Pharmaceutics (Oct 2023)

Characterization and Bio-Evaluation of the Synergistic Effect of Simvastatin and Folic Acid as Wound Dressings on the Healing Process

  • Mahmoud A. Hashem,
  • Badriyah S. Alotaibi,
  • Mahmoud M. A. Elsayed,
  • Manal E. Alosaimi,
  • Amal K. Hussein,
  • Maram H. Abduljabbar,
  • Kyung-Tae Lee,
  • Hamdy Abdelkader,
  • Mohamed A. El-Mokhtar,
  • Ahmed H.E. Hassan,
  • Amany A. Abdel-Rheem,
  • Amany Belal,
  • Mohammed S. Saddik

DOI
https://doi.org/10.3390/pharmaceutics15102423
Journal volume & issue
Vol. 15, no. 10
p. 2423

Abstract

Read online

Wound healing is a significant healthcare problem that decreases the patient’s quality of life. Hence, several agents and approaches have been widely used to help accelerate wound healing. The challenge is to search for a topical delivery system that could supply long-acting effects, accurate doses, and rapid healing activity. Topical forms of simvastatin (SMV) are beneficial in wound care. This study aimed to develop a novel topical chitosan-based platform of SMV with folic acid (FA) for wound healing. Moreover, the synergistic effect of combinations was determined in an excisional wound model in rats. The prepared SMV-FA-loaded films (SMV-FAPFs) were examined for their physicochemical characterizations and morphology. Box-Behnken Design and response surface methodology were used to evaluate the tensile strength and release characteristics of the prepared SMV-FAPFs. Additionally, Fourier transform infrared (FT-IR), differential scanning calorimetry (DSC), X-ray diffraction pattern (XRD), and animal studies were also investigated. The developed SMV-FAPFs showed a contraction of up to 80% decrease in the wound size after ten days. The results of the quantitative real-time polymerase chain reaction (RT-PCR) analysis demonstrated a significant upregulation of dermal collagen type I (CoTI) expression and downregulation of the inflammatory JAK3 expression in wounds treated with SMV-FAPFs when compared to control samples and individual drug treatments. In summary, it can be concluded that the utilization of SMV-FAPFs holds great potential for facilitating efficient and expeditious wound healing, hence presenting a feasible substitute for conventional topical administration methods.

Keywords