ISSN : -
E-ISSN : 2146-3131

Enhancing the Therapeutic Index of Bioactive Compounds Through Novel Delivery Systems
Yeşim Hülya Uz1, Suat Erdoğan2
1Department of Histology and Embryology, Trakya University Faculty of Medicine, Edirne, Türkiye
2Department of Medical Biology, Trakya University Faculty of Medicine, Edirne, Türkiye
DOI : 10.4274/balkanmedj.galenos.2026.2026.270326
Pages : 227-229

The World Health Organization reports that more than 80% of the global population currently uses some form of traditional medicine.1 In light of this, plant-derived bioactive metabolites are increasingly recognized as critical agents in preventive medicine. Natural antioxidants, in particular, have attracted considerable scientific interest due to the well-established correlation between their intake and the mitigation of chronic diseases, such as cardiovascular and renal disorders, various malignancies, neurodegenerative diseases, and diabetes mellitus. These phytochemicals exhibit a broad spectrum of biological activities, including antioxidant,2 anti-inflammatory,3 antifibrotic, and antibacterial properties as well as anti-atherosclerotic, anticancer, and antiaging effects.4-7

Such multifaceted properties underscore their substantial therapeutic potential in the prevention and management of chronic diseases. Mechanistically, these bioactive compounds exert their effects through free radical scavenging, metal chelation, mitochondrial renewal, apoptosis inhibition, fine-tuning of cellular signaling pathways, and epigenetic modulation.4,8,9 However, despite their promise, the clinical efficacy of natural antioxidants is often limited by a persistent bioavailability paradox. This limitation is driven by suboptimal physicochemical properties, including poor aqueous solubility, chemical instability—particularly in oxidoreductase-rich environments—and extensive first-pass metabolism.2

To bridge the gap between biochemical potential and clinical application, addressing these delivery constraints is imperative. In this context, nano-based delivery systems offer a transformative solution by leveraging nanotechnology to enable targeted release and enhanced absorption of bioactive molecules at specific sites of action. This paradigm is increasingly applied to miRNA therapeutics, wherein nanoparticle (NP)-based platforms serve as an economically viable and non-immunogenic strategy to enhance molecular stability and achieve precise tissue targeting.9 These platforms have emerged as one of the most extensively investigated strategies for improving the delivery efficiency of redox-active molecules.

Encapsulation of these compounds within a diverse array of delivery systems—including emulsion-based systems (micro/nano and Pickering emulsions), vesicular platforms (liposomes, niosomes, ethosomes, transferosomes, and phytosomes), lipid-based NPs such as solid lipid nanoparticles (SLNs) and nanostructured lipid carriers (NLCs), and polymeric nanocarriers—significantly enhances solubility, provides robust protection against enzymatic degradation, and facilitates intestinal absorption (Table 1).10-12

The nanocarrier systems summarized in the table serve as a technological foundation for overcoming the inherent pharmacological limitations of potent plant-derived antioxidants. These diverse architectures represent more than simple encapsulation strategies; they constitute a sophisticated pharmacological toolkit designed to decouple a bioactive molecule"s therapeutic potential from its physicochemical constraints. While the structural advantages of NLCs, phytosomes, and polymeric shells are well documented, their clinical and therapeutic efficacy is most evident in the significant enhancement of the bioavailability of specific polyphenolic compounds. By transitioning from conventional formulations to these nanoengineered platforms, the long-standing bioavailability paradox is being systematically addressed, as these systems not only protect the antioxidant cargo but also actively redefine its pharmacokinetics.

Recent studies utilizing zein- and sodium caseinate-based NPs have demonstrated markedly increased gastrointestinal transport and bioaccessibility of curcumin and quercetin. These findings suggest that hybrid nanodelivery approaches can synergistically enhance the stability and uptake of labile bioactive compounds.13,14

Furthermore, systematic reviews of dietary polyphenol nanoformulations indicate that delivery systems, including nanoemulsions, micelles, and polymeric vesicles, substantially optimize the pharmacokinetic profiles of a diverse range of phenolic antioxidants.12

The progression from conventional use to contemporary clinical application of plant-derived compounds largely depends on addressing their inherent biopharmaceutical limitations. Despite the considerable therapeutic promise of many phytochemicals, their efficacy is often constrained by poor solubility and rapid degradation. Quercetin, for instance, effectively illustrates the synergy between lipid-based delivery systems and improved oral bioavailability. Despite its potent antioxidant activity and broad therapeutic potential, this flavonoid exhibits poor water solubility and undergoes extensive first-pass metabolism, thereby limiting its clinical utility. Recent reviews of nanoformulations indicate that lipid-based carriers, including liposomes and SLNs, can significantly enhance absorption, targeting, and controlled-release properties.15 These delivery strategies not only improve systemic availability but also amplify functional activity in vivo, thereby opening new avenues for clinical application and functional food development. Similarly, resveratrol faces pharmacokinetic challenges, including a short biological half-life. Novel approaches, such as polymeric and lipid-based nanocarriers, as well as coencapsulation strategies, have been shown to enhance resveratrol stability, effectively prolonging systemic circulation and improving tissue distribution for both nutraceutical and clinical applications.11

Despite the compelling biological activities of epigallocatechin gallate (EGCG) and naringin, their clinical translation has been consistently hindered by rapid degradation following oral administration. Over the past decade, nanotechnology-driven strategies have emerged as a key focus for overcoming these barriers. A broad spectrum of nanoengineered platforms, including pH-responsive polymeric NPs and ligand-functionalized nanosystems, has demonstrated three- to five-fold improvements in EGCG bioavailability, while also enabling codelivery with chemotherapeutic agents to potentiate anticancer efficacy.16 Research on these nanoscale matrices has elucidated how covalent and non-covalent interactions enhance physicochemical stability, thereby providing a strategic foundation for future clinical investigations. Similarly, research on naringin has increasingly incorporated nanoformulations, such as colon-targeted poly(lactic-co-glycolic acid)–polyethylene glycol NPs, to circumvent enzymatic degradation and tailor biodistribution for specific applications, including inflammatory bowel disease.17

Perhaps the most compelling evidence of this technological shift is observed in recent clinical trials involving silymarin. To address its notoriously low oral bioavailability, researchers have developed innovative delivery systems that markedly enhance its pharmacokinetic performance. A recent double-blind, randomized human trial demonstrated that a novel micellar silymarin formulation achieved an approximately 18.9-fold increase in maximum plasma concentration and an approximately 11.4-fold increase in bioavailability compared with standard formulations.18 Furthermore, solid dispersion strategies and phytosome-based complexes have demonstrated relative bioavailability increases of up to 589%, significantly enhancing hepatoprotective effects.19 Beyond the realm of polyphenols, the therapeutic potential of melatonin is similarly constrained by rapid metabolism.
This limitation has prompted the exploration of lipid vesicles and polymeric NPs to prolong its half-life and facilitate targeted delivery in neuroprotective applications.20

The development of these advanced, multifunctional delivery platforms represents a clear paradigm shift in the field. Research is progressing beyond simple supplementation toward precisely engineered, targeted systems designed to enhance both permeation and stability across various delivery routes. Continued advancements in NP design, together with accumulating clinical evidence, will be pivotal in translating these highly bioavailable compounds into effective, high-impact therapeutic strategies for the management of chronic diseases, ranging from metabolic disorders to neurodegenerative conditions.

Authorship Contributions: Concept-Y.H.U., S.E.; Design- S.E.; Data Collection or Processing- Y.H.U., S.E.; Analysis and/or Interpretation- Y.H.U., S.E.; Literature Review-Y.H.U.; Writing- Y.H.U., S.E.; Critical Review- Y.H.U., S.E.

Conflict of Interest: The authors declare that they have no conflict of interest.

REFERENCES

  1. Hoenders R, Ghelman R, Portella C, et al. A review of the WHO strategy on traditional, complementary, and integrative medicine from the perspective of academic consortia for integrative medicine and health. Front Med (Lausanne). 2024;11:1395698.
  2. Gülçin İ. Antioxidants: current summary. Balkan Med J. 2025;42:388-392.
  3. Delen O, Uz YH, Yuksel C, Ersoy O, Kizilay G. Gallic acid mitigates lipopolysaccharide-induced testicular inflammation via regulation of the NF-κB and PK2/PKR1 pathway. J Mol Histol. 2025;56:71.
  4. Erdogan S, Doganlar O, Doganlar ZB, Turkekul K. Naringin sensitizes human prostate cancer cells to paclitaxel therapy. Prostate Int. 2018;6:126-135.
  5. Uz YH, Uzun-Goren D, Delen O, Kilinc L. Curcumin treatment attenuates methotrexate-induced nephrotoxicity in rats by inhibiting inflammation and fibrosis. J Mol Histol. 2026;57:37.
  6. Yakut S, Atcalı T, Çaglayan C, et al. Therapeutic potential of silymarin in mitigating paclitaxel-induced hepatotoxicity and nephrotoxicity: insights into oxidative stress, inflammation, and apoptosis in rats. Balkan Med J. 2024;41:193-205.
  7. Topçu-Tarladaçalışır Y, Sapmaz-Metin M, Mercan Z, Erçetin D. Quercetin attenuates endoplasmic reticulum stress and apoptosis in TNBS-induced colitis by inhibiting the glucose regulatory protein 78 activation. Balkan Med J. 2024;41:30-37.
  8. Yu Z, Wang X, Hu Y, et al. Quercetin alleviates hyperglycemic-generated endoplasmic reticulum stress-contacted apoptosis of rat nucleus pulposus cells. Balkan Med J. 2025;42:27-36. Erratum in: Balkan Med J. 2025;42:385.
  9. Doghish AS, Mansour RM, Abdel Mageed SS, et al. Role and significance of MicroRNAs in the relationship between obesity and cancer. Balkan Med J. 2025;42:188-200.
  10. Subramanian P. Lipid-based nanocarrier system for the effective delivery of nutraceuticals. Molecules. 2021;26:5510.
  11. Harwansh RK, Yadav P, Deshmukh R. Current insight into novel delivery approaches of resveratrol for improving therapeutic efficacy and bioavailability with its clinical updates. Curr Pharm Des. 2023;29:2921-2939.
  12. Rudrapal M, Mishra AK, Rani L, et al. Nanodelivery of dietary polyphenols for therapeutic applications. Molecules. 2022;27:8706.
  13. Li Y, Shi R, Xu Z, et al. Nanoparticles for synergistic delivery of curcumin and quercetin based on zein and sodium caseinate: preparation, characterization, and intestinal absorption. Foods. 2026;15:225.
  14. Turkekul K, Erdogan S. Potent suppression of prostate cancer cell growth and eradication of cancer stem cells by CD44-targeted nanoliposome-quercetin nanoparticles. J Cancer Prev. 2023;28:160-174.
  15. Tomou EM, Papakyriakopoulou P, Saitani EM, Valsami G, Pippa N, Skaltsa H. Recent advances in nanoformulations for quercetin delivery. 2023;15:1656.
  16. Qutub M, Hussain UM, Tatode A, et al. Nano-engineered epigallocatechin gallate (EGCG) delivery systems: overcoming bioavailability barriers to unlock clinical potential in cancer therapy. AAPS PharmSciTech. 2025;26:137.
  17. Fan S, Zhao Y, Yao Y, et al. Oral colon-targeted pH-responsive polymeric nanoparticles loading naringin for enhanced ulcerative colitis therapy. J Transl Med. 2024;22:878.
  18. Chang C, Zhang Y, Kuo YC, et al. Novel micellar formulation of silymarin (milk thistle) with enhanced bioavailability in a double-blind, randomized, crossover human trial. Pharmaceutics. 2025;17:880.
  19. Lim DY, Pang M, Lee J, et al. Enhanced bioavailability and hepatoprotective effect of silymarin by preparing silymarin-loaded solid dispersion formulation using freeze-drying method. Arch Pharm Res. 2022;45:743-760.
  20. Mirza-Aghazadeh-Attari M, Mihanfar A, Yousefi B, Majidinia M. Nanotechnology-based advances in the efficient delivery of melatonin. Cancer Cell Int. 2022;22:43.

Viewed : 47
Downloaded : 0