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JOURNAL OF FUNCTIONAL FOODS 6 ( 2 0 1 4 ) 8 2 –9 9

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Nutraceutical-based therapeutics and formulation


strategies augmenting their efficiency
to complement modern medicine: An overview

Miles C. Braithwaite, Charu Tyagi, Lomas K. Tomar, Pradeep Kumar, Yahya E. Choonara,
Viness Pillay*
University of the Witwatersrand, Faculty of Health Sciences, Department of Pharmacy and Pharmacology, 7 York Road, Parktown,
2193 Johannesburg, South Africa

A R T I C L E I N F O A B S T R A C T

Article history: Awareness of the role that nutraceuticals play in the treatment and prevention of disease
Received 7 August 2013 has led to an explosion of research in this exciting arena that seems to overflow into the
Received in revised form food, cosmetic, nutraceutical, and pharmaceutical industries. Nutrients, supplements
9 September 2013 and herbal compounds have shown promise as either alternatives to modern medicine
Accepted 25 September 2013 or complementary tools in the treatment and prevention of disease. This review provides
Available online 19 October 2013 a brief outlay of the advantages and challenges of nutraceutical delivery via dermatological,
oral and ophthalmic routes. Emphasis is directed towards nutraceutical formulation strat-
Keywords: egies adopted to overcome physicochemical challenges and instability of natural bioactives
Nutraceutical formulations in order to improve their delivery and bioavailability to the body. This paper highlights how
Nutrient-based treatment novel techniques have achieved products with greater commercial viability and efficacy
Polymer
than their conventional counterparts. Importance of multicomponent products where indi-
Nanotechnology
vidual bioactives potency is not subdued by each other has been marked. Ultimately it is
Multicomponent formulation
the adoption and merging of the different formulation technologies and prudent scientific
validation that will dictate the future success of nutraceuticals. This is especially pertinent
in a market where an informed consumer demands an innovative all-in-one product that
does not compromise in its results.
 2014 Published by Elsevier Ltd.

Contents

1. Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83
2. Routes of nutraceutical delivery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84
2.1. Oral delivery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84
2.2. Dermal delivery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84
2.3. Ophthalmic delivery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
3. Nutraceutical formulation strategies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
3.1. Liposomal carrier systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
3.2. Electrospun fiber mats . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
3.3. Microsponges and nanosponges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 86

* Corresponding author. Tel.: +27 11 717 2274; fax: +27 11 642 4355, +27 86 553 4733.
E-mail address: viness.pillay@wits.ac.za (V. Pillay).
1756-4646/$ - see front matter  2014 Published by Elsevier Ltd.
http://dx.doi.org/10.1016/j.jff.2013.09.022
JOURNAL OF FUNCTIONAL FOODS 6 (2 0 14 ) 8 2–99 83

3.4. Cyclodextrin complexation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87


3.5. Biodegradable hydrogels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87
3.6. Nanotechnology-based applications for nutraceutical delivery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89
3.6.1. Nanosuspensions and nanoemulsions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89
3.6.2. Nanostructured lipid carriers (NLC) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90
3.6.3. Nanomicelles. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90
3.6.4. Nanoparticles, nanocapsules and nano-encapsulation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90
3.7. Solid dispersions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
3.8. Self-emulsifying drug delivery systems (SEDDS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
3.9. Microparticulate systems: microparticles, microspheres and microcapsules. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92
3.10. Particle coatings for protection, site-specific delivery and enhanced efficacy . . . . . . . . . . . . . . . . . . . . . . . . . . . 92
3.11. Nutraceutical derivatives for improved properties, efficacy and delivery mechanisms . . . . . . . . . . . . . . . . . . . . 93
4. Conclusions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93
Declaration of interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96
Acknowledgements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96
References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96

1. Introduction 2011). Procyanidins derived from grape seed extract have been
beneficial in the reduction of cholesterol, pancreatitis, vomit-
A plethora of evidence supports the health benefits and value ing and pain (Espin, Garcia-Conesa, & Tomas-Barberan, 2007).
of nutraceuticals in the treatment and prevention of disease Extracts of bitter melon and cinnamon have proven effective
and the important role these compounds play in physiologi- in the treatment of diabetes (Andlauer & Furst, 2002). Early
cal functions (Bernal, Mendiola, Ibanez, & Cifuentes, 2011; studies by investigators concluded that higher blood levels
Blaylock & Maroon, 2012; Gholse & Yadav, 2012; Telrandhe, of vitamin E after supplementation were associated with a
Kurmi, & Uplanchiwar, 2012). Evidence substantiates the use reduced risk of progression to full blown AIDS in HIV positive
of natural compounds due to their unique ability to promote patients (Tang, Graham, Semba, & Saah, 1997). The EuroSIDA
the body’s own natural healing process (Blaylock & Maroon, study authors reported that 25-hydroxyvitamin D deficiency
2012; Gholse & Yadav, 2012). Not only are nutraceuticals used in HIV positive patients on antiretroviral (ARV) treatment
in preventative medicine but, they are frequently prescribed was independently associated with a higher risk of mortality
and recommended as complementary or alternative treat- and AIDS events (Viard et al., 2011). Thus it follows that sup-
ments to chronic disease. Some researchers have identified plementation strategies with these important micronutrients
promising preliminary data supporting the view that nutra- is critical to the maintenance of optimal physiological func-
ceuticals should be included in the clinical arsenal as they tioning of the body and should not be underestimated.
are potent adjuvants’ (Gianfrilli et al., 2011; Henrotin, Lam- When treating chronic conditions it has become clear that
bert, Couchourel, Ripoll, & Chiotelli, 2011; Nair et al., 2010; conventional pharmacotherapeutic approaches often fall
Zlotogorski et al., 2013). Supplementation of key nutrients is short. Therefore studies need to delve into the identification
an invaluable treatment approach in that these substances of alternative nutraceutical agents that are more efficacious
may exert a protective effect on the body by altering the and safe whilst being flexible in their ability to treat a broader
course of many diseases and preventing conditions before patient base. Supporting the view, some researchers noted
they surface (Gupta, Kim, Prasad, & Aggarwal, 2010; Kelsey, that conventional antidepressants are associated with numer-
Wilkins, & Linseman, 2010). Simple dietary modification has ous side-effects, have a delay in onset, need to be dosed at
been said to thwart the development of 35% of all cancers high levels for efficacy, and yet are successful in treatment
and the consumption of antioxidants has been linked to neu- of only 40–60% of patients with Obsessive Compulsive Disor-
roprotective effects in both in vitro and in vivo studies (Gupta der (Camfield, Sarris, & Berk, 2011). In comparison, many
et al., 2010; Kelsey et al., 2010). nutraceuticals function in a pattern similar to antidepressants
Various types of nutritional strategies have been investi- providing potential as alternative monotherapies or as aug-
gated as a means to lower a patient’s disease risk profile by mentative treatments that are more tolerable and with similar
supplementing with key nutrients. Dietary proteins such as or improved efficacy. In cancer patients, tumorigenesis is a
soy, previously considered to have no biological properties complex process and the use of multiple agents is globally ac-
in humans, have gained interest as agents to potentially lower cepted even though this strategy poses a major risk of toxicity
serum cholesterol, blood pressure, and body weight. In addi- to the patient. The question to ponder is, should medical
tion, peptides found in milk and vegetable proteins have even research accept such a risk or further explore the hidden
brought a novel strategy to the treatment of hypertension benefits that molecules of nutraceutical origin have to offer?
with an efficacy that parallels that of Angiotensin I converting Some researchers have underlined how individual nutraceuti-
enzyme (ACE) inhibitors, without the adverse effects (Sirtori, cals in contrast to standard chemotherapeutic drugs actually
Galli, Anderson, & Arnoldi, 2009). Eating diets rich in fish oil, have a multitargeted action on the cell cycle with the added
a source of vitamin D and omega 3, has lowered the incidence benefit of being less expensive, and thus more available to
of Multiple Sclerosis (Fernandes de Abreu, Landel, & Feron, patients (Gupta et al., 2010). Hence more research needs to
84 JOURNAL OF FUNCTIONAL FOODS 6 ( 2 0 1 4 ) 8 2 –9 9

be directed towards natural agents and actives for the treat- and peanuts, having a wide range of biological activities is
ment of life-threatening conditions (Gupta et al., 2010). rapidly metabolized in the liver and intestine resulting in
Over the last few years one of the prominent focus areas an extremely low oral bioavailability (Walle, Hsieh, DeLegge,
has been, the methods to optimise dosage forms and for- Oatis, & Walle, 2004). Despite the low inherent oral bioavail-
mulations for improved bioavailability of promising natural ability of many nutraceuticals, the consumer has a strong
candidates (Acosta, 2009; Ankola, Viswanad, Bhardwaj, preference for this route which has led scientists to focus
Ramarao, & Kumar, 2007; Bernal et al., 2011; Telrandhe their efforts and emphasis on improving the delivery mech-
et al., 2012). According to many forward thinkers, future re- anism. Novel technologies and formulation strategies there-
search should focus on the design of co-drugs consisting of fore play a vital role in the success of orally administered
nutraceuticals linked to drugs for enhanced efficacy, re- nutraceuticals agents by protecting them from rapid elimi-
duced dosage and substantial amelioration of side-effects. nation and degradation and enhancing solubility and per-
Most proponents tend to agree that the use of multiple syn- meation through GIT membranes.
ergistic nutrients provides a useful multi-tiered approach in
the armoury of the clinician. Some have recommended the 2.2. Dermal delivery
use of soy derivatives in combination with high doses of
the vitamin D3 metabolite, 1.25 dihydroxyvitamin D (calci- Consumers are more concerned about rapid results and ex-
triol), as they are able to inhibit the metabolic breakdown pect skin products to be as ‘‘natural’’ and ‘‘organic’’ as possi-
of calcitriol (Schwartz, 2009). These tactics even broaden ble whilst still providing an all-in-one innovative solution to
the spectrum of treatment from primary prevention; to their health and beauty requirements (Patravale & Mandaw-
treatment of recurrent disease and also advanced stage dis- gade, 2008). Nutraceutical derived antioxidant effects may be
ease (Schwartz, 2009). Similarly a major challenge is the for- enhanced by the concomitant oral and dermal application of
mulation strategies to optimise treatment outcomes and bioactives, such is the case with lutein (Palombo et al., 2007).
disease prevention. Insight into novel delivery vehicles Although oral dosing more often achieves higher more con-
and blends of technologies can offer advanced formula- sistent plasma levels, dermal application may result in an
tions. Numerous bioactive nutraceuticals and their associ- accumulation of nutraceuticals in the skin. This often supe-
ated formulation problems have been identified and in rior reservoir effect observed after dermal application is
turn modified to improve the pharmacokinetic and thera- advantageous for long-term storage and repeated provision
peutic parameters when dosed in patients. of nutraceuticals to the body even after cessation of treat-
ment due to the unique buffering effect of the skin (Meinke,
2. Routes of nutraceutical delivery Darvin, Vollert, & Lademann, 2010). The chronic topical use
of dermal products containing nutraceuticals such as Co-en-
2.1. Oral delivery zyme Q10 (CoQ10) and vitamin C may result in noticeable
clinical results including reductions in wrinkle depth in el-
Nutraceutical delivery through oral route is considered to be derly aged skin (Rabe, Mamelak, McElgunn, Morison, & Sau-
the most acceptable and preferred route as it follows the der, 2006). It is therefore not surprising that more patients
same natural process of food and nutrient consumption in are searching for treatments to impede and reverse the
the body, is non-invasive, and involves neither special tech- age-associated changes in the skin, and more demands have
nique nor complex instructions. But this route is often been placed on industry to develop natural dermal products.
influenced by dietary factors that may either enhance or Nutraceuticals used topically with positive cosmetic benefits
impede nutraceutical bioavailability. For example, lutein include co-enzyme Q10, genistein, curcumin, N-acetylcyste-
shows a dramatically increased absorption profile when ine, gluconolactone and fucose-rich sulfated polysaccharides
consumed with a high fat meal, and lycopene absorption (Rabe et al., 2006; Schwarz et al., 2013; Wijesinghe & Jeon,
improves with concomitant intake of b-carotene (Alves- 2012). Many nutraceuticals are suited for delivery via the
Rodrigues & Shao, 2004; Khachik, Carvalho, & Bernstein, trans-dermal route due to their ability to locally treat skin
2002). Fat-soluble vitamins are preferentially absorbed with diseases. Curcumin is one such nutraceutical suited for
a meal yet fibre interferes with the oral absorption of some transdermal application due to its potential for chemopre-
antioxidants. Nutraceuticals delivered via the oral route in- vention and treatment of skin based diseases such as der-
clude, glucosamine, chondroitin, lycopene, resveratrol, co- matitis, psoriasis and skin cancer (Kunnamakkara, Anand,
enzyme-Q10, creatine, melatonin, green tea extract, acetyl- & Aggarwal, 2008). The dermal route is a favoured alterna-
L-carnitine, S-adenosyl methionine (SAME), lipoic acid, and tive to the oral route, as it by-passes the GIT milieu and re-
dehydroepiandrosterone (DHEA) and water and fat soluble duces hepatic and renal inactivation (Walle et al., 2004).
vitamins to name but a few. Despite the purported benefits However, some nutraceuticals, when applied topically to
of nutraceuticals many have reportedly low oral bioavail- the skin, may become unstable on exposure to light or heat
ability and studies have shown wide variations in serum due to photo degradation. In addition to modified carrier
levels and inconsistent pharmacokinetics following oral systems available for nutraceutical formulations, a number
dosing. These anomalies are the result of extreme GIT con- of delivery aid mechanisms exist-like chemical penetration
ditions the bioactive is exposed to: low stomach pH, degra- enhancers, iontophoresis, sonophoresis, etc. – that can be
dative and metabolic enzymes, and alkaline pH in the applied locally to assist in the transport of actives to the skin
intestine, etc. Resveratrol, a polyphenol derived from grapes and underlying tissues.
JOURNAL OF FUNCTIONAL FOODS 6 (2 0 14 ) 8 2–99 85

2.3. Ophthalmic delivery in the rat skin (Padamwar & Pokharkar, 2006). Superior drug
deposition (up to sevenfold increase) in comparison to control
As per consumer’s expectancy and acceptability, nutraceuti- dermal formulations confirmed the benefits of liposomal der-
cals are generally administered orally. However the optimal mal formulations for the delivery of nutraceuticals to the skin
route of nutraceutical delivery in ocular therapy still remains in this study. Other investigators developed a surfactant-free
topical instillation into the ocular cavity. Many nutraceuticals liposomal formulation to encapsulate coenzyme Q10 (CoQ10)
(e.g. co-enzyme Q10, vitamin E, lutein) when administered (Lee & Tsai, 2010). They used solvent injection method to pre-
ophthalmically have disease modifying effects on pathologies pare liposomal vesicles smaller than 200 nm that were found
of the eye due to their antioxidant, anti-inflammatory and anti- to improve CoQ10 penetration through the stratum corneum.
cataract properties. Intraocular treatment success is however Apart from dermal formulations liposomal technology has
largely dependent on the residence time and permeability of been adopted for oral and parenteral administration. The
the topically administered drop or ointment. Further, this suc- nutraceutical that has benefitted greatly from delivery via lip-
cess is often thwarted by the body’s defence mechanisms osomes is resveratrol – the polyphenol that has anti-inflam-
which make it difficult to sustain an effective concentration matory effects, antioxidant properties, cardioprotective
of drug at the site of action and thus the bioavailability of an in- benefits, and cancer prevention potential, but low inherent
stilled active is often low (de la Fuente et al., 2010). Advanced bioavailability and stability. The incorporation of resveratrol
delivery devices have therefore been developed for prolonged into liposomal carrier systems has conferred improvements
rate-controlled intraocular delivery of drugs (Choonara et al., in stability, biological activity and efficacy with an improved
2011). Simple inclusion of selected nutraceutical agents dosed side-effect profile, making possible oral and intravenous dos-
locally and concurrently with allopathic agents may extend age formulations of the compound (Amri, Chaumeil, Sfar, &
intraocular retention time, provide synergistic clinical bene- Charrueau, 2012). Liposomal systems have also been em-
fits, and prove to be safer alternatives for long term ophthalmic ployed in oromucosal sprays for sublingual absorption of
therapy (Martinez-Sancho, Herrero-Vanrell, & Negro, 2006; some nutraceuticals like melatonin that showed improve-
Peng, Kim, & Chauhan, 2010; Zhang & Wang, 2009). ments in bioavailability when compared to the conventional
tablet formulations (Keller, 2001). Other nutraceuticals formu-
3. Nutraceutical formulation strategies lated within liposome delivery systems include, echinacea,
glucosamine, kava kava, milk thistle, St John’s wort and DHEA
Emphasis on formulation design will assist in improving the (Keller, 2001). Zinc gluconate and zinc sulfate formulated
physicochemical characteristics of nutraceutical compounds using liposomes resulted in improved area under the curve
and aid in the design of products that are more efficacious (AUC) and liposomal grape seed extract formulations showed
in the treatment and prevention of disease. With this view- benefits such as superior solubility and a faster onset of ac-
point the following discussion delves into the details and tion according to Keller (2001).
descriptions of current formulation strategies that have been
employed to improve dosage form design and delivery of 3.2. Electrospun fiber mats
nutraceutical compounds to the body.
Researchers have formulated mats of electrospun fibers for
3.1. Liposomal carrier systems the delivery of various nutraceuticals. Cellulose acetate (CA)
nanofibre mats have been electrospun as carriers for dermal
Liposomes are spherical microscopic lipid vesicles most often delivery of vitamins to the skin (Taepaiboon, Rungsardthong,
formed from phospholipids that hold a small amount of the & Supaphol, 2007). Vitamin E in the form of a-tocopherol and
solvent in which they exist. These small particles have been vitamin A in the form of all-trans-retinoic acid loaded in as-
harnessed to alter the pharmacokinetics of many nutraceuti- spun fiber mats showed a gradual increase in the cumulative
cals including vitamins, enzymes, herbals and minerals. The release of vitamins over the test periods. Another group syn-
key variables influencing the delivery using these carriers in- thesised ultra-fine electrospun fibrous mats of the same bio-
clude vesicle size, surface charge, lipid concentration and polymer (CA) for the delivery of popular nutraceutical,
composition of nutraceuticals within the liposome. Lipo- curcumin (Suwantong, Opanasopit, Ruktanonchai, & Supa-
somes have proved ideal as a cosmetic delivery system and phol, 2007). Their study revealed that the system was non-
in the treatment and prevention of skin conditions. The toxic and was able to deliver curcumin to the skin as a possi-
phospholipid membrane of liposomes is actually instrumen- ble topical/transdermal dressing with antioxidant, anti-
tal in transporting active agents across the stratum corneum inflammatory and anti-tumor potential. The same research
and has successfully improved dermal delivery and deposi- group synthesised CA fiber mats containing asiaticoside-the
tion of vitamins to the skin (Padamwar & Pokharkar, 2006). most active compound contained in the plant Centella asiatica
Such systems owe their drug delivery advantages to the sim- L, which has known wound healing properties (Suwantong,
ilarity of liposomal membranes to biological membranes. Ruktanonchai, & Supaphol, 2008). These ‘herb-loaded’ CA fi-
This property enables formulations to circumvent the barrier ber mats, tested for dermal release achieved a maximum re-
of the skin and assists in protecting sensitive nutraceuticals lease of 26% of asiaticoside through different pigskin
from UV exposure. It was found that the lipid: drug ratio, methods. Cytotoxicity evaluations of mat revealed no harm-
quantity of phospholipid, and amount of stabilizer employed ful substance being released to the skin thereby potentiating
influenced the vesicle size and deposition of vitamin E acetate such formulations as transdermal wound dressing patches.
86 JOURNAL OF FUNCTIONAL FOODS 6 ( 2 0 1 4 ) 8 2 –9 9

Fig. 1 – (A) SEM micrograph of PCL/AP with AP concentration 9% and 16%, respectively, magnification: 2500·. PCL
concentration: 10% (w/v) and (B) Log of viable S. aureus cells versus the time of exposure to PCL, PCL/AP (9%) and PCL/AP(30%)
fibrous materials (Paneva et al., 2011). [Reproduced with permission from Elsevier Science BV Ltd.  2011.]

A novel carrier which was able to inhibit vitamin C from differing concentrations of AP, the antimicrobial efficacy of
oxidative degradation has been reported (Paneva, Manolova, PCL/AP mats containing silver nanoparticles was not reported.
Argirova, & Rashkov, 2011). Vitamin C derivative, ascorbyl pal- It would be interesting to compare the antibacterial efficacy of
mitate (AP), was incorporated into nanofibrous mats of poly (e- silver coated vs. uncoated PCL/AP mats since silver is docu-
caprolactone) (PCL) and further coated with a second nutra- mented to have antimicrobial activity (Paneva et al., 2011).
ceutical, namely silver, in the form of a nanoparticle solution
onto these PCL/AP mats. The study findings confirmed the sta- 3.3. Microsponges and nanosponges
bility enhancement of vitamin C after storage over a 4 month
period attesting to the success of this drug delivery system Micro and nano sponges are ‘‘non-collapsible’’ delivery sys-
(DDS). The presence of AP actually facilitated the deposition tems that contain porous micro- and nanospheres and pro-
of silver ions onto the mats after emersion in aqueous solu- vide immense benefits in terms of their high internal
tions of silver nitrate, to further enhance the nutraceutical surface area and bioactive loading capacity. These porous
composition of the delivery system. Fig. 1A shows the scan- polymeric systems have been used by researchers to create
ning electron micrographs of the PCL/AP mats obtained at a a ‘‘melanosponge-a’’ containing a genetically engineered mel-
PCL concentration of 10% (w/v). As the AP content increased, anin. This formulation was able to distribute melanin over
there was a resultant decrease in the diameter of the mat fi- the skin surface and afford UV-A and UV-B sun protection.
bres as seen in Fig. 1A. This research also highlighted the anti- Microsponges have also proved useful in reducing allergic
bacterial properties of AP and evaluated the antibacterial reactions when including cinnamic aldehydes in such sys-
properties of the PCL/AP mats against the skin pathogen S. aur- tems (Patravale & Mandawgade, 2008). Other researchers
eus. Fig. 1B indicates how plain PCL samples failed to inhibit developed cyclodextrin-based nanosponges for enhanced sol-
pathogenic growth yet the PCL/AP mats substantially reduced ubility and stability of resveratrol (Ansari, Vavia, Trotta, &
the number of viable pathogenic cells. The resultant PCL/AP Cavalli, 2011). These nanosponges were hyper-cross-linked
nanofibrous delivery system was reported to have strong anti- cyclodextrin polymers that form three-dimensional net-
bacterial and antioxidant properties and a high surface area, works. The nanosponge complexes improved the in vitro re-
proving ideal for treatment applications via the dermal route. lease, permeation, efficacy and stability of resveratrol and
These researchers also noted that the PCL/AP mats demon- were proposed as suitable formulations for topical as well
strated antibacterial and antioxidant activity similar to the sil- as buccal delivery of the nutraceutical (Ansari et al., 2011).
ver nanoparticle coated PCL/AP mats. Despite reporting A research group recently synthesised acemannan
differences in microbial inhibition between mats containing sponges and investigated their clinical effect and scaffold
JOURNAL OF FUNCTIONAL FOODS 6 (2 0 14 ) 8 2–99 87

forming ability in periodontal disease (Chantarawaratit, Sang- control the release of nutraceuticals (Yuan, Jin, Xu, et al.
vanich, Banlunara, Soontornvipart, & Thunyakitpisal, 2013). (2012)). Curcumin is another promising anticancer and antivi-
Acemannan is a biodegradable polysaccharide containing ral nutraceutical agent but is limited by the fact that it is al-
acetylated polymannose and is extracted from Aloe vera gel. most insoluble in water at neutral and acid pH and exhibits
Periodontal ligament cells were treated with acemannan high decomposition at alkaline pH. Some have achieved a
sponges in an in vivo study in dogs with induced premolar marked improvement in the stability of curcumin under basic
class II furcation defects. The nutraceutical delivery system conditions and a greater than expected solubility improve-
resulted in increased periodontal cell proliferation, mineral ment after forming inclusion complexes with CD (Tonnesen
deposition, new alveolar bone formation and cementum et al., 2002). Other researchers utilised 2-hydroxypropyl-b-
and periodontal ligament formation. The researchers pro- CD complexation to improve the oral bioavailability and per-
posed the acemannan DDS to be a successful candidate for meation parameters of the Kaempferia parviflora (KP) plant ex-
delivery of the herbal derived polysaccharide biomolecule tract (Mekjaruskul et al., 2013). The KP extract contains
for the effective regeneration of periodontal tissue. methoxyflavones with biological properties that include anti-
microbial effects, anti-inflammatory effects, and anti-allergic
3.4. Cyclodextrin complexation effects to name but a few. The formed KP-2-HP-b-CD formula-
tion had 3.5 times greater permeation ability and approxi-
Cyclodextrins (CD) and their derivatives have been widely uti- mately 21–34 times greater bioavailability when compared
lised as carrier compounds to improve the inherent solubility, to a standard extracted formulation. Results obtained by
stability, permeation and bioavailability of nutraceuticals to researchers are continually contributing towards the develop-
the body (Gonnet, Lethuaut, & Boury, 2010; Tonnesen, Mas- ment of oral nutraceutical agents containing CD for improved
son, & Loftsson, 2002; Yuan, Jin, & Xu, 2012; Yuan, Jin, Xu, GIT delivery and improved integrity within the harsh GIT
Zhuang, & Shen, 2008). Many vitamins are able to complex milieu.
with these ‘‘cage-like’’ molecules with a resultant improve-
ment in physicochemical properties when in contact with 3.5. Biodegradable hydrogels
biological membranes. b-CD is the most commonly used CD
due to its suitable cavity size. 7-Dehydrocholesterol (7-DHC) Biodegradable hydrogels have been widely researched to car-
which is a precursor vitamin used extensively in cosmetic ry, protect and modify the delivery of a wide variety of phar-
and pharmaceutical products is almost insoluble in water maceutical compounds including nutraceuticals. Many
and thus proves to be difficult to manipulate and include in pharmaceutical polymers are stimuli-responsive and degrade
dermal products. Researchers confirmed the formation of an or swell to varying extents depending on the physiological
inclusion complex between hydroxypropyl-b-CD and 7-DHC environment and changing thermal, pH, and hydration stim-
that had enhanced solubility when compared to uncom- uli. For most nutritive molecules, preferential absorption oc-
plexed 7-DHC (Kim et al., 2010). curs in the small intestine, and hydrogels may be used to
The liver protective nutraceutical, silymarin has particu- facilitate this process by protecting nutraceuticals from deg-
larly low water solubility and bioavailability and also requires radation or denaturation and facilitating their controlled
novel formulation approaches for effective oral delivery. release.
Silymarin-b-CD complexes formed by a co-precipitation Vitamins are ideal candidates for inclusion in gels as they
method resulted in increased dissolution rates compared to are thermo-labile and would benefit greatly from the protec-
the nutraceutical alone and a more sustained-release profile tion and transport characteristics of hydrogels to aid in the
(Ghosh, Biswas, & Ghosh, 2011). Other investigators also uti- targeted absorption within the intestine. In another study,
lised b-CD, in the formation of a nutraceutical inclusion com- riboflavin was included in soy protein cold-set hydrogels
plex with Garlic oil (GO) (Wang, Cao, Sun, & Wang, 2011). GO which proved ideal in protecting the vitamin for at least 6 h
has powerful antioxidant and antimicrobial properties but is from gastric conditions and underwent pH dependant release
limited as a food functional ingredient by its inherent volatil- in the intestine (Maltais, Remondetto, & Subirade, 2009)
ity and poor physicochemical stability. Differential scanning (Fig. 2). Soy gel carriers provided additional benefits of addi-
calorimetry (DSC) studies established that the nutraceutical tive nutritional value, provided by the soya carrier, a reduced
was successfully incorporated inside the CD cavity and pro- need for inorganic solvents that may otherwise be incompat-
tected from oxidation with a resultant improvement in stabil- ible with food based supplements, and the fact that the bioac-
ity of the complex. The GO/b-CD complex imparted improved tive is not subjected to heating during the gelation procedure
aqueous solubility on GO and a controlled release rate was which would have denatured sensitive bioactives. The bene-
also achieved, demonstrated by in vitro dissolution studies. fits of these hydrogel matrices may be extended for the deliv-
Investigations with vitamin A loaded hydroxypropyl-b-CD ery of other nutraceutical products.
(HPCD) have demonstrated that CD’s have the propensity to Milk proteins have also proven to be very successful nutri-
increase the solubility of a vitamin by almost 35,000 times tion based hydrogel protein carriers as they are said to have
(Gonnet, Lehuaut, & Boury, 2010). Such an improvement ideal structural and physicochemical characteristics for the
would go a long way in improving the oral delivery of fat sol- transport of bioactives via the GIT (Livney, 2010). Milk pro-
uble vitamins (A, D, E, and K). HPCD’s and their resultant teins, being inexpensive, readily available, and non-toxic have
inclusion complexes formed between herbal molecules such already been utilised as delivery vehicles to transport a mul-
as astaxanthin have also proved successful in not only titude of drugs via the GIT. Such proteins make an extremely
improving solubility but also hold merit as a strategy to versatile delivery option in terms of the types and number of
88 JOURNAL OF FUNCTIONAL FOODS 6 ( 2 0 1 4 ) 8 2 –9 9

Fig. 2 – Scanning electron micrographs of 9% (w/w) soy protein cold-set gels made with (A) 10 mM CaCl2 (filamentous gel) and
(B) 20 mM CaCl2 (particulate gel) (Maltais et al., 2009). [Reproduced with permission from Elsevier Science BV Ltd.  2009.]

Fig. 3 – Illustrations of several functionalities of milk proteins useful for delivery tasks (Livney, 2010). [Reproduced with
permission from Elsevier Science BV Ltd.  2010.]

associations, functionalities and bonds that these proteins ther pharmaceutical developments will explore other means
may form with various different bioactives as shown in of modifying food-based carriers like the milk and soy protein
Fig. 3. Such a plethora of associations makes many nutraceu- to form hydrogels for enhanced nutraceutical delivery.
tical compounds ideal candidates for complexation with milk Another interesting system consisted of a polyglycidyl
proteins. Like soy proteins, milk proteins also exhibit favour- methacrylate grafted sodium alginate (PGMA-g-SA) hydrogel
able gelation properties that confer protective effects on bio- that was pH sensitive and used as a delivery matrix for ribo-
actives and have favourable swelling behaviour. In addition flavin (RF) (Abd El-Ghaffar, Hashem, El-Awady, & Rabe, 2012).
these proteins are found to possess superior buffering capac- The swelling behaviour of pure sodium alginate in acidic pH
ity for enhanced protection of sensitive nutraceutical bioac- is known to be slower than in basic pH and therefore so-
tives from acid environments (Livney, 2010). dium alginate provides a pH sensitive swelling behaviour
Milk protein gels are adept at pH-triggered release with that may afford a targeted release in intestinal media. The
various bioactives. An enzyme microbial transglutaminase reported system achieved a more delayed or prolonged re-
(MTgase) induced complex casein (milk protein) hydrogel ma- lease of riboflavin from the polymer matrix compared to
trix has been successfully produced and said to be suitable for plain SA. PGMA grafted onto SA accounts for this observa-
nutraceutical entrapment. By virtue of enzyme-induced tion as with increased grafting level the vitamin release im-
crosslinking, vitamin B12 has been included in the casein peded further. Investigators reported that ultimately the
hydrogel matrix to facilitate the controlled release of the vita- PGMA-g-SA polymer resulted in a slow and controlled re-
min in the body (Elzoghby, El-Fotoh, & Elgindy, 2011; Song, lease of 30% RF in simulated intestinal fluid (SIF) over 24 h,
Zhang, Shi, & Li, 2010). Since the body is accustomed to the and only 18% of RF in simulated gastric fluid (SGF), due to
uptake of foods for its basic functioning it is logical that fur- the pH responsive nature of the polymer. The PGMA grafting
JOURNAL OF FUNCTIONAL FOODS 6 (2 0 14 ) 8 2–99 89

Fig. 4 – (A) In vitro penetration profiles of lutein from nanosuspension loaded pellets and from coarse lutein powder pellets,
both filled into hard gelatine capsule (Mitri et al., 2011) [Reproduced with permission from Elsevier Science BV Ltd.  2011]
and (B) Influence of carrier oil type on the bioaccessibility of b-carotene initially encapsulated within oil-in-water
nanoemulsions. Measurements were made before and after filtration (0.45 lm pore size) of the middle phase (Qian et al.,
2012). [Reproduced with permission from Elsevier Science BV Ltd.  2012.]

onto SA improved the entrapment of riboflavin on the 3.6.1. Nanosuspensions and nanoemulsions
hydrogel matrix, slowed swelling and degradation of the The key factors dissolution velocity and saturation solubility
carrier, and controlled the release of the vitamin in a supe- determine the bioavailability and penetration of a nutraceuti-
rior fashion compared to conventional pure SA beads cross- cal in oral and dermal delivery respectively. Preparing nano-
linked with calcium. suspensions and nanoemulsions of hydrophobic
Many researchers utilise the common polysaccharide, algi- nutraceuticals, with poor solubility, improves and enhances
nate, to form gels due to its ability to react easily with polyva- both these factors (Gonnet et al., 2010; Li, Zheng, Xiao, &
lent cations to undergo gelation (Norajit, Kim, & Ryu, 2010; McClements, 2012; Mitri, Shegokar, Gohla, Anselmi, & Muller,
Pereira, Mendes, & Bartolo, 2013). Recent research harnessed 2011). A group of researchers prepared lutein – a widely used
hydrogel technology to form hydrogel films consisting of algi- antioxidant – by high pressure homogenisation to produce
nate and Aloe vera for application as novel herbal biomedical 400 nm sized particles within a nano-suspension (Mitri
wound dressings (Pereira et al., 2013). The synthesised hydro- et al., 2011). The nanosuspension was lyophilised and incor-
gel system by a solvent-casting method, harnessed the thera- porated in creams and gels for dermal application and modi-
peutic and delivery potential of alginate and the antimicrobial fied into pellets to fill into hard gelatine capsules for oral
and anti-inflammatory effects of Aloe vera and was potentially dosing. The nanoformulation provided enhanced penetration
proved to be effective in wound healing. due to improved solubility and larger surface area. The per-
Another novel hydrogel formulation synthesised has used meation of the lutein nanocrystal formulation across a
natural marine diatom-derived poly N-acetyl glucosamine 0.1 lm synthetic cellulose nitrate membrane was reported
nanofibers (pGlcNAc). The marine derived biomaterial was to be 14 times greater compared to a coarse lutein powder.
deacetylated and had the ability to form a hydrogel formula- In the case of the oral formulation, the dissolution profiles
tion with therapeutic properties as a treatment in degenera- demonstrated a clear advantage in terms of enhanced disso-
tive disc disease (Gorapalli et al., 2012). Other researchers lution and bioavailability (Fig. 4A).
formulated a hydrogel containing the cationic polymer chito- In the recent study, the hydrophobic phytochemical 5-hy-
san complexed with chondroitin sulfate that has long since droxy-6,7,8,4-tetramethoxyflavone (PMF) isolated from sweet
been used to treat arthritis and joint conditions (Piai, Lopes, orange peels was incorporated in various oil-in-water nano-
Fajardo, Rubira, & Muniz, 2010). The study noted that the emulsions to efficiently deliver the compounds in dietary sup-
hydrogel was able to release the nutraceutical, chondroitin plements (Li, Zheng, Xiao, & McClements, 2012). PMF has anti-
sulfate, in a controlled manner and in response to variations carcinogenic, anti-inflammatory, anti-oxidant, anti-viral and
in pH with a preferential release occurring at a basic pH. anti-thrombogenic effects which makes it attractive health
additive for foods and nutritional supplement. However, due
3.6. Nanotechnology-based applications for nutraceutical to low inherent bioavailability, high melting point and low sol-
delivery ubility of this herbal nutraceutical it otherwise could not be
utilised without a successful nano-enabled formulation.
Nanotechnology has often been used to enhance the solubil- Nanoemulsions have also been used to effectively deliver
ity of poorly soluble nutraceuticals for administration within micronutrients such as carotenoids and fat soluble vitamins
a variety of dosage forms and is also stated to achieve good (A, D, E, and K) within liposomes via the oral route (Gonnet
bioavailability and targeted delivery of the bioactives. The et al., 2010). Researchers investigated the influence of the car-
use of nanoparticle technology is suggested to increase the rier oil composition of a nanoemulsion-based delivery system
commercial potential of a multitude of nutraceuticals. on b-carotene bioaccessibility using an in vitro model to sim-
90 JOURNAL OF FUNCTIONAL FOODS 6 ( 2 0 1 4 ) 8 2 –9 9

ulate the GIT (Qian, Decker, Xiao, & McClements, 2012). The 3.6.3. Nanomicelles
investigators reported the b-carotene nanoemulsion formula- Researchers have recognised the advantages of nanovehicles
tion to possess good physical stability with resistance against as a means to deliver nutraceuticals. Quercetin, a phytochem-
chemical degradation in neutral and acidic gastric environ- ical, has attractive properties that lend to its potential use in
ments. Additionally, the bioaccessibility of b-carotene was ob- the treatment of neurological disease, cardiovascular disease
served to be higher when formulated in Long Chain and cancer therapy and has further advanced to clinical trial
Triglyceride (Corn oil) nanoemulsions than in Medium Chain evaluation, however the poor water solubility of these agents
Triglyceride (MCT) nanoemulsions or orange oil (Fig. 4B). An have limited their further commercialisation. Researchers
oil/water nanoemulsion of Hyaluronic acid (HA) has further have succeeded in formulating a self-assembled nanomicellar
been formulated and investigated as a carrier of lipophillic delivery system made from the diblock copolymer polyethyl-
bioactives for transdermal delivery (Kong, Chen, Kweon, & ene glycol (PEG)-derivatised phosphatidylethanolamine (PE)
Park, 2011). An optimised HA formulation resulted in desir- that was loaded with quercetin (Tan, Liu, Chang, Lim, & Chiu,
able stratum corneum permeability of vitamin E – used as 2012). These quercetin nanomicelles were found to be stable
model bioactive with an efficient partitioning and diffusion at a GIT pH range from 1.2 to 7.0, were relatively nontoxic,
into the deeper dermal skin layers compared to the control. and were well tolerated in their in vivo pre-clinical studies.
The enhanced solubility provided by the nanomicelles trans-
3.6.2. Nanostructured lipid carriers (NLC) lated into a profound improvement and dramatic increase in
This new generation of lipid ‘‘nano-sized’’ structures com- the anticancer activity of quercetin at a dose of 30 mg/kg in
prising of a lipid matrix with special nanostructures hold their formulation studies in mice compared to control etha-
potential for optimum nutraceutical delivery via the dermal, nol suspension of quercetin. Similarly, other scientists have
oral and topical routes. NLC’s composed of cetyl palmitate used casein micelles to nanoencapsulate vitamin D2 with
and caprylic/capric triacylglycerols were prepared to deliver resultant protection against UV degradation (Semo, Kessel-
the nutraceutical CoQ10 to the skin more efficiently (Teer- man, Danino, & Livney, 2007). Such micellar systems can be
anachaideekul, Souto, Junyaprasert, & Muller, 2007). The identified as agents with great potential to deliver sensitive
prepared NLC’s provided good physical stability, high nutraceuticals with barriers to commercialisation.
entrapment efficiency, and a biphasic release pattern to
the incorporated CoQ10. The biphasic release pattern of 3.6.4. Nanoparticles, nanocapsules and nano-encapsulation
the NLC formulation proved ideal due to an initial rapid Many phytonutrients although documented to impart major
CoQ10 saturation of the skin followed by a controlled and health benefits have a limitation as nutraceutical additives
extended maintenance phase ensuring continued supply because of high susceptibility to degradation or low aqueous
of the vitamin. Scanning electron microscopy (SEM) analysis solubility. This is due to phytonutrient instability when sub-
revealed particles with an anisometric shape and a size of jected to temperature, pH and oxygen changes. One such pop-
approximately 200 nm. It was similarly proved that CoQ10 ular antioxidant is epigallocatechin-3-gallate (EGCG) found in
loaded NLC dispersions had good long term physical and green tea that has long been documented to provide an array
chemical stability (Junyaprasert, Teeranachaideekul, Souto, of health benefits including neuroprotection, anti-tumour ef-
Boonmee, & Muller, 2009). After storage at various tempera- fects and cardiovascular protection. But, the rapid degrada-
tures (4 C, 25 C, 40 C) the entrapped CoQ10 remained tion of EGCG observed in soft drinks leaves behind
above 90% and within the nanosize range in the NLC carrier deterioration/degradation products that discolour the drink
system for 12 months at all 3 temperature ranges. This fur- and limit the health potential of the remaining compound
ther demonstrates the stability enhancement and robust- as most of the activity is lost after long storage times. Co-
ness of NLC’s as a successful dermal delivery system for assembled nanovehicles have been synthesised for the pro-
nutraceuticals. tection and enhanced delivery of EGCG and other antioxidant
Other researchers developed optimised NLC’s of lutein for polyphenols (Shpigelman, Israeli, & Livney, 2010). These
oral delivery that protected the entrapped nutraceutical from researchers used thermally modified b-lactoglobulin (blg) to
simulated gastric fluid and achieved a sustained release (Liu which EGCG complexed optimally resulting in nano-sized
& Wu, 2010). Similarly, other groups developed fish oil based co-assembles of blg-EGCG particles that conferred strong pro-
NLC’s for the delivery of lutein in the view of synthesizing a tection to EGCG against oxidation In addition, the nano blg-
DDS with dual benefits: an enhanced delivery mechanism EGCG particles were in a size range less than 50 nm providing
that also provides other biological benefits due to its omega ideal transparency and suitability of the nano-system for
3 fatty acid content (Lacatusu et al., 2013). inclusion in clear beverages. As natural self-assemblers and
NLC’s have also been used for the intravenous delivery co-assemblers milk-proteins such as casein are being
of the antihepatotoxic herbal nutraceutical, silybin, as an exploited to nanoencapsulate nutraceuticals. Milk proteins
improved application to treat liver disease (Jia et al., 2010). have been used to nanoencapsulate b-carotene and to deliver
These researchers developed a silybin-NLC that had supe- other nutraceuticals such as fatty acids and vitamin D (Livney
rior pharmacokinetic properties that included a higher et al., 2010). In another study the highly insoluble vitamin, b-
AUC and a biphasic drug release. The novel silybin-NLC for- carotene was modified for delivery by using both casein and
mulation achieved a prolonged residence time in the serum dextran to form spherical nanoparticles consisting of a casein
and targeted delivery to the liver for improved action (Jia and b-carotene core and dextran shell (Pan, Yao, & Jiang,
et al., 2010). 2007). Other researchers encapsulated thymol and carvacrol
JOURNAL OF FUNCTIONAL FOODS 6 (2 0 14 ) 8 2–99 91

essential oils (EO), with positive antimicrobial, antifungal and dissolution, and the optimised SD formulation of the same ra-
insecticidal properties, in zein nanoparticles (Wu, Luo, & tio (1:5) achieved approximately 85% dissolution. In addition,
Wang, 2012). The EO-zein nanoparticles achieved an improve- the solubility of CoQ10 was evaluated and found to improve
ment in solubility up to 14 times whilst still maintaining anti- with an increase in the amount of poloxamer 407. The opti-
oxidant and antimicrobial effects. mised SD formulation achieved solubility 4 times greater than
Research has also delved into improving the stability and that of the same physical mixture. Interestingly, the SD dis-
delivery of water soluble vitamins by creating minute ad- solved maximally within 15 min and their aqueous solubili-
vanced delivery vehicles. Studies have involved the prepara- ties were remarkably higher than that of the same physical
tion of sodium tripolyphosphate (STPP)-chitosan/vitamin C mixtures.
nanoparticles to achieve an enhanced shelf-life and delivery In an interesting study the phytochemical, resveratrol, was
of vitamin C (Alishahi et al., 2011). In vivo studies showed that mixed with different grades of polymers to form solid disper-
the mucoadhesive nature of chitosan also improved the re- sions having varying types and strengths of association be-
lease time of vitamin C to 12 h compared to the 3–4 h in the tween polymer and active (Weigel, Mauer, Edgar, & Taylor,
control. The release of the vitamin C was also shown to be 2013). It was noted that amorphous dispersions of resveratrol
pH dependant where a more rapid release was reported in were unstable unless the correct polymer blend was selected
PBS compared with that in a lower pH media. to have sufficient intermolecular forces between polymer and
Another interesting research is the preparation of solid lipid active to inhibit recrystallization. The group found that resve-
nanoparticles (SLN) in presence of a surfactant. The technology ratrol blended with eudragit 100 and poly (vinylpyrrolidine)
was initially developed for parenteral delivery but the applica- K29/32 had the greatest stability as solid dispersions. Progres-
tion has evolved for use in dermal formulations as well. Mela- sive research in this area proves solid dispersions to be a com-
tonin transdermal delivery has been noted to result in petent formulation strategy to enhance oral bioavailability of
sustained plasma levels when SLN were used (Kandimalla, some important nutraceuticals, but at the same time the ra-
Babu, & Singh, 2009). Resveratrol SLN’s developed by research- tional selection of the correct polymer combination is an
ers had a sustained release profile that allowed rapid perme- important criterion for the successful synthesis of stable solid
ation of the nutraceutical through the skin and gave dispersions.
resveratrol an enhanced cytotoxic effect suitable for the treat-
ment of skin cancer (Teskac & Kristl, 2010). Studies have re- 3.8. Self-emulsifying drug delivery systems (SEDDS)
ported the formulation of vitamin E-loaded nanocapsules in
the size range of 185 nm (laboratory scale) to 253 nm (pilot Novel self-emulsifying DDS (SEDDSs) have been developed
scale) and subjected these to an accelerated stability study and documented by different research groups as a means to
(temperature: 40 ± 2 C; relative humidity: 75 ± 5%) (Khayata, enhance the oral bioavailability of the nutraceuticals. The re-
Abdelwahed, Chehna, Charcosset, & Fessi, 2012). Results ob- ported development of a solid-SEDDS of CoQ10 was noted to
tained after 3 and 6 months of storage at the study conditions result in a fivefold improvement in oral bioavailability (Onoue
revealed good chemical and physical stability of the nanocap- et al., 2012). This was achieved due to the fast self-emulsifica-
sules confirming that such a dosage form was highly suitable tion and dispersion of the system in aqueous medium that
for the preservation of the integrity of nutraceuticals like vita- led to an extremely rapid improvement in dissolution.
mins with known susceptibility to heat and UV degradation Tocotrienols, part of the family of vitamin E compounds,
(Cassano, Trombino, Muzzalupo, Tavano, & Picci, 2009; Khayata have been documented to possess various health related ben-
et al., 2012). Thus encapsulating or complexing the nutrient efits and are therefore a focus area for improved formulation.
bioactives in nanoparticles/nanocapsules not only improves Appropriateness of SEDDS of vitamin E to enhance bioavail-
their solubility but, also preserves their activity whilst shield- ability of the vitamin after oral dosing has been investigated
ing them from degradation and providing stability. (Yap & Yuen, 2004). The researchers found that vitamin E
delivered as SEDDS resulted in a 2.5–4.5 times higher Cmax,
3.7. Solid dispersions a higher AUC and a reduced lag time to absorption when com-
pared to the non-SEDDS formulation. Recent research also
Solid dispersions (SD) are another method or means that have supported the use of SEDDS and high-fat meals as methods
been used to enhance the bioavailability of oral nutraceuti- to enhance the bioavailability of tocotrienols (Frank, Chin,
cals. Amorphous solid dispersions are systems where a bioac- Schrader, Eckert, & Rimbach, 2012). Similarly, others devel-
tive is molecularly dispersed in a hydrophilic polymer matrix oped self-emulsifying pellets of the milk thistle extract,
which results in an increase in solubility and rate of dissolu- silymarin, using extrusion/spheronization technology. Re-
tion of the active. Poorly water-soluble nutraceuticals have sults demonstrated SEDDS releasing 99% of silymarin in
slow dissolution rates and less than desirable bioavailability 7 min compared to only 13.9% release in the comparator milk
when dosed via the GIT. Research has involved the formation thistle dry herbal extract (Losio et al., 2011). In addition the
of various stable solid dispersions of CoQ10 with the carrier novel system showed preferential absorption into the lym-
polymer, poloxamer 407 and an adsorbent and recrystalliza- phatic system which did not occur with the dry extract.
tion inhibitor Aerosil 200, all taken in different ratios, using In addition to nanoemulsions already mentioned in earlier
the melting method, with an optimised formulation having a section, some researchers have taken the technology of SED-
1:5:6 weight ratio (Nepal, Han, & Choi, 2010). Dissolution pro- DS a step further by synthesizing these systems at a nanomo-
files showed that pure CoQ10 was virtually insoluble, a phys- lecular level (Li et al., 2011). A self-nanoemulsifying DDS
ical mixture of CoQ10 and poloxamer 407 had only 5% (SNEDDS) containing the herbal extract of persimmon leaf
92 JOURNAL OF FUNCTIONAL FOODS 6 ( 2 0 1 4 ) 8 2 –9 9

extract was formulated. The results of the study indicated im- makes them highly suitable for holding both lipophillic and
proved oral bioavailability in that the AUC of two major flavo- hydrophilic actives such as vitamin E and ascorbic acid (Patra-
noid compounds (quercetin and kaempferol) was 1.5 times vale et al., 2008). Such delivery systems have achieved im-
and 1.6 times higher for the SNEDDS formulation compared proved skin concentrations and a prolonged release, along
to the commercial control (tablet formulation). Further, an- with protection of vitamin constituents.
other group recently developed a self-microemulsifying DDS Another study involved the successful formulation of bio-
(SMEDDS) to improve the low aqueous solubility and poor oral degradable microspheres containing vitamin A palmitate and
bioavailability of plant extracts of K. parviflora (Mekjaruskul acyclovir for the intra-ocular treatment of herpes simplex and
et al., 2013). The researchers formulated a SMEDDS that Epstein-Barr virus’ (Martinez-Sancho et al., 2006). The inclu-
achieved marked improvements in permeation through sion of vitamin A improved the loading efficiency of acyclovir
Caco-2 cells and bioavailability of the principle methoxyflav- in the poly (D, L-lactic-co-glycolic) acid microspheres and im-
one compounds found in the plant known for its antimicro- proved the release profile of acyclovir during the first days
bial, aphrodisiac and anti-inflammatory properties. SEDDS of the in vitro assay. The inclusion of vitamin A in the ophthal-
therefore, not only proved to enhance the nutraceutical bio- mic formulation was rationalised in terms of the vitamins’
availability but has also achieved targeted delivery to the liver antiviral activity and its ability to prevent the inherent risks
which is advantageous for herbal extracts due to the avoid- of intravitreal injections due to vitamin A’s ability to treat vit-
ance of first pass effects and resultant higher plasma levels. reoretinal diseases. The microspheres showed a constant re-
lease profile of acyclovir and vitamin A palmitate over a
3.9. Microparticulate systems: microparticles, microspheres 49 day period. Such an approach demonstrates an ideal syner-
and microcapsules gistic effect between a nutraceutical agent and a synthetic
drug for the safe and effective treatment of disease and an
Many herbal nutraceuticals have favourable anti-oxidant and improvement over current treatment options.
antimicrobial properties. Fadogia ancylantha (Makoni tea), Me-
lissa officinalis (lemon-balm) and Tussilago farfara (coltsfoot) 3.10. Particle coatings for protection, site-specific delivery
are few such herbals that are attractive to the nutraceutical and enhanced efficacy
market and have been used in traditional drinks because of
their high antioxidant polyphenol content. However they exist Some delivery systems require combined technologies to en-
in the form of poorly-water-soluble sticky extracts with sure or potentiate their success. An interesting strategy to car-
unpleasant smells and have a high propensity to degrade dur- ry and deliver the gastric sensitive nutraceuticals orally was
ing storage. In addition to nanoparticulate complexation and development of Chitosan/b-lactoglobulin (CS-blg) core–shell
encapsulation of the polyphenols, researchers have explored nanoparticles (Chen & Subirade, 2005). Chitosan, despite hav-
other means to deliver these sensitive polyphenol-rich ex- ing ideal properties as a nutraceutical carrier – biodegradable,
tracts to the body. A novel maltodextrin/pectin (M/P) matrix biocompatible, mucoadhesiveness, versatility of use in health
microparticle powder was developed using a spray-drying applications – is not stable at low pH and undergoes rapid deg-
method (Sansone et al., 2011). This strategy led to the encapsu- radation which can predispose bioactives to premature
lation of these extracts forming stable powders, consisting of destruction. To protect chitosan and entrapped nutraceuticals
uniform micronized particles, with retention of activity and from low gastric pH and pepsin, the chitosan nanoparticles
an improved shelf-life when subjected to stability tests. The were coated with b-lactoglobulin, a protein known to be highly
M/P matrix also proved successful in masking the unpleasant resistant to pepsin degradation in the stomach. The carrier
odour of the extracts and greatly enhanced their water solubil- system passed through the stomach to reach the intestine
ity (Sansone et al., 2011). Thermal analysis recorded the melt-
ing points for unprocessed Fadogia raw extracts between
130–250 C and a right shifted endotherm for the novel Fado-
gia-MP microparticle demonstrating high entrapment in the
polymer matrix and a more stable nutraceutical product. Other
nutraceutical researchers also used a microencapsulation
technique to improve the stability of the antioxidant and pig-
ment, lycopene, for inclusion in food based applications (Ro-
cha, Favaro-Trindade, & Grosso, 2012). The researchers
formed microcapsules of lycopene using a spray drying meth-
od and a modified starch (Capsul). The resultant microcap-
sules were subjected to stability testing and were found to
provide greater protection to the nutraceutical when compared
to its free form. Such systems may be useful in the manufac-
ture of functional foods and nutraceutical supplements with
troublesome physicochemical and taste parameters.
Microspheres are frequently used in cosmetics in order to
avoid incompatibility between formulation components and Fig. 5 – Pre-corneal drainage of 99mTc-DTPA in preparations
to protect an active from the invasive effects of the environ- (Zhang & Wang, 2009). [Reproduced with permission from
ment. Chemical inertia of nylon microspheres for example Elsevier Science BV Ltd.  2009.]
JOURNAL OF FUNCTIONAL FOODS 6 (2 0 14 ) 8 2–99 93

unscathed where pancreatin then degraded the outer b-lacto- due to its hydrophilic nature and resultant low absorption
globulin shell to release chitosan nanoparticles that were able through cell membranes. Recent research has involved EGCG
to enhance mucoadhesiveness and absorption properties of being esterified with docosapentaenoic acid (DPA) and other
the entrapped nutraceutical. This carrier system simulta- fatty acids for enhanced lipophilicity (Zhong, Chiou, Pan, &
neously harnessed the advantages of two carriers, the polymer Shahidi, 2012a; Zhong, Ma and Shahidi, 2012b). Zhong and
chitosan and the milk protein b-lactoglobulin. co-workers (2012a,b) formulated derivatives that exhibited
Researchers developed a novel technology to deliver significant anti-inflammatory, antioxidant, and antiviral ef-
CoQ10 effectively to the eye as a therapeutic agent to treat fects and hold utility as preferential alternatives to the native
cataracts (Zhang & Wang, 2009). Their delivery system con- EGCG molecule.
sisted of CoQ10-loaded soy phospatidylcholine (SPC) lipo- Chemical modifications of vitamins have resulted in new
somes coated with the polymer trimethyl chitosan (TMC) of molecules with potential to treat many chronic diseases.
variable molecular weights. Liposomes are ideal in ophthal- One such research group synthesised a total of six novel
mic formulations as they do not interfere with vision and tocopherol-based derivatives that demonstrated anticancer
are excellent drug reservoirs. However, further modification activity when tested using human MCF-7 and MDA-MB-231
by TMC coating imparted an added absorption enhancing ef- breast cancer cell lines (Chen et al., 2012).
fect to the liposomal formulation and improved their stability. Other vitamin derivatives have evolved to not only sup-
The overall system dramatically improved corneal retention ply the nutraceutical in a more effective manner but them-
time when compared with a standard 99mTc-DTPA solution. selves have become ideal biomaterials for advanced drug
This was explained by an electrostatic interaction between delivery applications. Such is the case with the water-solu-
the cationic TMC layer around the CoQ10 liposomes and the ble vitamin E derivative, D-a-tocopheryl polyethylene glycol
negatively charged mucous layer of the cornea. It was ob- succinate (vitamin E TPGS). Also an esterified vitamin E
served that there was a direct relation between the molecular derivative, this molecule has been utilised as a water-solu-
weight of the TMC coating and the precorneal retention time ble form of vitamin E and may be used to develop micelles,
of the formulation and AUC values highlighting the advanta- liposomes, nanoparticles and many ‘TPGS-based’ delivery
ges of the coating step. A curve of the remaining activity of systems for improved drug delivery (Zhang, Tan, & Feng,
the various liposomal CoQ10 formulations vs. time derived 2012). Table 1 summarises the various formulation strate-
from gamma scintigraphy is shown in Fig. 5. Their research gies to enhance the nutraceutical value, benefits and
further proved that CoQ10 as a nutraceutical active is an efficiency.
effective prophylactic agent to mitigate the onset and pro-
gression of cataracts as confirmed in their in vivo animal
study. However, without a successful delivery system such 4. Conclusions
as that developed in this research, CoQ10 would fail to be
an effective treatment due to its inherent instability to light Due to the increased incidence of lifestyle diseases and the
and lipophilicity that otherwise impedes bioavailability. numerous side-effects associated with allopathic medicines
In other ophthalmic DDS’s, nutraceuticals have been used as there has been considerable interest in developing effective
the coating material themselves (Peng et al., 2010). The nutra- nutrient-based complementary medicines, vitamin and her-
ceutical confers beneficial clinical effects to the eye, like retarda- bal products. These products are also increasingly being for-
tion of cataract development as done by antioxidants CoQ10 and mulated out of the growing acceptance that nutraceuticals
vitamin E, in addition to providing a modified release of the prin- have definitive merit in the treatment and prevention of
ciple allopathic agent. This group has effectively used vitamin E disease. However, as is recognised with all new clinical
as a natural diffusion barrier coated onto commercial silicone entities, it is not only the pharmacological activity of the
contact lenses that significantly improved the duration of re- compound that influences its commercialisation success
lease of the hydrophilic drugs timolol, dexamethasone and but rather its physicochemical characteristics (Kawakami,
fluconazole (Peng et al., 2010). Researchers are therefore utiliz- 2012). These inherent properties of a compound affect phar-
ing the beneficial inherent physicochemical characteristics of macokinetics and may significantly impede or enhance the
nutraceuticals as ‘‘active’’ excipients to enhance and extend assimilation and utilization of the bioactive by the body.
the delivery of drugs to the eye. There are therefore a multitude of delivery systems in-
Another study improved bioflavonoid delivery through the tended to improve the bioavailability of nutraceutical mole-
combining of technologies by synthesizing hesperetin loaded cules at various organs sites through the use of novel
NLC’s coated with different biopolymers (Fathi & Varshosaz, formulation technologies.
2013). The researchers achieved better hesperetin release pro- Many nutraceutical compounds function optimally when
files and improvements in stability, due to nutraceutical combined into a multicomponent product resulting in an
inclusion in NLC’s coated with either, methoxypectin, algi- assumed synergistic output. Researchers have recognised
nate or chitosan. the benefits of such carefully designed formulas that treat
optimally because of an ability to treat a condition via mul-
3.11. Nutraceutical derivatives for improved properties, tiple mechanisms. Such products are generally more afford-
efficacy and delivery mechanisms able and accessible and may even provide less risk of
resistance due to the existence of bioactives that act via di-
In addition to the high susceptibility of EGCG to degradation, verse pharmacological actions (Friel & Lederman, 2006).
this nutraceutical has been found to have poor efficacy in vivo However such formulations need to be scientifically
94 JOURNAL OF FUNCTIONAL FOODS 6 ( 2 0 1 4 ) 8 2 –9 9

Table 1 – Summary of recent formulation approaches for improved nutraceutical delivery.


Formulation Nutraceutical Salient features/benefits Reference
strategy

Liposomal carrier Vitamin E acetate Superior deposition in skin Padamwar and Pokharkar (2006)
systems Grape seed extract Superior solubility and onset of Keller (2001)
action
CoenzymeQ10 Improved skin penetration Lee and Tsai (2010)
Melatonin Improved oral bioavailability Keller (2001)
Resveratrol Improved stability and sustained Amri et al. (2012)
release formulations
Zinc gluconate Improved AUC of oral Keller (2001)
formulations

Electrospun fiber mats a-Tocopherol/vitamin A CA nanofibres for gradual release Taepaiboon et al. (2007)
Curcumin Ultra-fine fibrous mats for skin Suwantong et al. (2007)
delivery
Asiaticoside Herb loaded CA mats as a wound Suwantong et al. (2008)
dressing
Ascorbyl palmitate PCL nanofibrous mats for Paneva et al. (2011)
improved stability and
antibacterial properties

Microsponges and Melanin Melanosponge-a for skin Patravale and Mandawgade (2008)
nanosponges application and protection from
UV-A and UV-B
Resveratrol Cyclodextrin-based nanosponges Ansari et al. (2011)
for improved solubility, stability,
permeation for topical and
buccal delivery
Acemannan Sponges for regeneration of Chantarawaratit et al. (2013)
periodontal tissues

Cyclodextrin 7-Dehydrocholesterol Hydroxypropyl-b-CD complex Kim et al. (2010)


complexation with improved solubility
Silymarin b-CD complexes with sustained Ghosh et al. (2011)
release
Garlic oil b-CD complexes with solubility Wang et al. (2011)
and controlled release
Vitamin A Hydroxypropyl-b-CD complex Gonnet et al. (2010)
with improved solubility
Astaxanthan Controlled release and improved Yuan et al. (2012)
solubility
Kaempferia parviflora 2-HP-b-CD complexes with Mekjaruskul et al. (2013)
permeation and oral
bioavailability
Curcumin Complexes with improved Tonnesen et al. (2002)
stability and solubility

Biodegradable Riboflavin Soy protein hydrogel for gastric Maltais et al. (2009)
hydrogels protection and pH controlled
release
Ginseng Alginate films with white Norajit et al. (2010)
ginseng as antioxidant
Vitamin B12 Casein hydrogel for controlled Song et al. (2010), Elzoghby et al. (2011)
release
Aloe vera Alginate hydrogel as a wound Pereira et al. (2013)
healing dressing
Riboflavin PGMA-g-SA hydrogel for pH Abd El-Ghaffar et al. (2012)
sensitive delayed release and
improved vitamin entrapment
Chondroitin sulfate Chitosan hydrogel for controlled Piai et al. (2010)
release of Chondroitin
Poly N-acetyl Hydrogel treatment for Gorapalli et al. (2012)
glucosamine degenerative disc disease
JOURNAL OF FUNCTIONAL FOODS 6 (2 0 14 ) 8 2–99 95

Table 1 – (Continued)
Formulation Nutraceutical Salient features/benefits Reference
strategy

Nanotechnology Lutein Nanocrystal suspensions: increased oral Mitri et al. (2011)


bioavailability
5-Hydroxy-6,7,8,4- Nanoemulsions for efficient delivery Li et al. (2012)
tetramethoxyflavone (PMF)
Vitamins A, D, E , K Nanoemulsions with improved Gonnet et al. (2010)
absorption
b-carotene Nanoemulsions with stability and higher Qian et al. (2012)
bioaccessibility
Vitamin E Hyaluronic acid nanoemulsion with Kong et al. (2011)
superior partitioning and diffusion into
stratum corneum
CoenzymeQ10 NLC’s with stability, high loading, Teeranachaideekul et al. (2007)
biphasic release
Lutein NLC’s with sustained release and gastric Liu and Wu (2010)
protection
Silybin NLC’s with High AUC and biphasic release Jia et al. (2010)
Melatonin SLN’s achieving sustained plasma levels Kandimalla et al. (2009)
Resveratrol SLN’s for rapid skin permeation and Teskac and Kristl (2010)
enhanced efficacy
Quercetin Nanomicelles with improved solubility Tan et al. (2012)
and stability
Vitamin D2 Nanomicelles providing UV protection Semo et al. (2007)
Vitamin E Nanocapsules with stability and thermal Khayata et al. (2012)
integrity
Epigallocatechin-3-gallate Co-assembled nanovehicles for Shpigelman et al (2010)
(ECGC) protection and delivery in food
applications
b-Carotene Casein/dextran nanoparticles for Pan et al. (2007)
solubility and activity
Vitamin C Chitosan nanoparticles with enhanced Alishahi et al. (2011)
shelf-life and release time.
Thymol Zein nanoparticles for improved Wu et al. (2012)
solubility
Carvacrol Zein nanoparticles for improved Wu et al. (2012)
solubility

Solid dispersions Vitamin A palmitate Liquid crystals for timed release Patravale and Mandawgade
(2008)
CoenzymeQ10 Solid dispersion with solubility, stability Nepal et al. (2010)
and dissolution
Resveratrol Solid dispersion for improved stability Weigel et al. (2013)

Self-emulsifying drug CoenzymeQ10 SEDDS with 5-fold increase in Onoue et al. (2012)
delivery system bioavailability and rapid dissolution
Vitamin E SEDDS with 2.5–4.5 times higher Cmax and Yap and Yuen (2004)
reduced lag time to absorption
Milk thistle SEDDS with targeted delivery to Losio et al. (2011)
lymphatic system
Persimmon leaf SNEDDS with AUC 1.5–1.6 times higher Li et al. (2011)
than control
Kaempferia parviflora SMEDDS with high permeation through Mekjaruskul et al. (2013)
Caco-2 cells

Microparticulate Fadogia ancylantha (Makoni tea) Maltodextrin-pectin matrix micronized Sansone et al. (2011)
systems Melissa officinalis (lemon-balm) particles with improved solubility, shelf-
Tussilago farfara (coltsfoot) life, stability and masking effects on
unpleasant odours
Vitamin A palmitate Microspheres containing vitamin A Martinez-Sancho et al. (2006)
palmitate and acyclovir with improved
loading efficiency and release profile of
co-administered acyclovir
Lycopene Microcapsules with improved stability Rocha et al. (2012)
Vitamin E Nylon microspheres with prolonged Patravale and Mandawgade
Ascorbic acid release and protection of the vitamins (2008)
96 JOURNAL OF FUNCTIONAL FOODS 6 ( 2 0 1 4 ) 8 2 –9 9

Table 1 – (Continued)
Formulation strategy Nutraceutical Salient features/benefits Reference

Particle coatings CoenzymeQ10 TMC-coated liposomes containing Zhang & Wang (2009)
coenzymeQ10 with improved corneal
retention time and stability
Vitamin E Vitamin E coated contact lenses for Peng et al. (2010)
prolonged release of bioactives
Gastric-sensitive Chitosan/ b-lactoglobulin core–shell Chen and Subirade (2005), Fathi
nutraceuticalsHesperetin nanoparticles for protection from gastric and Varshosaz (2013)
pH and pepsin and enhanced
absorptionHesperetin loaded NLC’s
coated with chitosan, alginate and
methoxypectin enhanced release and
stability

Nutraceuticalderivatives EGCG Vitamin E EGCG-fatty acid esters with improved Zhong et al. (2012a), Chen et al.
bioactivities: anti-inflammatory, (2012), Zhang et al. (2012)
antioxidant, and antiviral
efficacyTocopherol-based derivatives
with anti-cancer activity;Vitamin E TPGS
as a source of vitamin E and a novel
biomaterial for enhanced delivery
applications
AUC:Area under curve; CA: cellulose acetate; b-CD: beta cyclodextrin; PGMA: polyglycidyl methacrylate; SA:sodium alginate ; NLC:nano-
structured lipid carrier; SLN: solid lipid nanoparticle; SEDDS: self emulsifying drug delivery system; SNEDDS: self-nanoemulsifying DDS;
SMEDDS: self-microemulsifying DDS.

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