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Kucuk, S. D., Groso, A., Collet, G., Daniellou, R., and Caliskan, U. K. (2024). “Effect of bacterial nanocellulose and plant-containing facial serum on hyperpigmentation in in-vitro conditions,” BioResources 19(2), 3208-3233.

Abstract

This study investigated the effect of some herbal extracts, such as licorice root, white mulberry leaf, green tea leaf, and grape seed, with a combination of bacterial nanocellulose and some bioactive materials, such as ascorbic acid, niacinamide, hexylresorcinol, and alpha-arbutin, on treatment of hyperpigmentation. The effect of the prepared emulsions on hyperpigmentation was revealed by analyzing their tyrosinase inhibition properties, their ability to stop melanin production, or their properties of whitening the brown spot on the skin. In addition to the physicochemical properties of the 5 different emulsions obtained, tyrosinase, collagenase, and elastase enzyme activities, antioxidant properties, cytotoxicity, and microbiological analyzes were performed by cell-culture modelling. Finally, a dermocosmetic facial serum was designed that is compatible with skin pH, is homogeneously mixed, has good spreading properties, does not cause any microbiological growth, does not inhibit elastase activity while stimulating collagenase activity, reduces melanin production by inhibiting the tyrosinase enzyme, and does not have any toxic effects.


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Effect of Bacterial Nanocellulose and Plant-Containing Facial Serum on Hyperpigmentation in in-vitro Conditions

Sibel Dikmen Kucuk,a,* Anthony Groso,b Guillaume Collet,b Richard Daniellou,b,c and Ufuk Koca Caliskan d

This study investigated the effect of some herbal extracts, such as licorice root, white mulberry leaf, green tea leaf, and grape seed, with a combination of bacterial nanocellulose and some bioactive materials, such as ascorbic acid, niacinamide, hexylresorcinol, and alpha-arbutin, on treatment of hyperpigmentation. The effect of the prepared emulsions on hyperpigmentation was revealed by analyzing their tyrosinase inhibition properties, their ability to stop melanin production, or their properties of whitening the brown spot on the skin. In addition to the physicochemical properties of the 5 different emulsions obtained, tyrosinase, collagenase, and elastase enzyme activities, antioxidant properties, cytotoxicity, and microbiological analyzes were performed by cell-culture modelling. Finally, a dermocosmetic facial serum was designed that is compatible with skin pH, is homogeneously mixed, has good spreading properties, does not cause any microbiological growth, does not inhibit elastase activity while stimulating collagenase activity, reduces melanin production by inhibiting the tyrosinase enzyme, and does not have any toxic effects.

DOI: 10.15376/biores.19.2.3208-3233

Keywords: Whitening bio-compounds; Bacterial nanocellulose; Tyrosinase inhibitors; Hyperpigmentation; Herbal extracts

Contact information: a: Traditional and Complementary Medicine Center, Duzce University, Duzce 81620, Turkey; b: Chaire de Cosmétologie, AgroParisTech, 10 Rue Léonard de Vinci, 45100 Orléans, France; c: Université Paris-Saclay, INRAE, AgroParisTech, UMR Micalis, 78350 Jouy-en-Josas, France; d: Faculty of Pharmacy, Duzce University, Duzce 81620, Turkey; * Corresponding author: sibelkucuk@duzce.edu.tr

INTRODUCTION

Hyperpigmentation is a skin breakdown due to the accumulation of melanin pigment in the epidermis and/or dermis that manifests itself as spotted, irregularly patterned brown or sometimes gray-brown hyper-melanosis that occurs in sun-exposed areas of the face, sometimes on the neck, cheeks, forehead, upper lip, nose, and chin (Sehgal et al. 2011). Melanin is a skin pigment that gives colour to the skin, hair, and eyes. Its production can be affected by various internal factors, such as hormone regulation and inflammation, as well as external factors such as UV exposure and medications (Resende et al. 2022). Against electromagnetic radiation hitting human skin, melanin acts as an optical filter to reduce radiation and a chemical filter with a stable free radical function to absorb compounds produced by photochemical action that may be toxic or carcinogenic (Kollias et al. 1991). Biosynthesis of melanin plays a crucial role in protecting the skin by protecting it from sunlight damage (UV radiation absorption), ion accumulation, as well as sequestration of reactive oxygen species (ROS) (Betteridge 2000; Trouba et al. 2002; Yamakoshi et al. 2004; Kaur et al. 2006).

Melanogenesis is the physiological process of melanin production. It takes place in melanosomes, which are membrane-bound organelles located within melanocytes in the stratum basale layer (Maranduca et al. 2019). The biggest factor that induces melanogenesis is UV rays. UV rays directly or indirectly induce melanogenesis by activating intracellular signaling mechanisms such as protein kinase C (PKC), nitric oxide (NO), cyclic AMP (cAMP), proopiomelanocortin (POMC)-derived peptides such as melanocyte-stimulating hormone (MSH), adrenocorticotropic hormone (ACTH) released from keratinocytes or fibroblasts, melanogenic factors such as endothelin-1 (ET-1), stem cell factor (SCF), basic fibroblast growth factor (bFGF), nerve growth factor (NGF), or histamine synthesized from mast cells.

Melanogenesis is a complex process regulated by several enzymes, including tyrosinase, phenylalanine hydroxylase (PHA), and tyrosinase-related proteins (TRP-1 and TRP-2) (Pillaiyar et al. 2016). Tyrosinase is the key enzyme mainly involved in the initial rate-limiting reactions in melanogenesis, such as the hydroxylation of L-tyrosine (monophenolase activity) to L-3,4-dihydroxy-phenylalanine (L-DOPA) and its subsequent oxidation to yield L-dopaquinone (diphenolase activity) (Ito and Wakamatsu 2003). Inhibiting the tyrosinase enzyme will stop melanin production, as this enzyme plays a central role in this process and catalyzes the first step of melanin formation. Tyrosinase inhibitors have begun to be used as the main whitening agents in commercial skin whitening products (Wang et al. 2015). Substances such as hydroquinone, corticosteroids, mercury, kojic acid, etc., are very effective, but long-term exposure causes serious adverse effects on the skin, such as ochronosis, atrophy, carcinogenesis, and other local or systemic side effects (Rendon and Horwitz 2012). As a result of increasing studies on the toxicity of hydroquinone and its metabolites, the European Union Scientific Committee on Consumer Safety (SCCS) banned the use of hydroquinone in cosmetic products as of January 1, 2001 (Draelos 2007). The ban on hydroquinone has led cosmetic researchers to study different non-cytotoxic and non-mutagenic active ingredients that suppress melanin synthesis by interfering with the melanogenesis process (Baurin et al. 2002; Batubara et al. 2010; Kamakshi 2012; Almeda et al. 2015; Mann et al. 2018).

The general term arbutin refers to α-arbutin (4-hydroxyphenyl-α-D-glucopyranoside) or β-arbutin (4-hydroxyphenyl-β-D-glucopyranoside), both of which are glycoside derivatives of hydroquinone. Both compounds have whitening effects comparable to hydroquinone by functioning as competitive tyrosinase inhibitors, with α-arbutin being much more effective than native arbutin in inhibiting tyrosinase activity (Jimenez et al. 2017). Although the molecular structure of α-arbutin is similar to hydroquinone, it does not cause exogenous ochronosis and is less likely to cause irritation or sensitization, making it a more tolerable alternative to hydroquinone. It brightens skin tone by reducing discoloration caused by inflammation and environmental stress, and also improves sugar-related skin sallowness and loss of elasticity (Notaroberto 2016; Chandorkar et al. 2021).

Other tyrosinase inhibitors include kojic acid produced by various species of fungi, particularly Aspergillus oryzae, and resorcinols found in breadfruit (Artocarpus incisus) fruit and argan tree (Argania spinosa) (Rendon and Gaviria 2005; Stratford et al. 2013). Especially, 4-hexylresorcinol has been shown through in vitro and clinical studies to decrease hyperpigmentation with its tyrosinase inhibition activity and anti-inflammatory potential (Kim et al. 2011; Fidalgo et al. 2018).

In addition, although some whitening agents do not cause tyrosinase inhibition, they can interfere with melanogenesis through some mechanisms. Antioxidant compounds (e.g., ascorbic acid) can prevent skin pigmentation by multiple mechanisms (Fujiwara et al. 2004). There are studies showing that ascorbic acid significantly inhibits melanin formation on purified tyrosinase or cultured cells and inhibits melanin formation in cultured human melanoma cells (Kameyama et al. 1996). In addition, nicotinamide, also known as niacinamide, can affect skin tone by inhibiting melanosome transfer. This mechanism has been found to reduce UVB-induced pigmentation in animal models but does not affect tyrosinase activity or melanin synthesis (Fujiwara et al. 2004; Smit et al. 2009). The chemical structures of actively used skin whitening products are shown in Fig. 1 (Wang et al. 2015).

Fig. 1. Chemical structures of actives used as skin whitening products

In addition to these products, natural melanogenesis inhibitors have recently been investigated. It was demonstrated that non-cytotoxic and non-mutagenic plant extracts may be as potent as synthetic whitening agents (Baurin et al. 2002; Batubara et al. 2010; Kamakshi 2012; Almeda et al. 2015). The most important of these is licorice root (Glycyrrhiza glabra), which contains isoflavonoids and chalcone as active ingredients (Nerya et al. 2003; Kao et al. 2014). Extracts of oregano (Origanum vulgare, whitening agent: origanoside, a glycosylated phenolic compound) and Chinese skullcap (Scutellaria baicalensis, whitening agent: baicalein, a flavone), as well as white mulberry (Morus alba) containing chalcones and stilbenoids, and citrus (Citrus) fruits containing flavones and flavonelles species also show interesting whitening properties (Lee et al. 2002; Jeong et al. 2009; Kang et al. 2013). Additionally, one-year oral intake of pro-anthocyanidin-rich extract from grape seed (Vitis vinifera) has been shown to reduce hyperpigmentation in women suffering from chloasma (Jimbow et al. 1976). Green tea extracts, which contain four catechin derivatives: epicatechin, epigallo-catechin, epicaticingalato, and epigallocatechin-3-gallate (EGCG), can also inhibit the acute effects caused by exposure to UVB radiation on the skin, due to their high concentration of polyphenol compounds (Alexis et al. 1999; Dal’Belo et al. 2009).

Bacterial nanocellulose (BNC), a nanoscale form of cellulose that combines the properties of cellulose with those of nanomaterials is produced biotechnologically as an exopolysaccharide by some aerobic non-pathogenic bacteria (e.g., Komagataeibacter (only for Acetobacter), Agrobacterium, Aerobacter, Achromobacter, Azotobacter, Rhizobium, Sarcina, Salmonella, and Escherichia). In addition to outstanding physicochemical and mechanical properties, BNC also offers high in vivo skin biocompatibility, as demonstrated in studies with human volunteers (Almeida et al. 2014; Silva et al. 2020). The use of BNC in cosmetics, especially as a carrier of skin active ingredients, enzyme immobilizer, emulsion stabilizer, and/or alternative to microplastics, demonstrates the tremendous potential of this remarkable biopolymer as a sustainable alternative for green cosmetic design. BNC has received great attention as a delivery system due to its unique porous nanostructure that supports the incorporation and release of active substances of interest in fields such as biomedical or cosmetics (Perugini et al. 2018). The high surface area of BNC fibrils contributes to the establishment of interactions between the hydroxyl groups abundant on the BNC surface and the functional groups of other components such as active low molecular weight compounds, polymers, metal oxides or metal nanoparticles. Its combination with other materials endows BNC with new or improved properties such as bioactivity (e.g. antioxidant, anti-inflammatory and antimicrobial activities), conductivity, optical or magnetic properties and even improved mechanical properties, greatly increasing its potential (Hu et al. 2014). Considering the studies in which BNC is combined with different bioactive macromolecules in cosmetics and used as a carrier, it is seen that it increases the penetration of the active ingredients in the formulation (Fonseca et al. 2021). Bacterial nanocellulose, which has emerged as an innovative material of recent times, was used in this study to increase the biological effectiveness of the formulation by increasing skin penetration without creating toxic effects. In this study it is aimed to develop a skin serum that could be used in the treatment of hyperpigmentation. While obtaining this serum, the synergistic effect of natural products effective on skin blemishes and the combination of these products with plant extracts and bacterial nanocellulose on tyrosinase enzyme, melanin production, and pigmentation will be revealed.

EXPERIMENTAL

Materials

In the formulations prepared within the scope of the study, 4 different natural products and 4 different herbal extracts were used as active ingredients. Among the raw materials used, niacinamide was supplied from Doğa İlaç (Istanbul, Turkey), α-arbutin from HD International (Kocaeli, Turkey), ascorbic acid from Arkem Kimya (Istanbul, Turkey), and hexylresorcinol from ATS Kimya (Istanbul, Turkey). Among the plant extracts, grape seed, green tea leaf, and licorice root extracts were purchased from Naturalya company with all analysis reports and documents. All extracts were obtained by water extraction and are 100% herbal. According to the chromatographic analysis results of the extracts, the grape seed extract contained 96.2% oligomeric proanthocyanidin, green tea leaf extract contained 52.1% EGCG and 98.7% polyphenol, and licorice root extract contained 20.4% glycyrrhizin. White mulberry leaf extract had been extracted using methanol, and it had been purchased from Immunflex company with all analysis reports. Hyaluronic acid, used as a moisturizing and viscosity adjusting auxiliary in the formulations, was purchased from HD International, and BNC, used as a carrier, was purchased from Nanografi company (Ankara, Turkey).

Preparation of Formulations

In the formulations, the combination of 4 different active ingredients (α-arbutin, niacinamide, ascorbic acid, and hexylresorcinol) with 4 different plant extracts (licorice root, white mulberry leaf, green tea leaf, and grape seed) were studied. The aim was to achieve an optimum synergistic effect. The prepared formulations were named according to the active ingredient from which they were produced, such as Arb5, Nia5, C5, and Rez5, respectively. In each formulation, the active ingredient was used at a level of 5%, grape seed and green tea extract was used at 1%, and licorice and white mulberry leaf extract was used at 2%. In the other, 5th formulation, no active ingredient was added, aiming only to examine the effect of the combination of plant extracts, and the formulation was named Ext5. The extracts used in the Ext5 formula were used in the same proportions as those in the other formulas.

The active ingredients were mixed in ultrapure water using a heated magnetic stirrer at 300 rpm for 10 min at 75 ℃, and after the active ingredients were dissolved, the plant extracts were added to the emulsion as licorice root, white mulberry leaf, grape seed, and green tea liquid extracts, respectively. Subsequently, BNC was added to the emulsion and mixed in a heated magnetic stirrer at a speed of 300 rpm and a temperature of 75 ℃ for 15 min. After the other raw materials were added to the emulsion and dissolved by mixing, BNC was added and mixed in a heated magnetic stirrer at 300 rpm and 75 ℃ for 15 min. Then the emulsion was transferred to a mechanical mixer and mixed for another 15 min at 700 rpm. Finally, the emulsion to which hyaluronic acid (as sodium hyaluronate) was added to adjust its viscosity was mixed in a mechanical mixer at 500 rpm for another 30 min.

Physicochemical Properties

The physicochemical properties of the 5 formulations obtained in the previous stage were evaluated by checking their physical appearance, pH, density, viscosity values, as well as response to centrifugation and stability characteristics. While their physical appearances were checked visually, pH values were measured with a pH meter, density values with a density kit, and viscosity values with a viscometer at room temperature. A total of 2 mL samples taken from the formulations into Eppendorf tubes were centrifuged in a centrifuge device at 13,000 rpm for 30 min and it was examined whether there was any phase separation at the end of the centrifugation. Additionally, the prepared formulations were stored at 4 ± 2 °C and 23 ± 2 °C for six months for stability control. Physical appearance, pH, turbidity, phase separation, viscosity and microbiological analyzes of the formulations were examined at the beginning (at time t = 0), in the third and sixth months.

In-vitro Model

Antioxidant activity assay

An antioxidant assay kit (ref MAK334-1KT; Merck, Germany) was used according to manufacturer instructions. Various concentrations of compounds (% v/v) were tested ranging from pure down to zero.

Microbiological analysis

Pseudomonas aeruginosa, Staphylococcus aureus, Escherichia coli, and Candida albicans are the main potential pathogens in cosmetic products. In vitro microbiological analyzes of formulations were evaluated against three human pathogenic bacteria, namely Escherichia coli ATCC 8739, Pseudomonas aeruginosa ATCC 9027, Staphylococcus aureus ATCC 6538, and the yeast isolate Candida albicans ATCC 10231.

Microbiological analysis was performed according to a standard (Turkish Standard Institute 2019), and the medium of the tested microorganisms and the method used for microbiological analysis are given in Table 1.

Microorganisms were first grown in Brain Heart Infusion Broth for 18 to 24 h. Subsequently, the bacterial suspension was adjusted to turbidity equivalent to 0.5 McFarland solution (1 x 108 CFU mL-1) in sterile physiological water tubes. Finally, antimicrobial activity analysis was performed by diluting 0.5 McFarland tubes to 5 x 105 CFU mL-1.

Table 1. Microbiological Analysis Method

MNT-1 Cell culture

The MNT-1 cells (from human melanoma) were purchased from the cell provider ATCC (CRL-3450; American Type Culture Collection, Manassas, VA, USA). Cells were cultured in Dulbecco’s Modified Eagle’s Medium (DMEM) supplemented with 10% (v/v) fetal bovine serum, penicillin 100 U/mL, and streptomycin 100 μg/mL. Cells were maintained at 37 °C in a humidified incubator in a 95% air/5% CO2 atmosphere and passaged by detaching cells with 0.05% trypsin-EDTA (w/v) solution.

Screening against Human Tyrosinase from MNT-1 Cell Lysate

A total of 10 x 106 MNT-1 cells were collected by detaching them with 0.05% trypsin-EDTA (w/v). The cells suspension was washed two times by centrifugation (300 g, 5 min) with phosphate buffer saline solution (PBS 1X). After a final centrifugation at 300 g during 5 min, the supernatant was discarded and the cell pellet was dispersed in 2 mL lysis buffer (PBS with 1% (v/v) Triton X-100). After the lysis (homogenization by pipetting, 5 min, 4 °C), the volume was extended to 10 mL with PBS 1X prior a final centrifugation at 3000 g for 5 min, at 4 °C. Then, 90 µL of the collected supernatant were dispensed per well of a 96-well plate. Increasing concentrations of test compounds dissolved in DMSO were added to wells of the 96-well plate (10 µL/well), all wells (including negative controls) receiving the same amount of vehicle (5% final concentration of DMSO (v/v)). The plate was then incubated for 10 min prior the addition of 100 µL of L-DOPA at 4 mM in PBS 1X. After 4 h of incubation at 37 °C, the formation concentrations of black/brown products were determined by measuring the absorbance at 600 nm using a Multiskan SkyHigh microplate reader (Thermo Scientific, Waltham, MA, USA). Each experiment was performed three times, and the obtained data were normalized and presented as curves defined between 0 to 100% activity, related to the appropriate blank and control experiments (Roulier et al. 2023).

Enzyme Activity Analysis

Both collagenase and elastase inhibitory activities were performed with an EnzCheckTM Gelatinase/collagenase assay kit (Invitrogen, ref E12055) and an EnCheckTM Elastase assay kit (Invitrogen, ref E12056) according to manufacturer’s instructions. Various concentrations of compounds (% v/v) were tested, ranging from pure down to zero. Inhibitory activity was expressed in %, considering the 0 of concentration as the reference for 100% of activity.

Cytotoxicity

MNT-1 cells were seeded in a 96-well plate at 5000 cells/well in a final volume of 200 μL of complete medium. After 24 h, cell culture medium was removed and compounds to be tested were added at various concentrations, ranging from 0 to 10% (v/v). The toxicity of these compounds was evaluated after 24 h of incubation by the AlamarBlue Cell Viability Reagent (Invitrogen). Briefly, compounds were removed, and cells were washed once with PBS (with Ca2+/Mg2+) before the incubation at 37 °C with the AlamarBlue reagent diluted to 1:10 in PBS, with the final volume of 100 μL/well. After 2 to 3 h at 37 °C, the fluorescence of the 96-well plates were read with a TECAN INFINITE M PLEX (Tecan, Männedorf, Switzerland) 200 pro plate reader (excitation wavelengths 560/9 nm, emission wavelengths 590/20 nm). Cell viability was expressed in %, considering the untreated cells as the reference for 100% of viability.

RESULTS AND DISCUSSION

Preparation of Formulations

According to preliminary trials hyaluronic acid was used to adjust the viscosity of the formulations, and it was tried as 0.2%, 0.4%, 0.6%, 0.8%, and 1.0%, respectively, and the optimum rate for the serum form was determined as 0.7%.

Preliminary trials were also conducted for BNC used as a carrier, and its homogenous dispersion was checked at 0.1%, 0.2% and 0.3%, respectively. It has been determined that BNC forms clumps in water when added at levels of 0.2% and above due to its nano size and large surface area. Thus, the optimum level for BNC was accepted as 0.1%.

Physicochemical Properties

Physical appearance

The prepared formulations are in serum gel form and are a transparent light brown color with a droplet structure due to the presence of nanocellulose and hyaluronic acid. The appearance of each formulation is shown in Table 2. As can be seen in Table 2, the formulas with the largest droplet numbers and sizes were Nia5 and Ext5. In the Rez5 formula, the droplets were small but few in number. The only formulations that had both small droplet size and large number were Arb5 and C5.

Table 2. Physical Appearance of Formulations

pH Values

Recently, cleansers and skin care products with a pH of 5.5 have attracted special attention because they do not change the skin pH (Schmid and Korting 1995). For this reason, pH measurements of formulations were controlled after preliminary trials, and sodium hydroxide (NaOH) and citric acid (C6H8O7) solutions were used to set pH values to the range of 5.40 to 5.60, which is the ideal pH rate of the skin. The pH values were measured after preliminary trials, the solution used for pH adjustment and the pH values of final products are shown in Table 3.

Table 3. pH Values of Formulations

The pH values of the final product formulations are within the skin’s ideal pH value range as shown in Fig. 2.

Fig. 2. pH values of formulations

Density values

The densities of the prepared formulations were checked and are given in Table 4.

Table 4. Density Values of Formulations

As can be seen in Table 4, there were small differences between the densities of the formulations. The Ext5 formulation had the lowest density. This is attributed to the fact that only plant extracts were added and no active ingredients were added. A total of 5% of different active ingredients added to other formulas increased the density of the formulations. The reason for the higher density values of Nia5, C5, and Rez5 formulas than that of Arb5 is that NaOH or C6H8O7 solution was added to these formulas to adjust the pH. The added solutions increased the density of the formulas in direct proportion to the rate at which they were added.

Viscosity values

Viscosity is defined as the resistance of fluids to flow. In the cosmetics industry, viscosity measurements are an important parameter of quality control both in the production process and in finished products (Deepika et al. 2020). Statistical analysis of physicochemical and spreading value data revealed that viscosity has a significant impact on the spreading behavior of cosmetic products, regardless of chemical type (Gorcea and Laura 2010). Many studies show that while physicochemical values, such as surface tension and density do not have a significant effect, a clear correlation can be established between viscosity and spreadability. Especially if log viscosity values are higher than 1, the spreadability of cosmetic products will be high (Hughes et al. 2006; Savary et al. 2013). In another study, it was shown that the spreading properties will decrease significantly as the log viscosity increases (Douguet et al. 2017). The viscosity and log viscosity values of the formulations are shown in Table 5 and Fig. 4.

Table 5. Viscosity and log Viscosity Values of Formulations

Fig. 3. Log viscosity values of formulations

As shown in Fig. 3, the log viscosity values of all formulations were greater than 1. This shows that all formulations will have good spreading properties and will not create a problem in practice. The log viscosity values of all formulations were close to each other, and C5 and Rez5 formulations had higher spreading values than the others. Differences in viscosity and log viscosity values between formulations arise from the difference in the diffusion/absorption properties of the active substance added.

Centrifuge Properties

Centrifuge analysis evaluated the stability of the emulsions by creating a certain stress in the prepared formulations. Centrifugation is a useful method to predict the shelf life of emulsions.

The formulations were centrifuged as soon as they were prepared (t = 0), after being kept at 23 ± 2 °C for 3 months (t = 3 months), and at 23 ± 2 °C for 6 months (t = 6 months). Their appearance after centrifugation is shown in Table 6.

As shown in Table 6, no phase separation or blurring was observed in the formulations prepared as emulsions, either initially or after waiting for at least 6 months. Thus, the stability and shelf life of the prepared emulsions are sufficient.

Stability Analysis

The purpose of stability analysis is to provide evidence of how the quality of a product changes over time under the influence of a range of environmental factors such as temperature, humidity, and light; to determine both the retest period and shelf life for the product as well as recommended storage conditions. In this study, after the formulations were prepared, they were stored at 4 ± 2 °C and 23 ± 2 °C for six months.

Table 6. Appearance of Formulations After Centrifugation

Table 7. Stability Studies of Formulations