Preparation and Evaluation of Carbamazepine Solid Lipid Nanoparticle for Alleviating Seizure Activity in Pentylenetetrazole-Kindled Mice

Objectives: The study aimed to prepare carbamazepine in solid lipid nanoparticle form (CBZ-SLN) in order to enhance its anticonvulsant effect. Method: Eight formulations of CBZ-SLNs were prepared by homogenization and ultra-sonication techniques. Results: The prepared CBZ-SLN showed a high entrapment efficiency% (39.66 ± 2.42%–71.91 ± 1.21%), a small particle size (45.11 ± 6.72–760.7 ± 5.25 nm), and a negative zeta potential (from −21.5 ± 1.02 to −38.4 ± 1.32 mv). The in vitro release study showed the slow release of CBZ from SLNs compared to CBZ aqueous dispersion (p < 0.05). The infrared spectroscopy and the thermal analysis revealed the compatibility of the drug with other ingredients and the presence of drug in the more soluble amorphous estate, respectively. The in vivo study on mice revealed that the CBZ-SLN had a higher anticonvulsant efficacy than CBZ aqueous dispersion after a lethal and chronic dose of pentylenetetrazole (PTZ) (p < 0.05). The histopathological examination of the hippocampus revealed a decrease in the percentage of degeneration in mice treated with the CBZ-SLN compared to the PTZ and CBZ groups. Conclusion: CBZ can be formulated as SLN with higher anticonvulsant activity than free CBZ aqueous dispersion.


Introduction
Epilepsy is a disorder in the central nervous system (CNS) that is characterized by an increase in the number of electrical impulses that occurs in one focal locus of the brain and/or the entire brain, resulting in partial or generalized seizures [1].
The administration of antiepileptic drugs is mostly done via the oral or intravenous routes. Drug resistance at the late stage of therapy develops in about 40% of patients [2]. Drug resistance leads to uncontrolled seizures, a higher risk of brain damage, and increased mortality rates [3]. Patients

Scanning Electron Microscope (SEM)
The surface morphology of the optimized formulation of the CBZ-SLN (F8), which was prepared by GMS and poloxamer 188, was evaluated using a scanning electron microscope (JEOL, JSM 50A, Tokyo, Japan). One drop of the sample was spread on an aluminum stub and then allowed to dry at 25 ± 1 • C. The dried sample was coated with thin layer of platinum, and the image was captured by SEM at 30 Kv [21].

The Fourier-Transform Infrared Spectroscopy (FT-IR)
Fourier-transform infrared spectroscopy (FT-IR) was conducted to ensure that there was no intermolecular interaction between CBZ and other SLN ingredients [25]. Pure CBZ, GMS, Stearic acid, and SLNs were prepared with GMS, and SLNs prepared with stearic acidwere subjected to FT-IR using a Shimadzu 435 U-O4 IR spectrometer (Japan). Each of the previous samples was compressed into a disc in presence of potassium bromide, and they were then subjected to scanning from 4000 to 400 cm −1 .

The Differential Scanning Calorimetry (DSC)
The lyophilized samples of pure CBZ, GMS, Stearic acid, and SLNs prepared with GMS, as well as SLNs prepared with stearic acid, were evaluated for their thermotropic properties and phase transition behavior using Shimadzu DSC-50 (Japan). Samples of about 3 mg were heated and sealed in an aluminum pan ranging from 25 to 250 • C at a rate of 10 • C/min under nitrogen gas flow [2]. An empty aluminum pan was used as a standard.

Animals
The animals were purchased from the modern veterinary office (Cairo, Egypt). Male albino mice (8-10 weeks old) weighing 25-28 g at the time of the experiment were used and were housed 6 mice per cage under a normal light/dark cycle with free access to food and water ad libitum. All experimental protocols were approved by the research ethics committee at the Faculty of Pharmacy, Damanhour University (approval number 419PO15), Elbehera, Egypt, and all efforts were made to decrease and eliminate animal suffering.

Time to Death Test
Twenty four male albino mice were used in this test and were randomly divided into 4 groups: (1) the saline control group (administrated water oral and saline intraperitoneal (i.p.)), (2) the pentylenetetrazole (PTZ) control group that received PTZ (70 mg/kg, i.p.) after 45 min from oral water administration, (3) the CBZ group that received CBZ aqueous dispersion (50 mg/kg, p.o.) 45 min before PTZ injection (70 mg/kg, i.p), and (4) the CBZ-SLN group that received the CBZ-SLN formulation (50 mg/kg, p.o.) 45 min before PTZ injection (70 mg/kg, i.p.). This experiment was designed to compare the anticonvulsant effect of the prepared CBZ-SLN and an aqueous dispersion of free CBZ. This comparison was made by measuring the time to death in mice after a lethal dose of PTZ [26].

Seizure Activity Evaluation in PTZ-Kindled Mice
Twenty four male albino mice were used in this study and were randomly divided into 4 groups; each group consisted of 6 mice: (1) the saline control group (administrated water orally and saline i.p.), Each mouse was observed for convulsion behavior for 30 min after the injection of a chronic dose of PTZ [27]. Each mouse was given a score according to the severity of seizures based on Racine rating scale for seizure evaluation [28]. Mice were scored according to the following criteria: (0): if mice showed no seizure; (1): if mice showed immovability, eye closing, ear twitching, and facial clonus; (2): if mice showed head nodding associated with more severe facial clonus; (3): if mice showed the clonus of 1 forelimb; (3.5): if mice showed bilateral forelimb clonus with no rearing; (4): if the mice showed bilateral forelimb clonus with rearing; (4.5): if the mice were dropping on a side (without rearing), loss of righting reflex accompanied by general tonic clonic seizures; and (5): if mice were rearing and falling on back convoyed by general tonic clonic seizures. After the last PTZ injection, the mean of fifteen seizure scores was calculated for each group and then compared [29].
Tissue Preparation: After the last PTZ injection by 24 h, mice were anesthetized using thiopental sodium (50 mg/kg) and then were sacrificed by cervical dislocation. The brains of the mice were isolated, and the right hemisphere was fixed for 24 h in 10% paraformaldehyde solution and subjected to staining for histopathological examination [30].

The Preparation of Histopathological Slides
The brain tissues were cut until the hippocampus appeared. Tissues were subjected to washing, dehydration with ascending graded series of ethanol, and then embedding in pure paraffin wax in disposable tissue molds. From the paraffin block of each mouse, 2 sections were prepared in a thickness of 4 µm using microtome (Leitz 1512, Wetzlar, Germany). The microscopic slides were stained with hematoxylin plus eosin (H and E) or 1% and Cresyl violet stain (Nissil stain), washed in phosphate buffer salin (PBS), and cover-slipped with a water-based mounting medium.

The Histopathological Examination of Cell Degeneration in the Hippocampus Region
Cell degeneration in the region of hippocampus was evaluated by H and E staining after the administration of PTZ. A light microscope (Olympus ® , Japan) was used for the examination of the hippocampus, where 5 regularly spaced sections covering the hippocampus were imaged and analyzed for each mouse [31]. Each section was examined for the count of the degenerative cells which were characterized by acidophilic cytoplasm and darkly stained or heterochromatic pyknotic nuclei [32]. The determination of the total number of degenerative cells in the hippocampus was done by calculating the sum of cell counts from the 5 selected sections followed by the calculation of the mean for each mouse, and then the calculation of it as a percent of the total cell number [33]. All H and E stained slides were captured at the original magnification 200× (Objective 20×) with a UIS optical system (Universal Infinity System, Olympus ® , Japan).

The Histopathological Detection of Surviving Cell in Hippocampus by Cresyl Violet Staining
The Cresyl violet stain was used to mark the Nissl bodies. These Nissl substances are bundles of ribosomes related to the endoplasmic reticulum membrane of the neurons [34]. The hippocampus was selected to be stained because it is the most sensitive area of the brain to toxic insults and is critical for controlling epileptic seizures.
Surviving neuron morphology was detected in 5 regularly spaced sections covering the whole surface of the hippocampus. The surviving cells were recognized by a distinct and complete neural cell membrane in addition to a visible rounded nucleus [35]. The average of the surviving neurons in the 5 selected sections was calculated for each mouse in each group and calculated as a percent of the total cell number [32,36]. All Cresyl violet stained slides were captured at the original magnification of 400× (Objective 40×) with a UIS optical system (Universal Infinity System, Olympus ® , Japan).
All the histopathological examinations were blindly conducted by two pathologists unaware of the study groups.

Statistical Analyses
Data were represented as a mean ± SD and was analyzed using an ANOVA followed by Bonferroni's post hoc. The Statistical Package for Social Science, version 16 (SPSS Software; SPSS Inc., Chicago, IL, USA) was used for data analysis. The significance level was set at p < 0.05.

The Preparation of the CBZ-SLN
Eight formulations of CBZ-SLNs were prepared by the modified hot high-shear homogenization ultra-sonication method (F1-F8) [15]. The composition of the prepared formulations is listed in Table 1. All the prepared CBZ-SLN formulations were evaluated for EE%, particle size analysis, PDI, zeta potential, and in vitro release of CBZ to determine the best formulation.

The Entrapment Efficiency% (EE%) of CBZ in the Prepared CBZ-SLN
As shown in Table 2, the EE% of CBZ in the prepared CBZ-SLN ranged from 39.66 ± 2.42% for F1 to 71.91 ± 1.20% for F8. As shown by Figure 1, it was indicated that EE% of CBZ is higher in case of GMS than in case of stearic acid. The EE% of CBZ for formulations prepared with GMS was 62.08 ± 1.05-71.91 ± 1.20%, while for formulation prepared with stearic acid was 39.66 ± 2.42-61.49 ± 0.85%. This may be attributed to the long carbon chain of GMS (C 21), which resulted in a less ordered solid lipid nanoparticle structure and offered great loading space to encapsulate more CBZ drug molecules [4]. These results were in accordance with the study of Priyanka et al. [21], in which the EE% of montelukast sodium in the prepared SLNs is higher in the case of GMS than in the case of stearic acid. 0.89%. This may be due to the higher HLB value (Hydrophilic Lipophilic Balance) of poloxamer 188 than that of Tween 80 [37]. This was similar to the result obtained by Ekambaram et al. [37], who found that the entrapment efficiency of various Ramipril SLNs stabilized with different nonionic surfactants, and the EE% in case of poloxamer 188 was greater than that of Tween 80 and Span 20.
Additionally, the EE% of CBZ was higher in the case of 1% surfactant than in the case of 0.5% for both Tween 80 and poloxamer 188. This may be due to the increase in the solubility of the drug in the lipid and the increase in the steric stability of the lipid, resulting in an increase of the concentration of the surfactant [36]. These results are in good agreement with those of Abdelbary et al. [4] who found that the EE% of diazepam in the prepared SLN increased by increasing the surfactant concentration.

The Effect of Surfactant Type and Concentration on the EE% of CBZ in the Prepared CBZ-SLN
As shown in Figure 1, it was revealed that the EE% of CBZ was higher in case of poloxamer 188 than in case of Tween 80. The EE% of CBZ for formulations prepared with poloxamer 188 was 58.16 ± 1.15-71.91 ± 1.20%, while for formulation prepared with Tween 80, it was 39.66 ± 2.42-63.95 ± 0.89%. This may be due to the higher HLB value (Hydrophilic Lipophilic Balance) of poloxamer 188 than that of Tween 80 [37]. This was similar to the result obtained by Ekambaram et al. [37], who found that the entrapment efficiency of various Ramipril SLNs stabilized with different nonionic surfactants, and the EE% in case of poloxamer 188 was greater than that of Tween 80 and Span 20.
Additionally, the EE% of CBZ was higher in the case of 1% surfactant than in the case of 0.5% for both Tween 80 and poloxamer 188. This may be due to the increase in the solubility of the drug in the lipid and the increase in the steric stability of the lipid, resulting in an increase of the concentration of the surfactant [36]. These results are in good agreement with those of Abdelbary et al. [4] who found that the EE% of diazepam in the prepared SLN increased by increasing the surfactant concentration.

The Particle Size, Zeta potential, and Polydispersity Index of the Prepared CBZ-SLN
As illustrated by Table 2, the particle size of the prepared CBZ-SLN was small in the nano range (45.11 ± 6.72-760.7 ± 5.25 nm). It was revealed that the particle size of the prepared CBZ-SLN differed according to the type of lipid and the type and concentration of used surfactants.

The Effect of Lipid Type on the Particle Size
The particle size of the prepared CBZ-SLN formulations, which were prepared using GMS, was smaller than that of those prepared using stearic acid (see Figure 2). This may be attributed to the fact that stearic acid has a higher melting point than GMS, which results in a slower lipid crystallization during preparation. Accordingly, this leads to increasing the particle size [21]. Additionally, it has been proposed that GMS acts as a surfactant and a lipid matrix which allows for the emulsification and preparation of small CBZ-SLNs. This result was in agreement with the results obtained by the study of Abdelbary et al. [4], in which the particle size of a diazepam SLN prepared by stearic acid was larger than that prepared by GMS.

The Effect of Surfactant Type and Concentration on the Particle Size
As shown by Figure 2, the particle size of the prepared CBZ-SLN formulations, which were prepared by poloxamer 188, was smaller than that of those prepared by Tween 80. This may be attributed to the high HLB value of poloxamer 188.
Additionally, the particle size of the prepared CBZ-SLN decreased as the concentration of the surfactant increased from 0.5% to 1%, irrespective of the type of surfactant. This may be attributed to the decrease in the interfacial tension between the aqueous and lipid phases during preparation as the surfactant concentration increased, resulting in a small droplet of lipid in the internal phase of the emulsion, which, after cooling, can lead to the preparation of small SLNs [38].
Additionally, the increase in surfactant concentration leads to an increase in the stearic stability of the prepared CBZ-SLN, which prevents the aggregation of a prepared SLN [38].

The Effect of Surfactant Type and Concentration on the Particle Size
As shown by Figure 2, the particle size of the prepared CBZ-SLN formulations, which were prepared by poloxamer 188, was smaller than that of those prepared by Tween 80. This may be attributed to the high HLB value of poloxamer 188.
Additionally, the particle size of the prepared CBZ-SLN decreased as the concentration of the surfactant increased from 0.5% to 1%, irrespective of the type of surfactant. This may be attributed to the decrease in the interfacial tension between the aqueous and lipid phases during preparation as the surfactant concentration increased, resulting in a small droplet of lipid in the internal phase of the emulsion, which, after cooling, can lead to the preparation of small SLNs [38].
Additionally, the increase in surfactant concentration leads to an increase in the stearic stability of the prepared CBZ-SLN, which prevents the aggregation of a prepared SLN [38].
As shown by Table 2, all the prepared CBZ-SLNs had negative zeta potentials that ranged from −21.5 ± 1.02 to −38.4 ± 1.32 mv. All the prepared CBZ-SLNs exhibited negative zeta potentials with high values, which indicates a high stability of the prepared CBZ-SLNs due to a lesser tendency for aggregation [2]. These results are similar to those obtained by Nair et al. [2], who reported that the prepared carbamazepine solid lipid nanoparticles have a negative zeta potential with high values.
As shown by Table 2, the values of the PDI for all the prepared CBZ-SLNs ranged from 0.196 ± 0.05 to 0.419 ± 0.02, which is less than 0.5. This indicates a narrow size distribution and a homogenous distribution [20].

The In Vitro Release Study of CBZ from the Prepared CBZ-SLN
The results of the in vitro release study of all the prepared CBZ-SLNs (F1-F8) and the free CBZ are shown by Figure 3A.

Release Kinetics
The release kinetics for all the prepared CBZ-SLNs was evaluated to determine the release behavior of CBZ from the prepared SLNs. The release data were analyzed with zero-order kinetic, first-order kinetic, and Korsmeyer-Peppas kinetic models, as well as the Higuchi kinetic model. As shown by Table 3, it was revealed that the release data from SLNs fit to Higuchi kinetic model with the highest (r) value, while for free CBZ suspension, the release data fit the first-order kinetic model. These results were found to be in agreement with those obtained by Venkateswarlu and Manjunath, who found that the release data for clozapine from the prepared SLNs fit to the Higuchi diffusion model [3].  It was shown that the release of CBZ from all the prepared CBZ-SLNs was much slower than its release from the free CBZ suspension (p < 0.05). These results indicate the availability of the sink condition for the release of CBZ, and there is no limitation for drug release through the dialysis membrane [4].
For all the prepared CBZ-SLNs, it was shown that the release was fast at first, which may be due to the drug absorption on the surface of the prepared SLNs. Then, the release became more sustained due to the diffusion of the drug from SLNs to the diffusion medium [39,40].

The Effect of Lipid Type on Drug Release
As shown by Figure 3B, the drug release from SLNs prepared by GMS was more sustained than that of those prepared by stearic acid. This may be attributed to the long carbon chain of GMS (C 21), which resulted in less ordered lipid crystals with less drug expulsion and a slower drug release [4].

The Effect of Surfactant Type and Concentration on Drug Release
The drug release from the SLNs prepared by poloxamer 188 was faster than that of those prepared by Tween, and the release was more sustained in case of 0.5% surfactant than in case of the 1% surfactant. This may be due to the fact that the smaller the particle size, the higher the surface area and the smaller the diffusion distances, which resulted in higher dissolution and drug release; Figure 3B [39,41].

Release Kinetics
The release kinetics for all the prepared CBZ-SLNs was evaluated to determine the release behavior of CBZ from the prepared SLNs. The release data were analyzed with zero-order kinetic, first-order kinetic, and Korsmeyer-Peppas kinetic models, as well as the Higuchi kinetic model. As shown by Table 3, it was revealed that the release data from SLNs fit to Higuchi kinetic model with the highest (r) value, while for free CBZ suspension, the release data fit the first-order kinetic model. These results were found to be in agreement with those obtained by Venkateswarlu and Manjunath, who found that the release data for clozapine from the prepared SLNs fit to the Higuchi diffusion model [3].

The Selection of the Optimized Formulation
After ranking the prepared CBZ-SLN formulation based on a high EE%, a small particle size, a high zeta potential, and a fast drug release, it was shown that F8 was the best one and therefore the one chosen to complete the in vivo study. The EE% was 71.91 ± 1.20%, the particle size was 45.11 ± 6.72 nm, the zeta potential (ZP) was -33.3 ± 1.45 mv, and the Q12 was 70.23 ± 1.48% [42].

The Surface Morphology of the CBZ-SLN
As depicted by Figure 4A, the TEM images of the optimized formulation of the CBZ-SLN (F8) revealed that the prepared CBZ-SLN possessed a uniform spherical shape with nanometer size range [11]. As shown in Figure 4B, the SEM photograph of the optimized formulation of the CBZ-SLN (F8) was spherical with a smooth surface. high zeta potential, and a fast drug release, it was shown that F8 was the best one and therefore the one chosen to complete the in vivo study. The EE% was 71.91 ± 1.20%, the particle size was 45.11 ± 6.72 nm, the zeta potential (ZP) was -33.3 ± 1.45 mv, and the Q12 was 70.23 ± 1.48% [42].

The Surface Morphology of the CBZ-SLN
As depicted by Figure 4A, the TEM images of the optimized formulation of the CBZ-SLN (F8) revealed that the prepared CBZ-SLN possessed a uniform spherical shape with nanometer size range [11]. As shown in Figure 4B, the SEM photograph of the optimized formulation of the CBZ-SLN (F8) was spherical with a smooth surface.

FT-IR Spectroscopy
FT-IR spectroscopy was employed to investigate the interactions between the lipid, the drug and other excipients, as shown by Figure 5. The FT-IR spectra of the pure drug (CBZ) showed a characteristic peak of an N-H stretch at 3459.67 cm −1 , a C=0 stretch at 1672.95 cm −1 , an aromatic C-H stretch at 3163.65 cm −1 , a C=C stretch at 1600.63 cm −1 and C≡N at 1385.6 cm −1 , see Figure 5A. The IR-spectrum of CBZ was similar to the results obtained by Nair et al. [2], which showed the same peaks.
The IR-spectra of GMS, as shown by Figure 5B

FT-IR Spectroscopy
FT-IR spectroscopy was employed to investigate the interactions between the lipid, the drug and other excipients, as shown by Figure 5. The FT-IR spectra of the pure drug (CBZ) showed a characteristic peak of an N-H stretch at 3459.67 cm −1 , a C=0 stretch at 1672.95 cm −1 , an aromatic C-H stretch at 3163.65 cm −1 , a C=C stretch at 1600.63 cm −1 and C≡N at 1385.6 cm −1 , see Figure 5A. The IR-spectrum of CBZ was similar to the results obtained by Nair et al. [2], which showed the same peaks. As shown by Figure 5C, the IR-spectra of stearic acid showed characteristic peaks of broad O-H stretching at 3435.56 cm −1 , C-H stretching at 2919.7 cm −1 , and C=O stretching at 1698.98 cm −1 . These results are in agreement with those obtained by Garg et al. [43].
The IR-spectra of the CBZ-SLN prepared with GMS and stearic acid showed all the characteristic peaks of CBZ and lipids, as shown by Figure 5D,E, respectively.
The presence of the characteristic peaks of CBZ and lipids in the SLN formulation proves that the drug remained intact without any interactions [2,21].

The Thermal Analysis of the CBZ-SLN
Thermal analysis is an important method that gives an indication of the melting point and recrystallization behavior of crystalline substances.
As shown by Figure 6A, the differential scanning calorimetry (DSC) thermogram of the pure CBZ exhibited two endothermic peaks-the first at 177.05 °C, which was due to the beta form of the CBZ moving to the alfa form, and the second endothermic peak at 194.88 °C, which indicates the melting point of CBZ [10]. This DSC thermogram of CBZ is similar to previous studies carried out by Nair et al., Gavini   The IR-spectra of GMS, as shown by Figure 5B showed characteristic peaks of broad O-H stretching at 3419.17 cm −1 , C-H stretching at 2919.7 cm −1 , and C=O stretching at 1735.62 cm −1 [21].
As shown by Figure 5C, the IR-spectra of stearic acid showed characteristic peaks of broad O-H stretching at 3435.56 cm −1 , C-H stretching at 2919.7 cm −1 , and C=O stretching at 1698.98 cm −1 . These results are in agreement with those obtained by Garg et al. [43].
The IR-spectra of the CBZ-SLN prepared with GMS and stearic acid showed all the characteristic peaks of CBZ and lipids, as shown by Figure 5D,E, respectively.
The presence of the characteristic peaks of CBZ and lipids in the SLN formulation proves that the drug remained intact without any interactions [2,21].

The Thermal Analysis of the CBZ-SLN
Thermal analysis is an important method that gives an indication of the melting point and recrystallization behavior of crystalline substances.
As shown by Figure 6A, the differential scanning calorimetry (DSC) thermogram of the pure CBZ exhibited two endothermic peaks-the first at 177.05 • C, which was due to the beta form of the CBZ moving to the alfa form, and the second endothermic peak at 194.88 • C, which indicates the melting point of CBZ [10]. This DSC thermogram of CBZ is similar to previous studies carried out by Nair et al., Gavini et al.,and Rustichelli et al. [2,8,44]. As shown by Figure 6B,C, the DSC thermogram of the two lipids used in this study (GMS and stearic acid) exhibited sharp endothermic peaks of the melting point at 65.49 and 76.56 °C, respectively [21].
For the CBZ-SLN prepared by GMS as a lipid, the DSC thermogram showed only one endothermic peak of GMS at 64.56 °C; see Figure 6D. Additionally, as illustrated by Figure 6E, the thermal analysis of the CBZ-SLN prepared by stearic acid as a lipid exhibited only one melting endothermic peak of stearic acid at 74.09 °C. The disappearance of the CBZ peak indicates the dispersion of the drug in the lipid matrix in a more soluble amorphous state [10,38]. The same results were obtained by Scioli et al. [40], who found that the endothermic peak of CBZ disappeared in the prepared SLN, and the drug converted from the crystalline state into the amorphous state.  The ability of the CBZ-SLN to prolong the time to death after a lethal dose of PTZ (70 mg/kg, i.p.) was used to evaluate its anticonvulsant activity and compare it with the free CBZ aqueous dispersion [25].
As shown by Figure 7A, it was found that the prepared CBZ-SLN successfully antagonized the lethality of PTZ. The results illustrated by Figure 7A showed that the time to death calculated for the CBZ-SLN group was significantly higher than that calculated for the CBZ and PTZ groups. The time As shown by Figure 6B,C, the DSC thermogram of the two lipids used in this study (GMS and stearic acid) exhibited sharp endothermic peaks of the melting point at 65.49 and 76.56 • C, respectively [21].
For the CBZ-SLN prepared by GMS as a lipid, the DSC thermogram showed only one endothermic peak of GMS at 64.56 • C; see Figure 6D. Additionally, as illustrated by Figure 6E, the thermal analysis of the CBZ-SLN prepared by stearic acid as a lipid exhibited only one melting endothermic peak of stearic acid at 74.09 • C. The disappearance of the CBZ peak indicates the dispersion of the drug in the lipid matrix in a more soluble amorphous state [10,38]. The same results were obtained by Scioli et al. [40], who found that the endothermic peak of CBZ disappeared in the prepared SLN, and the drug converted from the crystalline state into the amorphous state. The ability of the CBZ-SLN to prolong the time to death after a lethal dose of PTZ (70 mg/kg, i.p.) was used to evaluate its anticonvulsant activity and compare it with the free CBZ aqueous dispersion [25].
As shown by Figure 7A, it was found that the prepared CBZ-SLN successfully antagonized the lethality of PTZ. The results illustrated by Figure 7A showed that the time to death calculated for the CBZ-SLN group was significantly higher than that calculated for the CBZ and PTZ groups. The time to death for the PTZ, CBZ, and CBZ-SLN groups was found to be 120 ± 2.48, 2340 ± 140.71, and 3720 ± 244.95 s, respectively, p < 0.05. The prolonged anticonvulsant effect of the prepared CBZ-SLN formulation in comparison with the free CBZ aqueous dispersion may be attributed to the sustained drug release from the SLN and the enhanced absorption of the CBZ-SLN [11,40]. to death for the PTZ, CBZ, and CBZ-SLN groups was found to be 120 ± 2.48, 2340 ± 140.71, and 3720 ± 244.95 sec, respectively, p < 0.05. The prolonged anticonvulsant effect of the prepared CBZ-SLN formulation in comparison with the free CBZ aqueous dispersion may be attributed to the sustained drug release from the SLN and the enhanced absorption of the CBZ-SLN [11,40].
3.9.2. The Effect of the CBZ-SLN on Seizure Score in Mice Kindled with PTZ In this study, 15 repetitive injections of PTZ were used to achieve kindling in mice. As shown by Figure 7B, the mice in the PTZ group showed an increase in the mean seizure score with repetitive PTZ injections. The final seizure score for the PTZ group was 3.4 ± 0.38, while it was 0 ± 0 (p < 0.05) for the saline group. The final seizure scores for the CBZ and CBZ-SLN groups were 2.9 ± 0.41 and 2.2 ± 0.49, respectively, which re significantly lower than that of the PTZ group. The percentage of reduction in the final seizure score for the CBZ aqueous dispersion group was 14.71%, and it was 35.29% for the CBZ-SLN group. The percentage of reduction in the final seizure score for the CBZ-SLN group was significantly higher than that for the CBZ group, p < 0.05. These results may be owed to the nano size and different characters of nanoparticles compared to the conventional form of the drug. The nano size of nanoparticles has the ability to alter their physicochemical properties and allow for increased permeability through biological membranes [45]. In this study, 15 repetitive injections of PTZ were used to achieve kindling in mice. As shown by Figure 7B, the mice in the PTZ group showed an increase in the mean seizure score with repetitive PTZ injections. The final seizure score for the PTZ group was 3.4 ± 0.38, while it was 0 ± 0 (p < 0.05) for the saline group. The final seizure scores for the CBZ and CBZ-SLN groups were 2.9 ± 0.41 and 2.2 ± 0.49, respectively, which re significantly lower than that of the PTZ group. The percentage of reduction in the final seizure score for the CBZ aqueous dispersion group was 14.71%, and it was 35.29% for the CBZ-SLN group. The percentage of reduction in the final seizure score for the CBZ-SLN group was significantly higher than that for the CBZ group, p < 0.05. These results may be owed to the nano size and different characters of nanoparticles compared to the conventional form of the drug. The nano size of nanoparticles has the ability to alter their physicochemical properties and allow for increased permeability through biological membranes [45].  Figure 8A shows the photographic pictures of the hippocampal region for all the groups under study. The saline group showed preserved orderly arranged neurons in multiple layers, indicating vesicular nuclei and eosinophilic cytoplasm with fibrillary background and no degenerative changes. The PTZ-kindled group showed a marked loss of an orderly layered arrangement of neurons, with many degenerated neurons showing shrinkage, decreased layers and dispersion [30]. The CBZ group showed a moderate improvement, with a mild distortion of neurons arrangement with few degenerated neurons showing decreased layer thickness and dispersion. The CBZ-SLN group showed a marked improvement and regularly arranged neurons. Data are presented as mean ± SEM and were analyzed using a one-way ANOVA followed by Bonferroni's post-hoc test at p < 0.05. @ compared to the saline group, * Compared to the PTZ group, # compared to the CBZ group.

Conclusion
Through this study, the authors concluded that CBZ could be formulated in the form of SLNs using solid lipids (glyceryl monostearate or stearic acid) and emulsifier (Tween 80 or poloxamer 188). The prepared CBZ-SLNs had a high entrapment efficiency% that ranged from 39.66 ± 2.42% to 71.91 ± 1.21%, a small particle size with a range of 45.11 ± 6.72-760.7 ± 5.25 nm, a high negative zeta Data are presented as mean ± SEM and were analyzed using a one-way ANOVA followed by Bonferroni's post-hoc test at p < 0.05. @ compared to the saline group, * Compared to the PTZ group, # compared to the CBZ group.
As shown by Figure 8C, the statistical analysis proved that there was a significant increase in the percentage of degenerative cell in the PTZ group compared to the saline group (p < 0.05), while for the CBZ and CBZ-SLN groups, there was a significant reduction in the percentage of degenerative cells compared to the PTZ group (p < 0.05). It was shown that the reduction in the percentage of degenerative cells attained by the CBZ-SLN group was significantly higher than that achieved by the CBZ group (p < 0.05).
These results may be attributed to the increased retention of the nanoparticles in the brain blood capillaries and the effect of the surfactant in the opening of the tight junctions between the brain endothelial cells, thereby enhancing the in vivo activity [38].
3.9.4. The Effect of the CBZ-SLN on the Survival of Neurons in the Hippocampus of PTZ-Kindled Mice Figure 8B shows the photographic pictures of the hippocampus of the groups under study stained by Cresyl violet staining. The saline group showed basal ganglia with abundant cytoplasm and preserved granules. The PTZ-kindled group showed smudged nuclei of the basal ganglia with the distortion of granules.
The CBZ group showed a slightly distorted granules, and the CBZ-SLN group showed regular basal ganglia with prominent granules.
From the histopathological examination, it was shown that the percentage of surviving cells in the saline group was 100%; in the PTZ group, it was 40.27%; in the CBZ group, it was 56.89%, and in the CBZ-SLN group, it was 86.30%, see Figure 8D.
The statistical analysis showed that the surviving neurons percentage in the PTZ group was significantly lower than that of the saline group, while the percentages of surviving cells in the CBZ-SLN and CBZ groups were significantly higher than that of the PTZ group. Additionally, it was shown that the percentage of living neurons in the CBZ-SLN group was significantly higher than that in case of the CBZ group.
Similar results were obtained by Leyva-Gómez et al. [11], who found that nanoparticle formulation improved the anticonvulsant effect of clonazepam on the PTZ-induced seizures compared to the free clonazepam.
These results may be attributed to the high absorption of the CBZ-SLN through the blood brain barrier by adsorption of the CBZ-SLN into the capillaries walls followed by a release of drug from this site to the brain or by adhesion of the CBZ-SLN to the membrane of the endothelial cells, followed by endocytosis of the endothelial cells and the drug release (passive diffusion) of these cells for brain delivery [46][47][48][49][50].

Conclusions
Through this study, the authors concluded that CBZ could be formulated in the form of SLNs using solid lipids (glyceryl monostearate or stearic acid) and emulsifier (Tween 80 or poloxamer 188). The prepared CBZ-SLNs had a high entrapment efficiency% that ranged from 39.66 ± 2.42% to 71.91 ± 1.21%, a small particle size with a range of 45.11 ± 6.72-760.7 ± 5.25 nm, a high negative zeta potential ranged from −21.5 ± 1.02 to −38.4 ± 1.32 mv, and a controlled drug release as compared to the release of drug from free aqueous dispersion. Additionally, the authors concluded that the solid lipid nanoparticles have the ability to increases the anticonvulsant activity of the CBZ, which is represented in the prolongation of the time to death after a lethal dose of PTZ in mice and a decrease the seizure score after the administration of a chronic dose of PTZ in mice.