Advancements in Mucoadhesive Delivery Systems for Gastroenterology

Israa H. Al Ani, Noor T. Al Saadi, Marwah T. Al Saadi, Alaa Abu Daya, Manar Al-Zaben, Hiba Almasarwa, Mohammad Nofal, Wael Abu Dayyih

Abstract

This review aimed to provide a comprehensive overview of recent advancements and applications of mucoadhesive delivery systems specifically designed for the treatment and diagnosis of gastrointestinal (GI) tract diseases. This review focuses on the potential of these systems to address the challenges associated with conventional dosage forms, offering insights for researchers, clinicians, and pharmaceutical professionals involved in the development of innovative GI therapies. The review examines various mucoadhesive delivery systems, including tablets, pellets, gels, and micro/nanoparticles, and details their formulations and mechanisms of action. Special attention is paid to the interaction between these delivery systems and the complex GI environment. The analysis included a comparative evaluation of different systems to highlight their respective benefits and limitations in enhancing drug residence time and achieving targeted, sustained drug release. Our findings suggest that mucoadhesive properties significantly improve the performance of drug delivery systems in the GI tract by increasing residence time and ensuring more controlled, localized drug release. Each system presents unique attributes that make it a promising candidate for improving therapeutic outcomes in gastroenterology. This review highlights the enhanced efficacy of mucoadhesive systems compared with traditional methods. The review highlights the innovative potential of mucoadhesive delivery systems in overcoming the limitations of conventional dosage forms, particularly in the context of GI diseases. By improving drug delivery precision and retention in the GI tract, these systems represent significant advancements in pharmaceutical technology, offering new avenues for both diagnosis and treatment.

 

Keywords: gastrointestinal tract; gastroenterology; mucoadhesive delivery system; gastric mucosa

 

https://doi.org/10.55463/issn.1674-2974.51.9.5


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References


VALDASTRI P., SIMI M., and WEBSTER R. J. Advanced Technologies for Gastrointestinal Endoscopy. Annual Review of Biomedical Engineering, 2012, 14(1): 397–429. https://doi.org/10.1146/annurev-bioeng-071811-150006

DENBOW D. M. Gastrointestinal Anatomy and Physiology. In: SCANES C. G. (ed.) Sturkie’s Avian Physiology. Elsevier, 2015: 337–366. https://doi.org/10.1016/B978-0-12-407160-5.00014-2

AULTON M. E., & TAYLOR K. M. G. (eds.) Aulton’s pharmaceutics: the design and manufacture of medicines. 5th ed. Elsevier, Edinburgh, 2018.

SU A., PARKER C. H., and CONKLIN J. L. Esophageal anatomy and physiology. In: RAO S. S. C., LEE Y. Y., and GHOSHAL U. C. (eds.) Clinical and Basic Neurogastroenterology and Motility. Elsevier, 2020: 79–88. https://doi.org/10.1016/B978-0-12-813037-7.00005-4

WILSON R. L., & STEVENSON C. E. Anatomy and Physiology of the Stomach. In: YEO C. J. (ed.) Shackelford’s Surgery of the Alimentary Tract, 2 Volume Set, Volume 1. Elsevier, 2019: 634–646. https://doi.org/10.1016/B978-0-323-40232-3.00056-X

MA Z. F., & LEE Y. Y. Small intestine anatomy and physiology. In: RAO S. S. C., LEE Y. Y., and GHOSHAL U. C. (eds.) Clinical and Basic Neurogastroenterology and Motility. Elsevier, 2020: 101–111. https://doi.org/10.1016/B978-0-12-813037-7.00007-8

GRANT J. Anatomy and Physiology of the Gastrointestinal Tract. In: MATARESE L., STEIGER E., and SEIDNER D. (eds.) Intestinal Failure and Rehabilitation. CRC Press, 2004: 5–23. https://doi.org/10.1201/9780203504581.ch1

CUMMINS G. Smart pills for gastrointestinal diagnostics and therapy. Advanced Drug Delivery Reviews, 2021, 177: 113931. https://doi.org/10.1016/j.addr.2021.113931

KANAOUJIYA R., PORWAL D., and SRIVASTAVA S. Applications of nanomaterials for gastrointestinal tumors: A review. Frontiers in Medical Technology, 2022, 4: 997123. https://doi.org/10.3389/fmedt.2022.997123

PELLINO G., GALLO G., PALLANTE P., CAPASSO R., DE STEFANO A., MARETTO I., MALAPELLE U., QIU S., NIKOLAOU S., BARINA A., and CLERICO G. Noninvasive Biomarkers of Colorectal Cancer: Role in Diagnosis and Personalised Treatment Perspectives. Gastroenterology Research and Practice, 2018, 2018: 2397863. https://doi.org/10.1155/2018/2397863

JANUSZEWICZ W., & FITZGERALD R. C. Early detection and therapeutics. Molecular Oncology, 2019, 13(3): 599–613. https://doi.org/10.1002/1878-0261.12458

DANESE S., SOLITANO V., JAIRATH V., and PEYRIN-BIROULET L. The future of drug development for inflammatory bowel disease: the need to ACT (advanced combination treatment). Gut, 2022, 71(12): 2380–2387. https://doi.org/10.1136/gutjnl-2022-327025

YIN Z., YAO C., ZHANG L., and QI S. Application of artificial intelligence in diagnosis and treatment of colorectal cancer: A novel prospect. Frontiers in Medicine, 2023, 10: 1128084. https://doi.org/10.3389/fmed.2023.1128084

SYKES P. D., NEOPTOLEMOS J. P., COSTELLO E., and HALLORAN C. M. Nanotechnology advances in upper gastrointestinal, liver and pancreatic cancer. Expert Review of Gastroenterology & Hepatology, 2012, 6(3): 343–356. https://doi.org/10.1586/egh.12.13

KHUTORYANSKIY V. V. Advances in Mucoadhesion and Mucoadhesive Polymers. Macromolecular Bioscience, 2011, 11(6): 748–764. https://doi.org/10.1002/mabi.201000388

HARDING S. E. Mucoadhesive interactions. Biochemical Society Transactions, 2003, 31(5): 1036–1041. https://doi.org/10.1042/bst0311036

DAS NEVES J., & SARMENTO B. (eds.) Mucosal Delivery of Biopharmaceuticals: Biology, Challenges and Strategies. Springer, Boston, Massachusetts, 2014. https://doi.org/10.1007/978-1-4614-9524-6

ROUSSEL P., LAMBLIN G., LHERMITTE M., HOUDRET N., LAFITTE J. J., PERINI J. M., KLEIN A., and SCHARFMAN A. The complexity of mucins. Biochimie, 1988, 70(11): 1471–1482. https://doi.org/10.1016/0300-9084(88)90284-2

MURGIA X., LORETZ B., HARTWIG O., HITTINGER M., and LEHR C. M. The role of mucus on drug transport and its potential to affect therapeutic outcomes. Advanced Drug Delivery Reviews, 2018, 124: 82–97. https://doi.org/10.1016/j.addr.2017.10.009

KOMATI S., SWAIN S., RAO M. E. B., JENA B. R., and DASI V. Mucoadhesive Multiparticulate Drug Delivery Systems: An Extensive Review of Patents. Advanced Pharmaceutical Bulletin, 2019, 9(4): 521–538. https://doi.org/10.15171/apb.2019.062

TRIPATHI J., THAPA P., MAHARJAN R., and JEONG S. H. Current State and Future Perspectives on Gastroretentive Drug Delivery Systems. Pharmaceutics, 2019, 11(4): 193. https://doi.org/10.3390/pharmaceutics11040193

KAVITHA K., KUMAR M. R., and SINGH S. J. Novel mucoadhesive polymers - a review. Journal of Applied Pharmaceutical Science, 2011, 1(8): 37-42. https://japsonline.com/abstract.php?article_id=209

ANIL A., & SUDHEER P. Mucoadhesive polymers: A review. Journal of Pharmaceutical Research, 2018, 17(1): 2454-8405. https://doi.org/10.18579/jpcrkc/2018/17/1/119566

RATHEE P., JAIN M., GARG A., NANDA A., and HOODA A. Gastrointestinal mucoadhesive drug delivery system: A review. Journal of Pharmacy Research, 2011, 4(5): 1488-1453. https://citeseerx.ist.psu.edu/document?repid=rep1&type=pdf&doi=a87b1fcd323d112e628455ebe9c569e0dc5f17d1

MUPPALANENI S., MASTROPIETRO D., and OMIDIAN H. Mucoadhesive Drug Delivery Systems. In: BADER R. A., & PUTNAM D. A. (eds.) Engineering Polymer Systems for Improved Drug Delivery. 1st ed. Wiley, 2013: 319–342. https://doi.org/10.1002/9781118747896.ch10

CHATTERJEE B., AMALINA N., SENGUPTA P., and MANDAL U. K. Mucoadhesive polymers and their mode of action: A recent update. Journal of Applied Pharmaceutical Science, 2017, 7: 195–203. https://doi.org/10.7324/japs.2017.70533

DODOU D., BREEDVELD P., and WIERINGA P. A. Mucoadhesives in the gastrointestinal tract: revisiting the literature for novel applications. European Journal of Pharmaceutics and Biopharmaceutics, 2005, 60(1): 1–16. https://doi.org/10.1016/j.ejpb.2005.01.007

BERNKOP-SCHNÜRCH A. Mucoadhesive systems in oral drug delivery. Drug Discovery Today: Technologies, 2005, 2(1): 83–87. https://doi.org/10.1016/j.ddtec.2005.05.001

GOLSHANI S., VATANARA A., and AMIN M. Recent Advances in Oral Mucoadhesive Drug Delivery. Journal of Pharmacy & Pharmaceutical Sciences, 2022, 25: 201–217. https://doi.org/10.18433/jpps32705

PHAM Q. D., NÖJD S., EDMAN M., LINDELL K., TOPGAARD D., and WAHLGREN M. Mucoadhesion: mucin-polymer molecular interactions. International Journal of Pharmaceutics, 2021, 610: 121245. https://doi.org/10.1016/j.ijpharm.2021.121245

MANIVANNAN R., SENTHIL B. K., PARTHIBAN K. G., and JIJIN C. Once Daily Intestinal Mucoadhesive Esomeprazole Magnesium Tablet: Formulation and In-Vitro Evaluation. Journal of Global Pharma Technology, 2010, 2(8): 10-18. https://www.researchgate.net/profile/Manivannan-Rangasamy/publication/287867768_Once_daily_intestinal_mucoadhesive_esomeprazole_magnesium_tablet_Formulation_and_in-vitro_evaluation/links/573bb82508aea45ee84067f6/Once-daily-intestinal-mucoadhesive-esomeprazole-magnesium-tablet-Formulation-and-in-vitro-evaluation.pdf

ARSHAD M. S., ZAFAR S., YOUSEF B., ALYASSIN Y., ALI R., ALASIRI A., CHANG M. W., AHMAD Z., ELKORDY A. A., FAHEEM A., and PITT K. A review of emerging technologies enabling improved solid oral dosage form manufacturing and processing. Advanced Drug Delivery Reviews, 2021, 178: 113840. https://doi.org/10.1016/j.addr.2021.113840

BODDUPALLI B., MOHAMMED ZULKAR N. K., NATH R., and BANJI D. Mucoadhesive drug delivery system: An overview. Journal of Advanced Pharmaceutical Technology & Research, 2010, 1(4): 381-387. https://doi.org/10.4103/0110-5558.76436

REDDY DONTHI M., & DUDIPALA N. Design and Evaluation of Floating Multi Unit Mini Tablets (MUMTS) Muco Adhesive Drug Delivery System of Famotidine to Treat Upper Gastro Intestinal Ulcers. Journal of Pharmacovigilance, 2015, 3(5): 179. https://doi.org/10.4172/2329-6887.1000179

PATIL S., & TALELE G. S. Gastroretentive mucoadhesive tablet of lafutidine for controlled release and enhanced bioavailability. Drug Delivery, 2015, 22(3): 312–319. https://doi.org/10.3109/10717544.2013.877099

SINGH I., DEVI G., BARIK B. R., SHARMA A., and KAUR L. Mucoadhesive Pellets for Drug Delivery Applications: A Critical Review. Reviews of Adhesion and Adhesives, 2020, 8(2): 153–167. https://doi.org/10.7569/RAA.2020.097305

GATTANI S. G., SAVALIYA P. J., and BELGAMWAR V. S. Floating-Mucoadhesive Beads of Clarithromycin for the Treatment of Helicobacter pylori Infection. Chemical & Pharmaceutical Bulletin, 2010, 58(6): 782–787. https://doi.org/10.1248/cpb.58.782

RABIŠKOVÁ M., BAUTZOVÁ T., GAJDZIOK J., DVOŘÁČKOVÁ K., LAMPRECHT A., PELLEQUER Y., and SPILKOVÁ J. Coated chitosan pellets containing rutin intended for the treatment of inflammatory bowel disease: In vitro characteristics and in vivo evaluation. International Journal of Pharmaceutics, 2012, 422(1–2): 151–159. https://doi.org/10.1016/j.ijpharm.2011.10.045

ATYABI F., MAJZOOB S., DORKOOSH F., SAYYAH M., and PONCHEL G. The Impact of Trimethyl Chitosan on In Vitro Mucoadhesive Properties of Pectinate Beads along Different Sections of Gastrointestinal Tract. Drug Development and Industrial Pharmacy, 2007, 33(3): 291–300. https://doi.org/10.1080/03639040601085391

VAJA P. N., & DETROJA C. M. Formulation of Mesalamine-Loaded Rectal Mucoadhesive Pellets for the Treatment of Inflammatory Bowel Disease Using 32Full Factorial Design. International Journal of Applied Pharmaceutics, 2022, 14(5): 88–94. https://doi.org/10.22159/ijap.2022v14i5.45180

GONÇALVES I. C., HENRIQUES P. C., SEABRA C. L., and MARTINS M. C. L. The potential utility of chitosan micro/nanoparticles in the treatment of gastric infection. Expert Review of Anti-Infective Therapy, 2014, 12(8): 981–992. https://doi.org/10.1586/14787210.2014.930663

PREISIG D., ROTH R., TOGNOLA S., VARUM F. J., BRAVO R., CETINKAYA Y., HUWYLER J., and PUCHKOV M. Mucoadhesive microparticles for local treatment of gastrointestinal diseases. European Journal of Pharmaceutics and Biopharmaceutics, 2016, 105: 156–165. https://doi.org/10.1016/j.ejpb.2016.06.009

PATEL J., & PATEL M. Stomach Specific Anti-Helicobacter Pylori Therapy: Preparation and Evaluation of Amoxicillin-Loaded Chitosan Mucoadhesive Microspheres. Current Drug Delivery, 2007, 4(1): 41–50. https://doi.org/10.2174/156720107779314811

UMAMAHESHWARI R. B., RAMTEKE S., and JAIN N. K. Anti-Helicobacter pylori effect of mucoadhesive nanoparticles bearing amoxicillin in experimental gerbils model. AAPS PharmSciTech, 2004, 5(2): 60–68. https://doi.org/10.1208/pt050232

ZAHIR-JOUZDANI F., WOLF J. D., ATYABI F., and BERNKOP-SCHNÜRCH A. In situ gelling and mucoadhesive polymers: why do they need each other? Expert Opinion on Drug Delivery, 2018, 15(10): 1007–1019. https://doi.org/10.1080/17425247.2018.1517741

XU J., TAM M., SAMAEI S., LEROUGE S., BARRALET J., STEVENSON M. M., and CERRUTI M. Mucoadhesive chitosan hydrogels as rectal drug delivery vessels to treat ulcerative colitis. Acta Biomaterialia, 2017, 48: 247–257. https://doi.org/10.1016/j.actbio.2016.10.026

MAENG J. H., SO J. W., KIM J., KIM I. A., JUNG J. H., MIN K., LEE D. H., and YANG S. G. rhEGF-containing thermosensitive and mucoadhesive polymeric sol–gel for endoscopic treatment of gastric ulcer and bleeding. Journal of Biomaterials Applications, 2014, 28(7): 1113–1121. https://doi.org/10.1177/0885328213499948

JABER A., AL-ANI I., HAILAT M., DAOUD E., ABU-RUMMAN A., ZAKARAYA Z., MAJEED B. J., AL MEANAZEL O., and DAYYIH W. A. Esomeprazole and apixaban pharmacokinetic interactions in healthy rats. Heliyon, 2022, 8(10): e11015. https://doi.org/10.1016/j.heliyon.2022.e11015


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