the zeta potential value for the cur-
cumin-loaded thermoresponsive chitosan-g-poly (nisopropylacrylamide) copolymeric
NPs was found to be +25 mV. These values lie in the stable range, indicating that the
NP systems were stable.56 Similar findings were reported in the form of curcumin-O-
carboxymethyl chitosan NPs and curcumin-loaded dextran sulphate–chitosan nanopar-
ticles for which the zeta potential value was found to be −30mV, which lies in the stable
range.26,34
Moreover, lyophilization has been reported as a means of imparting stability and
improved shelf life during storage over long periods of the developed curcumin nano-
formulations.37,63
Recently, a lot of emphasis has been given to reap health benefits from naturally occur-
ring medicinal sources both for preventive and curative purposes. This is mainly due to
their low cost and limited side effects in comparison to conventional medical sources
that often show undesirable secondary effects apart from health benefits. Curcumin is
one such promising phytodrug that has been known since antiquity of possessing re-
markable medicinal and therapeutic properties.125 But it is only recently that its potential
is being realized globally and efforts are being made to make use of its anticancer,126
anti-inflammatory,127 antioxidant,128 antimicrobial,129 antimalarial,130 antiasthma,131 and
antiparasitic132 properties. Saying this, curcumin also suffers from a major drawback of
low aqueous dispersion that hinders its journey from kitchen shelf to pharmacist shelf.
However, numerous sincere and dedicated efforts made in the last few years to increase
the aqueous solubility of curcumin by formulating it in the nanometric range have dras-
tically improved its image. These nanoscale preparations have been reported as show-
ing the same properties as promised by free curcumin but with better efficiency and at
a much lower dose. Various researches have been carried out worldwide to explore the
medicinal prospects of nanocurcumin.
Although the role of curcumin in prevention and treatment of various kinds of cancer is
a highly explored and comprehensively published topic, its actual implementation for
clinical treatment regimes is severely hampered due to its low bioavailability. Nanocur-
cumin, on the other hand, has paved the way for showing exciting possibilities leading
to clinical translation of curcumin by improving all the drawbacks associated with free
curcumin. The anticancer ability of curcumin arises primarily because of its ability to
selectively induce apoptosis in the cancerous cells. Moreover, it can also suppress the
action of misregulated NF-κB that can also result in cancer.133,134
Large numbers of in vitro experiments have been conducted, effectively indicat-
ing the beneficial role of nanocurcumin in impeding the progression of cancer.18,28,31,33,92
However, in vivo experiments are limited in this context. Bisht et al.135 synthesized poly-
meric NPs encapsulating curcumin (Nanucurc) that substantially improved its bioavail-
ability without compromising its therapeutic properties. On parenteral administration of
Nanocurc, significant inhibition was seen in the growth of pancreatic cancer xenografts
in both subcutaneous and orthotopic settings. In addition, combinatorial administration
of Nanocurc with gemcitabine caused a much heightened inhibition response of tumor
growth in comparison to the lone effect of either of the agents. This suggested an addi-
tive therapeutic influence in vivo.135 In another study, carried out on a rodent chemical
carcinogenesis model, a similar formulation of curcumin (Nanocurc) given via an in-
traductal approach further confirmed its ability to cure cancer.136 Gou et al. investigated
the effects of curcumin encapsulated in monomethoxy poly(ethylene glycol)-poly(3-
caprolactone) (MPEG-PCL) micelles and reported that this formulation successfully
inhibited the proliferation of subcutaneous C-26 colon carcinoma in vivo in contrast to
free curcumin.86 The same effect was seen in vivo by cationic liposome-PEG-PEI com-
plex (LPPC) in suppressing the tumor growth in mice bearing CT-26 or B16F10 cells.33
Curcumin can effectively treat inflammation by practicing its suppressive action against
PLA-2, COX-2, LOX, TNF-α, IFN-γ, and NF-κβ activities that have been regarded as
the major underlying mechanisms that lead to inflammation.137 On the same note, nanor-
ange formulations of curcumin have reproduced the same results with appreciably better
proficiency owing to its improved pharmacokinetic profile. Liposomal curcumin was
reported to be synthesized using phosphatidylcholine vesicles for the treatment of vagi-
nal inflammation. The formulation was found to have two- to six-fold more potency for
controlling the inflammation than corresponding curcuminoids.138 Sun et al.139 gave evi-
dence that the anti-inflammation activity of curcumin is enhanced by encapsulating it in
NP exosomes. This preparation enhances the solubility, stability, and bioavailability of
curcumin in connection with an increased delivery of curcumin to activated monocytes.
This scheme of curcumin delivery protected mice from lipopolysaccharide-induced sep-
tic shock.139 A new investigation conducted on a diabetic mouse model proved the anti-
inflammatory activity of curcumin-loaded nanofibers, which illustrated its wound heal-
ing ability.140 In another research, the anti-inflammation activity of nanosized curcumin
encapsulated oil-in-water (O/W) emulsions was studied. It was seen that curcumin O/W
emulsions substantially improved the inhibition of edema in the mouse ear inflamma-
tion model in comparison to curcumin dispersed in Tween 20 water solution.91 Rogers
et al. gave an insight into the possibility of liposomal curcumin–mediated amelioration
of renal ischaemia-reperfusion (IR) injury that is associated with graft rejection. This
injury usually arises during renal transplantation and is induced by generation of oxida-
tive stress and inflammation (mediated by activation of NF-κB pathway) together with
the synthesis of cytokine and chemokine.141
Extensive evidence is available that supports the antioxidative nature of curcumin, but
the exact mechanism behind this property still remains unclear. It is still controversial
whether the phenolic group or CH2 group in the heptadienone link is responsible for an-
tioxidant activity. Recent studies have emphasized more on the phenolic hydroxyl group
for imparting curcumin with its free radical scavenging mechanism.142,143 Regardless of
the mechanism involved, nanocurcumin has been found to amplify this very property
with much superior ability than free curcumin.
Yen et al. explained the development of a novel curcumin NP system (CURN) us-
ing polyvinylpyrrolidone as the hydrophilic carrier and assessed its antioxidative ability
in vitro in comparison to native curcumin. The nanoformulation exhibited superior free
radical scavenging ability with enhanced antilipid peroxidation effect than curcumin.144
In another experiment, liposome-encapsulated curcumin (LEC) was prepared from leci-
thins and was comparatively assessed with free curcumin for its antioxidant properties.
LEC was found to have significantly higher antioxidant activity than its usual free form.50
Sonkaew et al. reported the development of curcumin NPs (Ccm-NPs) through rapid ex-
pansion of subcritical solutions into liquid solvents (RESOLV) and later on its incorpora-
tion into cellulose-based films. Both preparations had much higher antioxidant activity
than the solutions of curcumin in ethanol and water (Ccm-EtOH and Ccm-H2O).145
Curcumin has been found to prevent the formation of β-amyloid oligomer aggregates in
brain parenchyma regions. This peptide is regarded as the sole reason for the progres-
sion of Alzheimer’s disease (AD). Various studies have disclosed the proficiency of
curcumin to impede the pathogenesis of AD by targeting several related mechanisms
suggesting its preventive and remedial action.146,147
NP formulation of curcumin has shown similar effects with heightened response
against the accumulation of β-amyloid aggregates inside brain. An exploration conduct-
ed by Kakkar et al. for the first time reported the curative role of curcumin against the
AD-like symptoms and induced cognition losses on its inclusion into SLNs.69 In another
approach, nanoliposomes decorated with a curcumin derivative were prepared using a
click chemistry reaction that presented very high affinity toward β-amyloid aggregates.
This suggested a direction that can be considered for the possible cure of AD.148 Mulik et
al. devised apolipoprotein E3-mediated poly(butyl) cyanoacrylate NPs containing cur-
cumin (ApoE3-C-PBCA) and studied its in vitro therapeutic efficacy against β-amyloid
SH-SY5Y neuroblastoma cells. In comparison to curcumin solution, ApoE3-C-PBCA
showed better anti-amyloidogenic activity suggesting a great advantage in the treatment
of β-amyloid-induced cytotoxicity.57,149 An investigation conducted on both cell culture
(human SK-N-SH cells) and animal model (athymic mice) confirmed the amelioration
of ROS-mediated damage by Nanocurc that promised a huge step forward for the treat-
ment of AD.150 In another study, water-soluble PLGA-coated curcumin NPs tagged with
Tet-1 peptide were investigated for its anti-amyloid activity in vitro. The Tet-1–tagged
NP formulation could easily cross the blood brain barrier and had higher affinity toward
neurons that facilitated an improved destruction of the amyloid aggregates, showing its
potential to treat AD.151
Like curcumin, its nano form is also able to prevent and eradicate the growth of microbes
such as bacteria, fungi, and parasites. Bhawana et al. ascertained the improved suppressive
role of aqueous dispersion of nanocurcumin compared to curcumin against Staphylococcus
aureus, Bacillus subtilis, Escherichia coli, Pseudomonas aeruginosa, Penicillium notatum,
and Aspergillus niger.10 Synthesized microcapsule curcumin was reported that showed broad
spectrum inhibitory effects against bacterial and fungal food-borne pathogens and spoilage
microbes such as Escherichia coli, Yersinia enterocolitica, Staphylococcus aureus, Bacillus
subtilis, Bacillus cereus, Aspergillus niger, Penicllium notatum, and Saccharomyces cerevi-
siae.110 In another study, curcumin-encapsulated chitosanpoly(vinyl alcohol) silver nanocom-
posite films significantly inhibited the growth of E. coli.152 In a similar manner, curcumin-
loaded sodium carboxyl methyl cellulose silver nanocomposite films (SCMCSNCFs) also
noticeably inhibited the growth of E. coli.153 Dandekar et al. prepared a curcumin-containing
hydrogel NPs using hydroxyl propyl methyl cellulose and polyvinyl pyrrolidone and estab-
lished its advanced in vivo efficacy over curcumin regarding the control of parasites involved
in the pathogenesis of malaria.114 Similar results were produced by Akhtar et al. showing
that the oral delivery of curcumin-loaded chitosan NPs to mice infected with a lethal strain
of Plasmodium yoelii made all the mice survive. On the contrary, native curcumin displayed
only a one-third survival rate.154
Fibrosis refers to a condition that involves the replacement of the normal fibrous tissues
of any organ by excessive and unnecessary invasion of fibrous connective tissues. Nor-
mally, the formation of fibrous connective tissues occurs for the repair purpose to heal
any damaged tissue that arises because of some injury or infection.155 Any abnormality
in this process can lead to fibrosis. The most well-documented examples of fibrosis
include cystic fibrosis (which affects the mucus of organs such as lungs, liver, and pan-
creas, and intestines, making the mucus layer thick and sticky), pulmonary fibrosis, and
liver cirrhosis. Curcumin has been known as a natural compound that can act to inhibit
the progression of uncontrolled fibrosis by acting primarily in two ways. First, it can
restrain the signaling pathways initiated by various cytokines and chemokines that di-
rectly result in fibrosis, and second, through the induction of apoptosis in stellate cells
of affected organs.156–159
Preparation of nanocurcumin has augmented the prevailing low healing profile of
curcumin against fibrosis by bringing amplification in its systemic bioavailability in the
target organs. Cartiera et al. described the formulation of poly lactic-co-glycolic acid
(PLGA) NPs encapsulating curcumin with improved bioavailability that resulted in par-
tial correction of a subset of cystic fibrosis symptoms in vivo with better efficiency than
free curcumin.65 In another study, parenteral administration of Nanocurc could success-
fully reverse the harmful effects of carbon tetrachloride (CCl4)–induced liver injury and
subsequent fibrosis in rodents. It was observed that on nanoencapsulation, curcumin still
retained its ability to channelize the apoptosis of profibrotic stellate cells coupled with
inhibition of proinflammatory cytokines.160
The structure of curcumin confers a great advantage with regard to the treatment of
heavy metal toxicity. Its 1,3-diketone moiety on its transformation into keto-enol tau-
tomeric form can readily chelate various metal ions forming complexes facilitating the
removal of metal ions primarily through urine.161 Curcumin can effectively chelate lead,
cadmium, arsenic, aluminium, and mercury ions.162–165
Considering this property of curcumin, Yadav et al. attempted to further improve its
chelating efficacy through the synthesis of water-soluble curcumin NPs (ECNPs) made
from chitosan. These ECNPs were then tested for the treatment of arsenic-induced tox-
icity in rats in comparison with free curcumin. The much pronounced effect of ECNPs
was seen to revert back the adverse changes that appeared on account of oxidative stress
induced by arsenic. Furthermore, these NPs had superior chelating potential even at low
dose (1.5 mg/kg) in contrast to free curcumin (15 mg/kg).166 Recently, our group re-
ported the preventive efficacy of bulk and nanocurcumin against lead-induced oxidative
stress in mice. It was observed that nanocurcumin showed superior ability in removing
lead from blood and soft tissues (brain, kidney, and liver). Compared to bulk curcumin,
it also efficiently increased the depleted delta-aminolevulinic acid dehydratase (ALAD)
levels in blood arising due to lead exposure. A similar higher competence of nanocur-
cumin was seen in reversal of lead-induced altered biochemical parameters (ROS, GSH,
GSSG, and TBARS) indicative of oxidative stress in brain, kidney, and liver.167
Apart from the above-discussed therapeutic action of nanocurcumin, its role in several
other biological activities has been reported. Nanocurcumin has shown signs of over-
coming the multidrug resistance that usually arises on administration of a diverse range
of conventional and novel chemotherapeutic agents that proves to be a significant bottle-
neck in the treatment of several diseases, especially cancer.168–170 In another study, chi-
tosan-coated NPs loaded with curcumin showed their ability as a mucoadhesive agent
through heightened interaction with mucin.171 Li et al. synthesized a curcumin-loaded
nanocomposite hydrogel made from N,O-carboxymethyl chitosan and oxidized alginate
with a significant potential of wound healing ability.172 An exploration demonstrated
the capability of curcumin-loaded glyceryl monooleate NPs to cross the blood-brain
barrier and facilitating apoptosis in glioma cells that are associated with severe tumors
of brain and central nervous system.173 Luz et al. established the in vitro ability of cur-
cumin-containing poly(lactic-co- glycolic) acid (PLGA) nanospheres to act as a schis-
tosomicidal agent competent to treat human schistosomiasis (a dreadful disease caused
by parasites of the genus Schistosoma).174 The role of curcumin-loaded apotransferrin
NPs was confirmed in vitro in blocking the HIV replication through its ability to target
This is due to its minimal systemic bioavailability on administration that critically hin-
ders its therapeutic nature.
Recently, a diverse array of novel nanorange preparations of curcumin have been
developed that enhances the therapeutic profile of curcumin by modifying several physi-
cochemical characteristics such as particle size, surface charge, surface area, and hydro-
phobicity. The new formulations include nanoliposomes, nanoparticles, microspheres,
microemulsions, solid dispersions, etc. Although the results have been extremely re-
warding, still a more advanced level of investigations are called for further ensuring the
improvements in stability, drug loading and entrapment efficiency, release profile, and
evasion of biological defenses of the body.
Ensuring tissue specificity is an area that needs to be explored as apart from target-
ing the affected cells curcumin also interferes with healthy cells and tissues. Moreover,
toxic effects associated with both curcumin and its carrier needs to be evaluated. Stabil-
ity during storage along with lowering the cost of production are other major challenges
that need proper addressing.
This can be done by bringing about a more thorough exploration of the ingredients
that go into the encapsulation of nanocurcumin, guarantying its minimal cytotoxicity to-
gether with augmented biocompatibility. Moreover, the majority of the studies conducted
so far have emphasized the in vitro effects of nanocurcumin. In order to achieve a more
concrete platform to promote nanocurcumin up to a level of clinical trials, a series of con-
clusive in vivo experiments are indispensible in different disease experimental models.
To conclude, application of nanotherapeutics for the delivery of curcumin is still in
its early stages. Its evolution demands sincere and dedicated efforts through a regime of
ordered and planned experiments based entirely with an intention of strengthening the
beneficial effects of curcumin.
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