RT Journal Article T1 Enzyme-Loaded Gel Core Nanostructured Lipid Carriers to Improve Treatment of Lysosomal Storage Diseases: Formulation and In Vitro Cellular Studies of Elosulfase Alfa-Loaded Systems A1 Álvarez González, José Víctor A1 Herrero Filgueira, Carolina A1 Fuente González, Alexandre de la A1 Colón Mejeras, Cristóbal A1 Beiras Iglesias, Andrés A1 Tomatsu, Shunji A1 Blanco Méndez, José A1 Luzardo Álvarez, Asteria María A1 Couce Pico, María Luz A1 Otero Espinar, Francisco Javier K1 Nanostructured lipid carrier (NLC) K1 Lysosomal storage diseases K1 Elosulfase alfa K1 In vitro cell studies K1 Enzyme activity AB Mucopolysaccharidosis IVA (Morquio A) is a rare inherited metabolic disease caused by deficiency of the lysosomal enzyme N-acetylgalatosamine-6- sulfate-sulfatase (GALNS). Until now, treatments employed included hematopoietic stem cell transplantation and enzyme replacement therapy (ERT); the latter being the most commonly used to treat mucopolysaccharidoses, but with serious disadvantages due to rapid degradation and clearance. The purpose of this study was to develop and evaluate the potential of nanostructured lipid carriers (NLCs) by encapsulating elosulfase alfa and preserving its enzyme activity, leading to enhancement of its biological effect in chondrocyte cells. A pegylated elosulfase alfa-loaded NLC was characterized in terms of size, ζ potential, structural lipid composition (DSC and XRD), morphology (TEM microscopy), and stability in human plasma. The final formulation was freeze-dried by selecting the appropriate cryoprotective agent. Viability assays confirmed that NLCs were non-cytotoxic to human fibroblasts. Imaging techniques (confocal and TEM) were used to assess the cellular uptake of NLCs loaded with elosulfase alfa. This study provides evidence that the encapsulated drug exhibits enzyme activity inside the cells. Overall, this study provides a new approach regarding NLCs as a promising delivery system for the encapsulation of elosulfase alfa or other enzymes and the preservation of its activity and stability to be used in enzymatic replacement therapy (ERT). PB MDPI YR 2019 FD 2019 LK http://hdl.handle.net/10347/21199 UL http://hdl.handle.net/10347/21199 LA eng NO Álvarez, J.V.; Herrero Filgueira, C.; González, A.F.; Colón Mejeras, C.; Beiras Iglesias, A.; Tomatsu, S.; Blanco Méndez, J.; Luzardo Álvarez, A.; Couce, M.L.; Otero Espinar, F.J. Enzyme-Loaded Gel Core Nanostructured Lipid Carriers to Improve Treatment of Lysosomal Storage Diseases: Formulation and In Vitro Cellular Studies of Elosulfase Alfa-Loaded Systems. Pharmaceutics 2019, 11, 522 NO This research was funded by Xunta de Galicia, grant number GRC2013/015 and GPC2017/015 DS Minerva RD 29 abr 2026