Key result
Engineered breviscapine nanocrystals boost oral absorption ~7-fold and improve post-MI cardioprotection.
Why the study?
Breviscapine's oral application for cardioprotection in myocardial infarction is limited by poor solubility, permeability, P-gp efflux, and gastrointestinal absorption barriers.
Does R8-F127-VES@BRE-NCs improve oral absorption and cardioprotection compared to raw breviscapine in an isoprenaline-induced myocardial infarction rat model?
Does R8-F127-VES@BRE-NCs improve oral absorption and cardioprotection compared to raw breviscapine in an isoprenaline-induced myocardial infarction rat model?
Effect estimate: 7.37-fold increase
Surface-engineered breviscapine nanocrystals overcome oral delivery barriers, significantly enhancing oral absorption and cardioprotection in a preclinical myocardial infarction model.
May support nanocrystal strategies for breviscapine delivery in rats; leaves open human translation for myocardial infarction.
Purpose: Breviscapine (BRE) possesses excellent cardioprotective efficacy against myocardial infarction (MI). However, its oral application is severely hindered by BCS Class IV properties, including poor solubility and permeability, accompanied by P-glycoprotein (P-gp)-mediated drug efflux and gastrointestinal absorption barriers. Arginine-rich CPPs such as R8 can promote cellular uptake, whereas cationic surface characteristics may restrict particle mobility in gastrointestinal mucus. Conversely, hydrophilic and electro-neutral surfaces favor mucus penetration but may reduce epithelial uptake. This imposes challenges for balancing these two absorption barriers. To solve these problems, we developed surface-engineered nanocrystals with sequential barrier-crossing capability (R8-F127-VES@BRE-NCs). Methods: We engineered multifunctional nanocrystals (R8-F127-VES@BRE-NCs) featuring a sequential barrier-crossing design: nanocrystal technology increases saturation solubility, Pluronic F127 imparts mucus-penetrating capability, R8 peptide facilitates epithelial internalization, and Vitamin E Succinate (VES) may contribute to efflux modulation. Results: Comprehensive characterization and in vitro studies suggested that this integrated design helped address the trade-off between mucus diffusion and epithelial uptake. Pharmacokinetic studies revealed a marked enhancement in oral BRE absorption, with C max and AUC 0-∞ increased to 185.76 ng/mL and 1418.34 ng·mL − 1 ·h (4.27- and 7.37-fold over BRE-raw). Following establishment of the isoprenaline-induced myocardial injury model, 14-day oral treatment with R8-F127-VES@BRE-NCs showed enhanced cardioprotective effects, as evidenced by reduced infarct size and improved oxidative stress-related biochemical indicators. Conclusion: R8-F127-VES-modified nanocrystals provide a promising strategy for overcoming oral delivery barriers and enhancing the cardioprotective effects of orally administered BRE.
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Li et al. (2026) studied Isoprenaline-induced myocardial infarction. R8-F127-VES@BRE-NCs vs. BRE-raw was evaluated on Pharmacokinetic oral absorption (AUC0-∞) (7.37-fold increase). R8-F127-VES-modified breviscapine nanocrystals enhanced oral absorption, increasing AUC0-∞ by 7.37-fold compared to raw breviscapine, and improved cardioprotection in a myocardial infarction model.
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