Digitala Vetenskapliga Arkivet

Planned maintenance
A system upgrade is planned for 10/12-2024, at 12:00-13:00. During this time DiVA will be unavailable.
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Understanding the gastrointestinal mucus and its impact on drug absorption
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Pharmacy, Department of Pharmacy.
2023 (English)Doctoral thesis, comprehensive summary (Other academic)
Description
Abstract [en]

The gastrointestinal mucus is a hydrogel lining the luminal side of the gastrointestinal epithelium. Mucus is vital for gut homeostasis because it protects the epithelium from the noxious external environment. However, from a drug delivery perspective, drugs have to permeate through the mucus to reach the epithelium; therefore, mucus might pose a barrier to drug absorption. Most of the information about mucus derives from fundamental studies performed on rodents. However, information from larger preclinical animal species is highly warranted for improving study designs and guiding better interpretation of data from preclinical assessments. Furthermore, improved understanding of the nature of the gastrointestinal mucus would enable the development of in vitro mucus models with increased biorelevance. These could then be implemented in drug absorption assays to improve the (bio)predictability. Well-informed in vitro mucus models would enable quick and less variable screening of drug candidates in the early drug development stages. Finally, these models would contribute to reduction, refinement, and replacement (the 3Rs) of animal usage in the drug development process. 

This thesis aims to improve our understanding of the nature of gastrointestinal mucus and its impact on drug absorption. For this purpose, mucus from the complete gastrointestinal tract of pigs and dogs was characterized and the diffusion of physicochemically diverse FITC-dextrans through colonic mucus was studied, both ex vivo and in vitro. The characterization of the gastrointestinal mucus focused on properties relevant for drug absorption and revealed the physiological characteristics, composition, and structural profiles from the various gastrointestinal regions. The findings pointed towards substantial differences between small intestinal and colonic mucus in both species and served as the basis for developing artificial colonic mucus models for drug permeation assessments. Porcine and canine artificial mucus models were developed and validated against the respective native secretions in terms of structural properties and demonstrated their potential to capture the key diffusion patterns of FITC-dextrans observed in native colonic mucus. Overall, this work provided insights into key properties of mucus from large preclinical species and validated tools for the assessment of the impact of mucus on drug absorption.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2023. , p. 74
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Pharmacy, ISSN 1651-6192 ; 323
Keywords [en]
mucus, gastrointestinal, pigs, dogs, physiology, colonic, in vitro assay, drug diffusion, macromolecules
National Category
Pharmaceutical Sciences
Identifiers
URN: urn:nbn:se:uu:diva-495168ISBN: 978-91-513-1702-1 (print)OAI: oai:DiVA.org:uu-495168DiVA, id: diva2:1731328
Public defence
2023-03-17, A1:111a, Biomedical Center, Husargatan 3, Uppsala, 09:15 (English)
Opponent
Supervisors
Available from: 2023-02-22 Created: 2023-01-26 Last updated: 2023-02-22
List of papers
1. Physiological properties, composition and structural profiling of porcine gastrointestinal mucus
Open this publication in new window or tab >>Physiological properties, composition and structural profiling of porcine gastrointestinal mucus
Show others...
2021 (English)In: European journal of pharmaceutics and biopharmaceutics, ISSN 0939-6411, E-ISSN 1873-3441, Vol. 169, p. 156-167Article in journal (Refereed) Published
Abstract [en]

The gastrointestinal mucus is a hydrogel that lines the luminal side of the gastrointestinal epithelium, offering barrier protection from pathogens and lubrication of the intraluminal contents. These barrier properties likewise affect nutrients and drugs that need to penetrate the mucus to reach the epithelium prior to absorption. In order to assess the potential impact of the mucus on drug absorption, we need information about the nature of the gastrointestinal mucus. Today, most of the relevant available literature is mainly derived from rodent studies. In this work, we used a larger animal species, the pig model, to characterize the mucus throughout the length of the gastrointestinal tract. This is the first report of the physiological properties (physical appearance, pH and water content), composition (protein, lipid and metabolite content) and structural profiling (rheology and gel network) of the porcine gastrointestinal mucus. These findings allow for direct comparisons between the characteristics of mucus from various segments and can be further utilized to improve our understanding of the role of the mucus on region dependent drug absorption. Additionally, the present work is expected to contribute to the assessment of the porcine model as a preclinical species in the drug development process.

Place, publisher, year, edition, pages
ElsevierElsevier BV, 2021
Keywords
Porcine, Gastrointestinal, Mucus, Composition, Structure, Proteomics, Lipidomics, Rheology, Cryo-SEM
National Category
Pharmaceutical Sciences
Identifiers
urn:nbn:se:uu:diva-459781 (URN)10.1016/j.ejpb.2021.10.008 (DOI)000718177400004 ()34687897 (PubMedID)
Funder
Vinnova, 2019-00048
Available from: 2021-11-29 Created: 2021-11-29 Last updated: 2024-01-15Bibliographically approved
2. Gastrointestinal mucus in dog: Physiological characteristics, composition, and structural properties
Open this publication in new window or tab >>Gastrointestinal mucus in dog: Physiological characteristics, composition, and structural properties
Show others...
2022 (English)In: European journal of pharmaceutics and biopharmaceutics, ISSN 0939-6411, E-ISSN 1873-3441, Vol. 173, p. 92-102Article in journal (Refereed) Published
Abstract [en]

Gastrointestinal (GI) mucus is continuously secreted and lines the entire length of the GI tract. Essential for health, it keeps the noxious luminal content away from the epithelium. Our aim was to characterize the composition and structure of mucus throughout the various GI segments in dog.

Mucus was collected from the stomach, small intestine (duodenum, jejunum, ileum), and large intestine (cecum, proximal and distal colon) from dogs. Composition was determined by multi-omics. Structural properties were investigated using cryoSEM and rheology.

GI mucus contained 74-95% water and maintained a pH around 6.5. The proteome was similar across the different GI segments. The highest abundant secreted gel-forming mucin in the gastric mucus was mucin 5AC, whether mucin 2 had highest abundance in the intestinal mucus. Lipid and metabolite abundance was generally higher in the jejunal mucus than the colonic mucus. CryoSEM microscopy revealed smaller pore size in small intestinal mucus, which increased in the large intestine. All mucus samples showed shear-thinning behavior and characteristics of gel-like structure.

In conclusion, the mucus is a highly viscous and hydrated material. These data provide an important baseline for future studies on human and canine intestinal diseases and the dog model in drug absorption.

Place, publisher, year, edition, pages
ElsevierElsevier BV, 2022
Keywords
Mucus, Mucin, Multi-omics, Rheology, cryoSEM, Dog
National Category
Pharmaceutical Sciences
Identifiers
urn:nbn:se:uu:diva-475120 (URN)10.1016/j.ejpb.2022.02.019 (DOI)000793172500001 ()35227857 (PubMedID)
Funder
Vinnova, 2019-00048
Available from: 2022-05-31 Created: 2022-05-31 Last updated: 2024-01-15Bibliographically approved
3. Development and validation of a porcine artificial colonic mucus model reflecting the properties of native colonic mucus in pigs
Open this publication in new window or tab >>Development and validation of a porcine artificial colonic mucus model reflecting the properties of native colonic mucus in pigs
Show others...
2023 (English)In: European Journal of Pharmaceutical Sciences, ISSN 0928-0987, E-ISSN 1879-0720, Vol. 181, article id 106361Article in journal (Refereed) Published
Abstract [en]

Colonic mucus plays a key role in colonic drug absorption. Mucus permeation assays could therefore provide useful insights and support rational formulation development in the early stages of drug development. However, the collection of native colonic mucus from animal sources is labor-intensive, does not yield amounts that allow for routine experimentation, and raises ethical concerns. In the present study, we developed an in vitro porcine artificial colonic mucus model based on the characterization of native colonic mucus. The structural properties of the artificial colonic mucus were validated against the native secretion for their ability to capture key diffusion patterns of macromolecules in native mucus. Moreover, the artificial colonic mucus could be stored under common laboratory conditions, without compromising its barrier properties. In conclusion, the porcine artificial colonic mucus model can be considered a biorelevant way to study the diffusion behavior of drug candidates in colonic mucus. It is a cost-efficient screening tool easily incorporated into the early stages of drug development and it contributes to the implementation of the 3Rs (refinement, reduction, and replacement of animals) in the drug development process.

Place, publisher, year, edition, pages
Elsevier, 2023
National Category
Pharmaceutical Sciences
Identifiers
urn:nbn:se:uu:diva-494981 (URN)10.1016/j.ejps.2022.106361 (DOI)000918881700001 ()36528165 (PubMedID)
Funder
Vinnova, 2019-00048
Available from: 2023-01-23 Created: 2023-01-23 Last updated: 2023-02-24Bibliographically approved
4. Development of a canine artificial colonic mucus model for drug diffusion studies
Open this publication in new window or tab >>Development of a canine artificial colonic mucus model for drug diffusion studies
Show others...
2024 (English)In: European Journal of Pharmaceutical Sciences, ISSN 0928-0987, E-ISSN 1879-0720, Vol. 194, article id 106702Article in journal (Refereed) Published
Abstract [en]

Colonic mucus is a key factor in the colonic environment because it may affect drug absorption. Due to the similarity of human and canine gastrointestinal physiology, dogs are an established preclinical species for the assessment of controlled release formulations. Here we report the development of an artificial colonic mucus model to mimic the native canine one. In vitro models of the canine colonic environment can provide insights for early stages of drug development and contribute to the implementation of the 3Rs (refinement, reduction, and replacement) of animal usage in the drug development process. Our artificial colonic mucus could predict diffusion trends observed in native mucus and was successfully implemented in microscopic and macroscopic assays to study macromolecular permeation through the mucus. The traditional Transwell set up was optimized with the addition of a nylon filter to ensure homogenous representation of the mucus barrier in vitro. In conclusion, the canine artificial colonic mucus can be used to study drug permeation across the mucus and its flexibility allows its use in various set ups depending on the nature of the compound under investigation and equipment availability.

Place, publisher, year, edition, pages
Elsevier, 2024
Keywords
Artificial mucus, In vitro, Drug diffusion, Drug permeation, Drug binding, Rheology, Hydrogel
National Category
Pharmaceutical Sciences
Identifiers
urn:nbn:se:uu:diva-494564 (URN)10.1016/j.ejps.2024.106702 (DOI)001170499300001 ()
Projects
SweDeliverCOLOTAN
Available from: 2023-01-23 Created: 2023-01-23 Last updated: 2024-09-26Bibliographically approved

Open Access in DiVA

UUThesis_Barmpatsalou,V-2023(2053 kB)810 downloads
File information
File name FULLTEXT01.pdfFile size 2053 kBChecksum SHA-512
d3ee77b768f602d2d8f63b48c2fa1538f25bce07efad058d82e899b62fbcc862ae1e39eafd8408beee3f805ce91146a9af5fd94c1f3d686156e2149d88285589
Type fulltextMimetype application/pdf

Search in DiVA

By author/editor
Barmpatsalou, Vicky
By organisation
Department of Pharmacy
Pharmaceutical Sciences

Search outside of DiVA

GoogleGoogle Scholar
Total: 814 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

isbn
urn-nbn

Altmetric score

isbn
urn-nbn
Total: 1846 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf