Department of Periodontology, Oral Medicine and Oral Surgery, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, 14197, Berlin, Germany.
Department of Periodontology, University of Washington, Seattle, WA, USA.
Clin Oral Investig. 2021 Oct;25(10):5795-5805. doi: 10.1007/s00784-021-03884-x. Epub 2021 Apr 5.
Topical drug administration is commonly applied to control oral inflammation. However, it requires sufficient drug adherence and a high degree of bioavailability. Here, we tested the hypothesis whether an ester-based core-multishell (CMS) nanocarrier is a suitable nontoxic drug-delivery system that penetrates efficiently to oral mucosal tissues, and thereby, increase the bioavailability of topically applied drugs.
To evaluate adhesion and penetration, the fluorescence-labeled CMS 10-E-15-350 nanocarrier was applied to ex vivo porcine masticatory and lining mucosa in a Franz cell diffusion assay and to an in vitro 3D model. In gingival epithelial cells, potential cytotoxicity and proliferative effects of the nanocarrier were determined by MTT and sulphorhodamine B assays, respectively. Transepithelial electrical resistance (TEER) was measured in presence and absence of CMS 10-E-15-350 using an Endohm-12 chamber and a volt-ohm-meter. Cellular nanocarrier uptake was analyzed by laser scanning microscopy. Inflammatory responses were determined by monitoring pro-inflammatory cytokines using real-time PCR and ELISA.
CMS nanocarrier adhered to mucosal tissues within 5 min in an in vitro model and in ex vivo porcine tissues. The CMS nanocarrier exhibited no cytotoxic effects and induced no inflammatory responses. Furthermore, the physical barrier expressed by the TEER remained unaffected by the nanocarrier.
CMS 10-E-15-350 adhered to the oral mucosa and adhesion increased over time which is a prerequisite for an efficient drug release. Since TEER is unaffected, CMS nanocarrier may enter the oral mucosa transcellularly.
Nanocarrier technology is a novel and innovative approach for efficient topical drug delivery at the oral mucosa.
局部给药常用于控制口腔炎症。然而,它需要足够的药物黏附性和高度的生物利用度。在这里,我们测试了一个假设,即基于酯的核-多壳(CMS)纳米载体是否是一种合适的无毒药物递送系统,能够有效地穿透口腔黏膜组织,从而增加局部应用药物的生物利用度。
为了评估黏附和渗透,将荧光标记的 CMS 10-E-15-350 纳米载体应用于 Franz 细胞扩散测定中的离体猪咀嚼和衬里黏膜,以及体外 3D 模型。在牙龈上皮细胞中,通过 MTT 和磺基罗丹明 B 测定分别确定纳米载体的潜在细胞毒性和增殖作用。在存在和不存在 CMS 10-E-15-350 的情况下,使用 Endohm-12 室和伏特欧姆计测量跨上皮电阻(TEER)。通过激光扫描显微镜分析细胞内纳米载体摄取。通过实时 PCR 和 ELISA 监测促炎细胞因子来确定炎症反应。
CMS 纳米载体在体外模型和离体猪组织中在 5 分钟内黏附在黏膜组织上。CMS 纳米载体没有细胞毒性作用,也没有引起炎症反应。此外,TEER 表达的物理屏障不受纳米载体的影响。
CMS 10-E-15-350 黏附在口腔黏膜上,并且随着时间的推移黏附增加,这是有效药物释放的前提。由于 TEER 不受影响,CMS 纳米载体可能通过细胞间途径进入口腔黏膜。
纳米载体技术是一种在口腔黏膜上进行高效局部药物递送的新型创新方法。