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Mucoadhesive

Khutoryanskiy
Editor
Materials and
Drug Delivery
Systems
Editor

Drug Delivery Systems


Mucoadhesive Materials and
Vitaliy V. Khutoryanskiy, Reading School of Pharmacy, University of Reading, UK

Widely exploited in pharmaceutical forms, mucoadhesion allows for the attachment of


synthetic or natural materials to mucosal tissues in the human body. Drug delivery via

Mucoadhesive
mucosal membranes offers a number of advantages, including reduced administration
frequency, increased residence time, improved drug penetration and the avoidance of
the use of injections. New applications are also being investigated in food products,
cosmetics, wound and dental care.
This book is focused on the latest developments in the area of mucoadhesion,
mucoadhesive materials, structure of mucosal epithelia and transmucosal routes of drug
administration. It includes coverage of: Materials and
• Structure and physiology of mucosal surfaces – oral, ocular, nasal, gastrointestinal
and vaginal
• Theory and understanding of mucoadhesion Drug Delivery
Systems
• Methods of investigation
• Novel mucoadhesive materials including chitosan, thiomers and liposome-based
formulations
With contributions from key experts in academia and industry, Mucoadhesive Materials
and Drug Delivery Systems is uniquely positioned to provide a global state-of-the-art
perspective on mucoadhesion. This book is aimed at students and researchers in
pharmaceutical sciences, polymer and materials sciences, as well as regulatory agencies.
Editor
Vitaliy V. Khutoryanskiy
Mucoadhesive Materials and
Drug Delivery Systems
Mucoadhesive
Materials and Drug
Delivery Systems

Edited by

VITALIY V. KHUTORYANSKIY
Reading School of Pharmacy, University of Reading
UK
This edition first published 2014
 2014 John Wiley & Sons, Ltd
Registered office
John Wiley & Sons Ltd, The Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, United Kingdom
For details of our global editorial offices, for customer services and for information about how to apply for permission to reuse
the copyright material in this book please see our website at www.wiley.com.
The right of the author to be identified as the author of this work has been asserted in accordance with the Copyright, Designs and
Patents Act 1988.
All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by
any means, electronic, mechanical, photocopying, recording or otherwise, except as permitted by the UK Copyright, Designs and
Patents Act 1988, without the prior permission of the publisher.
Wiley also publishes its books in a variety of electronic formats. Some content that appears in print may not be available in
electronic books.
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names used in this book are trade names, service marks, trademarks or registered trademarks of their respective owners. The
publisher is not associated with any product or vendor mentioned in this book.
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make no representations or warranties with respect to the accuracy or completeness of the contents of this book and specifically
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arising herefrom. If professional advice or other expert assistance is required, the services of a competent professional should
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The advice and strategies contained herein may not be suitable for every situation. In view of ongoing research, equipment
modifications, changes in governmental regulations, and the constant flow of information relating to the use of experimental
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Library of Congress Cataloging-in-Publication Data


Mucoadhesive materials and drug delivery systems / edited by Vitaliy V.
Khutoryanskiy.
pages cm
Includes index.
ISBN 978-1-119-94143-9 (cloth)
1. Bioadhesive drug delivery systems. 2. Drug delivery systems.
3. Mucous membrane. I. Khutoryanskiy, Vitaliy V.
RS201.B54M83 2014
615.1–dc23
2013050603
A catalogue record for this book is available from the British Library.
ISBN: 9781119941439
Set in 10/12 pt TimesLTStd-Roman by Thomson Digital, Noida, India
1 2014
Contents
About the Editor xiii
List of Contributors xv
Preface xvii

Section One Structure and Physiology of Mucosal Surfaces in Relation


to Drug Delivery 1

1 Oral Mucosa: Physiological and Physicochemical Aspects 3


Gleb E. Yakubov, Hannah Gibbins, Gordon B. Proctor and Guy H. Carpenter
1.1 Anatomical and Histological Aspects of Oral Cavity Tissues 3
1.1.1 Tissue Architecture 3
1.1.2 Innervation 5
1.1.3 Receptors 6
1.2 Production and Composition of Saliva 8
1.2.1 Major Salivary Glands 8
1.2.2 Minor Salivary Glands 8
1.2.3 Saliva Composition 9
1.2.4 Mucins 10
1.2.5 Proline-rich Proteins 11
1.2.6 Statherins 12
1.2.7 Cystatins 13
1.2.8 Histatins 13
1.2.9 Salivary Amylase 14
1.2.10 Diversity of Salivary Film 14
1.3 Surface Architecture, Mechanical, Rheological and Transport
Properties of Salivary Pellicle 16
1.3.1 Ex Vivo Pellicle 18
1.3.2 Saliva Collection and Handling 18
1.3.3 Rheology 19
1.3.4 Interfacial Rheology 21
1.3.5 Adsorption and Surface Architecture 22
1.3.6 Surface Forces 23
1.3.7 Lubrication 24
1.3.8 Transport Properties 26
1.4 Future Perspective 27
References 27
vi Contents

2 Anatomy of the Eye and the Role of Ocular Mucosa in Drug Delivery 39
Peter W.J. Morrison and Vitaliy V. Khutoryanskiy
2.1 Introduction 39
2.2 Anatomy of the Eye 40
2.2.1 Outer Membranes; Conjunctiva, Cornea and Sclera 41
2.2.2 Aqueous Chamber, Lens and Vitreous Body 44
2.2.3 Choroid and Retina 45
2.3 Introduction to Ocular Mucosa 45
2.4 The Role of Ocular Mucosa in Drug Delivery 47
2.5 Models for Ocular Drug Delivery 48
2.6 Recent Advances in Topical Ocular Drug Delivery 51
2.6.1 Improving Corneal Retention 51
2.6.2 Other Topical Drug Delivery Options 53
2.7 Conclusions 55
References 55
3 Drug Delivery Across the Nasal Mucosa 61
Michelle Armstrong, Shonagh Walker, Jenifer Mains and Clive G. Wilson
3.1 Introduction 61
3.2 Drug Delivery via the Nasal Mucosa 63
3.2.1 Drugs Administered for Local Action 63
3.2.2 Drugs Administered for Systemic Effect 63
3.2.3 Peptide and Protein Delivery 65
3.3 Anatomy and Physiology of the Nasal Cavity 66
3.3.1 Structure and Function of the Nasal Cavity 66
3.3.2 Nasal Epithelia 67
3.3.3 Airflow 68
3.3.4 Nasal Secretions 69
3.3.5 Mucociliary Clearance 69
3.4 Disease States of the Nasal Cavity 70
3.4.1 Disease States Altering Drug Absorption 70
3.5 Transport Across the Membrane 73
3.5.1 Transport Across the Nasal Membrane 73
3.5.2 The Solute Carrier Family 74
3.5.3 Other Nasal Mucosa Transporters 74
3.5.4 Efflux 74
3.5.5 Paracellular Transport 74
3.6 Nose-to-Brain Drug Delivery 75
3.7 Conclusion 76
References 76

4 Gastrointestinal Mucosa and Mucus 83


Felipe J.O. Varum and Abdul W. Basit
4.1 Introduction 83
4.1.1 General Gastrointestinal Physiology 84
Contents vii

4.2 The Gastrointestinal Mucus 86


4.2.1 What is Mucus? 86
4.2.2 Mucus Composition 86
4.2.3 Anatomy of Goblet Cells and Mucin Biosynthesis 88
4.2.4 Regulation of Mucus Secretion 88
4.2.5 Mucus Functions 89
4.2.6 Mucus Layer Structure: The Double-Layer Architecture 90
4.2.7 Mucus Thickness 91
4.2.8 Mucus Rheology 91
4.2.9 Mucus Turnover 93
4.2.10 Mucus and Ageing 93
4.2.11 Mucus and Gastrointestinal Disease 94
4.3 Conclusions 94
References 94

5 Vaginal Mucosa and Drug Delivery 99


José das Neves, Rita Palmeira-de-Oliveira, Ana Palmeira-de-Oliveira,
Francisca Rodrigues and Bruno Sarmento
5.1 Introduction 99
5.2 Drug Delivery and the Human Vagina 100
5.2.1 Anatomical and Physiological Considerations 100
5.2.2 Present and New Therapeutic Uses 102
5.3 Vaginal Drug Dosage Forms 105
5.3.1 General Properties 105
5.3.2 Specific Vaginal Drug Dosage Forms 105
5.3.3 Considerations About Excipients 109
5.3.4 Applicators 109
5.4 Novel Strategies for Enhanced Vaginal Drug Delivery 110
5.5 Mucoadhesion and the Vaginal Environment 111
5.6 Vaginal Microbicides 114
5.7 Users’ Acceptability and Preferences 116
5.8 Conclusions and Future Perspectives 118
Acknowledgements 118
References 119

Section Two Understanding of Mucoadhesion and Methods


of Investigation 133

6 Structure and Properties of Mucins 135


Monica Berry and Anthony Corfield
6.1 Introduction 135
6.2 General Characteristics of Mucins 136
6.2.1 Mucin Genes and Gene Organisation 136
6.2.2 Mucin Molecules, Structure and Organisation 137
6.3 Mucin Glycosylation – Changes in Disease 139
viii Contents

6.4 Dynamics of Mucin Synthesis and Function 142


6.5 Mucin Gel Formation on Cell Surfaces 143
6.5.1 Intermolecular Interactions in the Gel 143
6.5.2 Lipid Interactions 144
6.5.3 Layers in the Mucus Gel 144
6.5.4 Gel-On-Sol or Gel-On-Brush? 145
6.5.5 Organisation at the Surface of the Gel 146
6.5.6 Barrier Properties of Gels 146
6.5.7 Macro- Versus Nanoparticles 147
6.5.8 Bacterial Enzymes 147
6.5.9 Changes in Mucins During Infection 148
6.6 Mucin Therapeutics 148
6.7 Polysaccharide Coatings to Enable Probiotic Delivery 149
6.8 Gene Cloning and Drug Delivery 149
6.9 Chemo-Enzymatic Synthesis of O-Glycans for Drug Delivery 149
6.10 Glycan Legislation 150
References 151

7 Theories of Mucoadhesion 159


John D. Smart
7.1 Introduction 159
7.2 Mucous Membranes 159
7.3 Mucoadhesives 160
7.4 The Adhesive Interaction 160
7.4.1 Chemical Bonds 160
7.4.2 Theories of Adhesion 161
7.5 Mucoadhesion 162
7.6 Solid Mucoadhesion 162
7.6.1 Contact Stage 163
7.6.2 The Consolidation Stage 164
7.6.3 Joint Failure 167
7.6.4 Some Factors Affecting Solid Mucoadhesion 167
7.7 Semi-solid Mucoadhesion 168
7.8 Liquid Mucoadhesion 169
7.9 Modified Materials 169
7.10 Conclusions 170
References 170

8 Methods to Study Mucoadhesive Dosage Forms 175


Maya Davidovich-Pinhas and Havazelet Bianco-Peled
8.1 Introduction 175
8.1.1 Theories of Adhesion 175
8.1.2 Mucoadhesion 176
8.2 Model Surfaces for Mucoadhesion Evaluation 176
8.3 Methods to Evaluate Mucoadhesion Dosage Form 177
Contents ix

8.3.1 Tensile Assays 179


8.3.2 Shear Assays 180
8.3.3 Peel Test 183
8.3.4 Other Methods 184
8.3.5 In Vivo Studies 188
8.4 Summary 189
References 189

9 Methods for Assessing Mucoadhesion: The Experience of an


Integrative Approach 197
Gleb E. Yakubov, Scott Singleton and Ann-Marie Williamson
9.1 Mucins and Mucosal Architecture 197
9.2 Concept of Length and Time Scales in Mucoadhesion 198
9.2.1 Molecular Interactions 198
9.2.2 Colloidal Interactions 200
9.2.3 Dynamic Aspects 201
9.2.4 Goldilock’s Principle in Mucoadhesion 201
9.3 Experimental Approaches to Measuring Mucosal Interactions 201
9.3.1 Measuring Adhesion on the Molecular Level 202
9.3.2 Tribology of Mucoadhesive Contacts 206
9.3.3 Macroscopic Methods 207
9.3.4 In Vivo Methodologies 207
9.4 Integrative Approaches. Layer-by-Layer Assembled Multilayers:
A Tool for Studying Mucoadhesion 208
9.4.1 The Aims of the Integrative Approach 208
9.4.2 Experimental Concept and Layer-by-Layer Multilayers 209
9.4.3 Mucin-Chitosan Layer-by-Layer Deposition and Visualisation 209
9.4.4 Molecular Interactions in Mucin-Chitosan Multilayers 211
9.4.5 Tribological Behaviour 213
9.4.6 Macroscopic Adhesion Measurements 215
9.4.7 In Vivo In-Mouth Imaging 219
9.4.8 Sensory Assessment: Qualitative Investigation of Texture
and Mouth Feel 222
9.4.9 Summary of Outcomes of the Integrative Approach 223
9.5 Future Perspective 224
References 225

Section Three Mucoadhesive Materials 233

10 Chitosan 235
Joshua Boateng, Isaac Ayensu and Harshavardhan Pawar
10.1 Introduction 235
10.2 Material and Physicochemical Properties of Chitosan 236
10.2.1 Chemistry 236
10.2.2 Functional Characteristics of Chitosan 236
x Contents

10.2.3 Factors Affecting Mucoadhesive Performance 238


10.2.4 Permeation Enhancing Effect 238
10.2.5 Swelling and Hydrogel Behaviour 239
10.2.6 Smart Properties 239
10.2.7 Controlled and Targeted Drug Delivery 240
10.3 Applications 240
10.3.1 Chitosan-Based Mucoadhesive Matrix Formulations –
Case Examples 241
10.4 Material Characterisation of Bioadhesive Chitosan Formulations 245
10.4.1 Slide Test 245
10.4.2 Peel Strength Test 245
10.4.3 Texture Analysis 246
10.4.4 Hydrogel-Based Mucosal Substrate 246
10.5 Summary 247
References 247

11 Thiomers 255
Christiane Müller and Andreas Bernkop-Schnürch
11.1 Introduction 255
11.2 Thiolated Polymers 257
11.2.1 Thiolation Techniques 257
11.2.2 Cationic Thiomers 259
11.2.3 Anionic Thiomers 259
11.3 Sulfhydryl Group Contribution 260
11.3.1 Aliphatic Thiomers 260
11.3.2 Aromatic Thiomers 260
11.3.3 Preactivated Thiomers 260
11.4 Mechanism of Mucoadhesion 262
11.4.1 Formation of Disulfide Bonds with Mucoglyoproteins 262
11.4.2 In Situ Cross-Linking Mechanism 262
11.5 Mucoadhesive Properties 263
11.6 Additional Properties of Thiolated Polymers 264
11.6.1 Efflux Pump Inhibition 264
11.6.2 Permeation-Enhancing Effect 265
11.6.3 In Situ Gelling Properties 266
11.6.4 Controlled Drug Release Properties 266
11.7 Mucoadhesive Dosage Forms Based on Thiomers 267
11.7.1 Micro- and Nanoparticles 267
11.7.2 Matrix Tablets 268
11.7.3 Liquid Formulations 268
11.8 Biopharmaceutical Use of Thiomers 269
11.8.1 Oral Drug Delivery 269
11.8.2 Nasal Drug Delivery 270
11.8.3 Buccal Drug Delivery 271
11.8.4 Ocular Drug Delivery 271
11.8.5 Vaginal Drug Delivery 271
Contents xi

11.9 Safety and Stability 272


11.10 Conclusion 273
References 273

12 Boronate-Containing Polymers 279


Alexander E. Ivanov
12.1 Introduction 279
12.2 Fundamentals of Borate and Boronate Interactions with Mono-
and Oligosaccharides 280
12.3 Multipoint Association of BCPs with Polysaccharides 282
12.4 Formation of Interpolymer Complexes of BCPs with Mucin
Glycoprotein 284
12.5 Interaction of BCPs with Animal Cells 286
12.5.1 Effects of BCPs on Cell Agglutination and Cell Adhesion 286
12.5.2 Uptake of Water-Soluble BCPs and their Polyplexes
with DNA by Animal Cells 287
12.5.3 Adhesion of Animal Cells to the Surfaces Modified with BCPs 288
12.6 Polymeric Mucoadhesive Materials and Devices Employing
Boronate – Carbohydrate Interactions 289
12.6.1 Occlusion of Mucosal Lumen by Boronate-Containing Gels 290
12.6.2 BCP-Based Nanoparticles for Drug Delivery 291
12.6.3 Contact Lenses with Mucin Affinity 291
12.7 Conclusions 291
References 292

13 Liposome-Based Mucoadhesive Formulations 297


Kohei Tahara and Hirofumi Takeuchi
13.1 Introduction 297
13.2 Oral Administration of Surface-Modified Liposomes with
the Mucoadhesive Properties 298
13.3 The Behaviour of Liposomes After Oral Administration 300
13.4 Pulmonary Administration of Peptide Drugs with Liposomal
Formulations: Effective Surface Modification Using
Chitosan or Poly(Vinyl Alcohol) with a Hydrophobic Anchor 301
13.5 Modification of Liposomes Using Mucoadhesive Polymer–
Wheat Germ Agglutinin Conjugates for Pulmonary Drug Delivery 304
13.6 Conclusions 306
References 306

14 Acrylated Polymers 309


Maya Davidovich-Pinhas and Havazelet Bianco-Peled
14.1 Introduction 309
14.2 Mucoadhesion 310
xii Contents

14.3 Types of Interactions Involved in the Mucoadhesion Process 310


14.4 Interactions Between Acrylate and Mucin Glycoprotein 311
14.5 Acrylated Alginate (Alginate-PEGAc) 314
14.5.1 Synthesis of Alginate-PEGAc 315
14.5.2 Mucoadhesion Ability 316
14.5.3 Thermal Properties of Alginate-PEGAc 317
14.5.4 Gelation of Acrylated Alginate 319
14.6 Summary 325
References 325

Index 329
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