HERBAL DRUG LOADED NANOGEL FOR EFFECTIVE TREATMENT OF SKIN DISORDERS
HTML Full TextHERBAL DRUG LOADED NANOGEL FOR EFFECTIVE TREATMENT OF SKIN DISORDERS
Shivani Samaiya * and Virendra Kumar Sharma
School of Pharmacy, LNCT University, Bhopal, Madhya Pradesh, India.
ABSTRACT: Since ancient times, plants have been used for medicinal purposes for their various therapeutic potentials and safest to modern allopathic medicines. Regularly phytochemicals are proving to be modern medicine with novel drug delivery systems by treating different diseases and disorders. Phytochemical compounds need improvement of efficacy and patient's compatibility to deliver in various diseases, e.g., high blood pressure, microbial, coronary heart disease, cancers, diabetes, inflammation, etc., also require a rational approach. Nanotechnology is a promising drug delivery approach for targeted or site-specific phytoconstituent delivery. Especially, Nanogels are the most rational approach for targeting skin diseases and enhancing bioavailability. Phytoconstituents or plant extract-loaded nanogels have been reported in in-vitro and in-vivo activities for different skin disorders like aging, acne, skin infection, etc. Nanogels, as a novel drug delivery system, may reduce toxicity and improve the bioavailability of the incorporated drug. The present review is focused on various phytomedicines that have been used in treating skin aging and acne, nanogel formulations prepared, and the effectiveness of both phytochemicals and nanotechnology for skin disorders treatment.
Keywords: Phytochemical, Phytomedicines, Nanogel, Nanotechnology, Ageing, Acne
INTRODUCTION: Skin is the prime exposed and visible organ of individuals. It defends internal organs from surrounding and dehydration 1, 2. There are assured skin situations, e.g., burns and another considerable failure of the superficial skin layer (epidermis), which works as the barricade that stops the skin from deterioration and microbial invasion and maintains equilibrium in the body's liquid levels. In such conditions, Acne vulgaris and other microbial infections skin get damaged. In aging, skin gets less elastic, wrinkled, lax, and rough-textured appearance.
Hence, aging, Acne vulgaris, and other microbial infections can drastically impact human health and social life. Different diseases, like Acne vulgaris, eczema, rosacea, herpes zoster, and psoriasis, can cause harm to the skin; however, infections are the major cause of skin damage 3. Acne vulgaris is a transmittable disease and is identified by various areas of seborrhea (scaly red skin), papules (pinheads), comedones (whiteheads) and blackheads, nodules (large papules), and sometimes piples (scarring) 4.
Usually, severe acne is inflammatory though it can be non-inflammatory too. In acne, the skin modifies because of alteration in pilosebaceous unit skin structures comprising hair follicles and their linked sebaceous glands. Usually, androgen stimulation is responsible for these modifications 5 occurs during puberty more often in adolescence, regardless of sex. Generally, acne appears on the face, back or upper chest, where greater numbers of oil glands are found 6. Aging is also a skin-related disorder, the most complex biological event processed under intrinsic and extrinsic factors.
Intrinsic factors, also known as endogenous factors, include cellular metabolism, genetics, metabolic processes, and hormone; extrinsic factors, known as exogenous factors, include pollution, chronic light exposure, ionizing radiation, toxins, and chemicals 7. These factors cumulatively work and result in physiological, progressive, and structural changes in different skin layers, especially in sunburned skin areas; skin appears tanned, then changes in internal layers 8, 9.
Thin and atrophic skin shows intrinsically dry aged skin and fine wrinkles, while typically thickened epidermis-comprised skin shows deep wrinkles, dullness, mottled discoloration, laxity, and roughness 10.
A steady loss of skin elasticity directs towards another aging phenomenon known as sagging 11. Nanotechnology is an outstanding strategy for fast healing skin diseases due to increased drug loading capacity and manipulating various phases of healing 12.
Since, last 2 centuries, the craze for plant extracts for healing skin disorders has been increasing continuously because of the occurrence of active agents in plant extracts 13.
However, plant extracts and isolated compounds have many problems related to their pharmacokinetics e.g. absorption, bioavailability etc. Herbal-originated medicines have no or low side effects, and high efficiency makes them universally acceptable and elegant to research 14.
World's 80% population accepts herbal drugs or constituents for the treatment of skin-related diseases and other disorders 15. Different studies have been performed on various plant extracts to study the pharmacological activity of plant constituents on various diseases.
The global herbal medicine market is projected to grow from USD 230.03 billion in 2021 to USD 430.05 billion in 2028 at a CAGR of 11.32% 16. Different types of Nanocarriers of various herbal drugs have collected noteworthy identification for their potential and characteristic features in several fields of human activity 17.
The medicinal potential of natural drugs can be enhanced by using a marvelous combination of nanotechnology and natural drugs as novel drug delivery systems 18.
There are many problems with these plant-oriented drugs e.g., the acceptability of these compounds by patients and dose frequency; these problems can be improved by using a correct approach that may support the sustained release delivery of active plant constituents. Novel drug delivery systems assist in attaining the essential therapeutic effects with reduced adverse effects and improve the bioavailability of herbal constituents 19.
Skin Diseases: Acne develops as an outcome of follicles blockage, keratin plug formation, hyperkeratinization, and sebum (microcomedo), also a result of bacterial overgrowth with inflammation in the pilosebaceous units. The hormone level of the body increases, sebaceous glands are enlarged, and sebum production is generally increased it occurs at the time of puberty.
Epithelial cells of follicles differentiate abnormally, tightening adhesion between cells and shedding less. Further, these events lead to the formation of microcomedones or hyperkeratotic plugs, which can expand to appear as a non-inflammatory open comedo (blackhead) or closed comedo 20. Also, comedones can occur due to clogging sebaceous glands with sebum, dead skin cells, and naturally occurring oil 21.
The overall conclusion is that the hyperproduction of Androgens is the main contributory factor for acne, which starts the series of events it includes sebum production, hyperkeratinization, keratin plug formation, dead cell aggregation, and finally, bacterial growth leading to the comedones development 22.
Alterations in natural skin flora are related to sebum production due to androgen. Polycystic ovarian syndrome and endocrine tumors are those diseases that elevate the androgen level in the body, further leading to the development of Acne vulgaris 23.
FIG. 1: DIFFERENT TYPES OF ACNE 24
Aging can be defined as fine or deep wrinkles, dull skin, mottled discoloration of skin, laxity, and roughness on the skin. Aging can be of two types based on distinct processes. First is sun-exposed skin, also called photoaging and sun-protected skin, also called intrinsic or chronological aging, but both types have general and exclusive demonstration and molecular mechanisms. Intrinsic aging is usually linked with increased dry skin (xerosis), laxity, and fine rhytids. Photoaging shares the above-described features but also demonstrates mottled pigmentation, telangiectasias, deeper rhytids, and elevated growth rate of malignant neoplasms 25.
Histologically, photoaging expresses irregular thinning of the epidermis with thickening of the granular layer and more compact corneal layer, dermal ECM loss of collagen and elastin, and improved dermal inflammation 26. These discoveries related to histology are associated with enhanced gene expression of matrix metalloproteinases and suppressed gene expression of ECM components, principally elastin and collagen 27. These alterations are located in several photoaging models and used as markers in various therapeutic and mechanistic studies 28. Various models are available that time to elucidate the molecular basis for skin aging, including the theory of cellular senescence, reduces in cellular DNA repair ability and failure of telomeres, oxidative stress, point mutations of extranuclear mitochondrial DNA, increased frequency of chromosomal abnormalities, reduced sugar, single-gene mutations, chronic inflammation and so on 29. Several researchers suggested that most effects are caused by extrinsic factors, while only 3% of aging is caused by intrinsic background 30.
The Plant Potential against Skin Aging and Acne: Acne-causing bacteria become resistant to the drugs if used for a long time. Due to low toxicity and side effects, herbal medicine is becoming popular compared to allopathic 24.
The natural system of medicine focuses on the entire body and treats the root cause of acne. In contrast, allopathic medicine focus only on Plants, and their natural constituents are renowned for possessing antioxidant potentials, such as vitamins, flavonoids, and flavones that assist in treating and preventing ROS-linked chronic situations. These supplements have antagonistic effects against the degenerative and inflammatory procedures in the body and demonstrate favorable effects on the digestive and immune systems, therefore developing the quality of life 32. For a long use of an antibacterial for acne, acne-causing bacteria become resistant, so there is a continuous need to launch newer drugs. Herbal drugs have become popular and attractive due to lower side effects and toxicity than allopathic medicines 33. Naturally originated drugs can treat the root cause of acne.
In contrast, allopathic medicine only gives symptomatic relief, e.g., blemishes linked to inflammation control, reduction of redness, etc. 34. The negligible adverse effects of herbal drugs make them the first choice for treating acne. Herbal therapies will increase the interest of researchers, cosmeticians, dermatologists, academicians, and industrialists in treating acne in the forthcoming years. Herbs as medicine for acne treatment can be administered either internally or externally or with both. The most preferred administration selection is topical application of herbs because of ease of application, whereas administered internally may cause an unpleasant or bitter taste. Herbs are used as the main component of many cosmetic and antiacne preparations because of their efficacy and safety.
Herbal medicine can be used alone or synthetic drugs to treat skin diseases. More prominently, other than being used as preventive or treatment medication, it might be given together with synthetic drugs to prevent side effects or to produce a synergetic effect. Herbal drugs are used accompanied by other methods or single to treat acne vulgaris. There is a long list of medicinal plants having antiacne, anti-aging, anti-inflammation, and antibacterial activities, used in different ways of treatment, some of them described below:
Achyranthes aspera: Belonging to the family Amaranthaceae, commonly known as Apamarga or prickly chaff flower. Traditionally it is used to manage Acne vulgaris, boils, skin eruptions, and scabies, like many skin diseases. Leaves of apamarga were extracted in the form of Saponin, alkaloid, and non-alkaloid fractions. They found a massive inhibitory effect on the Epstein-Barr virus early antigen activation in Raji cells. But the non-alkaloid fraction possessed the most inhibitory activity (96.9%; 60% viability), having mainly non-polar compounds.
In another study, total methanolic extract was evident as an anti-carcinogenic effect with 76% inhibition. Different studies suggested that plants possess abortifacient and contraceptive activities because of their estrogenic potency 35.
Allium cepa: Belonging to the family Amaryllidaceae, commonly known as Onion. A gel containing onion extract has been investigated in the case of seborrheic keratosis to enhance the appearance of the scar in 4, 6, or 10 weeks of usage by improving softness, redness, and texture at excision. During another antimicrobial and antifungal study of A. cepa with A. sativum extract was found to be active against Candida albicans and other Candida species and Malassezia furfur as well as few strains of dermatophytes and Acne vulgaris microbes. The study concluded that A. cepa and A. sativum can be promising remedies for fungal and bacterial-oriented infections 36.
Aloe barbadensis Miller: Belonging to the family Asphodelaceae, commonly known as Gritkumari. Aloe vera leaf gel can be administered locally to treat various skin diseases e.g., dermatitis, seborrheic, Vulgaris, psoriasis, skin burns, genital herpes, and acne vulgaris. It possessed Anti-acne, antioxidant, antimicrobial; Anti-inflammatory effect proved in-vivo; the responsible compounds are Aloin and emodin 37.
Amaranthus hypochondriacus Linn and A. cruentus Linn: Belonging to the family Amaranthaceae, usually called "Prince-of-Wales Feather" are native to Mexico and China. Seeds and leaves of amaranthus are used successfully as an astringent and also formulate a good wash for skin complications ranging from acne and eczema to psoriasis 38. The main constituents are saponins.
Arctium lappa Linn: Belonging to the family Asteraceae is usually known as burdock, thorny burr, etc. The leaves and roots of burdock are generally used for treating acne-like chronic skin problems 39. It contains various constituents, e.g., sesquiterpene lactone (arctiopicrin), lignan (arctigenin), fructosan (inulin), and mucilage (xylocan) 40.
Arnica montana: Belonging to the family Asteraceae, common names are leopard's bane, and mountain tobacco. Arnica is a mountain-growing herb found in southern Russia to Europe 41. Dried Arnica flower heads are valuable to treat acne, sprains, muscle aches, bruises, and as a common topical counterirritant 42. Arnica contains various phytoconstituents glycosides flavonoid, sesquiterpene lactones (dihydrohelenalin, helenalin, arnicolides and the arnifolin) and about 0.3% of a volatile oil 43. Helenalin and dihydrohelenalin esters are active principles obtained from arnica responsible 44 for its antioedema, antimicrobial and anti-inflammatory activities.
Asparagus Officinalis: Belonging to the family Liliaceae, known as Shatavari or sparrow grass, commonly cultivated in Asia and Europe. Seeds and fleshy roots have been used for therapeutic purposes. Shatavari root holds numerous compounds e.g. fructo- oligosaccharides, bitter glycoside (officinal sins I and II), inulin, steroidal glycosides (asparagosides A to I) β-sitosterol, and asparagusic acid, yamogenin 45. Since ancient times, extracts of Asparagus used to cleanse the face and acne form lesions as home remedies.
Azadirachta indica: Belonging to family Meliaceae commonly known as Neem. A study conducted for evaluation of antiacne potential, a formulation from herbal extracts was prepared, comprised of ethanol extract of Azadirachta indica, Andrographis paniculata, G. glabra, Ocimum sanctum and green tea and revealed that it possessed the antiacne potential. Also observed the formula was succeeding against Propionibacterium and Staphylococcus epidermis for antiacne 46. Chemopreventive activity was evaluated in aqueous extract of Azadirachta indica leaves against murine skin carcinogenesis. In comparison to the control group skin tumors that enhance the expression of proliferating cell nuclear antigen were inhibited by aqueous extract, skin tumors exhibited high lipid Peroxidation 47.
Betula alba Linn: Belonging to the family Betulaceae, commonly known as Birch, originated in India, Northern Europe, Northern U.S, and Canada. It is reported that tree bark has been applied effectively to treat eczema, psoriasis, acne, and similar chronic skin diseases 38. Phenolic compounds are mainly occurring constituents, salicylic acid, and guaiacol; betulin, ylangene, terpenoids, betuloside and flavone, sakuranetin 40.
Calendula officinalis: Belonging to family Asteraceae, the flower heads of Calendula have long been applied for treating different skin diseases, including assisting in healing and inflammation reduction 42. The Calendula herb contains triterpenoids, flavonoids, e.g., quercetin, saponins e.g., arvenoside A), polysaccharides, and essential oils 48.
Cannabis Sativa: It is the plant of cannabaceae family, the seed oil of Cannabis sativusis useful for the treatment of acne rosacea, eczema, dermatitis, seborrhoeic dermatitis, psoriasis, and lichen planus. The leaves powder is applied in dressing of wound and sore. Cannabis sativus extract is externally useful to relieve pain in itchy skin. The seed oil also useful to skin strength and makes it more resistant to fungal, bacterial and viral infections 49.
Chelidonium majus: It is a plant of Papaveraceae family and a perennial herb. Geographically it is found in different reason of Asia and Europe. Sticky, acidic, orange juice exudes from the broken herb parts is applied for pimples treatment 38 unpleasant in odor. Isoquinoline alkaloids of proberberine benzophenanthrene and protopine type constituents are its main chemicals.
Curcuma longa Linn: This plant belongs to Zingiberaceae family, commonly known as Turmeric basically dried rhizomes. Cultivate widely throughout India, Asia, China, and Tropical countries. It contains majorly curcuminoids, responsible for the yellow color, which curcumin constitutes 50-60%, essential oil (2-7%) with high bisatiolane derivatives 50. Turmeric possesses extraordinary anti-inflammatory potential due to the presence of curcumin 51.
Echinacea Angustifolia and Echinacea Purpura: This plant belongs to the Asteraceae family; the Echinacea Purpurea extract evaluated against P. acnes involved in acne vulgaris. The study revealed that the Echinacea extract can completely reverse substantial secretion of several pro-inflammatory cytokines, e.g. IL-6 and IL-8, during cell culture model evaluation. Hence, this plant provides double advantages to acne patients. First is inhibition of the proliferation of organisms and bacteria-induced inflammation 52. Echinacea can also treat various other skin complications, e.g., skin wounds, psoriasis, burns, herpes ulcers, and hemorrhoids 53.
Eucalyptus Globulus, E. Viminalis and E. Maculate: Belongs to the family Myrtaceae. 29 species of Eucalyptus were evaluated for antimicrobial activities in one study and Eucalyptus globulus, E. viminalis and E. maculate were found active against six strains of gram-positive bacteria including P. acnes, Enterococcus faecalis, Bacillus cereus, S. aureus and fungi Trichophyton mentagrophytes while no significant activity against gram-negative bacteria.
A component 8-desmethyl-eucalyptin found in E. maculate also reported potential against the microorganisms mentioned above. It is concluded that active principles of Eucalyptus extracts are responsible for the antimicrobials causing acne and Athlete's foot infection, as well as some fungal infections 54.
Juglans nigra Linn and J. Regia Linn: These are the various species that belong to the family Juglandaceae known as walnuts are originated from India to East Asia, North and South America, and Southeast Europe. The walnut's hard upper cover and tree part is used to formulate an excellent wash and scrubs for various skin infections, including Acne vulgaris 38. These plant extracts are rich sources of naphthalene derivatives, juglone tannins (elagitannin), quercitin, and flavonoids hyperoside 55.
Melaleuca Alternifolia: Belongs to the family Myrtaceae, a tree or long shrub known as a tea tree. Geographically it is distributed in Australia, the north coast of New South Wales. Essential oil of plant leave obtain by steam distillation is used for medicinal purposes 56. Terpin-4-ol (40%) is the main constituent is evaluated for a range of organisms found effective against 27 out of the 32 strains of P. acnes 57.
Tea tree oil is a broad-spectrum compound against Gram-positive and Gram-negative bacteria and even S. aureus resistant to methicillin and yeasts such as C. albicans in-vitro. Monoterpenes involve in a mechanism of action which causes an interruption in the plasma membrane barrier. Tea tree oil possesses anti-inflammatory activities and monocyte activators. Topically tea tree oil has use as anti-acne potency in low concentrations with low side effects. It is efficient in osteomyelitis and chronic infectious wounds 58. It has high penetration with non-irritating action on the skin.
Rheum Officinale: Rheum belongs to the family Polygonaceae and other species are distributed to India, China and Southern Siberia. Rheum contains various constituents like calcium, potassium, and phosphorus (low amount). The anthraquinones present are rhein, emodin, chrysophanol 59 in rhubarb are useful to relieve the itchness and pain accompanying psoriasis as well as Acne vulgaris 38.
Rose: Numbers of rose species belong to the family Rosaceae; aqueous petal extracts are applied to the skin for daily care. Against acne and blackheads, rose water is also a potential tool 38. Rose water contains mainly tannins pentagalloyl, pyrogallol, eugeniin, monoterpenoids- geraniol, eugenol, and rugosal and phenylethyl alcohol 40.
Rosmarinus officinalis: Rosmarinus officinalis belongs to Lamiaceae, a household ornamental plant. It is generally used as a beverage drink, in cosmetics as well as flavoring food. The aqueous extract of R. officinalis has antioxidant potency, which is why effective against photodamage induced by UV radiations. Also, antibacterial activity was evaluated against P. acne-causing bacteria and reported noteworthy alteration in size and morphology of P. acnes in response to treatment 60.
Saponaria officinalis: Belonging to the family Caryophyllaceae general name is soapwort, a perennial herbaceous plant grown in Northern Europe. Soapwort uses topically to treat psoriasis, acne, eczema, and boils 44. This plant has steroidal saponins (saponoside D), which are water-soluble and occur in all parts and work as a surface-active agent as a cleaning aid.
Thymus vulgaris Linn: Thyme belongs to the family Lamiaceae and are small, perennial plants grown in Asia and Europe. Various differences in leaf color, shape, and essential oil composition are found according to their geographical occurrence. The leaves are formulated as salves that use as a remedy for acne, cuts, burns, and rash in the area of the face, neck, throat, or forehead 38. Thyme contains thymol acetate, carvacrol, p-cymene, thymol and apigenin 40.
Urtica dioica: Belongs to family Urticaceae also known as stinging nettle herb, consists of dried or fresh leaves or aerial parts. Its leaf and herb are rich in mineral salts e.g. calcium and potassium salts of silicic acid; amines-acetyl choline, phenolic ketones-acetophenone; histamine, betaine, choline, 5-HT, lecithin; β-sitosterol, tannins, flavonoids- quercitin, isoquercitin, rutin, kaempferol; volatile oil, vitamins A, B2, C, K, folic acid and pantothenic acid 61. The alcoholic solution of distilled nettle is applied to treat acne traditionally 56.
Nanogel Mechanism in Treatment of Skin Disorder: There are several drug release mechanisms, including degradation of nanogel structure, simple diffusion, temperature and pH changes, counter ion displacement or induced due to external energy source 62 some are described below:
Thermosensitive & Volume Transition Mechanism: Thermosensitive polymer gel mechanism depends on the reversible volume change from collapse to swell via irregular volume change with temperature. Three patterns were observed as (1) Thermoswelling is shrunken-swollen of polymer with irregular volume change (2) Thermoshrinking is swollen- shrunken of polymer with irregular volume change (3) Convexo pattern is shrunken-swollen-shrunken with two irregular volume change. For intense N–isopropyl acrylamide is a polymer that efflux indomethacin drug by initially shrunken in gel volume with the temperature reaches above lower critical solution temperature (LST) 63 while N – isopropyl acrylamide – co – acrylamide polymer release 5 – fluorouracil drug at body temperature 64. Superficially modified polyethylene used to formulate nanogels effectively applied for gene delivery systems 65. Poly alkylene oxides containing nanogel's thermally trigerred volume can be increased 1 µm in nanogel size 66. Nanogels of poly (N–isopropyl acrylamide) and chitosan, the lower critical solution temperature, could be altered by altering in the ratio of polymers and used in hyperthermic cancer treatments 67.
Photochemical Internalization & Photo isomerization: Nanogels containing photosensitive polymer produces nascent oxygen during photochemical excitation by light is reactive oxygen species cause oxidation of cellular wall components, which affects drug release into cytoplasm easily, or else inhibited by intracellular compartment 68. In photoisomerization, the polymer of nanogels converts their configuration in the presence of light e.g., Cis-trans isomerization, E-Z configuration, etc. Nanogels having azo dextran as polymer E- configuration shows better aspirin release profile than Z- configuration of the azo group at 365 nm radiation 69.
Diffusion Mechanism: In this type of mechanism drug travels from high concentration to low concentration. Numerous nanomedicines have already been prepared that pursue a diffusion mechanism, is a simple procedure, e.g. polymeric micelles that have in clinical trail stage 70. Stable hydrogel nanoparticles of Doxorubicin formulated using puronic block copolymer follows the diffusion mechanism for drug release.
PH Responsive Mechanism: Nanogel containing platinum nanoparticles at the acidic skin pH the reactive oxygen species scavenging on & off catalytic activity and protonation of crosslinked poly (2 – (N, N – diethylamino) methacrylate) core and PEG 71 when lower the pH the polymers methacrylic acid ethyl acrylate are insoluble, again on increasing of pH, acidic groups ionizes because of polymeric chains repulsions begins and lead to drug release profile of procaine-HCl 72.
The pH-sensitive polyacryrlic acid chains show that swelling provides control release kinetics mechanism of the temozolidine 73. Glycol chitosan nanoparticles and grafting of dimethyl aminopropyl groups formulated nanogel notably increases the release of doxorubicin 74.
Displacement by Ions in the Environment: Nanogels that release drugs on the specific site of action due to the signal of environmental responses. POEOMA-like water-soluble polymers containing nanogels are biodegraded in glutathione tripeptide, which is generally found in cells. Cationic nanogels, when triggered with the negatively charged drug in cell membrane from complexes, explain the cellular accumulation of drugs delivered with nanogel 75.
Current Standing in Clinical Trials and Future Perspective of Nanogels: Nanogels are already in the application as drug delivery systems in-vivo and clinical trials, mainly for cancer care therapeutics. In mice with hypodermic fibrosarcoma, hypodermic injections of recombinant murine lymphokine-twelve (IL-12) encapsulated in nanogels, via incubation at temperature, semiconductor diode to a chronic elevation of IL-twelve within the sera and resulted in vital growth retardation.
TABLE 1: LIST OF MEDICINES FORMULATED IN NANOGEL
Drug Substance | Polymer or crosslinking
agent used |
Goal of Formulation | Method name | Ref. |
Aegle marmelos (L.) | Preparation of solid lipid nanoparticles (SLNs) of Aegle oil (AO) that increases the antimicrobial potency | 76 | ||
Pravastatin -Sod | Chitosan | Formulation of Pravastatin-loaded nanogel for examination its potency against hyperlipidemia | Ionic gelation method | 77 |
Garlic Extract | Eudragit L100, | Development of Nanogel nanoparticles of garlic extract | Homogenization | 78 |
Vitamin C | Bovine serum albumin Chitosan | Development of a formulation to increase the stability and absorption of the vitamin- C by preparing nanogels | Green self-assembly technique. | 79 |
Artemether | Poloxamer 407,
Prosopis africana peel powder |
Formulation of transdermal nanogels using Nanostructured lipid carrier (NLC) ART-NLC | Homogenization | 80 |
Ciclopirox-olamine | Eudragit-S100 | Formulation of antifungal nanogel to reduce particle size, improve in-vitro and in-vivo release. | Homogenization technique | 81 |
Montelukast Sodium | Preparation of Montelukast sodium niosomes and incorporation into the nanogel | Dispersion Method | 82 | |
Flurbiprofen | Pluronic F-127 | Formulation of a thermosensitive in-situ nano gelling system to improve solubility and ocular residence time of flurbiprofen. | 83 | |
Clotrimazole | Locust bean gum and triethanolamine | Formulation, characterization and evaluation of the Clotrimazole nanogel. | Solvent diffusion method (high speed Homogenization) | 84 |
Ketoprofen | Chitosan | Development and evaluation of nanoemulsion-based nanogel for transdermal delivery of ketoprofen. | Homogenization | 85 |
Curcumin | Triethnolamine | Formulation and evaluation of the nanoemulgel for squamous cell carcinoma, enhancement of solubility, permeability and biocompatibility, also overcome the problem (targeted delivery) related with curcumin anticancer drug. | Spontaneous emulsifica-tion mechanism. | 86 |
Beta Sitosterol | Eudragit RL100 and Poloxamer | Development of nanogel to reduce particle size for improvement of bioavailability a hydrophobic drug.
|
Nanoprecipitation
method
|
87 |
Boswellia Serrata | Formulation of topical analgesic and anti-inflammatory nanoemmigel, a combination of a nanoemulsion and a nanomicellar system in a gel base. | Microemulsion-template method | 88 | |
Tenoxicam | Noveon Polycarbophil AA-1 | Development of a tenoxicam nanogel to reduce particle size for improvement of the bioavailability | Modified emulsification- diffusion Method | 89 |
Clindamycin Phosphate and aloe vera | Acrypol 940, Tefose 63 | Formulation and evaluation of semi-herbal gel comprises of Clindamycin phosphate with aloe vera. | Homogenization | 90 |
Aceclofenac | Formulation of nanosized dispersion of aceclofenac drug | Emulsion-solvent diffusion method | 91 | |
Flurbiprofen | Chitosan | Development and evaluation of nanoemulsion-based nanogel of Flurbiprofen for transdermal delivery | 92 | |
Curcumin | Amphiphilic Poloxamer-cationic network | Development and evaluation a novel colloidal nanogel carrier for encapsulation of curcumin to increase its solubility and cytotoxicity. | Homogeneous mixing | 93 |
Future Prospective: Based on different studies discussed above in this current review, it can be interpreted that in the developing procedure of different novel drug delivery systems, nanogel has appeared as the best alternative for topical drug delivery. Nanogel has been developed to improve the poor bioavailability of uncountable drugs and enhance pharmacodynamics and pharmacokinetics. Presently, innumerable lipophilic drugs of a variety of therapeutic categories are being formulated as nanogel, possessing better therapeutic profiles. In the health care system, the nanogel is employed for lots of acute and chronic diseases e.g. inflammation, fungal diseases, psoriasis, cardiovascular problems, alopecia etc. With all these advantages of drug delivery, the future prospects of nanogel seem to be beneficial, and it may be predictable that nanogel as a delivery system will be optimism for diverse categories of medicines that have been removed from the pipeline of development due to various reasons e.g., poor bioavailability, clinical potential etc.
Consequently, the major focus should be on enhancing and improving target potency for more effective skin care. Thus the researchers should aim generation or identification of novel nanomaterials that is biocompatible and biodegradable and has the potential to correct all the phases of the skin care process.
CONCLUSION: Facts established based on observation and experiments suggest that nanogel formulations can be a good alternate option for conventional drug delivery systems for BCS class II or IV drugs belonging to various pharmacological categories. It has also been observed that methods of preparation and participation of different components are key factors of dosage form stability and therapeutic activity. Though nanogel system comprises numerous components with diverse categories of surface-active agents, an improved concentration of which can precipitate mild to severe toxicological conditions, selection of components, and quantitative estimation of same should be considered as an issue of worry. Generally, with the references of all the above experimental studies and their results, it can be concluded that a nano-formulation-based gel system can be a secure and efficient drug delivery approach for recently approved active pharmaceutical ingredients. Nanogel is one of the attractive fields of analysis in the future, which can help deliver the drug in a controlled pattern while lowering the aspect result of typical nanogel. It has versatile advantages and properties that make them competent for the economical delivery of biologically active molecules, significantly biopharmaceuticals. They will even be used as a carrier or chaperoned to treat inheritable diseases such as cancer, neurodegenerative sickness, etc. Nanogel seems to be a wonderful formulation not only for skin care but also for treating varied diseasesincluding polygenic diseases.
ACKNOWLEDGEMENT: I would like to extend my heartfelt gratitude to the Principal and Head of the Department of Pharmaceutics, School of Pharmacy, LNCT University, Bhopal (M.P.), India.
CONFLICTS OF INTEREST: Authors declare no conflict of interest.
REFERENCES:
- Wang W, Lu KJ, Yu C.H, Huang QL and Du YZ: Nano-drug delivery systems in wound treatment and skin regeneration. J. Nanobiotechnology 2019; 17: 82.
- Hengtong Zhang, Junqiu Cheng and Qiang Ao: Preparation of Alginate-Based Biomaterials and Their Applications in Biomedicine. Mar Drugs 2021; 19: 264.
- Souto EB, Ribeiro AF, Ferreira MI, Teixeira MC, Shimojo AA, Soriano JL, Naveros BC, Durazzo A, Lucarini M and Souto SB: New nanotechnologies for the treatment and repair of skin burns infections. Int J Mol Sci 2020; 21: 393.
- Mallon E, Newton JN, Klassen A, Stewart-Brown SL, Ryan TJ and Finlay AY: The quality of life in acne: a comparison with general medical conditions using generic questionnaires. Br J Dermatol 1999; 140(4): 672–6.
- Peck GL, Olsen TG, Yoder FW, Strauss JS, Downing DT and Pandya M: Prolonged remissions of cystic and conglobate acne with 13-cis-retinoic acid. N Engl J Med 1979; 300(7): 329–33.
- Bettoli V, Zauli S and Virgili A: Is hormonal treatment still an option in acne today. Br J Dermatol 2015; 172: 37–46.
- Cevenini E, Invidia L, Lescai F, Salvioli S, Tieri P and Castellani G: Human models of aging and longevity. Expert Opin Biol Ther 2008; 8: 1393–405.
- Uitto J: Understanding premature skin aging. N Engl J Med 1997; 337: 1463-5.
- Kanda N and Watanabe S: Regulatory roles of sex hormones in cutaneous biology and immunology. J Dermatol Sci 2005; 38: 1–7.
- Kligman LH: Photoaging. Manifestations, prevention and treatment. Clin Geriatr Med 1989; 5: 235–51.
- Escoffier C, de Rigal J, Rochefort A, Vasselet R, Lévêque JL and Agache PG: Age-related mechanical properties of human skin: an in-vivo J Invest Dermatol 1989; 93: 353–7.
- Sandhiya V and Ubaidulla U: A review on herbal drug loaded into pharmaceutical carrier techniques and its evaluation process. Future J Pharm Sci 2020; 6: 1–16.
- Bhatt D, Jethva K, Patel S and Zaveri M: Novel drug delivery systems in herbals for cancer. World J Pharm Res. 2016; 5: 368–378.
- Ferreira VF and Pinto AC: A fitoterapia no mundo atual. Química Nova 2010; 33: 1829.
- Vickers A and Zollman C: Herbal medicine. Br Med J 1999; 319: 1050–1053.
- Ali SI, Gopalakrishnan B, Venkatesalu V: Pharmacognosy, phytochemistry and pharmacological properties of Achillea millefoliumh: A review. Phytother Res 2017; 31: 1140–1161.
- Xu R, Luo G, Xia H, He W, Zhao J, Liu B, Tan J, Zhou J, Liu D and Wang Y: Novel bilayer wound dressing composedof silicone rubber with particular micropores enhanced wound re-epithelialization and contraction. Biomaterials 2014; 40: 1–11.
- Singh RP, Singh SG, Naik H, Jain D and Bisla S: Herbal excipients in novel drug delivery system. Int J Compr Pharm 2011; 2: 1–7.
- Sungthongjeen S, Pitaksuteepong T, Somsiri A and Sriamornsak P: Studies on pectins as potential hydrogel matrices for controlled-release drug delivery. Drug Dev Ind Pharm 1999; 25: 1271–1276.
- Benner N and Sammons D: Overview of the Treatment of Acne Vulgaris. Osteopath Family Physic 2013; 5(5): 185–90.
- Brown SK and Shalita A: Acne Vulgaris Lancet 1998; 351(9119): 1871–6.
- Chen W, Thibouot D and Zouboulis CC: Cutaneous Androgen Metabolism: Basic Research and Clinical Perspectives. J Invest Dermatol 2002; 119(5): 992–1007.
- Imperato-McGinley J, Gautier T and Cai L: The Androgen Control of Sebum Production, Studies of Subjects with Dihydrotestosterone Deficiency and Complete Androgen Insensitivity. J Clin Endocrinol Metab 1993; 76: 524–8.
- Janani SK and Sureshkumar R: A comprehensive review on acne, its pathogenesis, treatment, in-vitro and in-vivo models for induction and evaluation methods. Int J Pharm Sci & Res 2019; 10(7): 3155-77.
- Bosset S, Bonnet-Duquennoy M and Barré P: Photoageing shows histological features of chronic skin inflammation without clinical and molecular abnormalities. Br J Dermatol 2003; 149:826-35.
- Bhawan J, Andersen W, Lee J, Labadie R and Solares G: Photoaging versus intrinsic aging: a morphologic assessment of facial skin. J Cutan Pathol 1995; 22: 154-9.
- Khorramizadeh MR, Tredget EE, Telasky C, Shen Q and Ghahary A: Aging differentially modulates the expression of collagen and collagenase in dermal fibroblasts. Mol Cell Biochem 1999; 194: 99-108.
- Cho BA, Yoo SK and Seo JS: Signatures of photoaging and intrinsic aging in skin were revealed by transcriptome network analysis. Aging (Albany NY) 2018; 10: 1609-26.
- Naylor EC, Watson RE, Sherratt MJ. Molecular aspects of skin ageing. Maturitas 2011; 69(3): 249–256.
- Poljsak B, Dahmane RG and Godic A: Intrinsic skin aging: the role of oxidative stress. Acta Dermatovenerol Alp Pannonica Adriat 2012; 21(2): 33–36.
- Kasote DM, Katyare SS, Hegde MV and Bae H: Significance of antioxidant potential of plants and its relevance to therapeutic applications. Int J Biol Sci 2015; 11: 982–991.
- Chen L, Deng H, Cui H, Fang J, Zuo Z, Deng J, Li Y, Wang X and Zhao L: Inflammatory responses and inflammation-associated diseases in organs. Oncotarget 2018; 9: 7204-7218.
- Dey P, Karuna DS and Bhakta T: Medicinal plants used as antiacne agents by tribal and non-tribal people of Tripura, India. AJPCT 2014; 2: 556-70.
- Nasri H, Bahmani M, Shahinfard N, Moradi Nafchi A, Saberianpour S and Rafieian Kopaei M: Medicinal plants for the treatment of acne vulgaris: a review of recent evidences. Jundishapur J Microbiol 2015; 8: 25580.
- Hunt MJ and Barnetson RS: A comparative study of gluconolactone versus benzoyl peroxide in the treatment of acne. Australas J Dermatol 1992; 33(3): 131–4.
- Rabiei Z, Rafieian-Kopaei M, Mokhtari S, Shahrani M. Effect of Dietary Ethanolic Extract of Lavandula officinalis on Serum Lipids Profile in Rats. Iran J Pharm Res 2014; 13(4): 1295–301.
- Bashir A, Saeed B, Mujahid TY and Jehan N: Comparative study of antimicrobial activities of Aloe vera extracts and antibiotics against isolates from skin infections. African Journal of Biotechnology 2011; 10: 3835-3840.
- Heinerman J: In: Heinerman's Encyclopedia of Healing herbs and spices, publishing company, New York, 1996.
- Foster S and Tyler VF, In: Tylor honest herbal, The Haworth Press, London 1999; 71-72.
- Jeffery BH, Herbert B and Gerard PM: In: A Phytochemical Dictionary. A handbook of bioactive compounds from plants. Tylor and Francis 1999; 575: 745-799.
- Bisset NL: In: Herbal Drugs and Phytopharmaceuticals, CRC Press, Stuggart, Germany 1994; 83-87: 159, 292-294.
- Jemes ER and Tyler VE: In: Tyler's herbs of choice, the Haworth press, London 1999; 219-223.
- Newall CA, Anderson IA and Phillipson JD: In: herbal medicin- A guide for health care professionals, the pharmaceutical press, London 1996; 2201-2205.
- Dermardersian A: In: the review of natural products, Kluver, Germany 2001.
- Leung AY, In: Encyclopedia of Common Natural ingradients used in food, drugs and Cosmetics, JohnWiley, New York, 1980, pp. 40-41.
- Rahimian GA, Rabiei Z, Tahmasebi B, Rafieian-Kopaei M, Ganji F and Rahimian R: Comparing the Combined Effect of Garlic and Mint Extract with Metronidazole in Helicobacter Pylori Treatment. Iran J Pharm Sci 2013; 9(3): 63–70.
- Rahnama S, Rabiei Z, Alibabaei Z, Mokhtari S, Rafieian-Kopaei M and Deris F: Anti-amnesic activity of Citrus aurantium flowers extract against scopolamine-induced memory impairments in rats. Neurol Sci 2015; 36(4): 553-60.
- Evans WC: In: trease and evans pharmacognosy, saunders, UK 2002; 22: 248.
- Rabiei Z, Rafieian-Kopaei M, Heidarian E, Saghaei E and Mokhtari S: Effects of Zizyphus jujube extract on memory and learning impairment induced by bilateral electric lesions of the nucleus Basalis of Meynert in rat. Neurochem Res 2014; 39(2): 353–60.
- Ohshiro Masaaki, masanori Kuroyanagi and Akira Ueno: Structure of sesquiterpenes from Curcuma Longa, Phytochemistry 1990; 29(7): 2201-2205.
- Rao TS, Basu N and Siddiqui HH: Anti-inflammatory activity of curcumin analogues, Indian J Med Res, 1982; 75: 574-578.
- Mirhosseini M, Baradaran A and Rafieian-Kopaei M: Anethum graveolens and hyperlipidemia: A randomized clinical trial. J Res Med Sci 2014; 19(8): 758–61.
- Blumenthal M, Busse WR and Godlberg A: Editors. The Complete German Commission E Monographs; Therapeutic Guide to Herbal Medicines 1998; Austin, Texas. American Botanical Council.
- Rafieian-Kopaei M, Behradmanesh S, Kheiri S and Nasri H: Association of serum uric acid with level of blood pressure in type 2 diabetic patients. Iran J Kidney Dis 2014; 8(2):152–4.
- Nahastedt A, Vetter U and Hammerschmidt FJ: Zur Kenntnis des was serdampfdestillates der bltter von Juglans resia. Planta Med 1981; 42(4): 313-332.
- Bruneton J and Seancur NY: In: Medicinal Plants, Lavoisier Press, USA 1995; 461.
- Basset IB, Pannowitz DI and Barnetson RSC, A Comparative Study of Tea-Tree Oil versus Benzoyl Peroxide in the Treatment of Acne. Med J Australia 1990; 153: 455-458.
- Gharipour M, Ramezani MA, Sadeghi M, Khosravi A, Masjedi M and Khosravi-Boroujeni H: Sex based levels of C-reactive protein and white blood cell count in subjects with metabolic syndrome: Isfahan Healthy Heart Program. J Res Med Sci 2013; 18(6): 467–72.
- Sukhdev SH, Deepak M, joseph GVR, Shella J and Gajendra: In: Inadian herbal pharmacopoeia, CSIR and IDMA, New Delhi 1999.
- Rafieian-Kopaei M, Shahinfard N, Rouhi-Boroujeni H, Gharipour M and Darvishzadeh-Boroujeni P: Effects of Ferulago angulata Extract on Serum Lipids and Lipid Peroxidation. Evid Based Complement Alternat Med 2014; 2014: 680856.
- Bradley PR: In: British Herbal Compendium, British Herbal Medicine Association, Bournemouth 1992; 48-49.
- Kabanov AV and Vinogradov SV: Nanogels as pharmaceutical carriers: finite networks of infinite Capabilities. Angew Chem Int Ed Engl 2009; 48(30): 5418-5429.
- Shin Y, Chang JH, Liu J, Williford R, Shin YK and Exarhos GJ: Hybrid nanogels for sustainable positive thermosensitive drug release. Journal of controlled release, 2001; 73(1): 1-6.
- Wang Q, Xu H, Yang X and Yang Y: Drug release behavior from in situ gelatinized thermosensitive nanogel aqueous dispersions. International Journal of Pharmaceutics 2008; 361(1): 189-93.
- Im Lee J and Yoo HS: Pluronic decorated-nanogels with temperature-responsive volume transitions, cytotoxicities, and transfection efficiencies. European Journal of Pharmaceutics and Biopharmaceutics 2008; 70(2): 506-13
- Lee Y, Park SY, Kim C and Park TG: Thermally triggered intracellular explosion of volume transition nanogels for necrotic cell death. Journal of Controlled Release 2009; 135(1): 89-95.
- Jaiswal MK, Banerjee R, Pradhan P and Bahadur D: Thermal behavior of magnetically modalized poly (N-isopropylacrylamide)-chitosan based nanohydrogel. Colloids and Surfaces B: Biointerfaces 2010; 81(1): 185-94.
- Raemdonck K, Naeye B, Høgset A, Demeester J and De Smedt SC: Prolonged gene silencing by combining siRNA nanogels and photochemical internalization. Journal of Controlled Release 2010; 145(3): 281-8.
- Im Lee J, Kim HS and Yoo HS: DNA nanogels composed of chitosan and pluronic with thermosensitive and photo-crosslinking properties. International Journal of Pharmaceutics 2009; 373(1): 93-9.
- Adhikar B, Sowmya C, Reddy C, Haranath C, Bhattal H and Inturi R: "Recent Advances in Nanogels Drug Delivery System. World Journal of Pharmacy and Pharmaceutical Sciences 2016; 5(9): 505-530.
- Oishi M, Miyagawa N, Sakura T and Nagasaki Y: pHresponsive PEGylated nanogel containing platinum nanoparticles: Application to on–off regulation of catalytic activity for reactive oxygen species. Reactive and Functional Polymers 2007; 67(7): 662-8.
- Mourey TH, Leon JW, Bennett JR, Bryan TG, Slater LA and Balke ST: Characterizing property distributions of polymeric nanogels by sizeexclusion chromatography. Journal of Chromatography A, 2007; 1146(1): 51-60.
- Wu W, Aiello M, Zhou T, Berliner A, Banerjee P and Zhou S: In-situ immobilization of quantum dots in polysaccharide-based nanogels for integration of optical pH-sensing, tumor cell imaging, and drug delivery. Biomaterials 2010; 31(11): 3023-31.
- Oh NM, Oh KT, Baik HJ, Lee BR, Lee AH, Youn YS and Lee ES: A self-organized 3-diethylaminopropyl-bearing glycol chitosan nanogel for tumor acidic pH targeting: in vitro evaluation. Colloids and surfaces B: Biointerfaces 2010; 78(1): 120-6.
- Vinogradov SV, Batrakova EV and Kabanov AV: Nanogels for oligonucleotide delivery to the brain. Bioconjugate Chemistry 2004; 15(1): 50-60.
- Riham Omar Bakr, Soumaya Saad Zaghloul, Reham Ibrahim Amer, Dalia Abd Elaty Mostafa and Mahitab Helmy El Bishbishy: Formulation, Characterization and Antimicrobial efficacy of Aegle marmelos Essential oil nanogel. Research Journal of Pharmacy and Technology 2021; 14(7): 3662-8.
- Saraogi GK, Tholiya S, Mishra Y, Mishra V, Albutti A, Nayak P and Tambuwala MM: Formulation Development and Evaluation of Pravastatin-Loaded Nanogel for Hyperlipidemia Management. Gels 2022; 8: 81.
- Paladi Ravali, Maroju Swetha and Sowjanya Battu: Formulation And Evaluation of Nanogels Prepared With Herbal Extracts For Antifungal Activity. IJARESM, 2021; 9(7): 1110-1120.
- Gökçe Tetik, Seda Rençber, Ezgi T Özoglu, Evren A Yapar, Sinem Y Karavana and Özgen Özer: Design and Evaluation of Topical Antioxidant Nanogel Formulations. J Cosmet Sci 2021; 72(1): 47-62.
- Nnamani PO, Ugwu AA, Nnadi OH: Formulation and evaluation of transdermal nanogel for delivery of artemether. Drug Deliv. and Transl Res 2021; 11: 1655–1674.
- Patil A and Kontamwar P: Formulation and evaluation of antifungal nanogel for topical drug delivery system". Asian Journal of Pharmaceutical and Clinical Research, 2021; 14(10): 127-34.
- Rane BR, Patil RS and Jain AS: Formulation development and evaluation of nanogel loaded with montelukast sodium niosomes. IJPSR 2021; 12(8): 4208-4221.
- Maddiboyina and Balaji: "Formulation and evaluation of thermosensitive flurbiprofen in situ nano gel for the ocular delivery. Journal of Biomaterials Science Polymer Edition 2021; 32: 1584 - 1597.
- Muniraj SN, Yogananda R, Nagaraja TS and Bharathi DR: Preparation and Characterization of Nanogel Drug Delivery System Containing Clotrimazole an Anti-Fungal Drug". Indo American Journal of Pharmaceutical Research 2020; 10(07): 1013-22.
- Inayat Bashir Pathan, Rashmi Dwivedi and Wahid Ambekar: Formulación y evaluación de ketoprofeno cargado de nanogel de quitosán para el manejo del dolor: estudio ex-vivo e in-vivo. Ars Pharm 2019; 60(2): 101-108.
- GNK Ganesh, Mantosh Kumar Singh, Samriddhi Datri, Veera Venkata Satyanarayana Reddy Karri. Design and Development of Curcumin Nanogel for Squamous Cell Carcinoma. J Pharm Sci & Res 2019; 11(4): 1638-1645.
- Inamdar Yashashri, Rane Bhushan and Jain Ashish: Preparation and Evaluation of Beta sitosterol Nanogel: A Carrier Design for Targeted Drug Delivery system. Asian J of Pharmac Research and Development 2018; 6: 81-87.
- Kathpalia H and Shreya KK: Topical Nanoemmigel Formulation of Boswellia serrata. Indian J Pharm Sci 2018; 80(2): 261-267
- Chopade: Formulation Development and Evaluation of Anti-Inflammatory Potential of Topical Tenoxicam Nanogel on Animal Model. Int J Recent Sci Res 2018; 9(12): 29951-29957.
- Shilpi A, Pradip KK and Gaurav A: Semi-Herbal Nanogel of Clindamycin Phosphate and Aloe vera: Formulation and Evaluation. Mod Appl Bioequiv Avail 2017; 2(5): 555-96.
- Phatak Atul A and Chaudhari Praveen D: Development and Evaluation of Nanogel as a Carrier for Transdermal Delivery of Aceclofenac. Asian J Pharm Tech 2012; 2(4): 125-132.
- Mohammed Layth Hamzah: Formulation and Evaluation of Flurbiprofen nanogel. Research J Pharm and Tech 2020; 13(11): 5183-5188.
- Anna Reeves, Serguei V Vinogradov, Phil Morrissey, Mitchell Chernin and Mansoor M Ahmed: Curcumin-encapsulating Nanogels as an Effective Anticancer Formulation for Intracellular Uptake. Mol Cell Pharmacol 2015; 7(3): 25-40.
How to cite this article:
Samaiya S and Sharma VK: Herbal drug loaded nanogel for effective treatment of skin disoders. Int J Pharm Sci & Res 2023; 14(4): 1691-02. doi: 10.13040/IJPSR.0975-8232.14(4).1691-02.
All © 2023 are reserved by International Journal of Pharmaceutical Sciences and Research. This Journal licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 3.0 Unported License.
Article Information
16
1691-1702
722 KB
574
English
IJPSR
Shivani Samaiya * and Virendra Kumar Sharma
School of Pharmacy, LNCT University, Bhopal, Madhya Pradesh, India.
naturefriend.deep@gmail.com
17 August 2022
15 October 2022
31 October 2022
10.13040/IJPSR.0975-8232.14(4).1691-02
01 April 2023