in International journal of biological macromolecules by Mansi Athalye, Mehul Chorawala, Abhilasha Sharma, Sandip Patel, Rashmin Patel, Mrunali Patel
Epilepsy affects approximately 20-40 % of patients with brain-tumors, significantly impacting their quality of life and overall survival rates. To address this, Levetiracetam (LVM) has emerged as effective treatment option due to minimal negative interactions with other medications and reduced side-effects. However, its hydrophilic nature necessitates high doses and frequent administration, which can lead to drug resistance and hinder the clinical response to therapy. The present research focuses on developing a novel formulation of LVM-loaded mesoporous silica nanoparticles(LVM-MSN) conjugated with Apolipoprotein E3(ApoE3) for enhanced brain-targeting. LVM-MSN were prepared using the calcination method after optimizing different synthesis parameters. Chitosan was employed as capping agent to form LVM-Chito-MSN, which was characterized using zeta potential, XRD, FE-SEM, and TEM study. Further, LVM-Chito-MSN was functionalized by ApoE3 as brain-targeting ligand through direct coating approach(ApoE3@LVM-Chito-MSN). In-vivo pharmacokinetic study and biodistribution study indicated an impressive 3-fold increase in brain-uptake of ApoE3@LVM-Chito-MSN, with reduced distribution to other organs compared to LVM solution. The hemolysis study and histological examination of major organs indicated safety of the formulation. Consequently, functionalization of MSN with ApoE3 represents promising strategy for enhanced brain targeting, which could lead to improved patient compliance and better overall survival rates for patients suffering from brain tumor-related epilepsy.