Skip to main content
Log in

Oral Nanoparticulate Atorvastatin Calcium is More Efficient and Safe in Comparison to Lipicure® in Treating Hyperlipidemia

  • Original Article
  • Published:
Lipids

Abstract

Atorvastatin calcium (AC) is a second-generation 3-hydroxy-3-methylglutaryl-CoA reductase inhibitor approved for clinical use as a lipid lowering agent. AC, the world’s best selling drug is associated with poor oral bioavailability and serious adverse effects like rhabdomyolysis on chronic administration. A biodegradable nanoparticulate approach was introduced here with a view to improving the efficacy and safety of AC. Poly lactide-co-glycolic acid (PLGA) nanoparticles containing atorvastatin calcium were prepared using two stabilizers i.e. didodecyl dimethyl ammonium bromide (DMAB) and Vitamin E tocopheryl polyethylene glycol 1000 succinate (Vit E-TPGS) using a co-solvent approach by emulsion–diffusion–evaporation method. AC loaded PLGA nanoparticles prepared using DMAB and Vit E-TPGS were found to be 120.0 ± 4.2 nm and 140.0 ± 1.5 nm (z-average) in size respectively. In vitro release studies at pH 7.4 revealed a zero order release profile for nanoparticles. Efficacy and safety parameters of the prepared nanoparticles against marketed formulation were evaluated in high fat diet fed (hyperlipidemic) rats. It was found that atorvastatin calcium nanoparticles were equally effective in comparison to Lipicure®, at a 66%-reduced dose in treating the hyperlipidemia characterized by alterations in PTC, LDL-C, VLDL-C, HDL-C, PTG and PGL in the high fat diet fed rats. On the other hand, when evaluated for safety, nanoparticulate formulation showed no/negligible myotoxicity characterized by lower PC, BUN, CK, LDH and AST levels in comparison to the marketed formulation.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7

Similar content being viewed by others

Abbreviations

AC:

Atorvastatin calcium

AST:

Aspartate amino transferase

BUN:

Blood urea nitrogen

PTC:

Plasma total cholesterol

PTG:

Plasma triglyceride

LDL-C:

Low-density lipoprotein cholesterol

HDL-C:

High-density lipoprotein cholesterol

VLDL-C:

Very low-density lipoprotein cholesterol

CK:

Creatinine kinase

LDH:

Lactate dehydrogenase

PC:

Plasma creatinine

NPD:

Normal pellet diet

HFD:

High fat diet

References

  1. Shitara Y, Sugiyama Y (2006) Pharmacokinetic and pharmacodynamic alterations of 3-hydroxy-3-methylglutaryl coenzyme A (HMG-CoA) reductase inhibitors: drug–drug interactions and interindividual differences in transporter and metabolic enzyme functions. Pharmacol Ther 112:71–105

    Article  PubMed  CAS  Google Scholar 

  2. Lau YY, Okochi H, Huang Y, Benet LZ (2006) Multiple transporters affect the disposition of atorvastatin and its two active hydroxy metabolites: application of in vitro and ex situ systems. J Pharmacol Exp Ther 316:762–771

    Article  PubMed  CAS  Google Scholar 

  3. Black AE, Sinz MW, Hayes RN, Woolf TF (1998) Metabolism and excretion studies in mouse after single and multiple oral doses of the 3-hydroxy-3-methylglutaryl-CoA reductase inhibitor atorvastatin. Drug Metab Dispos 26:755–763

    PubMed  CAS  Google Scholar 

  4. Bottorff MB (2006) Statin safety and drug interactions: clinical implications. Am J Cardiol 97:S27

    Article  CAS  Google Scholar 

  5. Cannon CP, Braunwald E, McCade CH, Rader DJ, Rouleau JL, Belder R, Joyal SV, Hill KA, Pfeffer MA, Skene AM (2004) Intensive versus moderate lipid lowering with statins after acute coronary syndromes. N Engl J Med 350:1495–1504

    Article  PubMed  CAS  Google Scholar 

  6. Graham DJ, Staffa JA, Shatin D, Andrade SE, Schech SD, Grenade LL, Gurwitz JH, Chan KA, Goodman MJ, Platt R (2004) Incidence of hospitalized rhabdomyolysis in patients treated with lipid-lowering drugs. J Am Med Assoc 292:2585–2590

    Article  CAS  Google Scholar 

  7. Thompson PD, Clarkson P, Karas RH (2003) Statin associated myopathy. J Am Med Assoc 289:1681–1690

    Article  CAS  Google Scholar 

  8. Sirtori CR (1993) Tissue selectivity of hydroxymethylglutaryl coenzyme A (HMG CoA) reductase inhibitors. Pharmacol Ther 60:431–459

    Article  PubMed  CAS  Google Scholar 

  9. Antons KA, Williams CD, Baker SK, Phillips PS (2006) Clinical perspectives of statin-induced rhabdomyolysis. Am J Med 119:400–409

    Article  PubMed  CAS  Google Scholar 

  10. Bala I, Bhardwaj V, Hariharan S, Sitterberg J, Bakowsky U, Kumar MNVR (2005) Design of biodegradable nanoparticles: a novel approach to encapsulating poorly soluble phytochemical ellagic acid. Nanotechnology 16:2819–2822

    Article  CAS  Google Scholar 

  11. Shen HR, Li ZD, Zhong MK (2006) HPLC assay and pharmacokinetic study of atorvastatin in beagle dogs after oral administration of atorvastatin self-microemulsifying drug delivery system. Pharmazie 61:18–20

    PubMed  CAS  Google Scholar 

  12. Srinivasan K, Viswanad B, Asrat L, Kaul CL, Ramarao P (2005) Combination of high-fat diet-fed and low-dose streptozotocin-treated rat: a model for type 2 diabetes and pharmacological screening. Pharmacol Res 52:313–320

    Article  PubMed  CAS  Google Scholar 

  13. Friedewald WT, Levy RI, Fredrickson DS (1972) Estimation of the concentration of low-density lipoprotein cholesterol in plasma, without use of the preparative ultracentrifuge. Clin Chem 18:499–502

    PubMed  CAS  Google Scholar 

  14. Hariharan S, Bhardwaj V, Bala I, Sitterberg J, Bakowsky U, Kumar MNVR (2006) Design of estradiol loaded PLGA nanoparticulate formulations: a potential oral delivery system for hormone therapy. Pharm Res 23:184–195

    Article  PubMed  CAS  Google Scholar 

  15. Ankola DD, Viswanad B, Bhardwaj V, Ramarao P, Kumar MNVR (2007) Development of potent oral nanoparticulate formulation of coenzyme Q10 for treatment of hypertension: can the simple nutritional supplements be used as first line therapeutic agents for prophylaxis/therapy? Eur J Pharm Biopharm 67:361–369

    Article  PubMed  CAS  Google Scholar 

  16. Mittal G, Sahana DK, Bhardwaj V, Kumar MNVR (2007) Estradiol loaded PLGA nanoparticles for oral administration: effect of polymer molecular weight and copolymer composition on release behavior in vitro and in vivo. J Control Release 119:77–85

    Article  PubMed  CAS  Google Scholar 

  17. Italia JL, Bhatt DK, Bhardwaj V, Tikoo K, Kumar MNVR (2007) PLGA nanoparticles for oral delivery of cyclosporine: nephrotoxicity and pharmacokinetic studies in comparison to Sandimmune Neoral. J Control Release 119–206:197–206

    Article  CAS  Google Scholar 

  18. Zhang Z, Feng SS (2006) Self-assembled nanoparticles of poly(lactide)-Vitamin ETPGS copolymers for oral chemotherapy. Int J Pharm 324:191–198

    Article  PubMed  CAS  Google Scholar 

  19. Mu L, Feng SS (2003) PLGA/TPGS nanoparticles for controlled release of paclitaxel: effects of the emulsifier and drug loading ratio. J Control Release 86:33–48

    Article  PubMed  CAS  Google Scholar 

  20. Song KC, Lee HS, Choung IY, Cho KI, Ahn Y, Choi EJ (2006) The effect of type of organic phase solvents on the particle size of poly(d,l-lactide-co-glycolide) nanoparticles. Colloids Surf A Physicochem Eng Aspects 276:162–167

    Article  CAS  Google Scholar 

  21. Sonaje K, Italia JL, Sharma G, Bhardwaj V, Tikoo K, Kumar MNVR (2007) Development of biodegradable nanoparticles for oral delivery of ellagic acid and evaluation of their antioxidant efficacy against cyclosporine A-induced nephrotoxicity in rats. Pharm Res 24:899–908

    Article  PubMed  CAS  Google Scholar 

  22. Mogi T, Ohtake N, Yoshida M, Chimura R, Kamaga Y, Ando S, Tsukamoto T, Nakajima T, Uenodan H, Otsuka M, Matsuda Y, Ohshima H, Makino K (2000) Sustained release of 17β-estradiol from poly (lactide-co-glycolide) microspheres in vitro and in vivo. Colloids Surf B Biointerfaces 17:153–165

    Article  CAS  Google Scholar 

  23. Panyam J, Dali MM, Sahoo SK, Ma W, Chakravarthi SS, Amidon GL, Levy RJ, Labhasetwar V (2003) Polymer degradation and in vitro release of a model protein from poly(d,l-lactide-co-glycolide) nano-and microparticles. J Control Release 92:173–187

    Article  PubMed  CAS  Google Scholar 

  24. Lea AP, McTavish D (1997) Atorvastatin. A review of its pharmacology and therapeutic potential in the management of hyperlipidemias. Drugs 53:828–847

    Article  PubMed  CAS  Google Scholar 

  25. Rogers SL, Magliano DJ, Levison DB, Webb K, Clarke PJ, Grobler MP, Liew D (2007) A dose-specific meta-analysis of lipid changes in randomized controlled trials of atorvastatin and simvastatin. Clin Ther 29:242–252

    Article  PubMed  CAS  Google Scholar 

  26. Freeman DJ, Norrie J, Sattar N, Neely RDG, Cobbe SM, Ford I, Isles C, Lorimer AR, Macfarlane PW, McKillop JH, Packard CJ, Shepherd J, Gaw A (2001) Pravastatin and the development of diabetes mellitus. Circulation 103:357–362

    PubMed  CAS  Google Scholar 

  27. Mangaloglu L, Iderstine SV, Chen B, Taghibiglou C, Cheung R, Adeli K (2000) Effect of atorvastatin (Lipitor™) on VLDL-apoB and VLDL-triglyceride overproduction in vivo in an insulin resistant hamster model. Atherosclerosis 151:45

    Article  Google Scholar 

  28. Sakuma S, Suzuki N, Kikuchi H, Hiwatari K, Arikawa K, Kishida A, Akashi M (1997) Absorption enhancement of orally administered salmon calcitonin by polystyrene nanoparticles having poly (N-isopropylacrylamide) branches on their surfaces. Int J Pharm 158:69–78

    Article  CAS  Google Scholar 

  29. Omar MA, Wilson J, Cox TS (2001) Rhabdomyolysis and HMG-CoA reductase inhibitors. Ann Pharmacother 35:1096–1107

    Article  PubMed  CAS  Google Scholar 

  30. Wolfe SM (2004) Dangers of rosuvastatin identified before and after FDA approval. Lancet 363:2189–2190

    Article  PubMed  Google Scholar 

  31. Cilla D, whitfield LR, Gibson DM, Sedman AJ, Posvar EL (1996) Multiple-dose pharmacokinetics, pharmacodynamics, and safety of atorvastatin, an inhibitor of HMG-CoA reductase, in healthy subjects. Clin Pharmacol Ther 60:687–695

    Article  PubMed  CAS  Google Scholar 

  32. Pasternak RC, Smith SC, Bairey-Merz CN, Grundy SM, Cleeman JI, Lenfant C (2002) ACC/AHA/NHLBI Clinical advisory on the use and safety of statins. Stroke 33:2337–2341

    Article  PubMed  Google Scholar 

  33. Hodel C (2002) Myopathy and rhabdomyolysis with lipid-lowering drug. Toxicol Lett 128:159–168

    Article  PubMed  CAS  Google Scholar 

  34. Rimon D, Ludatscher R, Cohen L (1984) Clofibrate-induced muscular syndrome. Case report with ultrastructural findings and review of the literature. Isr J Med Sci 20:1082–1086

    PubMed  CAS  Google Scholar 

  35. Ghirlanda G, Oradei A, Manto A, Lippa S, Uccioli L, Caputo S, Greco AV, Littarru GP (1993) Evidence of plasma CoQ10-lowering effect by HMG-CoA reductase inhibitors: a double-blind, placebo-controlled study. J Clin Pharmacol 33:226–229

    PubMed  CAS  Google Scholar 

Download references

Acknowledgments

AKM acknowledges a NIPER MS fellowship. Financial support in the form of a research grant (IR/SO/LF-03/2006) from the Department of Science and Technology (DST), Government of India, is gratefully acknowledged. Authors acknowledge Mr. Vijender Singh Beniwal for the AFM studies.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to M. N. V. Ravi Kumar.

About this article

Cite this article

Meena, A.K., Ratnam, D.V., Chandraiah, G. et al. Oral Nanoparticulate Atorvastatin Calcium is More Efficient and Safe in Comparison to Lipicure® in Treating Hyperlipidemia. Lipids 43, 231–241 (2008). https://doi.org/10.1007/s11745-007-3142-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11745-007-3142-5

Keywords

Navigation