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. 2021 Nov 6;14(21):6687. doi: 10.3390/ma14216687

Table 2.

Summarized data.

System;
Method;
Size Obtained
Cell Line/In Vitro/In Vivo Models; Dose Diflunisal Release, Biodistribution Refs.
1 Poly(propylene sulfide;
oil-in-water emulsion method;
65.4 ± 0.4 nm
10 μg/mL, parenterally;
-murine preosteoblast MC3T3-E1 subclone 4 cell line;
-colony of S. aureus from a tryptic soy agar;
-inhibits the cytotoxicity of S. aureus supernatants;
-decreases S. aureus-induced cortical bone loss during osteomyelitis (on Day 14);
-had no effect on bacterial burdens.
-maximum release is reached at 33% of H2O2 at 24 h;
-biodistribution (FVB/NJ mice with osteomyelitis of livers, kidneys, and spleens) up to 24 h post injection.
[23]
2 Carbopol 934, Glyceryl dibehenate (Compritol® ATO 888);
microemulsification method;
124.0 ± 2.07 nm
-mice air pouch model;
-in vivo pharmacodynamic studies;
-better percentage suppression of oedema in mice ear oedema model (xylene induced) and rat hind paw oedema (carrageenan induced);
-mean leukocyte count was reduced to 4500 ± 436 cells/mm3 in SLN gel from 173 800 ± 1950 cells/mm3 in positive control;
-gastrointestinal and hepatic side effects were avoided;
-anti-inflammatory efficacy of DIF SLN gel as compared with conventional cream;
-did not cause any type of histopathology.
-permeation flux was maximum for solid lipid nanoparticles dispersion;
-skin retention was maximum for solid lipid nanoparticles gel;
-high-efficacy therapeutic effects were observed at a much less reduced dose as compared with conventional oral dose.
[25]
3 k-Carrageenan and chitosan;
layer-by-layer assembly technique;
300 nm
-nanocarriers with three and four coatings demonstrated Case II diflunisal transport mechanism and zero-order type of kinetics; -the release profile is directly dependent on the number of layers;
-maximum of cumulative release was reached at 100 min for all compositions with maximum as 95% for nanoemulsion and minimum as 45% for four (NE(k-CAR/CS)2) polyelectrolyte layers.
[26]
4 Chitosan–poly(vinyl alcohol) hydrogels without crosslinking agents;
the freeze–thawing method
-swelled 10-fold their initial weight, and after 20 h, hydrogel samples swelled up to 15-fold;
-encapsulation efficiency was equal to 70% in all cases.
-the release of diflunisal from the hydrogels was for 30 h;
-higher release profile is for sample CP4-80;
-burst effect was not detected for any type of the hydrogels.
[35]
5 70% soya bean lecithin, 30% butyl lactate and 23% water;
Lipoid S75 and Phospholipoin 85 G;
lipogel form and hydrogel microemulsion;
-skin penetration;
-gel has better spreadability and demonstrates a 5.07-fold increase in the transdermal flux as it was compared to Carbomer® 934 gel;
-lipogel LO1 demonstrated the ultimate permeability level (210.8 µg cm−2 h−1) and advanced percentage diflunisal permeated;
-the in vivo antihyperalgesia assay showed significant reduction of the licking time in the treated group compared to the control group.
[36,37]
6 pH-Sensitive hydrogels based on bovine serum albumin hydrophilic microspheres -release profile depends on diflunisal–polymer matrix interacting and diffusional restriction related to degree of crosslinking in the microparticles;
-at pH 6.8, the diflunisal released amount increased (w/w > 75% after 24 h).
[38]
7 β-Cyclodextrin (βCD), γ-cyclodextrin (γCD), and hydroxypropyl-β-cyclodextrin (HPβCD) -hydrophilic polymers (carboxymethyl cellulose sodium, polyvinyl alcohol, and poloxamer-188 (PXM188)) were used, the effect of the polymer addition on the solubility and dissolution has been studied.
-better solubility was for βCD and HPβCD inclusion complexes.
-maximum of diflunisal solubility (1259.5 ± 0.5 µg/mL) was detected for the complex with hydroxypropyl β-cyclodextrin and Poloxamer-188.
-the diflunisal release from β-cyclodextrin and hydroxypropyl β-cyclodextrin complexes was higher than of pure diflunisal in 11–21 times;
-hydrophilic polymers allow increasing the release rate of diflunisal in 15–28 times.
[45,46]
8 Cobalt(III)–polypyridyl complexes -kill the cancer stem cells and the majority of bulk cancer cells even at low concentrations;
-killing mechanism of cancer cells by composition number 5 includes the DNA damage and inhibition of COX-2;
-against breast cancer cells HMLER and breast cancer stem cells-enriched HMLER-shEcad;
-did not possess any toxicity toward normal skin fibroblast cells (line GM07575).
-differentially release the drug under acidic conditions;
-complexes selectively release diflunisal/1,10-phenanthroline-bearing complex 5 displays selective potency toward hard-to-kill cancer stem cells (CSCs) (IC50 = 2.1 ± 0.1 μM) over bulk cancer (IC50 = 3.9 ± 0.2 μM) and normal cells (IC50 = 21.2 ± 1.3 μM). This complex induces CSC apoptosis by DNA damage and cyclooxygenase-2 inhibition.
[51]
9 Copper (II) complexes with O-donor ligand N,N-dimethylformamide or N-donor heterocyclic ligands (2,2′-bipyridine, 2,2′-bipyridylamine, 1,10-phenanthroline and pyridine) -good binding ability to bovine and human serum as well as to calf–thymus DNA. [52]
10 Poly(ethylene glycol) (PEG) The better release was for the drug–polymer ratio of 1:7. [64]
11 Eudragit RS100 and RL100 Changes in the release profile, leading to slow and prolonged kinetic profile. [66]
12 Eudragit RS100, S100, L100,
and ethyl cellulose; pH-dependent, time dependent, and combined pH and time-dependent systems.
-the ratio 2:3:1 Eudragit S100/Eudragit RS100/diflunisal is the most successful;
-colon-specific delivery for the treatment of a variety of diseases, such as nonspecific ulcerative colitis, cirrhosis disease, intestinal amoebiasis, colon tumor.
The release was 0.22 ± 0.03% of the drug included in it in the stomach pH and 26.29 ± 0.91% of the drug in the intestine pH and 77.59 ± 1.79% of the drug in the colon pH. [67]
13 Ethylenediamine (EDA) core polyamidoamine (PAMAM) dendrimers -improve transdermal delivery of diflunisal and its pharmacokinetic and pharmacodynamics profiles;
- enhance transdermal delivery of diflunisal;
-diflunisal–PAMAM complexes lead to 2.48-fold increase in drug level.
[72]

Abbreviated terms: COX-2—cyclooxygenase-2; CS—chitosan; CSC—cancer stem cells; DIF—diflunisal; DNA—deoxyribonucleic acid; EDA—ethylenediamine; FVB/NJ—multipurpose inbred mice strain; GM07575—normal skin fibroblast cells; HMLER—bulk breast cancer cells; HMLER-shEcad—breast cancer stem cells-enriched; HPβCD—hydroxypropyl-β-cyclodextrin; k-CAR—k-carrageenan; Lipogel LO1—organogel based on Lipoid S75; MC3T3-E1—osteoblast precursor cell line derived from musculus (mouse) calvaria; NE—nanoemulsion; PAMAM—polyamidoamine; PEG—poly(ethylene glycol; PXM188—poloxamer-188; SLN gel—solid lipid nanoparticles gel; βCD—β-cyclodextrin; γCD—γ-cyclodextrin.