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Enhancement Efficacy of Omeprazole by Conjugation
Enhancement Efficacy of Omeprazole by Conjugation
Research Article
Aneesa Zia, Ayesha Shahzad, Nadia Riaz, Sara Khan, Umar Farooq, Syed Majid Bukhari,
Rizwana Sarwar*, Asaad Khalid, Hamdy Kashtoh*, Ajmal Khan*, and Ahmed Al-Harrasi*
Open Access. © 2024 the author(s), published by De Gruyter. This work is licensed under the Creative Commons Attribution 4.0 International License.
2 Aneesa Zia et al.
antibiotics clarithromycin and amoxicillin or metronidazole antibiotics could be increased by combining them with NPs
along with proton pump inhibitors is currently being used as [20,21]. Among metallic NPs, silver nanoparticles are well
a standard treatment. However, over the past 10–15 years, known for their broad spectrum activities [22]. The envir-
due to the rising incidence of antibiotic resistance, notably onmentally friendly manufacturing of silver nanoparticles
with clarithromycin, the effectiveness of this triple therapy is emerging as a novel and effective approach to the treat-
has considerably decreased. Consequently, there is a rising ment of gastrointestinal ulcers [6]. Various sources were
need of developing potential antiulcer agents for effective used for the synthesis of silver nanoparticles for the anti-
treatment of ulcers [8]. ulcer activity. The AgNPs synthesized from Glycyrrhiza
Omeprazole, a sulfinyl benzimidazole [9] is the first glabra root extract were found to have antiulcer activity
clinically approved member of unique antisecretory drugs, [23]. Similarly, Solanum xanthocarpum extract-loaded silver
the proton pump inhibitors that control the secretion of nanoparticles were proven to have antibacterial and urease
gastric acid via irreversible inhibition of enzyme H+/K+ inhibitory properties against H. pylori [24].
-ATPase located in the parietal cells of stomach [10,11]. It The AgNPs synthesized from the seeds of Anethum
is found to be a potent inhibitor of gastric acid secretion for graveolens were tested against proton pump (H+/K+-ATPase)
the treatment of gastroesophageal reflux disease, gastritis, inhibition and they were found to have inhibitory potential
Zollinger-Ellison syndrome, gastric and duodenal ulcers, against the enzyme establishing proton pump inhibition by
H. pylori infection, and other associated hypersecretory AgNPs [25].
disorders [12,13]. Omeprazole and silver nanoparticles are well known
Omeprazole is susceptible to heat, light, and humidity for their antiulcer activities. Literature has revealed that a
and undergoes rapid degradation in acidic solutions [14]. combination of drugs with nanoparticles may enhance their
Hence, its exposure to the acidic contents of stomach therapeutic potential as compared to drugs and NPs alone.
results in the inactivation of almost fifty percent of the Current research aims at synthesizing silver nanoparticles
dose leading to its poor bioavailability [15]. The most effec- of omeprazole by chemical reduction method. To the best of
tive approach to prevent its degradation via stomach acid our knowledge, this is the first study reporting the synthesis
is to incorporate omeprazole into enteric-coated polymeric of omeprazole-loaded silver nanoparticles and their urease
nanoparticles and extend its half-life [1]. Due to their small inhibition, antioxidant, and antibacterial activities against
size, NPs can pass through the mucus layer and adhere to Staphylococcus aureus and Escherichia coli.
the underlying epithelium or the mucus network directly.
Drug when administered in the form of mucoadhesive
nanoparticles can reside in the stomach for a longer period 2 Materials and methods
of time and these adhesive interactions may increase
drug’s bioavailability via number of mechanism [16]. Var-
2.1 Materials
ious omeprazole-loaded nanoparticles have been reported
in literature including omeprazole-loaded cellulose acid
The chemicals and solvents including AgNO3, sodium hydro-
phthalate nanoparticles [1], omeprazole-loaded gliadin
xide, HCl, sodium borohydride (NaBH4), and methanol used
nanoparticles [16], omeprazole containing eudragit chit-
for the synthesis were of analytical grade and purchased
osan nanoparticles [17], and omeprazole containing Bletilla
from Sigma Aldrich; vendor Musaji, Abbottabad, Pakistan.
striata nanoparticles (OME-BSP NPs) [18]. The OMP-NPs
Nutrient agar was purchased from Oxoid Ltd, Basingstoke
effectively prevented gastric mucosal lesions and have
Hampshire, UK. The DPPH powder and the urease enzyme
enhanced antiulcer activity as compared to omeprazole.
were purchased from Alfa Aesar and Sigma Aldrich, vendor
The enteric-coated nanoparticles postpone the release of
Musaji, Abbottabad, Pakistan, respectively. UV–Vis spectra
the medication because it is insoluble in acidic environ-
were recorded on Spectromax M2 (COMSATS University
ments. [19]. Enhanced gastric mucosal defense through
Islamabad Abbottabad Campus). For pH adjustment, a
increased production of mucus and bicarbonate, decreased
pH meter (Combo pH/EC/TDS Testers HANNA Instrument)
gastric acid secretion volume, or simply neutralizing the
was used.
gastric acidity are some of the mechanisms that mediate
the protection of the gastric mucosa against acid produc-
tion [14]. 2.2 Synthesis of nanoparticles
It has been demonstrated that metallic nanoparticle
conjugation with antibiotics offers promising outcomes in Omeprazole-loaded silver nanoparticles were synthesized
the treatment of infectious diseases. The effectiveness of via chemical reduction method. Around 16.9 mg of AgNO3
Omeprazole conjugation with silver nanoparticles as a urease inhibitor 3
was dissolved in 100 mL of distilled water to prepare 1 mM 2.4.2 Heat stability test
solution of silver nitrate and the solution was kept in dark
to prevent light exposure. Similarly, 34.54 mg of omepra- The heat stability of omeprazole-loaded AgNPs was checked
zole was dissolved in 100 mL of methanol to prepare its by heating the reaction solutions at different temperatures,
1 mM solution. After mixing the drug and salt solution no i.e., 25°C, 50°C, 75°C, and 100°C for 30 min [26]. Around 15 mL
significant color change was observed, so 2–3 drops of of freshly prepared nanoparticle solution was taken in four
NaBH4 (40 mM) were added to the solution which pro- separate beakers and heated at different temperatures for
duced rapid variation in the color of solution indicating 30 min to check the heat stability of nanoparticles and
the formation of silver nanoparticles which was further UV–Vis spectra were recorded. The change in the absorption
confirmed by UV–Vis spectrophotometer. intensity provides data about the stability of synthesized
AgNPs at different temperatures.
The reaction was optimized by mixing different concentra- The stability of synthesized omeprazole-loaded silver nano-
tions of silver nitrate and omeprazole to achieve optimum particles was determined against different concentrations of
drug-to-metal ratio for the synthesis of nanoparticles. The brine solutions. The 4 mL of freshly prepared Omp-AgNPs
ratio at which the maximum formation of nanoparticles were taken in four separate vials. Then, 2 mL of 0.5, 1, 1.5,
occurs can be achieved by optimization. In this study, the and 2 M solutions of NaCl were added to the solution of NPs.
concentration of drug was fixed whereas the volume of The resulting mixture was thoroughly mixed and kept at
silver nitrate was varied. The ratio that gave the highest ambient temperature. UV–Vis spectra were recorded after
absorption peak was selected for the synthesis of 24 h. Change in the absorption give information about the
nanoparticles. nanoparticles’ stability.
After synthesis, the stability of NPs was tested against dif- 2.5.1 FT-IR spectroscopy
ferent pH (2–13), temperature range (25–100°C), and brine
solution (0.5–2 M). The NPs were kept at room temperature FT-IR analysis was used to detect the functional moieties
and after 24 h, UV–Vis spectra were recorded; any change present in drugs and their interaction with the metal sur-
in the intensity of absorption provides information about face in drug-loaded silver nanoparticles. IR spectra of
the stability of nanoparticles. samples were obtained by Cary630, Agilent Technologies,
USA.
2.5.4 Transmission electron microscopy (TEM) Five dilutions of the test samples along with standard
were prepared and their % RSA was measured and data
The size and shape of synthesized omeprazole-loaded silver were used to find IC50 values using graphpad prism [29].
NPs were evaluated using a TEM (JEOL, Model JEM-1400)
operated at a voltage of 110 kV. Samples were prepared
for the TEM examination by coating the solution of silver 2.6.3 Antibacterial screening
nanoparticles on copper grids coated with carbon.
The antibacterial potential of drug-loaded nanoparticles
was screened against two clinically isolated bacterial strains
namely S. aureus (ATCC 6538) and E. coli (ATCC 10536) by
2.6 Biological potential of NPs agar well diffusion method. The 100 µL of bacterial suspen-
sion having a concentration of 108 CFU·mL−1 was spread on
2.6.1 Urease inhibition protocol the agar petri plate. By using cork borer four wells of equal
size of approximately 6 mm and distance were made in the
In vitro urease inhibition assay of omeprazole-loaded nano- Petri plate and 20 µL test compounds of the desired concen-
particles was performed in a 96-well plate by the Berthelot tration were added into each well along with positive con-
method with few modifications. 25 µL phosphate buffer (pH trol (Ciprofloxacin) and negative control (DMSO). The plates
7), 10 µL enzyme solution of urease, and 10 µL of test com- were incubated for 24 h at 37°C. After incubation, the zone of
pounds were added to the wells and incubated at 37°C for inhibition was measured [29].
approximately 10 min. Then, 40 µL urea solution was added
to these wells and further incubated for 10 min. Afterwards,
the constituents were pre-read using ELISA microplate 2.6.4 Statistical analysis
reader at 625 nm. Then, 45 µL phenol reagent was added
to each well followed by the addition of 70 µL alkali One-way analysis of variance (ANOVA) with post hoc
reagent. The incubation was continued for 10 min and Bonferroni test (Haris et al. 2023) was employed to deter-
absorbance was measured. The % inhibition was calcu- mine significant differences between the ureases and anti-
lated by using the following formula [27]. oxidant activities of different test substances at the signifi-
cance level (α = 0.05). Independent samples t-test was used
[Absorbance of test compopunds]
% Inhibition = 100 − to compare the anti-bacterial activity of two samples. The
Absorbance of control
statistical analyses were performed using SPSS 20 (IBM,
× 100.
USA) computer software [30].
Five dilutions of test samples were prepared and their
% inhibitions were determined. The data obtained were
used to calculate IC50 values using a graphpad prism.
2.7 Molecular docking studies
2.6.2 Antioxidant activity A molecular operating environment (MOE) [31] was used to
investigate the binding interaction of synthesized com-
The radical scavenging potential of nanoparticles was eval- pounds with the active site of urease and xanthine oxidase.
uated by the DPPH method. The 100 mM DPPH solution was X-ray crystal structure of urease (PDB ID: 4GOA [32])
prepared in HPLC-grade methanol. 50 µL of DPPH was retrieved from the Protein Data Bank was used as a
added to the 50 µL of test compound. The mixture was starting structure for docking. Co-crystalized ligands and
incubated at room temperature for approximately half heteroatoms were removed and docking was carried out
an hour and the absorbance was measured at 517 nm using MOE software. The structures of the synthesized
[28]. The t-BHA was used as a standard throughout the compounds were drawn by using Chem Office 3D (2015)
experiment. The % scavenging activity was measured by and their energy was optimized using Gaussian 09 employing
using the following formula: the B3LYP density functional theory method with a 6-311G
[Absorbance of test compopunds] basis set [33]. Initial optimization of the protein structure
% RSA = 100 − × 100. was done using MOE software followed by molecular
Absorbance of control
docking studies. Ten of the lowest energy poses were
Omeprazole conjugation with silver nanoparticles as a urease inhibitor 5
Absorbance (a.u)
3 Results and discussion 2.0
1:2
1:3
1:4
1.5
3.1 Synthesis of nanoparticles
1.0
A solution of AgNO3 (1 mM) and omeprazole was prepared
in distilled water and methanol separately. Equal quanti-
0.5
ties of both the solutions were mixed together and kept on
stirring at room temperature. No significant color change 0.0
was observed after mixing as apparent with the naked eye. 300 400 500 600 700
After 30 min, 2–3 drops of NaBH4 were added to the reac- Wavelength (nm)
tion mixture. A change in the color from transparent to
dark brown was observed immediately after the addition Figure 2: Optimization of Omp-AgNPs.
2.0
1.5 4.0
pH Effect
1.0
3.5 2-3
4-5
3.0
Transmittance (a.u)
0.5 6-7
2.5 8-9
0.0 10-11
2.0 12-13
200 300 400 500 600 700
1.5
Wavelength (nm)
1.0
Figure 1: UV–Vis spectra of Omeprazole loaded AgNPs.
0.5
0.0
3.2 Reaction optimization 300 400 500 600 700
Wavelength (nm)
The reaction mixture of Omp-AgNPs was optimized using
different drug-to-metal ratios and stored for 24 h to assess Figure 3: pH stability of AgNPs.
6 Aneesa Zia et al.
Absorbance (a.u)
having a pH in the range of 6–7. The nanoparticles were 0.6 1M
stable at a slightly acidic, neutral and slightly basic medium. 1.5 M
2M
The red shift in the wavelength was observed at pH 4–5 due
0.4
to an increase in particle size [35]. The pH 6–7 corresponds
to the highest absorption peak in the UV–Vis spectrum indi-
cating the maximum formation and stability of nanoparti- 0.2
cles having small size. However, AgNPs were unstable at
extremely acidic and basic conditions. The chloride ions
were responsible for the destabilization of nanoparticles 0.0
300 400 500 600 700
in highly acidic conditions having pH 2–3 [36], whereas
Wavelength (nm)
instability of AgNPs in the basic medium can be associated
with the destabilization caused by sodium ions, resulting in Figure 5: Brine stability test of Omp-AgNPs.
the agglomeration of nanoparticles due to increase in par-
ticle size.
The room temperature (25°C) is the optimum temperature
for the synthesis of Omp-AgNPs.
1.4
Heat Effect
1.2 Room Temperature 3.6 FT-IR spectroscopy
Absorbance (a.u)
50°C
1.0 75°C The FT-IR spectra of omeprazole and Omp-AgNPs were
0.8 100°C compared to identify the functional groups involved in
the interaction with silver metal. The peak observed at
0.6
3,057 cm−1 corresponds to aromatic C–H, the absorption
0.4 band for stretching vibration of C]N was observed at
0.2 1,626 cm−1, the band at 1,406 cm−1 is due to the CH bending,
the peak at 1,205 cm−1 corresponds to the stretching of alkyl
aryl ether, and the strong absorption peak at 1,012 cm−1 is
0.0
300 400 500 600 700
Wavelength (nm) assigned to the S]O stretching [39]. A decrease in the
intensity and shift in absorption position of bands corre-
Figure 4: Heat stability test of NPs. sponding to C]N, OCH3, and S]O in the spectra of
Omeprazole conjugation with silver nanoparticles as a urease inhibitor 7
70 1379 1152
presented in Figure 7. S]O and C]N groups of omepra-
1005
zole are involved in the structural stabilization of AgNPs
60
(Table 1).
50
40 1626
C=N
30 1406
C-H 3.7 XRD analysis
20 1205
OCH3
10 1012,S=O The phase, crystal structure, and crystallite size of synthe-
4000 3500 3000 2500 2000 1500 1000 500 sized nanoparticles were examined by XRD analysis. The
Wavenumber (cm-1) XRD spectrum of Omp-AgNPs showed diffraction peaks at
38.05, 44.04, 64.37, and 77.36° [40]. These peaks correspond
Figure 6: FT-IR spectra of omeprazole-loaded AgNPs.
to the (111), (200), (220), and (311) planes of cubic crystal
lattice (correlated to ICSD file # 064994). The average par-
ticle size of nanocrystal calculated using Debye Scherrer
O equation was found to be 17 nm (Figure 8).
H
O N
S N
N O
3.8 EDX spectroscopy
N O
S N
90
O N
H
80
O Omp-AgNPs
70
Figure 7: Mechanism of the interaction between AgNPs and omeprazole.
Intensity (a.u)
60
(111)
50
to SPR as shown in Figure 9. The additional peaks at 0.25, 0.5, spherical in shape. The particle size of AgNPs was calcu-
and 2.3 are the characteristic signals for carbon, oxygen, and lated using ImageJ software. The size of nanoparticles was
sulfur, respectively. The presence of these peaks in the spec- in the range of 12–24 nm with an average particle size of
trum of nanoparticles confirmed the presence of omepra- 17 nm (Figure 11). Results obtained from the TEM are in
zole moiety bound on the surface of AgNPs. agreement with XRD.
The shape and particle size of omeprazole-loaded silver The Omp-AgNPs were evaluated for in vitro urease inhibi-
nanoparticles were determined by TEM analysis as shown tion potential to examine their activity against enzyme
in Figure 10. TEM image was recorded at different magni- urease by following standard protocol. The formulation
fications of 50 and 100 nm. The Omp-AgNPs were polydis- of omeprazole in the form of nanoparticles significantly
persed agglomerates, small in size, and predominantly enhanced its inhibitory potential against enzyme urease
Figure 10: TEM image of synthesized Omp-AgNPs at different magnifications of 50 and 100 nm.
Omeprazole conjugation with silver nanoparticles as a urease inhibitor 9
1.5
Different small letters represent significant differences (ANOVA post hoc
Tukey test, P < 0.05) between the anti-oxidant activities of different
1.0 samples. SEM stands for standard error of the mean where n = 5.
0.5
by the degree of discoloration [29]. The results showed
0.0 higher scavenging activity for nanoparticles as compared
12 14 16 18 20 22 24
to omeprazole as shown in Table 3. % RSA of omeprazole
Particle Size Distribution(nm) was 72.21% whereas AgNPs were 84.45%. The IC50 value of
omeprazole is 18.7 ± 0.17 while that of Omp-AgNPs is 5.28 ±
Figure 11: Particle size distribution graph of Omp-AgNPs.
0.14 which is less than omeprazole. This shows that nano-
particles are more effective as compared to omeprazole.
Tertiary butylated hydroxy anisole (t-BHA) used as a refer-
Table 2: Urease inhibition assay of omeprazole and Omp-AgNPs
ence showed 89.56% RSA with an IC50 value of 58.76 ± 0.45.
Antibacterial Activity
Staphylococcus aureus Escherichia coli
25
20
15
10
5
0
Omeprazole Omp-AgNPs Ciprofloxacin
H14 (435–441 color coded brown), loop L37 (444–454 color- and weight percent of AgNPs were studied by EDX analysis.
coded red), helix H20 (580–593 color-coded green), loop L39 Silver was present as a major constituent in omeprazole-
(594–598 color-coded cyan), helix H21 (599–610 color-coded loaded silver nanoparticles. The TEM analysis revealed that
pink), and a loop L41 (632–638 color-coded orange) (Figure 14). Omp-AgNPs were spherical in shape having the particle size in
The complex of omeprazole interacts with the active the range of 16–20 nm. The antibacterial potential of nanopar-
site along with the binding energy of −7.76 kcal·mol−1. It ticles was evaluated against two bacterial strains namely
binds into the active site of the protein by the interaction S. aureus and E. coli by agar well diffusion method and NPs
of Ni–metal to form a complex with the oxygen atom of the showed significant activity against both the strains as com-
omeprazole complex. Hydrogen bond interactions were pared to omeprazole. The DPPH assay was used to evaluate
observed between the complex and His492, CME592, ASP633, the antioxidant potential of nanoparticles, % RSA of Omp-
Ala636, Glu525, His594, and His593 amino acid residues. AgNPs is 84.45%, which is 1.16 times higher than omeprazole.
Asp494 interacts through pi–sulfur interaction with the Urease inhibition of nanoparticles was determined by fol-
complex. Some pi–alkyl and pi–pi interactions were observed lowing standard protocol. The Omp-AgNPs showed 80.23%
between the complex for the retention of the complex mole- inhibition against urease which is 1.15 times higher as com-
cule in the active pocket of the urease (Figure 15). pared to omeprazole. The silver nanoparticles have shown
considerable potency when compared to the original drug.
Further optimization of the synthesized nanoparticles may
4 Conclusion lead toward even better results which may lead toward the
initiation of preclinical trials on the synthesized nanoparticles.
The chemical approach is one of the simple, fast, low-cost, Furthermore, conducting the toxicity studies of synthesized
and effective approaches for the synthesis of nanoparticles. products adds to the future perspective of this project. It can
Omeprazole-loaded AgNPs were synthesized by using a safely be said that the urease inhibition potential of Omp-
chemical method. Characterization of NPs was done by AgNPs signifies them as potential lead compounds for the
advanced analytical techniques including UV–Vis, FT-IR, development of relevant therapies to address damages caused
EDX, XRD, and TEM analysis. The FT-IR studies confirmed by H. pylori in clinically sick patients.
that S]O, C]N, and OCH3 groups of omeprazole are
responsible for the stabilization of silver nanoparticles. Acknowledgments: The authors would like to thank the
XRD studies revealed that nanoparticles were crystalline in University of Nizwa for the generous support of this project.
nature with cubic crystal structure. Elemental composition We thank the analytical and technical staff for assistance.
12 Aneesa Zia et al.
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the Research Grant Program (BFP/RGP/HSS/23/037).
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methodology, formal analysis, writing – original draft; [12] Yim D-S, Jeong JE, Park JY. Assay of omeprazole and omeprazole
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– original draft; Umar Farooq and Syed Majid Bukhari:
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investigation, resources; Asaad Khalid: resources, visuali-
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