1. Introduction
Rheumatoid arthritis (RA) is a chronic inflammatory joint disease characterized by joint inflammation, autoantibody production, and cartilage and bone destruction [
1,
2]. Its early clinical manifestations include joint redness, swelling, warmth, pain, and functional impairment, while advanced stages may present with joint stiffness and deformity, accompanied by skeletal muscle atrophy, potentially leading to disability in severe cases [
3]. The pathogenesis of RA involves the complex regulation of various immune cells, immune factors, and signaling pathways [
4]. Multiple innate immune cells, including monocyte-macrophages, natural killer (NK) cells, and mast cells, have been detected in the synovium of RA patients, collectively participating in joint inflammation and bone erosion. Among these, M1-type macrophages derived from monocyte differentiation are the primary drivers of local inflammation [
5]. During the progression of RA, monocytes in the blood migrate into the synovium and differentiate into pro-inflammatory M1 macrophages, which release cytokines and chemokines such as tumor necrosis factor-alpha (TNF-α), interleukin-6 (IL-6), and interleukin-1β (IL-1β), thereby promoting and amplifying local inflammation and causing tissue damage [
6,
7]. Chronic inflammation leads to the persistent accumulation of inflammatory mediators, resulting in synovial cell hyperplasia, synovial thickening, and ultimately cartilage and bone destruction as well as joint dysfunction [
8]. Therefore, the main therapeutic strategy for RA is to alleviate inflammation and mitigate joint damage through various approaches [
9].
Tripterygium wilfordii is a traditional Chinese medicine widely used in the treatment of rheumatic diseases, with effects including dispelling wind and removing dampness, activating blood circulation and unblocking collaterals, and reducing swelling and alleviating pain [
10]. Celastrol (Cel), a pentacyclic triterpenoid compound, is one of its major active components responsible for the anti-RA effects [
11]. This compound inhibits RA by suppressing neutrophil-mediated inflammatory responses and reducing the secretion of TNF-α and IL-6. Additionally, it modulates the NF-κB signaling pathway and inhibits the polarization of macrophages toward the pro-inflammatory M1 phenotype, thereby reducing the secretion of inflammatory cytokines [
12,
13,
14]. Other studies have shown that Cel can alleviate bone erosion and destruction in RA mice by inducing apoptosis of osteoclast precursor cells and inhibiting inflammatory cell infiltration [
15,
16]. However, despite its outstanding medicinal value, the drawbacks of Cel cannot be overlooked. Cel often exhibits significant toxic and side effects, particularly when used in excess, producing notable hepatotoxicity [
17] and nephrotoxicity [
18], as well as cardiotoxicity [
19] and reproductive toxicity [
20]. Moreover, Cel suffers from poor solubility, low oral bioavailability, and a narrow therapeutic window, which severely limit its clinical application [
21].
A microemulsion is a homogeneous dispersion system that spontaneously forms from an oil phase, an aqueous phase, an emulsifier, and a co-emulsifier at appropriate ratios. It appears transparent or nearly transparent, is thermodynamically stable, and typically exhibits a uniform droplet size distribution in the range of 10~100 nm, which can effectively improve the solubility and oral absorption of poorly soluble drugs [
22]. With in-depth research into the various properties of microemulsions, the self-microemulsifying drug delivery system (SMEDDS) has emerged. Compared with nanoformulations such as liposomes and micelles, SMEDDS offers a simpler preparation process and superior physical stability. After oral administration, it can spontaneously form stable oil-in-water (O/W) microemulsions in the gastrointestinal tract [
23]. This stability is primarily attributed to the synergistic action of the emulsifier and co-emulsifier, which together maintain the system’s surface tension below the critical value required for microemulsion formation. In recent years, SMEDDS has been widely used to improve the oral bioavailability of poorly water-soluble drugs, including curcumin [
24], resveratrol [
25], puerarin [
26], andrgrapholide [
27], and berberine hydrochloride [
28].
Therefore, the present study was designed to develop an oral celastrol-loaded self-microemulsifying drug delivery system (Cel-SMEDDS) to address the limitations of poor aqueous solubility, low oral absorption, and potential toxicity of Cel, with the goal of improving therapeutic efficacy while reducing toxicity. Although Qi et al. developed a solid self-microemulsifying dispersible tablet of Cel that improved oral bioavailability by 2.3-fold, they did not evaluate its anti-arthritic efficacy or long-term stability [
29]. Another study by Onyeabor et al. prepared celastrol-loaded silk fibroin nanoparticles for oral delivery, but focused solely on pharmacokinetic parameters without investigating anti-inflammatory mechanisms or systemic toxicity [
30]. Notably, no prior Cel-SMEDDS formulation has been comprehensively evaluated for rheumatoid arthritis treatment, including both in vitro macrophage polarization modulation and in vivo CIA model validation. Furthermore, the majority of these prior works constructed pseudo-ternary phase diagrams directly, omitting excipient compatibility pre-screening and thereby potentially compromising formulation stability and batch-to-batch reproducibility. To overcome these limitations, we systematically developed Cel-SMEDDS by integrating compatibility testing and phase diagram optimization. The novelty of the present study includes the comprehensive evaluation of long-term stability under diverse storage conditions, elucidation of the anti-inflammatory mechanisms involving macrophage polarization and TNF-α modulation, rigorous in vivo validation of anti-arthritic efficacy in collagen-induced arthritis (CIA) mice, and a preliminary safety assessment at a high therapeutic dose. Collectively, this study advances the mechanistic understanding of SMEDDS-based Cel delivery and provides a promising oral formulation candidate for the treatment of rheumatoid arthritis.
2. Experimental Materials and Instruments
2.1. Materials
Celastrol (batch No. P2430964, purity 98%) and sulforhodamine B (batch No.: P2409495, purity 70%) were purchased from Shanghai Titan Scientific Co., Ltd. (Shanghai, China). LABRAFIL M 1944 CS (batch No. 162835), PLUROL OLEIQUE CC 497 (batch No. 162324), and CAPRYOL 90 (batch No. 172122) were obtained from Gattefossé (Saint-Genis-Laval, France). Kolliphor RH 40 (batch No. 28653868E0) was purchased from Beijing Fengli Jingqiu Pharmaceutical Technology Co., Ltd. (Beijing, China). Ethyl oleate (batch No. 20220209) was obtained from Jiangxi Alpha Hi-Tech Pharmaceutical Co., Ltd. (Pingxiang, China). Tween 20 (batch No. 20240924) and 1,2-propylene glycol (batch No. 20180921) were purchased from Sinopharm Chemical Reagent Co., Ltd. (Shanghai, China). Anhydrous ethanol (batch No. 01101143) was obtained from Nanjing Chemical Reagent Co., Ltd. (Nanjing, China). CMC-NA (batch No. 0552117505) was purchased from Shenzhen Youpuhui Pharmaceutical Technology Co., Ltd. (Shenzhen, China). DMEM medium (batch No. 6125016) was obtained from Gibco (Grand Island, NY, USA). Fetal bovine serum (batch No. SA240119) was purchased from Wuhan Pricella Life Science & Technology Co., Ltd. (Wuhan, China). The magnetic bead-based tissue/cell/blood total RNA extraction kit (batch No. A0925A) and RNase-free/DNase I (batch No. B0721B) were obtained from Tiangen Biotech (Beijing) Co., Ltd. (Beijing, China). Hifair® III 1st Strand cDNA Synthesis Supermix for qPCR (gDNA digester plus) (batch No. H9405020), Hieff UNICON® Universal Blue qPCR SYBR Green Master Mix (batch No. H74272080), and DiR Iodide (DiIC 18 (7)) (batch No. D2322051) were purchased from Yeasen Biotechnology (Shanghai) Co., Ltd. (Shanghai, China). Primers for GAPDH, TNF-α, IL-1β, and IL-10 (batch No. 2414247) were obtained from Sangon Biotech (Shanghai) Co., Ltd. (Shanghai, China). Bovine type II collagen, Freund’s incomplete adjuvant, and Freund’s complete adjuvant (batch No. 240009) were purchased from Chondrex, Inc. (Redmond, WA, USA). Mouse TNF-α ELISA kit (batch No. A28240735) was obtained from Lianke Bio (Hangzhou) Co., Ltd. (Hangzhou, China). TNF Alpha/TNFA antibody (batch No. 24BP9019J2554H21) was purchased from Boster Biological Technology Co., Ltd. (Pleasanton, CA, USA). Assay kits for AST (batch No. 140124020), ALT (batch No. 140223007), CREA (batch No. 141124042), and UREA (batch No. 141325015) were obtained from Shenzhen Mindray Bio-Medical Electronics Co., Ltd. (Shenzhen, China).
2.2. Instruments
ME204T analytical balance (1/10,000) and XSR105 microbalance, Mettler-Toledo Instruments (Shanghai) Co., Ltd. (Shanghai, China); VM-T2 vortex mixer, Shanghai Titan Scientific Co., Ltd. (Shanghai, China); M2e microplate reader, Molecular Devices (Shanghai) Co., Ltd. (Shanghai, China); 5425R low-temperature high-speed centrifuge, Eppendorf AG (Hamburg, Germany); DM500 upright microscope, Leica Microsystems Co., Ltd. (Wetzlar, Germany); KQ5200B ultrasonic cleaner, Kunshan Ultrasonic Instruments Co., Ltd. (Kunshan, China); Nano-ZS90 laser particle size analyzer, Malvern Panalytical Instruments Ltd. (Malvern, UK); e2695 high-performance liquid chromatograph, Waters Corporation (Milford, MA, USA); SHH-150SD drug stability test chamber, Chongqing Yongsheng Experimental Instrument Factory (Chongqing, China); CFX96 PCR amplification system and T100 real-time PCR system, Bio-Rad Laboratories, Inc. (Hercules, CA, USA); IC1000 automatic cell counter, Shanghai Ruiyu Biotechnology Co., Ltd. (Shanghai, China); 716 automatic nucleic acid extractor, Thermo Fisher Scientific (Shanghai) Instruments Co., Ltd. (Shanghai, China); BS-220 biochemical analyzer, Shenzhen Mindray Bio-Medical Electronics Co., Ltd. (Shenzhen, China); YHC-940 medical refrigerator, Qingdao Haier Special Electrical Appliances Co., Ltd. (Qingdao, China); DW-86L626 upright ultra-low temperature freezer, Qingdao Haier Special Electrical Appliances Co., Ltd. (Qingdao, China).
2.3. Experimental Animals
Specific pathogen-free (SPF) male DBA/1JGpt mice (7 weeks old, 20 ± 2 g) were purchased from GemPharmatech Co., Ltd. (Nanjing, China), license No. SCXK (Su) 2023-0009. Female KM mice (4 weeks old, 20 ± 2 g) and female C57BL/6 mice (4 weeks old, 20 ± 2 g) were purchased from Shandong Pengyue Laboratory Animal Technology Co., Ltd. (Jinan, China), license No. SCXK (Lu) 2022-0006. All animals were housed in an SPF facility under controlled environmental conditions (temperature 25 ± 1 °C, humidity 50 ± 5%) with a 12 h light/dark cycle.
3. Experimental Methods
3.1. HPLC Analytical Method for Cel
The HPLC conditions for Cel analysis were based on a method described in the literature with slight modifications [
30]. Chromatographic column: XBridge
® C18 (5 μm, 4.6 × 250 mm). Mobile phase: acetonitrile-0.1% phosphoric acid aqueous solution (80:20,
v/
v). Detection wavelength: 425 nm. Flow rate: 1.0 mL/min. Injection volume: 10 µL. Column temperature: 25 °C.
Preparation of Cel standard curve: Cel (2 mg) was accurately weighed and transferred to a 10 mL volumetric flask, dissolved in methanol by ultrasonication, and diluted to volume to obtain a standard stock solution at a concentration of 0.5 mg/mL. Appropriate volumes of the stock solution were accurately withdrawn and diluted stepwise with methanol to concentrations of 100, 50, 25, 10, 5, and 1 µg/mL. Each standard solution was injected and analyzed under the above chromatographic conditions, and the peak areas were recorded. Linear regression was performed to construct the standard curve.
3.2. Formulation Screening of Cel-SMEDDS
3.2.1. Solubility Study
In this study, ethyl oleate, LABRAFIL M 1944 CS, PLUROL OLEIQUE CC 497, Tween 20, Kolliphor RH 40, ethanol, CAPRYOL 90, and 1,2-propylene glycol were selected as excipients for formulation screening based on the following criteria: (1) their widespread application in SMEDDS for poorly water-soluble drugs; (2) their Generally Recognized as Safe (GRAS) status; and (3) their recognized capacity to solubilize triterpenoids such as Cel [
31,
32]. To determine the equilibrium solubility of Cel in each excipient, an excess amount of Cel was added to accurately weighed excipient (0.5 g) in a 2 mL centrifuge tube. The mixtures were vortexed, ultrasonicated for 10 min, and subsequently shaken in a constant-temperature water bath at 37 °C and 100 rpm for 48 h to achieve saturation equilibrium. After centrifugation at 10,000 rpm for 15 min, the supernatant was collected, appropriately diluted with methanol, and filtered through a 0.22 µm microporous membrane. The resulting solutions were analyzed using the HPLC method described in
Section 3.1, and the Cel concentration in each excipient was calculated.
3.2.2. Compatibility Study
The key to SMEDDS preparation lies in the selection of pharmaceutical excipients and the ratios among components. In this study, ethyl oleate and LABRAFIL M 1944 CS were used as the oil phase; PLUROL OLEIQUE CC 497, Tween 20, and Kolliphor RH 40 were used as emulsifiers; and anhydrous ethanol, CAPRYOL 90, and 1,2-propylene glycol were used as co-emulsifiers for formulation screening. The total mass of the blank SMEDDS was set to 1 g, and the mass ratio of oil phase, emulsifier, and co-emulsifier was 0.2:0.5:0.3. The emulsifier and co-emulsifier were weighed proportionally, vortexed to mix, and then the oil phase was added, followed by vertexing. It was observed whether a clear and transparent SMEDDS could be formed. Then, an excess of ultrapure water was added, and the mixture was vortexed to induce microemulsification. It was observed whether a clear and transparent microemulsion could be formed.
3.2.3. Pseudo-Ternary Phase Diagram
To determine the optimal proportions of each component in the SMEDDS, pseudo-ternary phase diagrams were constructed at room temperature using the water titration method described previously [
33]. The systems were investigated at emulsifier-to-co-emulsifier mass ratios (Km) of 1:1, 1.5:1, 2:1, and 3:1. For each Km value, the emulsifier and co-emulsifier were mixed at the designated ratio, and this mixture was subsequently combined with the oil phase at mass ratios (oil: mixed emulsifier) ranging from 1:9 to 9:1, corresponding to oil phase concentrations of 10% to 90% (
w/
w) of the total oil plus emulsifier mixture. After vortexing to ensure homogeneity, ultrapure water was added dropwise under continuous vortexing. The volume of water required to induce the transition from a turbid state to a clear and transparent dispersion was recorded. The mass percentages of each component at this endpoint were calculated, and pseudo-ternary phase diagrams were generated using Origin 2021 software. The optimal Km value was identified by comparing the microemulsion region areas in the diagrams; a larger microemulsion region was taken to indicate greater self-emulsifying efficiency.
3.2.4. Screening of Oil Phase Ratio
The oil-to-emulsifier mixture ratio is a critical parameter governing SMEDDS formation: an excessively high oil content compromises microemulsion stability, while an excessively low ratio may limit drug loading capacity. Accordingly, after establishing the optimal emulsifier-to-co-emulsifier ratio, the oil phase proportion was further optimized. Based on the pseudo-ternary phase diagram results, which confirmed the existence of stable microemulsions over a broad compositional range, five oil-to-emulsifier mixture ratios (2:1, 1:1, 1:2, 1:4, and 1:8, corresponding to oil contents from approximately 67% to 11% w/w) were selected for screening. The objective was to identify the minimum effective surfactant concentration—thereby reducing potential toxicity—while ensuring sufficiently small droplet size and robust emulsion stability. For each ratio, the emulsifier and co-emulsifier were weighed at the optimized Km of 1.5:1 and vortex-mixed to obtain a homogeneous emulsifier mixture. Blank SMEDDS with a fixed total mass of 0.9 g were prepared by combining the oil phase with the emulsifier mixture at the designated ratios and vortexing. Microemulsification was induced by 100-fold dilution with ultrapure water. The resulting dispersions were visually inspected for appearance, and droplet size was measured using a Malvern laser particle size analyzer; these results served as the basis for selecting the optimal oil phase ratio.
3.2.5. Screening of Drug Loading Capacity
The emulsifier and co-emulsifier were weighed at a ratio of 1.5:1 and vortexed to obtain the emulsifier mixture. The total mass of the blank SMEDDS was set to 0.5 g. Five parallel samples were prepared by mixing the oil phase and the emulsifier mixture at a ratio of 1:4. Cel was added at mass ratios of 1%, 1.5%, 2%, 2.5%, and 3% (w/w), respectively, and ultrasonicated until completely dissolved. After vortexing, the mixture was diluted 100-fold with ultrapure water to induce microemulsification. The appearance was observed, and the particle size was measured using a Malvern laser particle size analyzer (Malvern Panalytical Instruments Ltd., Malvern, UK). The optimal drug loading capacity was determined by comparing particle size and drug dissolution.
3.3. Preparation of Cel-SMEDDS
The total mass of the blank SMEDDS was set to 1 g. Kolliphor RH 40 (0.48 g) and CAPRYOL 90 (0.32 g) were accurately weighed into a 2 mL centrifuge tube and vortexed to mix. Then, LABRAFIL M 1944 CS (0.2 g) was accurately weighed and added, followed by vortexing to obtain the blank SMEDDS. Subsequently, 15 mg of Cel powder was accurately weighed and added to the centrifuge tube, vortexed, and ultrasonicated until completely dissolved, yielding Cel-SMEDDS.
3.4. Characterization of Cel-SMEDDS
3.4.1. Self-Emulsification and Dilution Stability
Blank SMEDDS and Cel-SMEDDS were prepared according to the method described in
Section 3.3. Their fluidity, clarity, and color were observed. Subsequently, small amounts of blank SMEDDS and Cel-SMEDDS were diluted 100-fold with ultrapure water and vortexed to induce microemulsification. The clarity, color, and emulsification time of the resulting microemulsions were observed and recorded. To evaluate the stability of Cel-SMEDDS under different pH conditions, the formulation was diluted 10-fold and 100-fold with pH 1.2 and pH 6.8 buffers, respectively. The 100-fold diluted samples were kept at room temperature, and the particle size and PDI were measured using a Malvern laser particle size analyzer at 0, 2, 4, 6, 8, 10, and 24 h. Appearance was also observed.
3.4.2. Particle Size and Zeta Potential
Blank SMEDDS and Cel-SMEDDS were prepared according to the method described in
Section 3.3, diluted 100-fold with ultrapure water, and their particle size, PDI, and zeta potential were measured using a Malvern laser particle size analyzer at 25 °C. Each sample was measured three times, and the average values were calculated.
3.4.3. In Vitro Release
The in vitro release of Cel-SMEDDS was investigated using the dialysis bag diffusion method, adapted from a previously reported method [
34,
35]. Cel-SMEDDS was prepared following the procedure described in
Section 3.3 and diluted with ultrapure water to yield a Cel microemulsion at a concentration of 2 mg/mL. One milliliter of this microemulsion was placed into a dialysis bag with a molecular weight cutoff of 3000 Da, which was then immersed in 30 mL of release medium (pH 1.2 or pH 6.8) containing 0.5% (
w/
v) Kolliphor RH 40. The addition of 0.5% Kolliphor RH 40 was to maintain sink conditions, as Cel has very poor water solubility (log P ~5–6). Kolliphor RH 40 is the same surfactant used in the SMEDDS formulation, and this concentration has been widely used to improve the solubility of poorly soluble drugs in release studies [
36]. The release study was conducted at 37 °C with continuous shaking at 100 rpm, and each formulation was tested in triplicate. At predetermined time intervals (0.5, 1, 2, 4, 8, 10, 24, and 48 h), 1 mL of release medium was withdrawn and replaced with an equal volume of fresh pre-warmed medium. The collected samples were analyzed using the method outlined in
Section 3.1, and the drug concentration was calculated. The cumulative release percentage of Cel was plotted against time to construct the in vitro release profiles.
3.4.4. Long-Term Stability
To investigate the long-term stability of Cel-SMEDDS under different temperature conditions, three parallel batches of Cel-SMEDDS were prepared according to the method described in
Section 3.3, transferred into vials, and stored at 5 ± 3 °C, 25 ± 2 °C, and 40 ± 2 °C, respectively. Samples were taken at 0, 30, and 60 days. At each time point, 0.25 g of the formulation was transferred to a 25 mL volumetric flask, diluted to volume with ultrapure water, and the appearance was observed. The particle size was measured, and the sample was filtered through a 0.22 µm microporous membrane. The concentration was analyzed using the method described in
Section 3.1, and the peak area was recorded to calculate the drug concentration.
3.5. Cytotoxicity
Cytotoxicity was assessed using LPS-induced RAW264.7 cells. Cells were seeded into 96-well plates at a density of 0.5 × 10
4 cells per well and cultured in DMEM complete medium containing 200 ng/mL LPS for 24 h to induce M1 polarization [
37]. Four groups were established: PBS (negative control), blank SMEDDS (vehicle control), free Cel, and Cel-SMEDDS. Each group had three replicate wells. A gradient concentration regimen was adopted, with Cel concentrations of 5 µg/mL, 1 µg/mL, 200 ng/mL, 40 ng/mL, and 8 ng/mL. Owing to the poor aqueous solubility of Cel, free Cel was first dissolved in DMSO and subsequently diluted with DMEM complete medium to the target concentrations, with the final DMSO concentration kept below 1% (
v/
v). Cel-SMEDDS was directly diluted with DMEM complete medium. The blank SMEDDS was diluted in parallel to provide equivalent excipient concentrations as the Cel-SMEDDS groups, and the PBS group received an equivalent volume of PBS buffer. After 48 h of incubation, cell viability was determined via the sulforhodamine B (SRB) assay.
3.6. qRT-PCR Detection of Cytokine Expression
LPS-induced RAW264.7 cells were used to investigate the effect of Cel on the expression of TNF-α, IL-1β, and IL-10 cytokines. GAPDH was used as the internal reference gene, and the primer sequences are listed in
Table 1. RAW264.7 cells (2 × 10
4 cells/well) were seeded into 48-well plates and cultured in DMEM complete medium containing 200 ng/mL LPS for 24 h, after which the medium was replaced with fresh DMEM complete medium. Three groups were established, Cel-SMEDDS, Cel, and PBS, with three replicate wells per group. Cells were treated with Cel microemulsion, free Cel, or PBS, respectively. The treatment concentrations were determined based on the cytotoxicity results, and concentrations that maintained cell viability above 90% were selected. After treatment, the cells were further cultured in a constant-temperature incubator for 48 h. After 48 h, the old medium was discarded, and total cellular RNA was extracted using a magnetic bead-based tissue/cell/blood total RNA extraction kit. The RNA was reverse transcribed into cDNA using Hifair
® III 1st Strand cDNA Synthesis Supermix for qPCR (gDNA digester plus). Finally, amplification and detection were performed using Hieff UNICON
® Universal Blue qPCR SYBR Green Master Mix. The amplification program was as follows: pre-denaturation at 95 °C for 2 min, followed by 40 cycles of 95 °C for 10 s and 60 °C for 30 s, and then melt curve analysis. After amplification, the relative expression levels of the genes were analyzed using the 2
−△△Ct method.
3.7. In Vivo Biodistribution of SMEDDS
Nine C57BL/6 mice were evenly divided into three groups and administered by gavage. An additional control group received no treatment and was used only for ex vivo imaging of the gastrointestinal tract. Mice in the treatment groups were fasted for 12 h and then given DiR-SMEDDS by gavage at a dose of 400 μL per 20 g body weight (DiR-SMEDDS preparation: 2 mg of DiR dye was dissolved in 1 g of blank SMEDDS, followed by dilution with ultrapure water to a DiR concentration of 0.2 mg/mL). Mice in the treatment groups were euthanized at 2, 4, and 8 h post-administration, and the gastrointestinal tract was dissected. Blood residues and intestinal contents were rinsed off with PBS, and ex vivo imaging was performed using a small animal in vivo imaging system.
3.8. Pharmacodynamic Studies
3.8.1. Establishment of the CIA Mouse Model
Male DBA/1JGpt mice were acclimatized for 7 days, and 8-week-old mice were used to establish the collagen-induced arthritis (CIA) model. On day 0, an emulsion containing 0.5 mg/mL Mycobacterium tuberculosis in complete Freund’s adjuvant (CFA) mixed with bovine type II collagen was injected. On day 21 after the first injection, a booster injection was administered using an emulsion consisting of collagen mixed with incomplete Freund’s adjuvant (IFA) without Mycobacterium tuberculosis. Both the primary and booster injections were given subcutaneously at the base of the tail at a volume of 0.1 mL per injection, with the booster injection site avoiding the primary injection site. Arthritis typically developed 28~35 days after the primary immunization, manifested by severe redness and swelling of the paws.
3.8.2. Drug Preparation
Cel microemulsion: An appropriate amount of Cel-SMEDDS was placed in a centrifuge tube, mixed with ultrapure water, and vortexed to achieve a final Cel concentration of 0.4 mg/mL.
Cel suspension: An appropriate amount of Cel powder was accurately weighed into a centrifuge tube, mixed with an appropriate volume of 0.5% CMC-NA solution, vortexed, and ultrasonicated until the Cel was uniformly dispersed, yielding a final Cel concentration of 0.4 mg/mL.
3.8.3. In Vivo Treatment Regimen in CIA Mice
CIA model mice were randomly divided into three groups: Cel-SMEDDS, Cel, and PBS, with four mice per group. An additional group of healthy mice was used as a negative control, which was housed normally without any treatment. Mice in the Cel-SMEDDS and Cel groups received daily oral gavage of Cel microemulsion and Cel suspension, respectively, at a Cel dose of 2 mg/kg, with a gavage volume of 100 μL per 20 g body weight. Mice in the PBS group received an equal volume of PBS by daily oral gavage. The treatment lasted for 30 consecutive days. From the start of administration, clinical scoring was performed every three days using a double-blind method, and paw swelling was measured using an electronic Vernier caliper. All measurements were taken on the right hind paw of each mouse.
3.8.4. Clinical Scoring of Arthritis in CIA Mice
From day 0 after the start of administration, the redness and swelling of the joints and paws of each mouse were measured and evaluated every three days using a double-blind method. The severity of arthritis in each group was clinically scored according to
Table 2.
3.8.5. Detection of Serum TNF-α Levels in CIA Mice by ELISA
After the completion of drug administration, blood samples were collected from CIA mice via the orbital venous plexus. The blood was centrifuged at 3000× g for 15 min, and the upper serum layer was separated. Serum TNF-α levels were quantitatively analyzed using a Mouse TNF-α ELISA Kit. A standard curve was prepared, and samples were processed according to the manufacturer’s instructions. Finally, the OD values were measured using a microplate reader at the maximum absorption wavelength of 450 nm and the reference wavelength of 570 nm. The calibrated OD value was obtained by subtracting the OD at 570 nm from the OD at 450 nm. The calibrated OD values were used to fit the standard curve and calculate sample concentrations.
3.8.6. Histological and Immunohistochemical Analysis
After blood collection, the mice were euthanized, and the hind ankle joints were harvested. The joints were fixed in 4% paraformaldehyde solution for 72 h and then decalcified in 15% (w/v) ethylenediaminetetraacetic acid (EDTA) solution for three weeks. The tissues were then dehydrated using a graded ethanol series in an automatic dehydrator. The dehydrated tissues were embedded in paraffin blocks, and sections of 4 μm thickness were cut using a microtome. The sections were subjected to H&E staining, Safranin O-Fast Green staining, and toluidine blue staining. The stained sections were observed under an optical microscope and photographed for comparison.
Additionally, sections from each group were washed with PBS, blocked with 10% bovine serum albumin, and incubated with TNF-α antibody. The sections were then incubated with a secondary antibody at 37 °C for 30 min and labeled with horseradish peroxidase. Subsequently, the sections were rinsed again with PBS and stained with 3,3′-diaminobenzidine (DAB). Finally, the sections were counterstained with hematoxylin, air-dried, and examined under a microscope to evaluate TNF-α expression.
3.9. Preliminary Safety Evaluation
3.9.1. Drug Preparation
Cel microemulsion and Cel suspension were prepared as described in
Section 3.8.2, with the Cel concentration adjusted to 1.6 mg/mL for safety evaluation.
3.9.2. Dosing Regimen
In this study, a dosage eight times the pharmacodynamic dose was selected to ensure that the drug exposure level was far higher than the effective concentration without causing death in experimental animals, in order to preliminarily explore the safety of Cel-SMEDDS. Female KM mice were acclimatized for 7 days and then randomly divided into three groups: Cel-SMEDDS, Cel, and PBS, with five mice per group. Mice in the Cel-SMEDDS and Cel groups received daily oral gavage of Cel microemulsion and Cel suspension, respectively, at a Cel dose of 16 mg/kg, with a gavage volume of 200 μL per 20 g body weight. Mice in the PBS group received an equal volume of PBS by daily oral gavage. The treatment lasted for 27 consecutive days. After the start of administration, the condition of the mice was observed daily, and body weight was measured and recorded every three days.
3.9.3. Sample Collection and Assays
Blood sample collection and assays: After the completion of drug administration, the mice were anesthetized, and two blood samples were collected from the orbital venous plexus of each mouse into an anticoagulant-treated 1.5 mL centrifuge tube and a plain 1.5 mL centrifuge tube, respectively, with each sample volume being at least 200 μL. The blood in the anticoagulant tube was thoroughly mixed without further treatment and used for hematological analysis. It was temporarily stored at 4 °C before use. The blood in the plain centrifuge tube was centrifuged at 3000× g and 4 °C for 10 min, and the upper serum layer was separated and stored at −80 °C for serum biochemical analysis. The analyzed parameters included ALT, AST, CREA, and UREA to evaluate liver and kidney function in the mice.
Tissue collection and assays: After blood collection, the mice were euthanized and dissected to collect the heart, liver, spleen, lungs, and kidneys. All tissues were rinsed in PBS to remove blood, and any adherent mucosa and excess fat were removed. After blotting dry with filter paper, the organs were accurately weighed using an electronic balance to calculate organ indices using the formula below. After weighing, tissue sections were prepared and stained with H&E as described in
Section 3.8.6. The stained sections were observed under an optical microscope and photographed for comparison.
3.10. Statistical Analysis
Statistical analysis was performed using GraphPad Prism 10.1.2 software. Measurement data conforming to a normal distribution were expressed as mean ± standard deviation (SD). Comparisons between two groups were conducted using independent samples t-test, while comparisons among multiple groups were performed using one-way ANOVA or two-way ANOVA. p < 0.05 was considered statistically significant.
5. Conclusions
In this study, a celastrol-loaded oral self-microemulsifying drug delivery system (Cel-SMEDDS) based on LABRAFIL M 1944 CS, Kolliphor RH 40, and CAPRYOL 90 (0.2:0.48:0.32, w/w/w) was successfully constructed for the treatment of rheumatoid arthritis (RA) through solubility screening, compatibility studies, and pseudo-ternary phase diagram analysis. The prepared Cel-SMEDDS exhibited excellent self-emulsification performance, with small droplet size, uniform distribution, and good dilution stability in the microemulsion state, and demonstrated sustained-release characteristics in vitro. Moreover, unlike previous studies on Cel-SMEDDS that mostly stopped at pharmacokinetic evaluation, the present study further conducted a comprehensive investigation into the long-term stability, in vitro anti-inflammatory activity, in vivo anti-RA efficacy, and preliminary safety of Cel-SMEDDS. The results indicated that Cel-SMEDDS showed no drug precipitation or phase separation during the observation period, and no significant changes in drug content, droplet size, or polydispersity index (PDI), confirming good stability. In vitro pharmacodynamic studies revealed that, compared with free Cel, Cel-SMEDDS exhibited stronger inhibitory effects on pro-inflammatory cytokines (TNF-α, IL-1β) and also promoted the anti-inflammatory cytokine IL-10. In vivo pharmacodynamic studies demonstrated that oral administration of Cel-SMEDDS significantly reduced TNF-α levels in both serum and joints of collagen-induced arthritis (CIA) mice, thereby alleviating arthritis symptoms and ameliorating joint cartilage damage, with therapeutic effects significantly superior to those of an equivalent dose of Cel suspension. Preliminary safety evaluation showed that even after 27 consecutive days of repeated administration, Cel-SMEDDS did not cause obvious abnormalities in routine blood parameters, liver and kidney function, or pathological damage to major organs in mice. Collectively, Cel-SMEDDS effectively inhibited the expression of pro-inflammatory factors both in vitro and in vivo, exhibiting excellent anti-RA efficacy with favorable safety, suggesting certain potential for clinical translation. Furthermore, the Cel-SMEDDS formulation has a simple composition, with all excipients being commonly used in marketed preparations and supported by mature supply chains, facilitating quality control. Meanwhile, the preparation process of SMEDDS is convenient, and the formulation demonstrates good stability and storage convenience, effectively reducing the difficulty of scale-up production. In summary, Cel-SMEDDS achieves the dual goals of enhanced efficacy and ensured medication safety, showing promising potential for clinical application.