Why the study?
To test whether carvedilol in a nanomicelles-based formulation improves oral bioavailability, hemodynamic parameters, and target organ damage protection compared with conventional liquid carvedilol and losartan in spontaneously hypertensive rats.
Does carvedilol encapsulated in nanomicelles improve central hemodynamics and prevent target organ damage compared to conventional carvedilol and losartan in spontaneously hypertensive rats?
Does carvedilol encapsulated in nanomicelles improve central hemodynamics and prevent target organ damage compared to conventional carvedilol and losartan in spontaneously hypertensive rats?
Encapsulation of carvedilol in nanomicelles improves its oral bioavailability and efficacy in controlling central hemodynamics and preventing target organ damage in hypertensive rats compared to a conventional liquid formulation.
May improve target organ protection in hypertensive rat models; extends nanomicelle data but leaves clinical translation open.
The hypothesis of this work was that chronic treatment with carvedilol (CAR) administered in a nanomicelles-based formulation (CAR-NMs), which increases CAR oral bioavailability, is more effective than a conventional liquid CAR formulation (CAR-LCF) and is comparable to chronic treatment with losartan (LOS) in improving hemodynamic parameters and preventing target organ damage (TOD) in spontaneously hypertensive (SH) rats. Chronic treatment with CAR-NMs significantly improved central hemodynamic parameters (systolic and diastolic blood pressure (BP) and its variability) to a similar extent as LOS, and with superior efficacy than CAR-LCF. Although LOS was more effective than CAR-NMs and CAR-LCF in reducing peripheral systolic BP, both LOS and CAR-NMs, in contrast to CAR-LCF, were able to significantly reduce short-term BP variability indexes. Both CAR formulations and LOS significantly reduced aortic media wall thickness and interstitial collagen deposition, and lowered TNF-α expression in left ventricle (LV) in SH rats. Only CAR-NMs significantly reduced IL-6 expression and were more effective in reducing ventricular TGF-β expression in LV of SH rats. These findings suggest that encapsulation of CAR in NMs improved its ability to control central hemodynamics in SH rats when compared with CAR-LCF, mainly due to a greater effect on carotid systolic BP and short-term BP variability, resulting in a higher protection against TOD compared to CAR-LCF.
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Parola et al. (2025) studied this question.
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