Oral co-polymeric raft-forming nano gels for targeted empagliflozin delivery against stomach cancer (SGC7901)

Empagliflozin (EMP) is known for its poor safety and efficacy profile due to its fast body distribution and poor solubility. Accordingly, an oral long-acting and floating/raft-forming nano gel was optimized to release coated EMP nanoparticles, and the released EMP nanoparticles showed enhanced dissolution compared to raw EMP particles. To repurpose EMP for cancer treatment, EMP shows anti-cancer and anti-inflammatory effects against cancer cells. EMP nanoparticles were characterized using FT-IR, PXRD, SEM, EMP encapsulation assay, and release studies. The raft-forming gel encapsulating the EMP was optimized and characterized. The EMP co-polymeric nanoparticles were studied to investigate EMP anti-cancer and anti-inflammatory activities against stomach cancer cells. The solubility of EMP nanoparticles was enhanced in 0.1 N HCl and pH 6.8 by 5 and 12 folds, respectively, compared to raw EMP powder. The particle size and zeta-potential values of improved EMP nanoparticles were 135.40 ± 18.60 nm, and −19.30 ± 0.80 mV, respectively. FT-IR, PXRD, SEM and TEM characterizations revealed polymeric coating of EMP particles. The study suggested that this optimized controlled-release raft-forming gel is a promising local oral approach against stomach cancer. The repurposing of EMP co-polymeric nanoparticles for stomach cancer and associated gastritis treatment was justified.


Introduction
Stomach cancer is a major public health concern around the world.The incidence and frequency of stomach cancer are increasing at an alarming rate.As a result, there is an unmet need for novel therapeutic development or repurposing of existing therapies to effectively control and treat stomach cancer [1].Empagliflozin (EMP) is a newer type of diabetes medication that works by inhibiting the proximal tubular sodium-glucose co-transporter-2 (SGLT-2) and is hence referred to as an SGLT-2 inhibitor [2].Previously published studies have shown the potent anti-cancer potential of EMP against cervical cancer via modulation of redox status and AMPK pathways.Another recently published study showed the anti-cancer potential of EMP and metformin via modulation of NF-kB/TNF-α, MMPs, Akt, Ki-67, and VEGF axis [3].EMP was also reported to have potent anti-inflammatory potential, and thus, this drug is a promising candidate to address stomach cancer.In addition, the development of an EMP controlled-release gastro-retentive system could enhance its poor safety and efficacy profile which arises due to the fast body distribution and poor solubility [4].As a result, the goal of the current study was to design and produce EMP-loaded Alginate (SA)-Ploy Ethylene Glycol (PEG) nanoparticles (EMP-ALG-PEG-NPs) to treat stomach cancer.To that end, an oral long-acting and gastro-retentive raft-forming nano gel with EMP-ALG-PEG-NPs was optimized and loaded.The SA is a hydrophilic and linear polysaccharide composed of D-mannuronic acid and L-guluronic acid [5].The SA, of a low molecular weight grade (5000-20,000 Da), comprises multiple hydroxyls and carboxylate groups.Alginate, a biodegradable polymer, has been extensively studied as a safe and effective carrier for anti-cancer drugs for different cancers.Alginate polymer offers a non-toxic, stable carrier system with significant encapsulating properties [5].PEGs, in comparison, are hydrophilic synthetic oligomers or polymers derived from ethylene glycols.Their chemical formula is H-(O-CH2-CH2) m -OH, where m is the degree of polymerization, and they contain both hydrophobic and hydrophilic ethylene units (CH 2 -CH 2 ).The PEG (6000 g/mol) polymer is distinguished by the poly ether groups and its ability to act as a surfactant in dosage forms.Therefore, SA and PEG polymers could bind with the hydroxyl groups of EMP after coating and decrease the EMP's aromatic rings' interfacial tension through hydrogen bond formation with SA and PEG [6][7][8].Subsequently, these attempts were combined with the formation of the NPs to increase stability and biological activity sensitivity [9][10][11][12][13][14][15].
Nanoparticles (NPs) are nanosized drug delivery systems ranging from 10 to 1000 nm.Because of their reduced size and enhanced sensitivity and stability, it has been extensively used for targeting drugs against different types of cancer [16].In one study, alginate NPs with a size range of 85-300 nm loaded with prednisolone were used for targeted colonic delivery [17].
EMP is known for its poor safety and efficacy profile due to its fast body distribution and poor solubility.An oral long-acting and floating/raft-forming nano gel was optimized to release coated EMP nanoparticles, and the released EMP nanoparticles showed enhanced dissolution compared to raw EMP particles.In this study, the EMP-ALG-PEG-NPs were developed and characterized using FT-IR, PXRD, SEM, EMP encapsulation assay, EMP solubility studies, and release studies compared to the EMP-free drug.In addition, the controlled release raft-forming gel encapsulating the EMP was optimized, developed, and characterized.The EMP co-polymeric NPs were studied to investigate EMP anti-cancer, anti-inflammatory effects on stomach cancer cells, and dissolution enhancement effects compared to free EMP.

Preparation and optimization of EMP-ALG-PEG-NPs
In water, a stock solution of 30 mg/mL SA-low molecular weight grade (5000-20,000 Da, CAS.NO. 9005-32-7) was prepared.Afterwards, 100 mg of EMP was added using water to different amounts of PEG (6000 g/mol, CAS.NO. 25322-68-3) to complete 4.5 mL dispersion using a magnetic stirrer (Table 1).Following that, ultrasound nanomaterial dispersion equipment with a high shear probe sonicator (20 kHz, 2000 W, and 20 mm probe diameter, Biosafer ultrasonicator, China) was used for 15 min to add various colloidal dispersions of EMP and PEG to a 3.5 mL of SA stock solution [12,13].
The particle size of the various liquid combinations was determined using a zeta-sizer (Malvern Zeta-sizer Nano ZS, Malvern Instruments Ltd., UK).The zeta potential value of the best EMP-ALG-PEG-NPs system with the smallest particle size and homogeneous PDI was also investigated.To extract the drug NPs from the polymeric system, 2 mL of the optimized co-polymeric system was diluted with 2 mL of distilled water and vortexed for 30 s.The mixture was then centrifuged for 15 min at 3000 rpm to allow the larger particles to settle, and samples for zeta size measurement were obtained from the supernatant layer [15].Furthermore, drug NPs encapsulation effectiveness was assessed using UV-scanning (Shimadzu, Japan) of the collected samples at 272 nm using the formula shown below [7,11].

Morphology and dispersion investigations
Scanning electron microscopy (SEM) was used to examine the structure and particle distribution of EMP, PEG, SA, physical mixture, blank co-polymeric NPs, and EMP-ALG-PEG-NPs in powder form (JSM-7600F, Jeol, Japan).A 30 kV voltage was used to examine the dried material.Moreover, Transmission Electron Microscopy (TEM) was used to investigate the morphology and size of EMP-ALG-PEG-NPs (JEM-F200, Jeol, Japan).TEM photos were acquired after negative staining (phosphotungstic acid, 2 %) was performed by depositing one drop of the material, after appropriate dilution, over a copper grid [14].

Solubility assessment
Centrifuge tubes of 15 mL were filled with samples comprising more than 10 mL of the fluid under inquiry.The materials were vortexed for 15 min before being placed in a shaking water bath for 72 h.After centrifuging the material, the supernatant was dissolved in a precise amount of ethanol.The EMP content was calculated using UV-spectrophotometry at 272 nm [19].

Formulation and optimization of raft-forming gel encapsulating EMP-ALG-PEG-NPs
Optimum EMP-ALG-PEG-NPs using a 12.5 mg/mL EMP concentration was suspended in different volumes of SA-high molecular weight (600,000 g/mol) of 3 % stock solution as mentioned in Table 2 using a stirrer machine for 10 min [20][21][22].

EMP release analysis
EMP release was examined in three raft-forming gels (F1-F3), the EMP raw material, and the optimum EMP-loaded co-polymeric NPs at 37.00 ± 0.05 • C in a shaker at 75.00 ± 0.05 rpm.The EMP raw material was dispersed in distilled water until a 12.5 mg/mL EMP concentration which was similar to the EMP-ALG-PEG-NPs [3,23].The groups were placed in dialysis bags with a cut-off value of 12,000-14,000 (Sigma, USA) that were submerged in 300 mL of the release media.For the first 2 h, the groups were immersed in 0.1 N HCl, a simulated stomach fluid with a pH of 1.2.The groups were then immersed in a phosphate buffer with a pH of 6.8, which resembled proximal intestine fluid.To imitate sink body conditions, the medium was completely replaced after 1 h [20].

Raft characterization analysis
The raft-forming gels in Table 2 were characterized by measuring raft strength, volume, and resilience.Raft characterizations and release were used as selection criteria for the optimum raft forming gel encapsulating the EMP-loaded co-polymeric NPs [24,25].The volume, weight, strength, and resilience of the raft produced in 0.1 N HCl were measured.

Raft density
In a pre-weighed 250 mL glass beaker (W1), a volume (15 mL) was added to 150 mL HCl.The position of the raft's top was marked on the outside of the beaker after 30 min of raft construction.The total weight of the beaker and contents (W2) was obtained after raft creation.The raft was carefully removed from the beaker after gently decanting off the supernatant liquid and placing it into a pretared watch glass.The supernatant liquid was drained after 30 s, and the raft was weighed (W3).The leftover liquid was scraped with a paper towel from the interior of the beaker before it was refilled with water to the specified position and weighed (W4).The volume (mL) of each raft was calculated using the weights (gm) obtained as (W4-W1)-(W2-W1-W3), assuming a subnatant density of 1.

Raft durability
Each formula (15 mL) was mixed with 150 mL of 0.1 N HCl and stored at 37 • C in a 50 mL centrifuge tube.After 30 min, the tube was sealed and swirled at 20 rpm in a roller mixer to imitate stomach agitation (Roller Mixer-205 RM, Hawashin Tech.Company, Korea).The raft was visually evaluated every 2, 5, 10, 20, 30, 45, and 120 min, or until it sedimented or was no longer visible.Raft durability was calculated using the period after which the raft could no longer be seen.

Raft strength
Rafts were created in a 250 mL glass beaker over 30 min by adding a formulation volume (15 mL) to 150 mL of 37 • C 0.1 N HCl.The rafts were removed, and the force (N= Kg.m/s 2 ) needed by a stainless-steel cone to break the raft was measured using a Texture Analyzer XT Plus C (Stable Micro Systems, UK).The strength was expressed in terms of mass (g) after dividing the force required by the constant acceleration of the stainless-steel cone.

Cell viability assay
To evaluate the therapeutic efficacy of developed NPs after the release from the raft, anti-cancer activity was determined against the stomach cancer cell line, i.e., SGC7901, via MTT assay.For this purpose, SGC7901 cells were first incubated in a 96-well plate at a temperature of 37 • C for 24 h.This study was carried out with a cell density of 5 × 10 3 SGC7901 cells/well in a humidified CO 2 chamber.Then various selected treatment groups of SGC7901 such as ALG-PEG-NPs, EMP-ALG-PEG-NPs, and EMP in comparison to the control were evaluated for cell viability after retaining for 24 h.The positive control was the untreated cancer cells, and the negative control was the culture media without the cells.All collected samples from cell plates were centrifuged and the collected supernatant (100 μl) was replaced with DMSO.Then, these dilutions were placed in a CO 2 incubator at 37 • C for 4 h.After incubation, samples were analyzed by taking absorbance through a microplate at 570 nm in triplicate [2,26,27].

ELISA test
For the level of IL-6 and TNF-α, commercially available ELISA kits (Abcam, UK and Invitrogen, USA, respectively) were used, and inflammatory and apoptotic markers were estimated as per the manufacturer's instruction [2,26,27].

Statistical interpretation
Statistical analysis was performed using one-way ANOVA followed by Tukey's Multiple Comparison Test, and data were represented in terms of mean±standard deviations (SD).p ≤ 0.05 was regarded as statistically significant in the statistical analysis, which was performed using Graph Pad Prism 4.0 software (Graph Pad Software San Diego, USA).

Selection and optimization of EMP-ALG-PEG-NPs
In water, a stock solution of 30 mg/mL SA-low molecular weight grade (5000-20,000 Da, CAS.NO. 9005-32-7) was prepared.Afterwards, 100 mg of EMP was added using water to different amounts of PEG (6000 g/mol, CAS.NO. 25322-68-3) to complete 4.5 mL dispersion using a magnetic stirrer (Table 1).Following that, ultrasound nanomaterial dispersion equipment with a high shear probe sonicator (20 kHz, 2000 W, and 20 mm probe diameter, Biosafer ultrasonicator, China) was used for 15 min to add various colloidal dispersions of EMP and PEG to 3.5 mL of SA stock solution [12,13].According to Table 1, formulation no. 3 showed the smallest and the most homogenous EMP-ALG-PEG-NPs compared to the other formulations.Particle size analysis of the optimum EMP-ALG-PEG-NPs system (Formula 3) showed a particle size average of 135.40 ± 18.60 nm.The zeta potential and PDI values of formula 3 were − 19.30 ± 0.80 mV and 0.44 ± 0.13, respectively, which confirmed the medium aggregation tendency, homogeneity and SA coating of the generated EMP-ALG-PEG-NPs [28].As a result, the EMP NP encapsulation efficiency of the optimum co-polymeric system was 89.33 ± 0.23 %.In sum, the difference between the three different formulations was the PEG: SA ratio; and the highest ratio was in formulation no. 3.This difference could lead to optimum shearing and coating of the EMP, in which the PEG was a surfactant that decreased the interfacial tension between the EMP and SA [6,8,14,29].Interestingly, the PEG, SA, and EMP amounts were 11.25, 13.13, and 12.5 mg/mL in formulation no. 3, respectively.

Fourier transform-infrared (FT-IR)
As shown in Fig. 1, the EMP spectrum shows consistency with the literature regarding the presence of absorption bands at 3435 cm − 1 (O-H stretching), 3260 and 3000 cm − 1 (aromatic C-H stretching), 2900 and 2800 cm − 1 (aliphatic C-H stretching), and 1050 cm − 1 (C-O stretching) [30].Meanwhile, the PEG spectrum shows the ether bond (C-O) stretching at 3600-3400 cm − 1 and the aliphatic ethylene (C-H) or (C-C) bands at 1100-1000 cm − 1 6 .The peaks of interest and similarity between PEG and the composite materials, i.e., 2800-2900 cm − 1 , were added to Fig. 1 as an indication of the dominant PEG coating of the EMP nanoparticles [31].In addition, the SA spectrum is distinguished by the carboxylate (C-O) and (H-O) stretching at 4000-3500 cm − 1 and the aromatic (C-C) and (H-C) bands between 1600-1000 cm − 1 10 .As a comparison, the physical mixture spectrum shows blends of EMP, PEG, and SA peaks.However, the blank co-polymeric NPs spectrum confirms the outer functionalities of the system, in which the spectrum is divided into SA's carboxylate (C-O) and (H-O) stretching between 4000-3500 cm − 1 , and PEG had a similar spectrum between 3500 and 500 cm − 1 for ether bond (C-O) stretching, 2800-2900 cm − 1 , and the aliphatic ethylene (C-H) or (C-C) bands.Meanwhile, the EMP-ALG-PEG-NPs spectrum has a similar spectrum to the blank one, but with a higher band intensity between 4000-3500 cm − 1 of SA and PEG's carboxylate (C-O) and (H-O) stretching.The previous intensification of the 4000-3500 cm − 1 band could be due to EMP hydrogen bond formation [10].Interestingly, EMP could be coated with SA and PEG to enhance dissolution.Therefore, the SA and PEG polymers could bind with the hydroxyl groups of EMP after coating and decrease the EMP's aromatic rings' interfacial tension through hydrogen bond formation with SA and PEG.This type and order of binding could encapsulate the hydrophobic functionalities in the EMP inside the particles to expose the hydroxyl groups with the PEG and SA coating [14,30].The main and related peaks are marked with the similar colors in Fig. 1 between the groups.

Powder X-ray diffractometer (PXRD)
As shown in Fig. 2A and B, EMP and PEG have crystalline diffractograms compared to that of SA.The physical mixture shows a combination of both SA and PEG diffractograms (Fig. 2C and D).In comparison, blank NPs have a diffractogram of different characters compared to that of crystalline PEG, which could be due to the higher SA amounts and increased influence on NPs compared to PEG.Interestingly, the EMP-ALG-PEG-NPs have a less noisy diffractogram than the blank one due to the EMP crystals.The previous result confirms the crystalline nature of EMP-ALG-PEG-NPs, which might add to their stability (Fig. 2E and F) [32][33][34].
The diffractograms of the EMP, physical mixture and EMP copolymeric nanoparticles were analyzed in Table 3 based on the theta (θ, degree) of marked peaks.The analysis included the use of Bragg's Law to determine the inter-planner spacing (dhkl, A), Miller indices (h, k, l) and lattice constant (a, A) assuming the cubic structure as the equation below [35].
The inter-planner spacing (d hkl , A) values was calculated using the first equation (Bragg's Equation), mentioned θ values mentioned in Table 3, Diffraction peak order (n) as it equals to 1, and X-ray wavelength (λ) to be 1.54 A. Using the International Center Diffraction Data (ICDD) card and based on the d hkl found, the values of the miller indices (h, k, l) were found to be used for the lattice constant (a) calculation in the different groups.In Table 3, the EMP and physical mixture crystal and lattice parameters were similar.The EMP's crystals peaks in the physical mixture diffractogram were with lower intensities due to the SA and PEG dilution effect.However, the EMP copolymeric nanoparticles' crystal lattice parameters were different than the other groups indicating the effect of the SA and PEG coating on the EMP particles.This might influence the dissolution enhancement of EMP using EMP copolymeric nanoparticles [35].

Morphology and dispersion investigations
As shown in Fig. 3A-C for SEM imaging, the EMP crystalline particles are smaller than the PEG crystalline and SA amorphous particles.However, the blank co-polymeric matrix of SA and PEG using their optimized amounts are different in morphology than the original raw SA and PEG due to the film formation ability of SA after hydration and drying (Fig. 3D) [11,31].In comparison, the optimum EMP-loaded co-polymeric matrix crystals are smaller than the EMP, as marked in Fig. 3E.After all, the optimum EMP-loaded co-polymeric matrix is comprised of regular shapes compared to the EMP crystals.Moreover, EMP deposition and encapsulation on the flakes of the blank co-polymeric matrix were observed in the optimum EMP-loaded co-polymeric matrix.The optimum EMP-nanoparticles TEM image (Fig. 3F) was found to have spherical nanoparticles with average size of monomeric nanoparticles of less than 50 nm, but the image shows tendency of aggregation that could be correlated to the particle size analysis results.

Solubility assessment
In Table 4, the solubility of EMP nanoparticles was enhanced in the 0.1 N HCl and pH 6.8 by 5 and 12 fold, respectively, compared to raw EMP powder.After all, the EMP co-polymeric NPs' had more enhanced solubility in the simulated intestinal media (pH 6.8) than the simulated gastric media (pH 1.2) compared to the raw material, which might be due to SA coating of the NPs [4,5,10].In addition,

Table 3
The lattice constant (a) calculation using Inter-planner spacing (d hkl ), peak values (θ) and miller indices (h, k, l).   the SA and PEG polymers bonded with the hydroxyl groups of EMP after coating through hydrogen bond formation to decrease the EMP's aromatic rings' interfacial tension.This type and order of binding could encapsulate the hydrophobic functionalities in the EMP inside the particles to expose the hydroxyl groups with the PEG and SA coating as suggested in the FT-IR results [32,36].

EMP release analysis and raft characterizations
The coated EMP NP's release rate was faster than free EMP by more than two fold in the simulated gastric media (Fig. 4A).In addition, the coated EMP-ALG-PEG-NPs release rate in the simulated intestinal media was more than three fold higher than the free EMP (Fig. 4A).As a result, the dissolution enhancement of EMP using the SA and PEG coating and hydrogen bond formation was confirmed in the simulated gastric media and simulated intestinal media, which could be applied after release from the formation of the optimized raft.The SA and PEG polymers bonded with the hydroxyl groups of EMP after coating and decreased the EMP's aromatic rings' interfacial tension through hydrogen bond formation with SA and PEG [13].
For the comparison between the different raft-forming gels containing the EMP-ALG-PEG-NPs, the release analysis of the F1, F2 and F3 containing 6, 12, and 18 mg/mL, respectively, of high molecular weight SA (Table 5) were studied using Initial Dissolution Rate (IDR) and Mean Dissolution Time (MDT) for the first 2 h (MDT 1.2 ) and last (MDT 6.8 ) 4 h [9].The IDR is the dissolved drug amount (mg) over the first 30 min per min.MDT was calculated using the following equation;

ΔM
Where i = dissolution sample numbers, n = number of dissolution times, t = time at the midpoint between times ti and ti-1, ΔM = amount of drug dissolved between times ti and ti-1.MDT is the time required for 50 % drug release.A higher mean dissolution time value suggests a slower release rate [20].As shown in Table 5, F2 had the lowest IDR of burst release and highest MDT 6.8 values compared to the F1 and F3 formulations, which could contribute to PEG and SA hydrophilic interactions and hydrogen bond formation for raft formation of the optimum SA, PEG, and EMP combinations in contact with 0.1 N HCl.In addition, Fig. 4B shows a similarity between the F1 and F3 formulations' release behavior (Similarity Factor [20] = 76.02 ± 0.00 "≥60").The F2 formulation's release profile (Fig. 4B) was between the poorly soluble raw EMP drug and the EMP-SA-PEG-NPs.Moreover, the F2 formulation's release results indicated a higher release rate (MDT 1.2 ) in the simulated gastric media compared to the F1 and F3 formulations, and the results showed a lower release rate (MDT 6.8 ) in the simulated intestinal media compared to the F1 and F3 formulation.The overall release profile of the F2 formulation was compatible with having a controlled release formula with minimal burst release, a higher rate of dissolution in the simulated gastric media compared to the simulated intestinal media, and the ability to release the EMP-nanoparticles with better dissolution compared to the free drug at the gastric region as the action site.All these parameters were supported by the ability of the formulation to float instantaneously when in contact with the simulated gastric media.To support that, the raft characterizations of F1, F2 and F3 formulations are listed in Table 6.The raft characterizations of the F2 formulation showed the most durable, strongest, and lowest density raft compared to the F1 and F3 formulations.The F2 raft formed after 8 h of exposure to 0.1 N HCl as illustrated in Fig. 5. F2 formulation release and raft characterizations findings were correlated to the strong interaction between SA, PEG and EMP induced after exposure to the simulated gastric media [22,37].In Fig. 5, the insoluble floating gel "raft" was formed in the presence of the simulated gastric media (0.1 N HCl).This is related to alginate gel conversion to alginic acid in an acidic media [20].

Anti-cancer actions of the EMP nanoparticles
MTT assay is an extensively used colorimetric assay for estimating metabolic activities.In normal physiological conditions, NAD(P) H-dependent oxidoreductase present in the cytosol of the cell provides a concrete idea about the viable number of cells.Interestingly, enzymes react with the MTT assay's tetrazolium dye and convert it into insoluble formazan (purple color).This colour change is only possible when the cell is viable and the mitochondrial reductase enzyme is active.Thus, based on the absorbance captured at 570 nm, cell viability or IC 50 can be calculated.Hence, IC 50 or this process (MTT assay) provides important information about the anti-cancer potential of an investigational drug [15].As a result, in this investigation, we used the MTT test to assess the anti-cancer potential of our optimized produced EMP-ALG-PEG-NPs and compared them to ALG-PEG-NPs and EMP.The study found that EMP-ALG-PEG-NPs had the lowest IC50 value (6.02 ± 0.29 μg/mL), followed by EMP (29.91 ± 0.95 μg/mL) and ALG-PEG-NPs (78.62 ± 5.37 μg/mL) (Fig. 6).Moreover, based on the MTT assay, it was inferred that EMP-ALG-PEG-NPs exceeded by three times the EMP potency and exceeded by ten times the ALG-PEG-NPs potency against stomach cancer cells.The findings were correlated to the dissolution enhancement, better cellular entrapment, and nanoparticles that boosted the sensitivity of the EMP-ALG-PEG-NPs compared to the   other groups [10].

Anti-inflammatory effects of EMP nanoparticles
Blocking or reducing the expression of NF-κB and other pro-inflammatory cytokines appears to be an important therapeutic modality in the treatment and management of stomach cancer [1].Hence, in the present study, we checked the effect of various developed formulations and EMP for their anti-inflammatory effect.The outcomes of the study showed a significant increase in the level of TNF-α (Fig. 7A) and IL-6 (Fig. 7B) in the control group compared to EMP-ALG-PEG-NPs by 2.57 and 3.19 fold, respectively (p < 0.001).Moreover, when the anti-inflammatory effect was compared between EMP-ALG-PEG-NPs and ALG-PEG-NPs and between EMP-ALG-PEG-NPs and EMP, it was found that EMP-ALG-PEG-NPs significantly reduced the level of TNF-α and IL-6 as compared to ALG-PEG-NPs (p < 0.001 for TNF-α and IL-6 by 2.45 and 2.94 folds, respectively), and EMP (p < 0.001 for TNF-α and p < 0.01 for IL-6, by 1.48 and 1.72 folds, respectively) (Fig. 7).The findings were correlated to the dissolution enhancement, better cellular entrapment, and nanoparticles boosted sensitivity of the EMP-ALG-PEG-NPs compared to the other groups [10].Thus, based on the outcome of the inflammatory study, the results justify the rationale for repurposing the EMP-ALG-PEG-NPs for the treatment and management of stomach cancer and associated gastritis.

Conclusion
EMP is known for its poor safety and efficacy profile due to its fast body distribution and poor solubility.An oral long-acting and floating/raft-forming nano gel was optimized to release coated EMP nanoparticles, and the released EMP nanoparticles showed enhanced dissolution compared to raw EMP particles.In addition, the EMP-ALG-PEG-NPs after release from the optimized raft were designed to have an enhanced dissolution profile compared to the EMP raw materials.The solubility of EMP nanoparticles was enhanced in 0.1 N HCl and pH 6.8 by 4.96 ± 0.03 and 11.33 ± 0.02 fold, respectively, compared to the raw EMP powder.This study developed a novel EMP-ALG-PEG-NPs using SA and PEG, which showed distinctive interactions, morphology, and crystallinity compared to free EMP.As a result, these unique properties were the foundation of enhanced EMP-ALG-PEG-NPs dissolution the simulated gastrointestinal tract media over time.The success and rationale of developing optimized NPs against stomach cancer were studied and validated, where a significant and superior anti-cancer effect was achieved after treatment with EMP-ALG-PEG-NPs.Based on the outcome of the inflammatory study, the rationale for repurposing the EMP-ALG-PEG-NPs for the treatment and management of stomach cancer and associated gastritis were justified.Moreover, the EMP-ALG-PEG-NPs are suggested for oral administration to enhance EMP efficacy and intestinal absorption for anti-cancer treatment.Future studies can investigate the formulation gel stability and EMP absorption using in vivo models to ensure the resilience and application of the in situ forming gel.

Fig. 4 .
Fig. 4. The release analysis for the (A) EMP raw material, the EMP-loaded co-polymeric NPs, and (B) the different formulations.

Fig. 5 .
Fig. 5.The raft-forming optimum F2 gel encapsulated the EMP-copolymeric nanoparticles after 8 h of exposure to the 0.1 N HCl.

Fig. 6 .
Fig.6.The effect of MTT assay in the different treatment groups in comparison to the control.One-way ANOVA was to determine the significance between the EMP-ALG-PEG-NPs with EMP (@), ALG-PEG-NPs ($), and control (#), for which the P-value of less than 0.05 was considered significant.

Fig. 7 .
Fig.7.Showing the anti-inflammatory effects of various groups on the level of (A) TNF-α and (B) IL-6.One-way ANOVA was to determine the significance between the EMP-ALG-PEG-NPs with EMP (*), ALG-PEG-NPs ($), and control (#), for which the P-value of less than 0.05 was considered significant.

Table 1
Illustration of the different EMP # formulations' components for optimization.

Table 4
Free EMP and EMP-ALG-PEG-NPs' solubilities in 0.1 N HCl and pH 6.8 media.
a For n = 3 ± SD.N.A. Alhakamy et al.

Table 5
Parameters of EMP release in 0.1 N HCl and media of pH 6.8 from different raft-forming gels of EMP-ALG-PEG-NPs.Each value is the average of n=3 ± SD.MDT 6.8 = Mean dissolution time for the last 4 h in pH 6.8.
b a For n = 3 ± SD.