Nonalcoholic fatty liver disease (NAFLD) is the most
common chronic
liver disease in western countries and China. Fenofibrate (FNB) can
activate peroxisome proliferator-activated receptor α (PPARα)
to increase fatty acid oxidation and ameliorate NAFLD. However, the
application of FNB is limited in clinic due to its poor water solubility
and low oral bioavailability. In this study, FNB-loaded nanoparticles
(FNB-NP) based on a reactive oxygen species (ROS)-responsive peroxalate
ester derived from vitamin E (OVE) and an amphiphilic conjugate 1,2-distearoyl-sn-glycerol-3-phosphoethanolamine-N-[methoxy(poly(ethylene
glycol))-2000] (DSPE-PEG) were developed to enhance the preventive
effects of FNB against NAFLD. In in vitro studies,
FNB-NP displayed a high encapsulation efficiency of 97.25 ± 0.6%
and a drug loading efficiency of 29.67 ± 0.1%, with a size of
197.0 ± 0.2 nm. FNB released from FNB-NP was dramatically accelerated
in the medium with high H2O2 concentrations.
Moreover, FNB-NP exhibited well storage stability and plasma stability.
In pharmacokinetic (PK) studies, FNB-NP, compared with FNB crude drug,
significantly increased the AUC0→t
and AUC0→∞ of the plasma FNB acid by 3.3-
and 3.4-fold, respectively. In pharmacodynamics (PD) studies, compared
with an equal dose of FNB crude drug, FNB-NP more significantly reduced
hepatic lipid deposition via facilitating FNB release in the liver
and further upregulating PPARα expression in NAFLD mice. Meanwhile,
oxidative stress in NAFLD was significantly suppressed after FNB-NP
administration, suggesting that OVE plays a synergistic effect on
antioxidation. Therefore, ROS-sensitive FNB delivery formulations
FNB-NP enhance the preventive effects of FNB against NAFLD and could
be further studied as a promising drug for the treatment of NAFLD
in clinic.