In the first trial, the rabbit was selected for the mucosal irritability study because the nasal cavity presents superior characteristics to rodents, with similarity to the human nasal mucosa, such as the presence of hair follicles, transitional epithelium, and resistant squamous epithelium recommended to evaluate mucosal irritability [
49,
130]. The anatomical-functional characteristics of the sheep make it a suitable model for the intranasal route [
51,
131,
132], since its human-like tissue, an epithelial surface area of 327 cm
2 and a length of 18 cm, almost twice the human one (7.5 cm), that allows performing procedures and inoculating powder formulations [
133].
3.3.2. Histopathological Study
The macroscopic evaluation analysed the respiratory, digestive, urinary, circulatory, lymphatic, and skeletal muscle systems. Some internal organs were weighed for anatomic-morphological characterization (liver, kidney, heart, and lung). Organ weights were grouped according to treatment groups (
Table S5). Liver (F=0.35, p=0.84); kidney (F=0.29, p=0.88), lung (F= 0.44 p=0.77) and heart (F=0.87, p=0.51) weights showed no significant differences between treatment groups. No specific macroscopic lesions were observed in organs and systems.
Microscopic analysis was performed on the nasal mucosa, and criteria such as epithelium, leukocyte infiltration, vascular congestion, and edema were described as defining the state of the tissue. Most sections were regular, and the rest had minor damage to the epithelia, consisting of mild local erosions and cellular degeneration. All samples showed vascular congestion ranging from minimal to medium, typical of tissues with high blood supply. Unevenly distributed lesions between the treatment and control groups indicated no differences or pathological damage associated with the treatment. The observed focal lesions could be associated with environmental agents' damage and not the treatments' effects (
Figure 7D–H).
We can conclude that the rabbits did not show irritability of the nasal mucosa, so the study was safe with no toxicity to the animals tested in the different groups. It was also demonstrated that the route of administration was safe for the formulation tested.
3.3.4. Histopathological Study
Macroscopic evaluation of the tissue was performed by nasal endoscopy (rhinoscopy) direct visualization of the nasal structures and nasosinusal anatomy. The sheep in the control group underwent rhinoscopy on days 0 and 28, and the rest of the groups underwent rhinoscopy on days 0, 14 and 28. No alterations were observed in any of the groups at the evaluated times. Several ewes presented melanosis, a mucosal trait corresponding to the racial type, without other abnormalities (
Figure 8B,C).
Microscopic analysis showed no differences between the treatment and control groups, with no lesions or damage to the nasal mucosa attributed to the treatment (
Figure 8D–G). The samples showed multiple artifacts caused by the sampling process and handling of the animals, consisting of compression necrosis, crushing and deformation of the tissue and haemorrhages.
In this research, we evaluated the
in vivo toxicity of the core-shell formulation encapsulating rhIFNα-2b and rhIFN-γ in two experiments: the first one determined the mucosal irritant potential in rabbits, and the second one studied the safety on a sheep higher organism model. Selecting the appropriate model in toxicity studies is one of the most important aspects of predicting human biological responses [
124]. However, there are few scientific articles on the type of animal species suitable for a nanoparticle that translates the intended effect to the biological activity evaluated [
125,
126,
127]. In the first trial, the rabbit was selected for the mucosal irritability study because the nasal cavity presents superior characteristics to rodents, with similarity to the human nasal mucosa, such as the presence of hair follicles, transitional epithelium and resistant squamous epithelium recommended to evaluate mucosal irritability [
49,
130]. Treatment regimens and results obtained in our trial were similar to those in previous studies [
134,
135,
136], which used rabbits to evaluate intranasal powder formulations' safety in repeated-dose toxicity studies. A toxicological study with polymeric nanoparticles used the rabbit and the nasal route in a pharmacokinetic assay [
137]. However, no reports were found to determine mucosal irritability in this model, a novelty of our research, with suggestions for similar future studies.
Newer studies selected sheep as an animal model to evaluate the safety and efficacy of nanoformulations, which is considered a suitable model for the intranasal route [
51,
131,
132]. The anatomical-functional characteristics of this system describe it as a human-like tissue, sufficiently spacious with an epithelial surface of 327 cm
2 and a length of 18 cm, almost twice the human one (7.5 cm), that allows performing procedures and inoculating powder formulations [
133].
The toxicity of nanoformulations is one of the most critical challenges limiting the clinical translation of NPs [
127]. The two proposed
in vivo studies evaluated the formulation's safety equally with matching parameters, and similar results were obtained. The formulation proved to be non-toxic when assessing physiological conditions in both experiments. In both trials, temperature increased on the days of inoculation in the interferon groups but recovered on subsequent days without intervention. Fever is interferon therapy's most commonly reported adverse event [
138,
139,
140,
141]. The toxicity of this formulation focused on local analysis associated with target organ damage, and a “hard variable” histopathological study of these experiments was performed. The analysis was conducted at the administration site using microscopic techniques in both studies. It showed no signs of inflammation, abnormal infiltration, or additional damage with the treatments applied compared to negative controls, and it was exposed that the therapy was harmless to the nasal mucosa.
In vitro, studies such as cell viability assay and confocal microscopy allow the establishment of a correlation between
in vitro and
in vivo assays, a critical factor in the proposal of a new therapeutic option. In the safety evaluation of both experiments, we can summarize that the tested doses were not toxic in animal models. This statement supports the argument that this formulation remains a promising candidate for developing a successful antiviral. Our studies have only explored the safety of the CS core-coated NPs formulation in two
in vivo assays; therefore, the complete characterization of the preclinical profile is required to continue with the development of this product with studies such as acute toxicity, immunotoxicity, genotoxicity, carcinogenicity, reproductive toxicity.
The selection of an appropriate administration route affects the proposed formulations. Based on current evidence, intranasal administration is the most attractive and novel route for encapsulated formulations of IFNs. This form of administration directly affects the three biological actions of these cytokines: antiviral, antiproliferative and immunomodulatory [
142]. From a pharmacological point of view, this route can be used for non-invasive administrations of drugs [
143] due to the rapid absorption of most drugs, with high systemic concentrations, and the first-pass (hepatic) metabolism present in the oral route is avoided [
144]. This has suggested the development of encapsulations for the interferons [
145].
The use of biopharmaceuticals has contributed to shortening patients' recovery time and improving their quality of life [
16]. Recombinant proteins and antibodies are the most abundant therapeutic bioproducts on the market [
146]. Among the recombinant therapeutic proteins, interferons have been widely supplied and demanded in the biopharmaceutical market [
147], with 22 different formulations approved [
120,
148]. Currently, research is focused on obtaining new delivery systems for these biotherapeutics that provide adequate therapeutic concentrations, lower toxicity, and more excellent protection of the active principle [
149,
150]. Several formulations have been developed to encapsulate the IFNs [
105,
107,
111,
151], but for research purposes only
in vitro and
in vivo [
18,
109,
152]. There is currently no formulation on the market that encapsulates interferons, so there is an opportunity to demonstrate that this system increases the therapeutic potential and safety of the drug [
120].
Microparticles and nanoparticles are the most attractive formulations for intranasal interferon administration [
153]. However, there is evidence in the case of interferons that microparticles affect the integrity of the active ingredient [
154,
155,
156], showing low encapsulation efficiency [
157,
158,
159] and abrupt or incomplete release of the protein [
38,
96,
160] as well as reduced biological activity [
95,
161,
162]. Nanoparticles are a promising encapsulation option for these proteins [
159,
163]. Nanometre-level encapsulations overcome the physical barrier of mucous membranes and penetrate effectively, protecting the active ingredient against biological and chemical degradation. Additionally, they offer higher stability, loading capacity, encapsulation efficiency, sustained release, and bioavailability [
24]. Encapsulation enables improved pharmacological activity without increasing doses, with a more prolonged drug effect, higher bioavailability and lower toxicity [
164]. Nanoparticle systems are very successful as a tool for developing peptide and protein delivery, capable of improving the efficacy of established drugs and new molecules [
165].
The proposed encapsulation system defines suitable therapeutic concentrations for type I and II interferons with a sustained and controllable release that preserves their structural and biological stability. The novelty of our work is given by the combined biological action of the interferons and the stepwise release system that allows a local and long-lasting release of IFN-α, potentiated with another cytokine that regulates the action, IFN-γ. This combination allows for achieving an optimal preventive and therapeutic response of immune system activation [
17], which enhances the therapeutic index of macromolecules by creating a long-lasting delivery system [
166]. This innovative approach aims to achieve the goals of controlled drug release, prolonged half-life, targeted delivery, and unsurpassed toxicity profile with nanoencapsulation procedures using biocompatible and biodegradable polymers [
18].