Abstract
The present investigation aims to develop and explore mannosylated lipid-based carriers to deliver an anti-HIV drug, Etravirine (TMC) and Selenium nanoparticles (SeNPs), to the HIV reservoirs via the mannose receptor. The successful mannosylation was evaluated by the change in zeta potential and lectin binding assay using fluorescence microscopy. Electron microscopy and scattering studies were employed to study the structure and surface of the nanocarrier system. The presence of selenium at the core-shell of the nanocarrier system was confirmed by X-ray photoelectron spectroscopy and energy dispersive X-ray analysis. Further, the in vitro anti-HIV1 efficacy was assessed using HIV1 infected TZM-bl cells followed by in vivo biodistribution studies to evaluate distribution to various reservoirs of HIV. The results exhibited higher effectiveness and a significant increase in the therapeutic index as against the plain drug. The confocal microscopy and flow cytometry studies exhibited the efficient uptake of the coumarin-6 tagged respective formulations. The protective effect of nano selenium toward oxidative stress was evaluated in rats, demonstrating the potential of the lipidic nanoparticle-containing selenium in mitigating oxidative stress in all the major organs. The in vivo biodistribution assessment in rats showed a 12.44, 8.05 and 9.83-fold improvement in the brain, ovary, and lymph node biodistribution, respectively as compared with plain TMC. Delivery of such a combination via mannosylated nanostructured lipid carriers could be an efficient approach for delivering drugs to reservoirs of HIV while simultaneously reducing the oxidative stress induced by such long-term therapies by co-loading Nano-Selenium.
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Introduction
AIDS is currently among the most severe public health challenges in the world and is caused by HIV. Globally, around 38 million people were infected with HIV/AIDS in 2019 [1]. A major clinical challenge in the treatment of HIV/AIDS in several of these infected patients has been the lack of therapeutic agents or their accessibility. Even though novel drug delivery technologies are continually being developed, the effective delivery of these technologies for reaching the underlying disease within the macrophages still needs validation [2, 3]. Based on growing literature, it has been demonstrated that the nanocarrier mannosylation increases uptake by macrophages in the target tissues or organs [4]. Moreover, the concern of toxicity of the administered substances can be reduced by focusing on enhanced uptake, which has been reported to require smaller doses of these therapeutic agents, enough to elicit a clinical response. Researchers have formulated mannosylated polymeric micelles for efficient siRNA delivery into macrophages [5]. Bhavin et al. have developed mannosylated PLGA nanoparticles that improve brain bioavailability [6]. Also, the scientists have evaluated the different novel drug delivery approaches in combination with mannosylation to improve selective macrophage uptakes, such as a polymeric nanoparticle, polysaccharide-based vaccine, liposome, niosome, NLC, dendrimer, solid lipid nanoparticles, chitosan nanoparticles, and gelatin nanoparticles.
Structurally, nanostructured lipid carriers (NLCs) are a blend of solid lipid and oil, thus resulting in an imperfect matrix structure [7, 8]. Such an arrangement significantly increases the drug-loading capacity of the NLC when compared with lipid NPs composed of only the solid lipid. In addition, NLCs are less likely to exhibit premature release of the drug during the storage owing to their higher capability for drug retention [9, 10]. The mannose receptor (MR), a trans-membrane glyco-protein belonging to the family of C-type lectin, is predominantly expressed on macrophages, dendritic cells (DCs) of most tissues, and also lymphatic or liver endothelial cells [11]. The extracellular region of MR presents 8 carbohydrate recognition domains (CRDs) which bind to sugars such as mannose and fructose with superior affinity [2]. The MR on macrophages interacts with pathogens and microbes that are coated with mannose-containing structures by way of host molecular mimicry [2, 12, 13]. SeNPs are potent nutritional anti-oxidants that exhibit their biological effects after incorporating into selenoproteins, which regulate the crucial balance of reactive oxygen species (ROS), and redox status in most tissues and organs.
Moreover, dietary selenium was reported to strongly influence inflammation and immune responses [14, 15]. Several clinical studies have strongly demonstrated the link between the deficiency of selenium and the progression of AIDS or even its mortality [16]. Several randomized controlled trials have shown that selenium supplementation has improved CD4+ cell counts [14]. Micronutrient interventions aim to enhance the count of CD4+ cells, reduce opportunistic infections, decrease HIV viral load, and reduce intracellular oxidative stress [17]. Etravirine (TMC), which was approved in 2008, is the first of the second generation non-nucleoside reverse transcriptase inhibitors (NNRTIs) for treating NNRTI resistant HIV1 infection [18, 19]. The major hurdle for TMC therapy is poor patient compliance because of frequent dosing and limited oral bioavailability attributable to its highly hydrophobic nature [20].
Thus, the current manuscript aims to develop and characterize a mannosylated nanostructured lipid carrier to simultaneously deliver TMC and SeNPs to the macrophage reservoirs in order to enhance therapeutic efficacy while also countering oxidative stress associated with the anti-HIV therapy.
Materials and Methods
Materials
TMC was generously gifted from Hetero Pharma, Hyderabad, India. Concanavalin A (Con A), N-[1-(2, 3-Dioleoyloxy) propyl]-N,N,N-trimethyl ammonium chloride (DOTAP), Dichloromethane, stearyl amine, methanol, ethyl acetate and acetonitrile were acquired from Sigma-Aldrich, India. Dulbecco’s modified Eagle medium (DMEM), Roswell Park Memorial Institute (RPMI) 1640 medium, fetal bovine serum (FBS), Trypsin-EDTA 0.05% w/v, penicillin-streptomycin (pen-strep), and HEPES (1M) were obtained from the Gibco, USA. Dimethyl sulfoxide (DMSO) was obtained from Fisher Scientific, Pittsburgh, PA. Sigma-Aldrich, USA, provided 3-(4,5dimethyl thiazole-2-yl)-2, 5-diphenyl tetrazolium bromide (MTT).
Preparationand Development of Cationic TMC-se-NLCs
The cationic-charged TMC-Se-NLCs were developed using a widely reported double-emulsion solvent-evaporation technique described previously [1, 21]. Concisely, 2 mg of the SeNPs was dispersed in 1000 μL of deionized water. Further, in a mixture of 10 mL 1:1 v/v DCM:ethyl acetate, TMC (10 mg), Softemul®-SE (100 mg), Capmul® MCM (100 mg), Span® 60 (50 mg), and DOTAP (30 mg) were dissolved. Then, the pre-formed aqueous dispersion of SeNPs was added gradually to the mixture of DCM:ethyl acetate phase under Ultraturrax (IKA® Ultra-Turrax® dispersers, IKA, India), stirring at 18,000 rpm for 30 s to produce a w/o (primary emulsion) which was further added drop-wise to a 50 mL aqueous solution of 1% w/v Lutrol® F127 under Ultraturrax stirring at 12,000 rpm for 60 s. This coarse emulsion particle size was further reduced by using an ultrasonic cell disruptor (Dakshin Instruments, India) with a 10 mm diameter probe, which functioned at (200 W) for 5 min 5 s and off for 3-s durations. The subsequent w/o/w emulsion was kept under constant stirring on the magnetic stirrer (IKA Magnetic Stirrers, RH basic white, IKA, India) at room temperature to evaporate DCM: Ethyl acetate (5–6 h). The developed cationic TMC-Se-NLC was confirmed by the change in zeta potential. This was further used for the development of mannosylated TMC-Se-M-NLC. The lipid to mannose ratio and incubation time on zeta potential were determined to optimize the TMC-Se-M-NLC.
Preparation and Development of Mannosylated TMC-se-M-NLCs
After the cationic NLC, a solution of d-mannose in PBS buffer (10 μg/mL) was added to the cationic TMC-Se-NLCs dispersion to achieve a nanoparticle lipid: mannose ratios of (1:0.1, 1:0.25, 1:0.5, 1:1, and 1:2). The dispersion was incubated at 37°C for 24 h. Further, it was dialyzed to remove unbound mannose (Supplementary Material S1). TMC-Se-M-NLC was filled into the freeze-drying vials. Then it was frozen in the deep freezer (Labtop® Micro Controller based Vertical Biofreeze, India) at – 60°C for 12 h and followed by the freeze-drying (VirTis AdVantage 2, Benchtop Freeze Dryer, New York, USA), according to the following protocol: Primary drying for 22 h at a shelf temperature maintained at – 10°C, followed by secondary drying at shelf temperature of 10°C for 2 h and a vacuum pressure of 100 mTorr). After completion, freeze-dried powder was collected and utilized for all the solid-state characterization, including FTIR, DSC, XRD, X-ray photoelectron spectroscopy (XPS), and transmission electron microscopy (TEM-EDAX). The concanavalin A (10 μg/mL) solution was used as a standard solution for further optimization. The concanavalin A binding assay was performed to determine mannose-binding with the nanoparticles that were confirmed by spectrofluorimeter Synergy H1 Hybrid Multi Mode Reader, BioTek®, USA, in the range 300–500 nm, at an excitation wavelength of 280 nm. The effect of time (30 min, 1, 2, 4, 8, and 24 h) and nanoparticle lipid:mannose ratio (1:0.1, 1:0.25, 1:0.5, 1:1, and 1:2) were optimized by fluorimetric emission. Unbound concanavalin A concentration was determined by comparing fluorescence intensity with standard concanavalin A at 335 nm. % Concanavalin A binding was calculated using Eq. 1 [22].
Interaction of Nanoparticles with d-mannose
Fluorescence Spectrophotometry
The interaction of concanavalin A with the TMC-Se-M-NLCs was analyzed using fluorescence spectroscopy. The concanavalin A binding is directly proportional to the mannose-binding to the nanoparticle surfaces (lectin binding assay). The binding of concanavalin A measured the fluorescence quenching of tryptophan by concanavalin A to the mannosylated nanoparticles [22]. A known quantity of concanavalin A was dissolved in PBS for the fluorescence quenching experiments to form a standard solution (10 ppm). The excitation wavelength used was 280 nm for selectively exciting the tryptophan residues, whereas the emission was recorded in-between the range of 300–500 nm by a fixed excitation and an emission slit width of 5 nm. The unknown concentration of the test solution of concanavalin A was calculated by comparing fluorescence intensity at 300 nm of the standard solution with the unknown concentration by using the Eq. (2) given below:
-
Ft: Fluorescence intensity of test sample
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Cs: Known amount of concanavalin A in standard solution
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Fs: Fluorescence intensity of standard concanavalin A solution
Molecular Docking
The Maestro (Schrodinger, LLC, New York, USA, 2008) implemented the Glide molecular docking protocol to understand the interaction between d-mannose and GMS/DOTAP/TMC/d-mannose. The crystal structure of d-mannose with the code 5XTS was downloaded from the protein data bank (PDB) and used for the docking studies. Sitemap analysis was performed to determine the possible active sites on d-mannose, and Grids were generated using sites defined by sitemap analysis. The ligand structures GMS/DOTAP/TMC/d-mannose were constructed using the build option within the Maestro version. However, with the help of the Ligprep facility, the low-energy 3D conformations were created for each ligand through energy minimization steps with a dielectric constant of 1 and docked into the active site using the standard precision mode of Glide docking protocol. Docking calculations were performed using Glide genetic algorithm. Interactions were characterized based on a G score (most negative interaction energy).
Characterization of Developed TMC-se-M-NLC
Particle Size, Zeta Potential, and Polydispersity Index Measurements
Prior to particle size analysis, TMC-Se-M-NLCs were appropriately diluted up to 10-times by Milli-Q water. Then samples were in triplicate with a scattering angle of 90° and a temperature of 25°C for particle size analysis and the polydispersity index (PDI). However, the zeta potential of the NLC preparations were directly placed in the electrophoretic cells. The zeta potential was analyzed in triplicate using Zeta Sizer Nano ZSP (Malvern, USA).
Drug-Loading and Encapsulation Efficiency
TMC-Se-M-NLCs were assessed for % drug-loading and the EE. In brief, 2 mL of TMC-Se-M-NLCs were centrifuged at 20°C for 2 h at 35,000 rpm using Sorvall WX Ultra 100, Thermo Scientific, USA. Then the supernatant was collected and filtered using a syringe filter (0.22 μm) to remove the excess or unwanted residues of lipids. Further appropriate dilution was done using methanol, and then the un-entrapped drug was analyzed by the developed HPLC method as reported in Supplementary Information S1. The % EE and % drug loading were calculated using the following Eqs. 4 and 5;
Wdrug is TMC (drug) in the supernatant; Wtotal is total TMC in the formulation.
Small Angle Neutron Scattering
The small angle neutron scattering (SANS) was executed at the SANS-diffractometer at the Bhabha Atomic Research Centre, Mumbai, India, in the Guide Tube Laboratory of the Dhruva Reactor. SANS generates valuable information about the scattering particles’ shape and size on the length scale of 10–1000 Å [23]. The formulations were appropriately prepared in a stabilizer solution made in deuterated water (D2O, double filtered). The rest of the procedure was similar to the TMC-Se-M-NLCs preparation section. The protocol followed for the analysis was the same as described previously in the literature and the data points obtained were fitted using SASfit into appropriate models [24].
Transmission Electron Microscopy
TMC-Se-M-NLCs were evaluated for morphology and elemental composition by using the transmission electron microscopy (TEM-EDAX) from the Tecnai 20, Philips, Netherlands. A 100 μL of diluted NLC nanodispersion was uniformly positioned on the carbon coated grid # 300 mesh grid, Ted Pella, Inc, Redding, Canada, and dehydrated and dried subsequently with the addition of 2% w/v uranyl acetate. Then it was dried at 28°C prior to mounting, followed by recording images at an accelerating voltage of 120 keV.
X-Ray Photoelectron Spectroscopy
The protocol followed for the sample preparation for the X-ray photoelectron spectroscopy (XPS) analysis was as described previously [21]. Briefly, the dried samples were analyzed at a maximum energy of 1486.6 eV by a 600 W (monochromatic Al-Kα X-ray) source within an XPS (Kratos Analytical, Shimadzu, Japan). The binding energy among elements was recorded for all samples from 0 to 1400 eV, while the resulting spectra were recorded at 50 W excitation energy.
In Vitro Drug Release Study
The free TMC solution and the NLCs were assessed for in vitro drug release for 24 h through the dialysis method (dynamic) [25]. TMC-Se-M-NLC's equivalent to 5 mg of TMC was added to the end sealed dialysis membrane by Hi-Media, India. Dialysis bags were clipped on both sides and then placed in 200 mL of pH 7.4 phosphate buffer, with a tween 80 (1% w/v) and sodium azide (0.01% w/v). The whole setup was kept at 37°C on the magnetic stirrer at 100 rpm [25, 26]. Then, 2 mL of the fluid was drawn at mentioned time intervals, followed by analysis by the HPLC method reported in Supplementary Information S1. The dissolution media volume was maintained by replacing the equivalent volume.
Serum Stability
TMC-Se-M-NLCs were assessed for in vitro serum stability for protein binding and monitored change in particle size for 5 days. In brief, 1 mL TMC-Se-M-NLCs nanodispersion was incubated in 5 mL human plasma (10% v/v diluted in PBS), PBS, and FBS (100% v/v) for 5 days at 37 ± 2°C. The aliquot of 100 μL was withdrawn at 1, 2, 3, 4, and 5 days and then diluted appropriately with deionized water, and particle size was analyzed by Malvern Zeta Sizer.
Cell Line
National Institutes of Health, AIDS Research and Reference Reagent Program (NIH ARRRP, USA) provided the TZM-bl cell line that was cultured in the DMEM medium added with FBS (10% v/v), penicillin (100 U/mL), l-glutamine (2 mM), streptomycin (100 μg/mL), and HEPES buffer (25 mM) solution incubated in 5% v/v CO2 at 37°C.
Virus Stocks Propagation
The virus stocks were prepared as previously described in the literature [25, 27]. HIV-1 primary isolates, HIV1VB28 (CCR5 tropic, Subtype C, ICMR-NARI, India) and HIV1UG070 (CXCR4 tropic, Subtype D, NIH ARRRP, USA), were used. The virus stocks were propagated in 500 μL of pHA-p activated human peripheral blood mononuclear cells (PBMC) [27]. HIV-1 p24 antigen detection kit, Advanced Bioscience Laboratories, Inc, USA, was used to determine the viral growth using the ELISA method. The cell-free culture supernatant was filtered, collected and stored at – 80°C. The TCID50 (50 % Tissue-culture infective dose) was determined after titrating the virus stocks.
In Vitro Cytotoxicity
In brief, the TZM-bl cells, 104 cells/well, were plated in 96-well plates and incubated in a 5% v/v CO2 chamber (Stoelting, USA) overnight at 37°C. Then the next day, the medium was exchanged with a serum free medium. Further, the test substances (TMC, SeNPs, TMC-Se-NLCs and TMC-Se-M-NLCs) were diluted serially, added to wells, and incubated for 48 h. Afterward, 20 μL of (MTT, 5 mg/mL) was added to each well and incubated for 4 h. Then, 200 μL DMSO was used for assay termination, which dissolved the formazan crystals, and a plate was analyzed at 550 nm and 630 nm. The CC50 (concentration showing 50% cytotoxicity) was determined using a non-linear dose-response regression analysis [27].
Assessment of Potential Anti-HIV1 Activity
TZM-bl Cells, 104 cells/well in D10 (DMEM added with 10% heat inactivated FBS), were plated in the 96-well microplates. On a subsequent day, 400 TCID 50/mL value of the pre-tittered virus/s were used for cells infection. The virus stocks of HIV1VB28 or HIV1UG070 (pre-titrated 400 TCID 50/mL) were incubated in a humidified 5% v/v CO2 chamber for 2 h at 37°C [25, 27]. Sub-toxic concentrations (two-fold serial dilutions) of the TMC-Se-M-NLCs, TMC solution, and SeNPs were added to the infected cells and incubated for 48 h. For the control samples, the uninfected TZM-bl cells were used. After 48 h of incubation, Britelite plus reagent, Perkin Elmer, USA, was added and the relative luminescence units (RLU) were measured by the Luminometer, Victor 3, Perkin Elmer, USA. The % inhibitions were measured and calculated, and the results were represented as IC50 value (concentration inhibiting 50% of the viruses) using the LUC software (version 04.4). The therapeutic index (TI = CC50/IC50) was calculated and compared with a standard drug control (TMC).
TZM-bl Cellular Uptake/Internalization Study
Cou-6 Tagged TMC-se-M-NLCs Preparation Method
For the visualization of the NLC, the TMC-Se-M-NLC were prepared using Coumarin-6 (Cou-6) by dissolving Cou-6 (0.01% w/v) into the oil-phase (The organic phase (DCM:ethyl acetate,1:1 v/v). The NLC during the preparation of TMC-Se-M-NLC and utilized for the following experiments.
Confocal Laser Scanning Microscopy
The TZM-bl cells were seeded at 0.1 × 106/well on the cover-slips and then incubated at 37°C in a 5% v/v CO2 overnight. Subsequently, D10 (DMEM supplemented with 10% v/v heat-inactivated FBS) was replaced with 0.02 mg/mL of Cou-6 tagged TMC-Se-M-NLC in serum free DMEM media [volume was 200 μL/well]. The medium was discarded after 2 h of treatment, and then cells washing was done and immobile using the paraformaldehyde (4% v/v in PBS pH 7.4). Further, the cells were permeabilized with 0.5 mL/well Triton™ X-100 (0.1% PBS) prepared in PBS for 3 min. Subsequently, the cytoskeleton and the cell nuclei were stained by 5 μL/well (DAPI, 1 ng/mL) with the 2 μL/well Texas Red-Phalloidin (Invitrogen, 6.6 μM), respectively. ProLong™ Gold Antifade Mountant (Thermofisher Scientific, USA) was used to mount the slides after staining. Confocal laser scanning microscopy (CLSM), Leica Microsystems at 60× magnification with oil was used to take cell images.
Flow Cytometry Evaluation
The flow cytometry evaluated the cellular internalization of the Cou-6-tagged TMC-Se-M-NLCs [25, 27]. Concisely, 0.2 × 106 TZM bl cells in D10 were plated in the 96-well plates and incubated at 37°C, 5% v/v CO2 for the 24 h. The following day, the culture media was replaced by serum free DMEM media, including the 0.02 mg/mL Cou-6 tagged TMC-Se-M-NLCs and further incubated at 37°C for 15, 30, 45, 60, and 120 min to measure the cellular uptake of TMC-Se-M-NLCs. The cell washing and detaching were performed using the 0.25% v/v Trypsin EDTA. The cells were re-suspended in PBS (1×) for uptake evaluation. FACSAria™ Fusion flow cytometer, Becton Dickenson, was used to determine cellular uptake, and the data were analyzed with FACS Diva software.
In vivo Acute Toxicity and Anti-Oxidant Studies
The protective effect of SeNPs containing nanoformulation against intracellular oxidative stress induced by the doxorubicin hydrochloride (Dox HCl) was assessed on Wistar rats weighing 200 ± 20 g (approval number: PBRI/PN/2020104 from Pinnacle Biomedical Research Institute, Madhya Pradesh, India). The rats were housed in standard temperature, humidity, and light (25 ± 2°C; 12 h cycle). The rats were fed with a standard pellet diet as well as water. The animals were grouped into positive control groups, negative control groups, as well as the preventive group, all containing six animals each. The animals were adjusted to the housing environment for 14 days prior to the study. The animals were dosed on the 1st day. The positive control group received 5 mg/kg intraperitoneal doxorubicin hydrochloride, while the negative control group was intravenously administered saline.
On the other hand, the preventive group received TMC-Se-M-NLCs at 2.5 mg/kg of body weight by the intravenous route. After 1 h of initial dosing, the rats in the preventive group intraperitoneally received 5 mg/kg/day of Dox-HCl in order to provoke oxidative stress. Around 500 μL of blood was withdrawn from the anesthetized animals on 1, 7, and 21 days and evaluated for serum biochemistry. The markers for oxidative stress were studied at study termination from the vital organs, which were cleaned using ice-cold saline before homogenizing them using 0.1 M, pH 7 Tris-HCl buffer. Histopathology studies also assessed the organs to evaluate any damage in the organs. For In Vivo Acute Toxicity and Anti Oxidant Studies, The animal ethics committee from Pinnacle Biomedical Research Institute (PBRI), Madhya Pradesh, India approved the protocol numbered PBRI/ PN/2020104 and for In Vivo Biodistribution Study the Institutional Animal Ethics Committee (IAEC) of Institute of Chemical Technology, Mumbai approved the protocol numbered ICT/IAEC/2019/P06.
In vivo Biodistribution
Eighteen rats (weight 150–200 g) were divided into three groups; each group consisting of 6 animals and fasted for 6–7 h before the dosing (Protocol number: ICT/IAEC/2019/P06). The saline, 2.5 mg/kg of TMC-Se-M-NLCs and 2.5 mg/kg of TMC in DMSO solution were intravenously administered through the tail vein. Then rats were sacrificed at corresponding time points of 1 h, and 24 h (n = 3). The drug in the concerned organs was evaluated by HPLC (bioanalytical method) reported in Supplementary Information S1 [25]. In brief, organs were accurately weighed and homogenized using (1:2 w/v of organ: PBS) pH 7.4 by RQ-Remi Tissue Homogenizer, 127A/D, India. The SALLE method was used to extract TMC and the internal standard (Tamoxifen citrate, TMX) from the homogenized organs as described in the literature [28, 29].
Statistical Analysis
The results were analyzed statistically by one-way analysis of variance (ANOVA) following the Bonferroni t test, p < 0.05 considered as a level of significance while comparing between groups wherever applicable using GraphPad Prism software.
Results and Discussion
TMC-SE-M-NLC Development and Characterization
Effect of Cationic Lipid (DOTAP) Concentration on Zeta Potential
The TMC-Se-NLCs have been reported and characterized previously [21]. Initially, TMC-Se-NLCs had an anionic zeta potential of − 18.47 mV. Further, during the development of cationic TMC-Se-NLCs, various concentrations of DOTAP were tried (0.005–0.03 mmol). When the DOTAP concentration was subsequently increased from 0.005 to 0.03 mmol, there was a considerable increase in the positive charge on the TMC-Se-NLCs. The change in zeta potential with respect to cationic lipid concentration is shown in Table I. This could be due to the positive charge present in the DOTAP structure and its composition [30,31,32]. Further, the optimized TMC-Se-NLCs were used to develop the mannosylated TMC-Se-M-NLCs.
Effect of d-Mannose Concentration on Zeta Potential (Lipid to Mannose Ratio)
For the mannosylation of the TMC-Se-NLCs, different lipid to d-mannose ratios was tried (1:01 to 1:2 w/w) at a fixed incubation time of 24 h and a constant temperature of 37°C. The lipid was kept constant during the mannosylation; however, d-mannose concentration was varied. It was observed that when the d-mannose concentration increased from 1:0.1 to 1:2, a significant (p ˂ 0.0018) increase in the negative zeta potential was observed, as shown in Table II [3, 33]. The considerable change in the charge onto nanoparticles could result due to the deposition of d-mannose on the nanoparticle surfaces. Such a difference in the charge was also witnessed for the lipid nanoparticles after their functionalization with d-mannose in reported literature [33]. This could suggest the binding of d-mannose to the cationic TMC-Se-NLCs, thereby confirming the mannosylation of the TMC-Se-NLCs and converting it to the TMC-Se-M-NLCs. Zeta potential and its magnitude is also indicative of colloidal stability. Generally accepted particles with a zeta potential between – 25 mV and + 25 mV usually possess high stability. In contrast, particulate dispersions with low zeta potential would eventually aggregate due to Van Der Waal’s inter-particle interactions [34].
Effect of Incubation Time on Zeta Potential
The effect of incubation time on the zeta potential was evaluated to confirm the degree of mannosylation of the TMC-Se-M-NLCs with respect to the incubation time. It was observed that the higher the incubation time, the higher the zeta potential, as given in Table III. The maximum zeta potential was observed at 24 h. This could be because the d-mannose would get more time to contact the nanoparticles, which would form more electrostatic bonding and show higher zeta potential values than the lower incubation time [33]. Therefore, 24 h was selected as an optimized incubation time for further development.
Mechanism of Interaction of Nanoparticles with d-Mannose
Fluorescence Spectrophotometry
In this present study, the physical adsorption method was employed for loading d-mannose ligand on the surface of the TMC-Se-M-NLCs. d-Mannose was successfully incorporated on the surface of the TMC-Se-NLCs by a simple incubation method [33, 35, 36]. Spectrofluorometric evaluations confirmed the anchoring of the d-mannose on the surface of the TMC-Se-NLCs (Fig. 1). The tryptophan residues (TRP at 40, 88, 109, and 182) present in the CON (Concanavalin A) monomer is responsible for its fluorescence. The binding of the d-mannose with CON via hydrophobic interactions results in a reduction in tryptophan fluorescence. A high and maximum binding of more than 75% was observed at a lipid to the d-mannose ratio of 1:0.5 (Fig. 1a and c). However, a further increase in CON concentration showed no considerable enhancement in binding (Fig. 1a and c). Incubation of nanoparticles with d-mannose (1:0.5) for 24 h revealed comparable fluorescence quenching with more than 75% binding, suggesting 24 h to be the adequate time for reaction (Fig. 1b and d).
Molecular Docking
Based on Sitescore, sitemap 2 with the highest score was selected for docking studies. DOTAP formed the electrostatic interaction with the LEU 304 and PRO 305 and hydrophobic interactions with the GLU238 and LYS 326 residues of the mannose receptor as demonstrated in Fig. 2a and exhibited a glide score of − 1.26 kcal/mol. GMS formed a hydrogen bond with the LEU 301 and LYS 326 residue of the mannose receptor was demonstrated in Fig. 2b and exhibited a glide score of − 2.9 kcal/mol. TMC formed a hydrogen bond with LEU 301 residue of the mannose receptor, as shown in Fig. 2c, and showed a glide score of − 5.29 kcal/mol. Also, LEU 304 and PRO 355 residue were found to interact with TMC, suggesting the role of hydrophobic interaction. SER 454, HIP 455, GLU 456, ASN 457, GLY 306, and SER 307 residues of the mannose receptor strongly interacted with the ligand d-mannose (Fig. 2d), suggesting the role of hydrogen bonding interactions with the mannose receptor. In addition, GLY 305, SER 307 & 457, PRO 308, and HIP 457 residue of the mannose receptor were found to be interacting strongly with d-mannose, suggesting the role of hydrophobic interactions. This was confirmed by the higher negative glide score of − 9.20 kcal/mol of the d-mannose after interaction with the mannose receptor. Thus, the more negative G score of d-mannose could relate to a stronger affinity of ligand d-mannose with mannose receptor in silico.
Particle Size and Zeta Potential Evaluation
The mean particle size and PDI of the TMC-Se-M-NLCs were found to be 287 ± 15.30 nm and 0.266 ± 0.06, respectively. The data corroborates with the findings of TEM studies which also indicated a similar size range for the developed NLC. The zeta potential was − 34.5 mV, possibly due to the negatively charged hydroxyl functionalities of the d-mannose distributed at the exterior surface of the nanoparticles [33]. Moreover, the increased zeta potential of the TMC-Se-M-NLCs also improves the physical stability of the system.
Drug Loading and Encapsulation Efficiency
The % drug loading and EE of the TMC-Se-M-NLCs were found to be 4.35% and 95.61 ± 0.86%, respectively. TMC being highly hydrophobic could have partitioned within the lipid matrix, thereby leading to a high % EE of greater than 90%. Moreover, MCT could increase hydrophobic drug encapsulation attributed to high solubility and partitioning of TMC [37, 38].
Small-Angle Neutron Scattering
The obtained data points were fitted into particulate models using the mathematical equations.
The data were fitted and plotted as a scattering plot shown in Fig. 3. In the small angle neutron scattering (SANS) plot, lower Q(Å−1) values are referred to as Guinier-region, which gives information about the system particle size and its physical form [23]. However, the higher Q(Å−1) values are denoted as the Porod-region, which describes the shape and interparticle distance [23, 39]. The data obtained from the TMC-Se-M-NLCs fitted well in the core-shell particle models. A minute bending or deflection was noticed toward the end of the Porod-region, suggesting that the NLCs could be of the core-shell type [40]. A core-shell model may exhibit a pattern where a solid lipid core is surrounded by the stabilizer, which could form the coat or shell around the NLCs [41].
Transmission Electron Microscopy
The transmission electron microscopy (TEM) studies of the TMC-Se-M-NLCs showed the spherical core-shell shape of the coated mannosylated nanoparticles, as shown in Fig. 4. Further, the TEM photomicrographs demonstrated their nanometric size (Fig. 4a and b). The core-shell region of the TMC-Se-M-NLCs exhibited dark spots in the structure, indicating the presence of selenium in the nanoparticles in the nanocrystalline form (Fig. 4a). Such findings have been previously reported for the other types of metal nanoparticles like the selenium nanoparticle [42, 43]. In addition, the elemental composition of the TMC-Se-M-NLCs was also confirmed by the TEM-EDAX are shown in Fig. 4c and d [44]. The nanoparticles’ EDAX spectra showed that the TMC-Se-M-NLCs were composed of nano selenium and multiple other elements present, as shown in Fig. 4c and d [45].
X-Ray Photoelectron Spectroscopy
The characteristic peaks were found to be around 283 eV for the carbon (C1s) and 531 eV for the oxygen (O1s) states, as shown in Fig. 5a [46, 47]. This suggested the presence of several organic elements in the nanoparticulate system. However, in Fig. 5a, peaks corresponding to the selenium elemental state Se3d between 50 and 70 eV were observed. The characteristic band for the Se3d state of selenium is present as SeNPs, thereby confirming that selenium in its Se3d form could be present at the TMC-Se-M-NLCs core-shell [48]. Similar reports have been observed for other delivery systems as well, wherein the SeNPs were coated around using chitosan [38, 48]. The X-ray photoelectron spectroscopy (XPS) results corroborated sufficiently with the TEM-EDAX findings, which also suggested that the core shell of the TMC-Se-M-NLCs could be made up of the presence of SeNPs.
In vitro Drug Release
The cumulative drug released was assessed using the widely reported direct dialysis method [25, 49]. In the case of the TMC solution, more than 90% of drug was found to be released at 12 h as it was not encapsulated in any release retarding material. The release thereafter was observed to plateau which could be due to the loss in the concentration gradient for TMC across the dialysis membrane. However, in the case of TMC-Se-M-NLCs, the drug release was nearly observed to be 20% at 12 h. This represented a controlled drug release potential for TMC-Se-M-NLCs for 48 h. From the initial few points, no burst release was in TMC-Se-M-NLCs (Fig. 6a). The drug may present as a homogeneous dispersion in the NLCs matrix, thus not being able to form the drug-abundant regions or pockets at the NLCs surface, subsequently in a slower release of the drug [38, 49, 50]. The TMC-Se-M-NLCs showed the sustained-release of the drug, which could be due to the diffusion of the drug particle across the lipid matrix of the NLCs [38, 51]. Similar outcomes were reported from the studies previously reported [52, 53].
Serum Stability
TMC-Se-M-NLCs were assessed for the in-vitro serum stability to confirm the effect of protein binding on the particle size, thereby its colloidal stability. An initial slight increase in particle size was noted, though NLCs maintained colloidal stability during the study up to 120 h (Fig. 6b). The findings suggested that the plasma protein binding of the NLC was not an essential factor. The formulation was found to be considerably stable, owing to the steric repulsion due to the presence of polymeric stabilizer [54, 55]. This study corroborated sufficiently with the zeta potential analysis study; however, the increase in the nanoparticle’s zeta potential leads to an improvement in the physical stability of the system [33].
Cytotoxicity Determination
The percent viability of TMC, SeNPs, TMC-Se-NLCs, and TMC-Se-M-NLCs is depicted in Fig. 7a. Based on these data, the CC50 values were calculated, which were found to be 172.5 ± 12.92 μg/mL, 20.68 ± 2.22 μg/mL, 7.08 ± 2.09 μg/mL, and 7.52 ± 0.70 μg/mL, respectively [21]. It was observed that the developed formulation was cytotoxic in comparison to drug (TMC) solution, which could be ascribed to the nanoparticulate forms. Researchers have reported previous reports wherein it has been established that nanoparticles composed of solid or crystalline matrix induce greater toxicity than those containing liquid lipid matrix [56,57,58].
Evaluation of Anti-HIV1 Activity
Interestingly, the IC50 values of TMC-Se-M-NLCs were significantly low compared to the TMC solution (Fig. 7b). The IC50 values of TMC, SeNPs, TMC-Se-NLCs, and TMC-Se-M-NLCs against HIV1VB28 (R5) were indicative of enhanced anti-HIV1 activity of TMC after coating with NLCs and mannosylation.
The therapeutic index (TI) of TMC, SeNPs, TMC-Se-NLCs, and TMC-Se-M-NLCs for HIV1VB28 and HIV1UG070-infected TZM-bl cells were also calculated and are shown in Fig. 7c. The TI for free drug was found to be lower when compared to that of TMC-Se-M-NLCs for both the strains. Thus, the results of TI exhibit that the developed formulation had a higher therapeutic index than free TMC, which could be due to the nano-selenium and mannosylations synergistic effect [59, 60].
Cellular Internalization and Uptake Study
Confocal Laser Scanning Microscopy
Peculiar green puncta within the treated cells indicated an increase in the accumulation of TMC-Se-M-NLCs tagged with Cou-6 (Fig. 8a). Such an observation was not seen for free Cou-6 cells treated, confirming the internalization of TMC-Se-M-NLCs by the TZM-bl cells. Thus, these results demonstrated that TMC, after loading with TMC-Se-M-NLCs, was internalized by the cells effectively. The distinctive feature of the mannose receptor is its quick cellular internalization via an endocytosis mediated mechanism which delivers lipidic nanocarrier to the endocytic-pathway [2, 12, 61]. Moreover, mannose receptors promote the internalization of mannosylated particles. Several studies have established the efficiency of binding to the mannose receptors by conjugating a mannose to lipidic NPs [62, 63]. Nanoparticle interaction with the TZM-bl cells provides strong adhesive forces resulting from specific ligand-receptor binding and non-specific bonds such as electrostatic, steric interactions, and Van der Waals forces, resulting in higher cellular internalization of the nanoparticle [33, 64]. Cellular internalization is governed by the nanoparticle physicochemical properties such as particle size, shape and surface properties [65].
Flow Cytometry
Analysis with flow cytometry indicated that TZM-bl cells exposed to 0.1 mg/mL, Cou-6 tagged nanoparticles exhibited that almost all test substances were taken up (99.9%) after 2 h of treatment, as shown in Fig. 8b. Thus, the obtained results confirmed that TMC, after loading with TMC-Se-M-NLCs, was internalized by the cells effectively. The in vitro cell uptake indicated that mannosylation could enhance the lipidic nanoparticle uptake mediated by endocytosis [61, 64]. The mannosylation of NLCs resulted in higher uptake by TZM-bl cells. Analogous behavior was already described for polymeric nanoparticles [66, 67]. Some studies have proved the efficiency of delivering via mannose receptors by tethering a d-mannose to lipidic and polymeric nanoparticles, stimulating the macrophages in the direction of a robust preventive action against the intracellular viruses or pathogens [53, 61, 68].
In vivo Acute Toxicity and Anti-Oxidant Evaluation
The oxidative stress could induce cytotoxicity and chronic stress in the organs, thereby producing pro-inflammatory cytokine and could increase the level of nuclear factor-kappa B (NF-kB) [69, 70]. This would affect the HIV infection pathogenesis and could increase the replication of HIV [69]. However, several researchers have shown that synthetic and natural anti-oxidants like alpha lipoic acid, lycopene, vitamin C, and N-acetyl cysteine protect against anti-cancer drug-induced toxicity [71, 72]. Moreover, nano-selenium (SeNPs) exhibited an ability to shield against cellular damage, thereby retaining the intracellular anti-oxidants levels and maintaining cellular health [16, 69, 73]. It also showed that the anti-oxidant and anti-HIV activity could act synergistically to act efficiently on HIV from within the viral reservoirs [74, 75]. Thus, we have evaluated the protective potential of the SeNPs against the Dox HCl-induced stress in the rats. Dox HCl has been widely used as an anti-cancer drug to treat several cancers; however, it produces severe toxic effects. This could show the potential of the SeNPs in oxidative stress management during HIV infection by reducing the pro-inflammatory cytokines and NF-kB, thereby decreasing the HIV pathogenesis, which may improve the synergistic anti-HIV efficacy.
Glutathione
The level of glutathione (GSH) was found to be significantly (p < 0.001) decreased in the case of the positive control, which was administered Dox HCl as compared to the negative control group in all tested organs (Fig. 9a). However, a significant (p ˂ 0.001) increase of GSH was indicated in TMC-Se-M-NLCs and SeNPs administered groups in the all tested organs, attributed to the enhanced protection of all major organs against oxidative stress, which could be due to SeNPs contained in the lipidic nanoparticle. These enhanced GSH levels help to maintain cellular health and could help to reduce the burden of NF-kB, as well as other inflammatory and pro-inflammatory markers, which could make a substantial impact on HIV replication. Specifically, in vitro replication of HIV1 is facilitated by its exposure to oxidative stress [69, 76]. On the other hand, supplementation of anti-oxidant and multivitamins are reported to significantly lower oxidative stress and the HIV1 viral burden [48, 74].
Lipid Peroxidation
Lipid peroxidation (LPO) is an auto-catalytic process that leads to cellular death, and malondialdehyde is the end product in the lipid-peroxidation process [77, 78]. The LPO level was significantly (p ˂ 0.001) higher in the positive control than in the negative control, SeNPs, and TMC-Se-M-NLCs administered groups, respectively, in all the tested organs (Fig. 9b). A higher level of LPO was found in the organs such as the heart and liver because of the higher toxicity of the Dox HCl [72, 79]. However, significant (p ˂ 0.001) decrease in LPO was found in SeNPs, and TMC-Se-M-NLCs administered groups owing to nanoselenium’s chemo-preventive potential [14, 48, 80]. Moreover, TMC-Se-M-NLCs would decrease the peroxidative tissue damage in inflammation, reducing oxidative damage and stress during HIV infection [69, 74, 81].
Superoxide Dismutase
The superoxide dismutase (SOD) was found to be significantly (p ˂ 0.001) lower in the case of a positive control group compared to negative control groups in all tested organs (Fig. 9c). However, SOD values were significantly higher (p ˂ 0.001) in all tested organs administered with TMC-Se-M-NLCs and SeNPs than in the positive control. Moreover, selenium-containing nanoformulation could reduce the superoxide radicals; thereby, oxidative damage could subsequently reduce HIV infection pathogenesis and replication [21, 70, 82, 83].
Catalase
Catalase (CAT) values were significantly (p ˂ 0.001) lower in the case of a positive control group administered Dox-HCl than in negative control groups in all the tested organs (Fig. 9d). In contrast, all tested organs from groups administered SeNPs and TMC-Se-M-NLCs exhibited significantly higher (p ˂ 0.001) CAT values than the negative control. This could be owing to the chemo-preventive potential of SeNPs shown in Fig. 9d [83]. CAT is a vital intracellular anti-oxidant enzyme that converts the cellular hydrogen peroxide into by-products like water and oxygen, thereby significantly reducing oxidative stress. This reduces the pro-inflammatory cytokines and NF-kB [76], which could help maintain cellular health and reduce HIV infection pathogenesis and replication [21, 82].
Serum Biochemistry
Liver enzymes such as aspartate transaminase (AST), aminotransferase (ALT), and alkaline phosphatase (ALP) activity level shows normal liver function. The level of AST and ALT, ALP, and total protein was observed to be significantly high (p ˂ 0.03) for positive control group administered with the Dox HCl as compared to the negative control groups for all the tested organs because of the toxicity of Dox HCl leading to the cellular damage of liver as shown Fig. 9e [72, 79]. These increased enzymes would indicate cellular oxidative damage in organs [72]. However, ALT, ALP, AST, and total protein values were observed to be significantly lower (p ˂ 0.001) in all tested organs of rats administered with TMC-Se-M-NLC and SeNPs as compared to the positive control, which could perhaps be due to the selenium because of its chemo-preventive potential previously reported [21, 80, 84].
Histopathology
The histopathology of the vital organs is depicted in Fig. 10. The histopathology of all the organs observed for the negative control group appeared normal with no significant changes or differences. However, the histopathology of the organs for the group administered with only the Dox-HCl (positive control) was found to exhibit significant changes, including necrosis, cellular infiltration, and severe degeneration for some of the organs shown in Fig. 10, which is consistent with the well-reported toxicity of Dox-HCl [85]. On the other hand, the sections of the organs for the TMC-Se-M-NLC dosed animals exhibited only minor degeneration even after administration of Dox-HCl compared to positive control, indicating the protective effect of naoselenium encapsulated within the nanostructured lipid carrier system.
In vivo Biodistribution
The biodistribution study was carried out to investigate the efficacy of mannosylated nanoparticles to deliver TMC to the HIV viral reservoir sites. TMC-Se-M-NLCs were observed to accumulate primarily within organs like the kidney, lung, spleen, and liver compared to the TMC solution. The TMC concentration in these organs was significantly higher (p ˂ 0.003) in groups administered with TMC-Se-M-NLCs than in the rats administered with TMC solution. The increase in the concentration of TMC at 1 h in the liver was 1.19-fold, in lung 2.13-fold, in kidneys 2.28-fold, and spleen 1.05-fold as than the equivalent dose of TMC solution, as represented in Fig. 11a. This improved TMC concentration could have resulted from a sustained drug release from the mannosylated lipid nanoparticle to the specific sites and its enhanced circulation time in the bloodstream [86, 87]. This could be due to the coat of mannose around the surface of the NLCs, which could be impeding the drug release [33, 79].
Moreover, for the nanocarriers’ injected intravenously, pharmacokinetic parameters like the clearance and tissue distribution are more affected by the particle size, surface properties, and opsonization of these nanocarrier systems [50, 88]. Several protein-based proteins/opsonins are adsorbed on the surface of the nanomedicine, consequently facilitating recognition of these particles through the RES systems [89,90,91]. The RES system is able to absorb various lipid-based nanoformulations, which further improves the drug concentration within the lymphatic system [21, 25, 50, 92,93,94]. The drug level in anatomical and HIV reservoir sites remarkably increased in the case of mannosylated NLCs.
TMC was not detected at early time points in the brain, ovary, and lymph nodes; however, the level of TMC increased significantly for TMC-Se-M-NLCs administered group at 1 h. The concentration of TMC within the lymph nodes and ovary was 9.83- and 8.05-fold more at 24 h for the groups administered TMC-Se-M-NLCs compared to the groups administered plain TMC solution, as shown in Fig. 11b. This may be due to the particle size range of the nanocarriers along with its lipophilic nature, thereby enabling more RES uptake [50, 89, 94]. This could be explained based on the presence of lectin receptors on HIV viral reservoir sites that favored selective entry of TMC-Se-M-NLCs in the desired areas [33, 79, 95]. It could be most likely that the existence of MR on the macrophages could have fostered this macrophagic uptake [2, 33].
Furthermore, a nearly 12-fold enhancement in the level of TMC in the brain was observed at 1 h for the group administered with mannosylated nanoparticles compared to TMC solution, as shown in Fig. 11b. The brain uptake was enhanced because of the smaller particle size [6, 50]. The RES system and brain absorb the lipid-based nanocarrier because of their lipophilicity and nano size, leading to enhanced intracellular and paracellular transport of such lipid-based nanoparticles across the tight-endothelial junctions of the blood-brain barrier (BBB) [20, 25, 50, 96].
The TMC-Se-M-NLCs could attain appreciable concentration in the several organs where the HIV virus resides. The occurrence of mannose receptors creates an exclusive template, and thus, a multitude of a replica of ligands could be attached to it for facilitating active delivery [2, 36, 79]. Such a strategy could also be beneficial in augmenting the therapeutic effectiveness by lowering the dose of the required bioactive entity and the nanocarriers needed for its delivery [67]. It also showed the synergistic anti-HIV potential and selective cellular uptake, which could help treat HIV synergistically while also improving cellular health by maintaining the intracellular levels of the various anti-oxidants.
Conclusions
The mannosylated TMC-Se-M-NLCs of Etravirine could be a potential therapeutic approach for efficiently delivering the drug into HIV reservoirs such as the brain, lymph node, and ovaries. The formulation exhibited an enhanced cellular uptake and improved anti-HIV activity in vitro, thereby suggesting its synergistic potential for the treatment of HIV and delivery to HIV reservoirs. The in vitro release demonstrated the controlled release potential of the developed NLC-system, whereas the biodistribution studies indicated the potential of these NLCs to achieve appreciable concentrations in the HIV reservoirs. NLCs offered a promising method to improve the bioavailability of the TMC, BCS class IV drug. This could also be a potential treatment strategy for designing the mannosylated lipid-based nanosystem containing antiretroviral drugs and nano selenium to act more efficiently against HIV infection. It showed the synergistic anti-HIV potential that could act synergistically and thus more efficiently against HIV infection while also improving cellular health by maintaining the intracellular levels of anti-oxidants. However, more studies in humans are required further to ascertain the capability and potential of lipidic nanocarrier in HIV reservoirs.
Abbreviations
- TMC:
-
Etravirine
- SeNPs :
-
Selenium nanoparticle
- HIV:
-
Human immunodeficiency virus
- HAART:
-
Highly active anti-retroviral therapy
- AIDS:
-
Acquired immuno-deficiency syndrome
- TMC-Se-M-NLC:
-
Mannosylated etravirine and selenium loaded nanostructured lipid carrier
- ARVs:
-
Antiretrovirals
- SeNPs:
-
Selenium nanoparticle
- ROS:
-
Reactive oxygen species
- RES:
-
Reticuloendothelial system
- CD4+ :
-
Cluster of differentiation 4
- SLN:
-
Solid lipid nanoparticle
- DESE:
-
Double emulsion solvent evaporation
- GMS:
-
Glyceryl monostearate
- PDI:
-
Polydispersity Index
- GSH:
-
Glutathione
- SOD:
-
Superoxide dismutase
- MDA:
-
Malondialdehyde
- LPO:
-
Lipid peroxidation
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Acknowledgments
The authors are thankful to AICTE-NAFETIC for offering research facilities. The authors also like to thank Dr. V. K Aswal (BARC, Mumbai) for helping in the SANS study. We are thankful to Dr. Samiran Panda (former Director, ICMR-National AIDS Research Institute, Pune, and additional director general, ICMR Headquarters, New Delhi) for performing some parts of the project.
Funding
We would like to acknowledge financial support from the BARTI, Pune, India, BANRF-15-16 and University Grant Commission (RGNF-2017-18-SC-MAH-28486), New Delhi, India by way of fellowship to Satish Rojekar.
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Satish V. Rojekar: conceptualization, methodology, data curation, writing—original draft preparation, visualization, investigation, software. Leila Fotooh Abadi: conceptualization, methodology, data curation, writing—original draft preparation, visualization, investigation, software. Rohan Pai: data curation, writing— original draft preparation, writing- review and editing, visualization, software. Mahendra Kumar Prajapati: writing—review and editing, visualization. Smita Kulkarni: supervision, project administration, validation, guidance. Pradeep. R Vavia: Supervision, project administration, validation, guidance, fund acquisition.
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Rojekar, S., Abadi, L.F., Pai, R. et al. Mannose-Anchored Nano-Selenium Loaded Nanostructured Lipid Carriers of Etravirine for Delivery to HIV Reservoirs. AAPS PharmSciTech 23, 230 (2022). https://doi.org/10.1208/s12249-022-02377-8
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DOI: https://doi.org/10.1208/s12249-022-02377-8