Nanotransethosomes for enhanced transdermal delivery of mangiferin against rheumatoid arthritis: formulation, characterization, invivo pharmacokinetic and pharmacodynamic evaluation

Abstract The present research study limns the preparation of MNF loaded transethosomes (MNF-TE) to improve MNF solubility, bioavailability and permeation through skin layers for transdermal delivery. MNF-TE was formulated using thin-film hydration method and optimization was done using Box-Behnken design (BBD). MNF-TEopt was characterized for Polydispersity index (PDI), vesicle size, entrapment efficiency, zeta potential and in vitro MNF release. For further evaluation, Pharmacokinetic study, Transmission electron microscopy (TEM), Skin permeation study and Confocal scanning laser microscopy (CLSM) were performed withal. The MNF-TEopt presented spherical and sealed shape vesicles with small vesicle size of 148.6 nm, entrapment efficiency of 74.23%, PDI of 0.1139 and in vitro release of 65.32%. The CLSM study unveiled that the developed formulation has greater permeation of MNF across the skin layers in comparison with the MNF suspension gel. The pharmacokinetic study demonstrated Cmax and AUC0-24 h of 6.94 ± 0.51 μg/ml and 43.92 ± 7.90 μg.h/ml via transdermal route in comparison to Cmax and AUC0-24 h of 3.74 ± 1.91 μg/ml and 22.96 ± 9.76 μg.h/ml presented by MNF-TE oral administration. The in vivo study revealed that the MNF-TE gel has good anti-arthritic potential in comparison with the standard diclofenac gel which was evinced by radiographic analysis and histopathological studies. Further, skin irritation study on Wistar albino rats confirm that the developed MNF-TE formulation is safer for skin application. The current investigation corroborated that the prepared TE vesicle formulation is a treasured carrier for the MNF transdermal delivery for the management of rheumatoid arthritis.


Introduction
Rheumatoid arthritis (RA) is a chronic autoimmune-mediated systemic disorder characterized by nonspecific peripheral joint inflammation, pannus formation, hyper proliferation of synoviocytes, bone erosion, angiogenesis, chronic pain and cartilage degradation (Liu et al., 2017). RA is a preeminent cause of morbidity and deformity, depicting worldwide prevalence betwixt 0.3 to 1% (Almoallim et al., 2021).
The current treatment strategies for RA include Biologicals, Disease-modifying anti-rheumatic drugs (DMARDs), Corticosteroids and NSAIDS. Howbeit, these treatments at a higher dose and on prolonged use are accompanied with adverse effects such as gastrointestinal and hepatic disorders, humoral disturbances, and immunodeficiency and are even costly and inconvenient (Liu et al., 2017). Thereby, the use of natural phytoconstituents have acquired increased attention owing to its immunomodulatory properties, flair for inflammatory disorders and withal devoid of infelicitous effects manifested by synthetic drugs (Hughes et al., 2017).
Despite of its meritorious therapeutic potential, its poor aqueous solubility (111 μg/ml in water) and low oral bioavailability (1.2%) circumscribe its clinical use (Han et al., 2010;Bhattacharyya et al., 2014;Wang et al., 2014). Ergo, transdermal delivery of MNF is an alluring alternative in this scenario. Pharmaceutical researchers are enthralled by transdermal delivery system as it is endowed with prowess of non-invasiveness, low toxicity and surpassing hepatic metabolism. Howbeit, MNF passive permeation through the skin is hampered by its physicochemical properties and skin barrier (Qindeel et al., 2020;Tekko et al., 2020).
To vanquish such barrier various vesicular nanocarriers have been developed. Wei et. al successfully prepared mangiferin-loaded liposomes (Wei et al., 2014). However, the stratum corneum limits the permeation of conventional liposomes to the upper skin layer with minimal permeation to the deeper skin layers (Touitou et al., 2000). Ethanol and surfactants can be added to conventional liposomes to increase deformability of the lipid membrane which inturn results in enhanced drug permeation across the stratum corneum (Cevc, 1996;El Maghraby et al., 2004;Carita et al., 2018) . Mir-palomo et.al have developed ultradeformable vesicles of mangiferin for improved cutaneous delivery (Mir-Palomo et al., 2016). Abd El Alim et. al conducted a comparative study to assess the efficacy extent of skin permeation of diflunisal (DIF) loaded transferosomes, ethosomes and liposomes invivo and invitro and found that transferosomes and ethosomes showed enhanced skin permeation and higher drug encapsulation efficiency of DIF (Carita et al., 2018).
The transethosome, a novel nanovesicle carrier are pliable systems consisting a blend of ethanol, surfactant and lipid. It combines the properties of transferosome and ethosome which in turn gives better biocompatibility, increased vesicle mobility and higher encapsulation rate in comparison with transferosome and ethosome (Song et al., 2012;Abd El-Alim et al., 2019). Drug permeation via skin is improved by ethanol as it disrupts the packaging of compact lipid stratum corneum forbye. So, it is evident that transethosomes are paragon carrier for transdermal delivery (Abdulbaqi et al., 2016).
The intent of the study is to develop mangiferin-loaded transethosomes (MNF-TE) by thin-film hydration method using phospholipon 90 G, ethanol and sodium cholate. For the optimization of developed formulation, Box-Behnken design (BBD) was employed by taking phospholipon 90 G, ethanol and sodium cholate as independent variables and their impact were assessed on dependent variables viz. polydispersity index (PDI), vesicle size and entrapment efficiency (EE). Further, the optimized formulation (MNF-TEopt) was remolded into carbapol-934 P based gel and evaluated for confocal scanning laser microscopy (CLSM), skin permeation study, invitro-release kinetics, invivo pharmacokinetic, pharmacodynamics and skin-irritation studies.

Materials and methods
MNF standard was acquired from Sigma Aldrich (India), MNF API was procured from Yucca enterprises (India), Triethanolamine was procured from Fischer Scientific (Mumbai, India). Phospholipon 90 G was procured from Lipoid (Germany), Sodium cholate was procured from DC Fine Chemicals (India), Polyethylene glycol-400, Methanol, Chloroform and carbapol 934 P were acquired from SD fine chemicals (Mumbai, India). ELISA kits for inflammatory cytokines were acquired from ABclonal technology Co., Ltd. (India). Freund's adjuvant, Complete cell suspension was procured from Sigma Aldrich (India). All HPLC solvents were acquired from SD Fine chemicals (Mumbai, India).

Formulation of mangiferin loaded transethosomes (MNF-TE)
The mangiferin loaded transethosomes were developed using thin film hydration technique. In a round bottomed flask (RBF), defined quantity of Phospholipon 90 G (lipid), Mangiferin (drug-1 mg/ml) and sodium cholate were dissolved in methanol: chloroform (3:1, v/v). The organic blend was evaporated under vacuum (low pressure) at 60 °C to attain a thin uniform layer of lipid deposited around the walls of RBF using rotary evaporator. The RBF was placed in desicator for 24 hours. The dried film was hydrated using solution of water: ethanol (7:3) for 1 hour and stowed in refrigerator to acquire adequate swelling. The attained dispersion was probe sonicated for 4 minutes continuously at 4 °C using titanium probe ultra sonicator (UP 100 H, Hielscher Ultrasonics GmbH, Berlin) and further characterized for PDI, entrapment efficiency, zeta potential and vesicle size (Moolakkadath et al., 2018).

Optimization of transethosomes using Box-Behnken design (BBD)
Preliminary screening trials were done to ascertain the potential parameters that impact the beneficial properties of TE for transdermal delivery. After the determination of desirable parameters, a three-factor BBD was employed using design expert version 13 software (State-ease, USA). BBD was employed to ascertain the impact of lipid concentration, sodium cholate concentration and ethanol concentration on response variables-PDI, entrapment efficiency and vesicle size. The design comprised of 17 experimental runs (Table 2). Quadratic response surface model (generated by the Box-Behnken design) was as follows: Z k k X k X k X k X X k X X k X X k X k X 0 1 1 2 2 3 3 12 1 2 13 1 3 23 2 3 11 1 2 22 2 2 k k X 33 3 2 Wherein, Z -Predicted response X i -the independent variables k i , k i2 , k i3 -quadratic, linear and interactive coefficients The selected independent variables were Phospholipon 90 G concentration (X 1 ), sodium cholate concentration (X 3 ) and Ethanol concentration (X 2 ) and the dependent variables were PDI (Y 1 ), vesicle size (Y 2 ) and EE (Y 3 ) ( Table 1).

Vesicle size, zeta potential and polydispersity index (PDI)
The vesicle size, PDI and zeta potential of developed MNF-TE were estimated using zetasizer (Malvern instruments, Wancestershine, UK) after diluting the sample with Mill-Q water (50 times) at 25 ± 1 °C in triplicate at a scattering angle of 90° C (Moolakkadath et al., 2018).

Entrapment efficiency
Ultracentrifugation method was employed to assess the entrapment efficiency of MNF-TE (Moolakkadath et al., 2018). The samples were stowed overnight at 4 °C and then subjected to centrifugation for 1 hour at 4 °C using centrifuge at 20,000 rpm (REMI, cooling centrifuge, Mumbai, India). The filtrate comprising free mangiferin was seperated and diluted with the appropriate medium and further the mangiferin content was assessed using HPLC. The entrapment efficiency was determined using formula:

% E Total mangiferin Mangiferin in supernatant
Total mangiferin u u100 The mangiferin content was assessed by HPLC analysis with mobile phase water: acetonitrile (0.05% orthophosphoric acid) (85:15) at a 1 ml/min flow rate using C 18 column. Uv detection wavelength was fixed at 258 nm .

Transethosomes morphology
The morphology analysis of the MNF-TEopt was carried out using transmission electron microscopy CM 200,Philips scientific,NY). Before analysis, on copper grid, a drop of diluted sample was applied and then analyzed under transmission electron microscope after negatively staining with phosphotungstic acid (2%) (Moolakkadath et al., 2018).

Formulation of mangiferin-loaded transethosomal gel
The MNF-TEopt was transformed into a transdermal gel to protract the retention of formulation on rat skin for longer period of time. The gel was prepared by taking defined amount of carbapol-934 P (1% w/w) in distilled water and left overnight to swell. Later, triethanolamine (for pH-modification), chlorocresol (0.1% as preservative) and 15% w/w polyethylene glycol 400 (as plasticizer) were added and then optimized mangiferin-loaded transethosome was added to attain homogenous gel mixture dropwise with continuous homogenization (Moolakkadath et al., 2018).

Texture analysis
TA-XT plus texture analyzer (Stable Micro system, UK) was employed to evaluate the texture analysis of MNF-TEopt gel based on different parameters like firmness, work of cohesion, adhesiveness and cohesiveness. The study was carried out in a simple compression mode by taking MNF-TEopt gel in a glass beaker (50 ml). The test speed of 2.0 mm/s was used and distance traveled by probe was 10,000 mm. The post-test speed of 2.0 mm/s was used to bring back the probe. The auto trigger force of 10.0 g was confronted by the upper probe on contact with the gel. Texture exponent 32 software was used to analyze the force requisite to disengage the probe from gel (Moolakkadath et al., 2018).

In-vitro MNF release study
Drug release dialysis membrane technique was adopted to evaluate the in-vitro release of MNF suspension gel (control) and MNF-TEopt gel. Both formulations (1 mg/g) were thronged in the 12000-14000 Da preactivated dialysis membrane (Hi Media, Mumbai) which was affixed with the shafts placed in a release medium of phosphate buffer saline (pH 6.8) contained in a beaker (500 ml), regulated at a temperature of 37 ± 2° C and a uniform stirring of 100 rpm. At preordained time intervals of 0.5, 1, 2, 4, 8 and 12 hours, samples were collected and replenished with fresh release medium. The mangiferin content was quantified using RP-HPLC method and the graph was plotted betwixt time (hours) and % cumulative drug release (Moolakkadath et al., 2018).

Skin permeation study
The skin permeation of MNF-TEopt and MNF suspension gel (control) were assessed using Franz-diffusion cell. Franz-diffusion cell of effective permeation area of 1.0 cm 2 and receiving cell volume of 15 ml was used. The rat skin was prepared and affixed on the receiver compartment confronting upward stratum corneum side. The release media was thronged in the receiver cell and MNF-TEopt gel in the donor cell. The constant temperature of 37 ± 2° C for 24 hours with constant stirring at 150 rpm was maintained. At preordained time intervals of 0.5,1 2, 4, 8 and 12 hours, samples were collected and replenished with fresh release medium and mangiferin content was quantified using RP-HPLC method (Moolakkadath et al., 2018).

Confocal laser scanning microscopy (CLSM)
The MNF suspension with rhodamine B dye (control) and rhodamine B dye loaded transethosomal formulation were applied to the excised rat abdominal skin for 6 hours at 37 °C mounted on Franz diffusion cells. After 6 hours, to remove the excess amount of dye, skin samples were cleansed with distilled water. Then the skin samples were mounted on the glass slide and sliced into small sections of 6-10 um thickness.

Skin irritation study
To determine skin irritation of MNF-TEopt gel in rats, Draize score test was employed. Six wistar albino rats in group of 3 were divided into 2 groups to check the skin irritation of MNF-TEopt gel: Group I was treated with the formalin solution (10%) and Group II was treated with the MNF-TEopt gel.
The vicinal untreated area of rats was used as control skin and the edema and erythema scores were estimated. The formulation was applied to the rat skin, and to assess the edema and erythema, visual scoring was carried out after the sample removal (Touitou et al., 2000).

Pharmacokinetic study
Wistar albino rats (100-150 g) were selected and housed into group of 3 per cage in 12 h-light dark cycle at 25 ± 2° C after approval from Institutional Animal Ethics Committee (IAEC) of Jamia Hamdard (Protocol No. 1847). Nine wistar albino rats in group of 3 were distributed into 3 groups: Group I as control, Group II treated with MNF-TE oral formulation, and Group III treated with MNF-TE gel transdermally. The rats were anesthetized using thiopentone sodium and at 0 (pre-dose), 4, 8 and 24 hours; 0.2 ml of blood was collected from tail vein of rats in EDTA-containing tube. Tubes were stowed for 30 minutes at room temperature and then the plasma was separated from blood through centrifugation (10,000 rpm, 10 minutes). The plasma samples were separated and stowed at −20° C and mangiferin content was analyzed using RP-HPLC method and C max and AUC was calculated (Zhang et al., 2021).

Anti-arthritic activity
Wistar albino rats (100-150 g) were acquired from Central Animal House Facility, Jamia Hamdard, New Delhi, India and kept under standard laboratory conditions (12 h-light dark cycle, 25 ± 2 0 C) after approval from Animal ethics committee (Jamia Hamdard). The study was carried out to determine the anti-arthritic and analgesic activity of MNF-TE gel. The rats in group of 6 were distributed into four groups: Group P was treated as negative control (toxic group), Group Q was treated with standard diclofenac gel, Group R was treated with MNF-TE gel and Group S was treated as Positive control which received control gel formulation.

In vitro anti-arthritic activity
Protein denaturation method was employed to assess the in vitro antiarthritic activity of MNF-TEopt gel and marketed diclofenac gel formulation (Abidin et al., 2016). The mechanism involves alteration in disulfide bonding and electrostatic hydrogen during denaturation. The 0.5 ml of reaction mixture was prepared by taking 5% aqueous solution of Bovine serum albumin (4.5 ml) and formulation (0.5 g) and then pH was adjusted to 6.3 by addition of 0.1 N HCl. Further, samples were incubated at 37 ° C for 20 min and then heated for 30 min at 60 0 C. Then after cooling the sample, PBS of pH 6.3 (2.5 ml) was added to each sample. Similarly, control solution was prepared and using Uv spectrophotometer, turbidity was measured at 600 nm. The percentage inhibition was determined using formula: Percentage inhibition Absorbance of test Absorbance of 100 control Absorbance of Control u100

Analgesic activity
To assess the analgesic activity of MNF-TEopt gel, Tail-flick hot water immersion method was employed. The formulation was applied on the dorsal surface of paw to each group. After 15 min treatment of gel, tail of animals (5 cm portion) were immersed into the hot water at 50 ± 5 0 C. Within few seconds, rats withdrew their tails due to thermal stimulus.
To avoid the tail tissue damage, cutoff time of 50 sec was selected. Time when rats withdrew their tail was recorded (Abidin et al., 2016).

Complete Freunds Adjuvant (CFA)-induced anti-arthritis activity
The experiment was performed for 28 days. All the groups except control group (Group S) were injected with 0.1 ml of CFA suspension in sub-plantar region of left hind paw of rat on day 0 (CFA comprised 1 mg/ml heat killed mycobacterium tuberculosis suspended in paraffin oil which engendered inflammatory response within 24 hours). Then, rats were sacrificed after giving 28 days treatment. Parameters such as paw volume, haematological parameters and inflammatory cytokines levels were measured to determine the anti-arthritic activity. Ankle joints were collected after sacrificing the rats and stowed in formalin solution (10%) and stained with dyes (eosin and hematoxylin) for histopathological examination. Radiographical x-ray analysis was performed to confirm the activity (Abidin et al., 2016;Zhang et al., 2021).

Optimization of MNF-TE by BBD
The impact of adopted parameters (Phospholipon 90 G, ethanol and sodium cholate) on PDI, entrapment efficiency and vesicle size of MNF-loaded transethosomes are evinced by 3D-response diagram illustrated in Figure 1 and the corresponding residual plots for adopted responses and the linear

Response (1): effect of independent variables on PDI
The PDI of all 17 runs were reckoned to be betwixt 0.0653 and 0.2818 (Table 2). . .

Response (2): effect of independent variables on vesicle size
The vesicle size of all 17 runs were reckoned to be betwixt 96.74 and 213.01 (Table 2)

Response (3): effect of independent variables on entrapment efficiency
From experimental data, it was observed that independent variables have significant effect on entrapment efficiency (EE) and the EE of all 17 runs were found to be betwixt 44.14 and 81.55% ( Based on the above experimental results, optimized formulation was prepared with phospholipon 90 G (60 mg), ethanol (30%) and sodium cholate (20 mg) as per the formula generated by the point prediction method and further evaluated for PDI, entrapment efficiency and vesicle size. The MNF-TEopt exhibited the vesicle size of 146.8 ± 2.98 nm, entrapment efficiency of 74.23 ± 2.09% and PDI of 0.1139 ± 0.009 which were in proximity with the predicted values of PDI of 0.1136, vesicle size of 148.38 nm, and entrapment efficiency of 74.44% engendered by the Box-Behnken design.

Characterization
Average vesicle size and PDI of MNF-TEopt was experimentally reckoned to be 146.8 nm and 0.1139 respectively ( Figure  3A) with entrapment efficiency of 74.23% wherein the predicted values of average vesicle size and PDI were 148.38 nm and 0.1136 with entrapment efficiency of 74.44%. The experimentally observed values of all responses were in proximity with the predicted values confirming the legitimacy and consistency of the model. Furthermore, the zeta potential of MNF-TEopt was reckoned to be −38.62 mv ( Figure 3B).

Transethosome Morphology
The TEM analysis of MNF-TEopt formulation unveiled that the prepared vesicles were spherical in shape with well-defined sealed structure and uniform size distribution ( Figure 3C).

Texture analysis
The texture analysis of MNF-TEopt gel is illustrated in Figure  4. The firmness, consistency, cohesiveness and work of cohesion of MNF-TEopt were reckoned to be 145.35 g, 501.56 g. sec, −90.77 g and −357.59 g.sec respectively (Figure 4).

In vitro drug release study
The in vitro release of mangiferin from MNF suspension through dialysis membrane was reckoned to be 31.19% wherein the optimized MNF-TEopt formulation presented 87.32% release of mangiferin through dialysis membrane ( Figure 5). Data acquired from in-vitro drug release experiment was fitted into diverse mathematical kinetics model (first-order, zero-order, korsmeyer peppas, and Higuchi kinetics model) and out of which, Higuchi kinetics model revealed the maximum R 2 value illustrated in Table 3. Ergo, it can be stated that the release of mangiferin from MNF-TEopt gel follows a higuchi diffusion mechanism.

Skin permeation study
The skin permeation study revealed the permeation of 31.29% of mangiferin from MNF suspension gel with transdermal flux value of 1.77 µg/cm 2 /h wherein the MNF-TEopt formulation exhibited permeation of 77.21% mangiferin through the rat skin with transdermal flux value of 4.7 µg/cm 2 /h ( Figure 6).

Confocal Laser Scanning microscopy
The CLSM analysis revealed that the MNF-TE formulation penetrated deeper into the layer of skin (upto 52 um) in comparison with the MNF suspension (control) which was confined to depth of 15 um perse (Figure 7).

Skin irritation study
The skin irritation study of MNF-TE gel was performed on Wistar albino rats ( Figure 8) and compared with the formalin solution (skin irritant and positive control) and the scores of edema and erythema of treated groups were observed which are tabulated in Table 4. The skin treated with formalin solution exhibited high irritation scale of edema (3.4 ± 0.7) and erythema (2.3 ± 0.4) respectively, wherein the MNF-TE gel exhibited very less irritation with irritation scale of edema (0.4 ± 0.02) and erythema (0.3 ± 0.01). The MNF-TE gel treated skin espied absence of inflammation and redness. The results confirmed that the MNF-TE gel formulation is nonirritant.

Pharmacokinetic study
To assess the in vivo behavior of MNF-TE gel, pharmacokinetic studies were performed on rats. The concentration of MNF in plasma after oral administration of MNF-TE formulation and transdermally application of MNF-TE gel was measured by HPLC (HPLC chromatograms are shown in Supplementary material) using reported method and results are illustrated in Figure 9 and Table 5. C max and AUC 0-24h of the MNF-TE formulation after oral administration were 3.74 ± 1.91 μg/ml and 22.96 ± 9.76 μg.h/ml respectively which were significantly lower than those of (p < 0.01) transdermally applied MNF-TE gel (6.94 ± 0.51 μg/ml and 43.92 ± 7.90 μg.h/ml respectively) revealing that absorbtion of MNF was potentially increased on transdermally application of MNF-TE gel.

In vitro antiarthritic activity
Protein denaturation is one of the manifestation of rheumatoid arthritis which results in autoantigens production. In vitro antiarthritic activity of MNF-TE formulation was assessed by protein denaturation method in which diclofenac gel was used as standard gel for comparison. The results unveiled that the MNF-TE gel exhibited percent inhibition of 81.28% in inflammation while standard gel showed the percent inhibition of 78.28% which implies that developed formulation has better antiarthritic potential than marketed gel.

Analgesic activity
The results attained from analgesic study on wistar albino rats unveiled that the animals treated with control formulation presented thermal stimulus time of 22.53 sec wherein animals treated with CFA (toxic group) showed thermal stimulus time of 13.57 sec. The animals treated with diclofenac gel (standard) showed thermal stimulus time of 25.36 sec and the animals treated with MNF-TE gel presented the thermal stimulus time of 30.23 sec which was higher than diclofenac standard gel (p < 0.05). It can be stipulated that the increase activity by MNF-TE gel can be attributable to higher permeation of MNF into skin layers than the control and standard and thus it has higher analgesic activity.

Cfa-induced anti-arthritic model
After 28 days of treatment with MNF-TE gel, biochemical analysis and paw volume measurement were performed on rats to evaluate the anti-arthritic activity. The radiographic analysis were carried out to corroborate the anti-arthritic activity.

Paw volume.
The paw volume was measured on 0, 7 th , 14 th and 28 th day from initiation of experiment. Dunnett's test for statistical analysis were appertained to the results acquired with respect to paw volume. The results unveiled that from day 0-7, there was increase in paw volume in all animal groups. MNF-TE gel revealed the significant decrease in paw volume in comparison with the diclofenac standard gel which signifies the therapeutic potential of MNF-TEopt gel wherein toxic group which received no treatment displayed persistent increase in paw volume (Table 6 and Figure 10).

Haematological parameters.
From previously published reports, it was observed that in rheumatoid     (Table 7). From experimental results, it was observed that RBC count dwindled in toxic group wherein MNF-TE gel and standard gel exhibited elevation in RBC count but lesser in comparison with control group. Also, the MNF-TE gel and standard marketed gel showed nearly same RBC count but not higher than that of toxic group implying good antiarthritic potential. Similarly, WBC count and ESR were reckoned to be lower than that of toxic group stipulating lesser inflammation than group treated with diclofenac standard gel.
To assess the anti-inflammatory effects of MNF-TE gel, IL-1β, TNF-α and IL-6 levels were measured in blood. All inflammatory cytokines showed markedly decrease in their levels in MNF-TE gel group relative to those in standard diclofenac gel group and control group which could be attributable to the higher permeation of MNF-TE gel in skin layers (Table 8).

Histological examination. Histological examination
of the hind paws were performed which revealed that the joints of the rats in toxic group exhibited severe synovial damage and large number of inflammatory cell infiltration. The rats treated with standard diclofenac gel showed the occasional synovial damage and less inflammatory cell infiltration. In contrast, the group treated with MNF-TE gel exhibited the most extensive protection from synovial damage and least inflammatory cell infiltration among the other groups ( Figure 11).

Radiographic analysis. X-rays of hind paws of all
animal groups were performed for assessing bone damage ( Figure 12) in which (Figure 12a) shows the control group with no arthritic condition, (Figure 12b) shows the toxic group which received no treatment after induction of inflammation (the arrow signifies the inflamed joint and severity of arthritis exhibited by degree of whiteness) and (Figure12 c and 12d) shows the group treated with MNF-TE gel and diclofenac marketed gel in which the arrow signifies the inflamed joint with lesser arthritic state and good recovery. Figure  12c reveals more recovery than Figure 12d due to high permeation of MNF-TE gel into the skin layers and good therapeutic potential of MNF in rheumatoid arthritis.

Conclusion
The current research comprehends the development and optimization of MNF-loaded TE formulation by utilizing BBD which engendered the better anti-rheumatic activity via transdermal route. The elite MNF-TE formulation manifested nano size of 148.6 nm, EE of 74.23% with PDI of 0.1139. The CLSM study unveiled that the developed MNF-TE formulation has greater permeation of MNF across the skin layers in comparison with the MNF suspension gel and a greater in-vitro release withal. The     pharmacokinetic study demonstrated significant levels of MNF in blood via transdermal route in comparison with the oral administration. The in vivo study unveiled that the MNF-TE formulation manifested enhanced analgesic effect than the standard marketed gel. Biochemical analysis showed suppression in inflammatory cytokines (IL-1β, TNF-α and IL-6), dwindled WBC count and enhanced RBC count. Rat paw volume indicates a significant consistent decrease in the paw edema. From the radiographic analysis, it was depicted that the group treated with MNF-TE formulation exhibit higher recovery phase than the standard marketed gel. The outcomes corroborate that the prepared TE vesicle formulation is a treasured carrier for the MNF transdermal delivery for the management of rheumatoid arthritis.

Ethical approval
The animal study protocol was permitted by the Institutional Animal Ethical Committee (IAEC), Jamia Hamdard, New Delhi, India) with the approved animal study protocol 173/Go/ Re/S/2000/CPCSEA (Approval No. 1847, 2022. The current study was performed following the guidelines of the Declaration of Helsinki.

Disclosure statement
No potential conflict of interest was reported by the authors.