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Cytokine signalling through JAKs is also important for osteoclast formation. Osteoblasts tightly control osteoclastogenesis through expression of the cytokines IL-6, IL-11, leukaemia inhibitory factor (LIF) and receptor activator of nuclear factor κ-light-chain-enhancer of activated B cells ligand (RANKL). In vitro experiments with murine osteoclasts and osteoblasts have shown that baricitinib exerts minimal direct action on osteoclasts but inhibits their formation by suppressing 1,25-dihydroxyvitamin D3 and prostaglandin E2-induced secretion of IL-6, IL-11 and LIF and expression of RANKL from osteoblasts. This is via the gp130/JAK signalling pathway, which is JAK1- and JAK2-dependent. Fibroblast-like synoviocytes have been implicated in RA pathogenesis, and biochemical studies have shown that baricitinib inhibits IFNγ-induced activation of focal adhesion kinase (FAK-Y925), an enzyme important in the migration of fibroblast-like synoviocytes. Baricitinib's inhibition of osteoblast RANKL expression and fibroblast-like synoviocyte migration may, in part, underlie its ability to prevent inflammation and joint damage.
References
Baricitinib (BTB) is an orally administered Janus kinase inhibitor used for the treatment of rheumatoid arthritis and has been recently approved for treatment of COVID-19. It was loaded into four stearin-PLGA hybrid nanoparticles (B-PLN1-4) using single-step nanoprecipitation and characterized for their physicochemical properties such as particle size, zeta potential, PDI, entrapment efficiency (EE), and drug loading (DL). The B-PLN4 with particle size 272±7.6 nm, PDI 0.225, zeta potential -36.5±3.1 mV, EE 71.6±1.5%, and DL 2.87±0.42% was selected as the best formulation and was further subjected to evaluation of its morphology, in vitro release and in vivo pharmacokinetics in rats. Pharmacokinetic study showed 2.92-fold improvement in the bioavailability of B-PLN4 over pure BTB suspension. These results indicate the potential of lipid-polymer hybrid nanoparticles in improving the bioavailability of BTB and can serve as the scientific basis for future studies addressing the pharmacokinetic barriers.
Fig. 2 Baricitinib-loaded lipid-polymer hybrid nanoparticles. (Anwer M K, et al. 2021)
References
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