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Effect of paracellular permeation enhancers on intestinal permeability of two peptide drugs, enalaprilat and hexarelin, in rats

Dahlgren, David (author)
Uppsala universitet,Institutionen för farmaceutisk biovetenskap,Translationell läkemedelsutveckling
Olander, Tobias (author)
Uppsala universitet,Institutionen för farmaceutisk biovetenskap,Translationell läkemedelsutveckling
Sjöblom, Markus, 1973- (author)
Uppsala universitet,Sjöblom/Nylander: Gastrointestinal fysiologi
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Hedeland, Mikael (author)
Uppsala universitet,Analytisk farmaceutisk kemi,Natl Vet Inst SVA, Dept Chem Environm & Feed Hyg, S-75189 Uppsala, Sweden.
Lennernäs, Hans (author)
Uppsala universitet,Institutionen för farmaceutisk biovetenskap,Translationell läkemedelsutveckling
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 (creator_code:org_t)
INST MATERIA MEDICA, CHINESE ACAD MEDICAL SCIENCES, 2021
2021
English.
In: Acta Pharmaceutica Sinica B. - : INST MATERIA MEDICA, CHINESE ACAD MEDICAL SCIENCES. - 2211-3835 .- 2211-3843. ; 11:6, s. 1667-1675
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Transcellular permeation enhancers are known to increase the intestinal permeability of enalaprilat, a 349 Da peptide, but not hexarelin (887 Da). The primary aim of this paper was to investigate if paracellular permeability enhancers affected the intestinal permeation of the two peptides. This was investigated using the rat single-pass intestinal perfusion model with concomitant blood sampling. These luminal compositions included two paracellular permeation enhancers, chitosan (5 mg/mL) and ethylenediaminetetraacetate (EDTA, 1 and 5 mg/mL), as well as low luminal tonicity (100 mOsm) with or without lidocaine. Effects were evaluated by the change in lumen-to-blood permeability of hexarelin and enalaprilat, and the blood-to-lumen clearance of (51)chromium-labeled EDTA (CLCr-EDTA), a clinical marker for mucosal barrier integrity. The two paracellular permeation enhancers increased the mucosal permeability of both peptide drugs to a similar extent. The data in this study suggests that the potential for paracellular permeability enhancers to increase intestinal absorption of hydrophilic peptides with low molecular mass is greater than for those with transcellular mechanism-of-action. Further, the mucosal blood-to-lumen flux of Cr-51-EDTA was increased by the two paracellular permeation enhancers and by luminal hypotonicity. In contrast, luminal hypotonicity did not affect the lumen-to-blood transport of enalaprilat and hexarelin. This suggests that hypotonicity affects paracellular solute transport primarily in the mucosal crypt region, as this area is protected from luminal contents by a constant water flow from the crypts.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Medicinska och farmaceutiska grundvetenskaper -- Farmaceutiska vetenskaper (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Basic Medicine -- Pharmaceutical Sciences (hsv//eng)

Keyword

Permeation enhancers
Absorption-modifying excipients
Oral peptide delivery
Intestinal permeability
Intestinal perfusion
Pharmaceutical development

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Dahlgren, David
Olander, Tobias
Sjöblom, Markus, ...
Hedeland, Mikael
Lennernäs, Hans
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MEDICAL AND HEALTH SCIENCES
MEDICAL AND HEAL ...
and Basic Medicine
and Pharmaceutical S ...
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Acta Pharmaceuti ...
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Uppsala University

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