CLSM Method for the Dynamic Observation of pH Change within Polymer Matrices for Oral DeliveryClick to copy article linkArticle link copied!
- Michael T. Cook
- Teedah Saratoon
- George Tzortzis
- Alexander Edwards
- Dimitris Charalampopoulos
- Vitaliy V. Khutoryanskiy
Abstract
If acid-sensitive drugs or cells are administered orally, there is often a reduction in efficacy associated with gastric passage. Formulation into a polymer matrix is a potential method to improve their stability. The visualization of pH within these materials may help better understand the action of these polymer systems and allow comparison of different formulations. We herein describe the development of a novel confocal laser-scanning microscopy (CLSM) method for visualizing pH changes within polymer matrices and demonstrate its applicability to an enteric formulation based on chitosan-coated alginate gels. The system in question is first shown to protect an acid-sensitive bacterial strain to low pH, before being studied by our technique. Prior to this study, it has been claimed that protection by these materials is a result of buffering, but this has not been demonstrated. The visualization of pH within these matrices during exposure to a pH 2.0 simulated gastric solution showed an encroachment of acid from the periphery of the capsule, and a persistence of pHs above 2.0 within the matrix. This implies that the protective effect of the alginate-chitosan matrices is most likely due to a combination of buffering of acid as it enters the polymer matrix and the slowing of acid penetration.
Introduction
Materials
Bifidobacterium breve
Methods
Viability of B. breve at pH 2–7
Survival of Alginate and Alginate-Chitosan Encapsulated B. breve During Simulated Gastrointestinal Passage
Preparation of pHrodo/FITC Labeled B. breve
Preparation of Alginate-Chitosan Microcapsules Containing pHrodo/FITC Labeled B. breve
Calibration of Microscope
Measurement of pH within Alginate-Chitosan Microcapsules
Figure 1
Figure 1. Conversion of pixel intensity to pH. Image on left is produced by the division of the pixel intensities of a picture showing pHrodo fluorescence by the corresponding FITC image. Image on right is the result of coloration of the left image based on the intensity of each pixel.
Results and Discussion
Figure 2
Figure 2. Viability of B. breve against TPY medium adjusted to various pH after 1 h incubation at 37 °C; N = 3 ± standard deviation; limit of detection, 3 log(CFU)/mL; line intended as guide to eye.
Figure 3
Figure 3. Release of viable cells from alginate and chitosan-coated alginate matrices during exposure to simulated gastric solution (pH 2.0/3.0, 60 min) followed by simulated intestinal solution (180 min) at 37 °C. By the 240 min mark, matrix dissolution was complete. Starting cell concentration included indicating maximum possible survival; N = 3 ± standard deviation; limit of detection, 3 log(CFU)/mL.
Figure 4
Figure 4. Schematic diagram of dye conjugation to amine moieties within bacteria, producing thiourea and amide moieties when reacting with pHrodo succinimidyl ester and FITC, respectively (A). Fluorescence of pHrodo (B) and FITC (C) when conjugated to B. breve showing variation of intensity with pH. For this experiment, a solution of fluorescently labeled B. breve conjugate (100 μL) at ∼9 log(cells)/mL was diluted into PBS (900 μL) adjusted to pH 2.0, 5.0, and 7.0. The fluorescence of conjugated pHrodo and FITC was then quantified by UV spectrofluorometry (λex: 546 and 488, respectively) over the ranges shown. Fluorescence changes with pH are most commonly the result of protonation or deprotonation around a fluorophore’s pKa. (43).
Figure 5
Figure 5. pH maps of an alginate and a chitosan-coated alginate microcapsule during exposure to simulated gastric solution at pH 2.0. Scale: 1 mm.
Figure 6
Figure 6. Comparison of pH within alginate and alginate-chitosan matrices after 60 min exposure to simulated gastric juice at pH 2.0 (scale bar: 1 mm). Images taken from a separate experiment to those shown in Figure 5.
Figure 7
Figure 7. Encroachment of pH < 3.0 into alginate (open squares) and chitosan-coated alginate (closed circles) matrices during incubation in simulated gastric solution at 37 °C; N = 3 ± standard deviation, band thickness is the average of five measurements at equidistant points on the matrix.
Concluding Remarks
Supporting Information
The calibration curve determined for the fluorescence ratio of pHrodo/FITC with pH. This material is available free of charge via the Internet at http://pubs.acs.org.
Terms & Conditions
Most electronic Supporting Information files are available without a subscription to ACS Web Editions. Such files may be downloaded by article for research use (if there is a public use license linked to the relevant article, that license may permit other uses). Permission may be obtained from ACS for other uses through requests via the RightsLink permission system: http://pubs.acs.org/page/copyright/permissions.html.
Acknowledgment
This research was supported by Clasado Ltd. and the University of Reading.
References
This article references 47 other publications.
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- 37Naguib, M.; Samarkandimb, A. H.; Al-Hattab, Y.; Turkistani, A.; Delvi, M. B.; Riad, W.; Attia, M. Can. J. Anaesth. 2001, 48, 344– 50Google Scholar37Metabolic, hormonal and gastric fluid and pH changes after different preoperative feeding regimensNaguib M; Samarkandimb A H; Al-Hattab Y; Turkistani A; Delvi M B; Riad W; Attia MCanadian journal of anaesthesia = Journal canadien d'anesthesie (2001), 48 (4), 344-50 ISSN:0832-610X.PURPOSE: To evaluate the metabolic, hormonal and gastric fluid and pH changes after administration of a small volume of different preoperative feeding regimens. METHODS: In a prospective, randomized, double-blind study 375 adult patients were allocated to one of five groups. Patients ingested 60 ml honey, glucose-fructose-sucrose-maltose mixture (GFSM), apple juice or water two hours before surgery or continued their overnight fast (controls). Blood samples were obtained from an indwelling venous catheter before the administration of feeding regimens and before induction of anesthesia for determination of glucose, triglycerides, insulin, epinephrine and norepinephrine concentrations. Before anesthesia induction, patients were asked to grade the degree of thirst and hunger. After tracheal intubation residual gastric volume (RGV) was suctioned through an orogastric tube. RESULTS: Administration of honey, GFSM, apple juice or water resulted in increases in RGV without changes in the gastric pH. The median RGV values were 15 ml in controls and 20-25 ml in other groups. Thirst was noted after administration of fluids containing sugars. Hunger was noted in the apple juice group. Plasma concentrations of glucose increased and triglycerides decreased after ingestion of fluids containing sugars. Plasma insulin concentrations decreased in GFSM and apple juice groups. Norepinephrine concentrations increased in the control, apple juice and water groups. CONCLUSIONS: Small volumes of fluid increased RGV (P < 0.05). Apple juice resulted in increased incidence of thirst and hunger and plasma glucose and norepinephrine concentrations. Compared with GFSM or apple juice, honey had a gentler effect on plasma glucose and insulin concentrations.
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- 41Hansen, L. T.; Allan-Wojtas, P. M.; Jin, Y. L.; Paulson, A. T. Food Microbiol. 2002, 19, 35– 45Google Scholar41Survival of Ca-alginate microencapsulated Bifidobacterium spp. in milk and simulated gastrointestinal conditionsHansen, L. Truelstrup; Allan-Wojtas, P. M.; Jin, Y.-L.; Paulson, A. T.Food Microbiology (2002), 19 (1), 35-45CODEN: FOMIE5; ISSN:0740-0020. (Elsevier Science)Nine bifidobacteria were tested for their tolerance to simulated gastrointestinal tract conditions at 37°C. Resistance to simulated gastric juice (pH 2·0 and 3·0) and bile salts (5 and 10 g l-1) varied among test strains. Bifidobacteria lactis Bb-12 was significantly more resistant to low pH and bile than any other test strain. Bifidobacteria adolescentis 15703, Bifidobacteria breve 15700, Bifidobacteria lactis Bb-12 and Bifidobacteria longum Bb-46, with the best overall resistance, were encapsulated in alginate microspheres (mean diams. of 20 and 70 μ m). Cold-stage SEM revealed groups of encapsulated bacteria in the porous alginate microspheres. The alginate microspheres retained their integrity at pH 2·0. Microencapsulation of Bifidobacteria did not significantly improve survival over free cells when exposed to simulated gastric juice. Survival was improved for microencapsulated Bifidobacteria longum Bb-46 over that of free cells during refrigerated storage in milk with 2% fat. However, the presence of microencapsulated Bifidobacteria longum and Bifidobacteria lactis in milk resulted in off-flavors not found in samples with free cells, indicating the metab. of entrapped cells had been altered.
- 42Gombotz, W. R.; Wee, S. F. Adv. Drug Delivery Rev. 1998, 31, 267– 285Google Scholar42Protein release from alginate matrixesGombotz, Wayne R.; Wee, SiowFongAdvanced Drug Delivery Reviews (1998), 31 (3), 267-285CODEN: ADDREP; ISSN:0169-409X. (Elsevier Science B.V.)A review with 129 refs. There are a variety of both natural and synthetic polymeric systems that have been investigated for the controlled release of proteins. Many of the procedures employed to incorporate proteins into a polymeric matrix can be harsh and often cause denaturation of the active agent. Alginate, a naturally occurring biopolymer extd. from brown algae, has several unique properties that have enabled it to be used as a matrix for the entrapment and/or delivery of a variety of biol. agents. Alginate polymers are a family of linear unbranched polysaccharides which contain varying amts. of 1,4'-linked β-d-mannuronic acid and α-l-guluronic acid residues. The residues may vary widely in compn. and sequence and are arranged in a pattern of blocks along the chain. Alginate can be ionically crosslinked by the addn. of divalent cations in aq. soln. The relatively mild gelation process has enabled not only proteins, but cells and DNA to be incorporated into alginate matrixes with retention of full biol. activity. Furthermore, by selection of the type of alginate and coating agent, the pore size, degrdn. rate, and ultimately release kinetics can be controlled. Gels of different morphologies can be prepd. including large block matrixes, large beads (>1 mm in diam.) and microbeads (<0.2 mm in diam.). In situ gelling systems have also been made by the application of alginate to the cornea, or on the surfaces of wounds. Alginate is a bioadhesive polymer which can be advantageous for the site specific delivery to mucosal tissues. All of these properties, in addn. to the nonimmunogenicity of alginate, have led to an increased use of this polymer as a protein delivery system. This review will discuss the chem. of alginate, its gelation mechanisms, and the phys. properties of alginate gels. Emphasis will be placed on applications in which biomols. have been incorporated into and released from alginate systems.
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Abstract
Figure 1
Figure 1. Conversion of pixel intensity to pH. Image on left is produced by the division of the pixel intensities of a picture showing pHrodo fluorescence by the corresponding FITC image. Image on right is the result of coloration of the left image based on the intensity of each pixel.
Figure 2
Figure 2. Viability of B. breve against TPY medium adjusted to various pH after 1 h incubation at 37 °C; N = 3 ± standard deviation; limit of detection, 3 log(CFU)/mL; line intended as guide to eye.
Figure 3
Figure 3. Release of viable cells from alginate and chitosan-coated alginate matrices during exposure to simulated gastric solution (pH 2.0/3.0, 60 min) followed by simulated intestinal solution (180 min) at 37 °C. By the 240 min mark, matrix dissolution was complete. Starting cell concentration included indicating maximum possible survival; N = 3 ± standard deviation; limit of detection, 3 log(CFU)/mL.
Figure 4
Figure 4. Schematic diagram of dye conjugation to amine moieties within bacteria, producing thiourea and amide moieties when reacting with pHrodo succinimidyl ester and FITC, respectively (A). Fluorescence of pHrodo (B) and FITC (C) when conjugated to B. breve showing variation of intensity with pH. For this experiment, a solution of fluorescently labeled B. breve conjugate (100 μL) at ∼9 log(cells)/mL was diluted into PBS (900 μL) adjusted to pH 2.0, 5.0, and 7.0. The fluorescence of conjugated pHrodo and FITC was then quantified by UV spectrofluorometry (λex: 546 and 488, respectively) over the ranges shown. Fluorescence changes with pH are most commonly the result of protonation or deprotonation around a fluorophore’s pKa. (43).
Figure 5
Figure 5. pH maps of an alginate and a chitosan-coated alginate microcapsule during exposure to simulated gastric solution at pH 2.0. Scale: 1 mm.
Figure 6
Figure 6. Comparison of pH within alginate and alginate-chitosan matrices after 60 min exposure to simulated gastric juice at pH 2.0 (scale bar: 1 mm). Images taken from a separate experiment to those shown in Figure 5.
Figure 7
Figure 7. Encroachment of pH < 3.0 into alginate (open squares) and chitosan-coated alginate (closed circles) matrices during incubation in simulated gastric solution at 37 °C; N = 3 ± standard deviation, band thickness is the average of five measurements at equidistant points on the matrix.
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- 26Albertini, B.; Vitali, B.; Passerini, N.; Cruciani, F.; Di Sabatino, M.; Rodriguez, L.; Brigidi, P. Eur. J. Pharm. Sci. 2010, 40, 359– 36626Development of microparticulate systems for intestinal delivery of Lactobacillus acidophilus and Bifidobacterium lactisAlbertini, Beatrice; Vitali, Beatrice; Passerini, Nadia; Cruciani, Federica; Di Sabatino, Marcello; Rodriguez, Lorenzo; Brigidi, PatriziaEuropean Journal of Pharmaceutical Sciences (2010), 40 (4), 359-366CODEN: EPSCED; ISSN:0928-0987. (Elsevier B.V.)In the present study intestinal delivery systems resistant to gastric juice, loaded with the probiotic bacteria Lactobacillus acidophilus LA14 and Bifidobacterium lactis BI07, were produced by the polyelectrolyte complexation. First, beads were prepd. by the traditional extrusion method and nine formulations were developed using alginate as main carrier and the biopolymer, xanthan gum (XG), as hydrophilic retardant polymer or the cellulose deriv., cellulose acetate phthalate (CAP), as gastro-resistant polymer. The results showed that the incorporation of the 0.5% (w/v) of XG or the 1% (w/v) of CAP within the 3% (w/v) of alginate soln. increased the survival of the probiotic bacteria in acid conditions from 63% of the freeze-dried bacteria up to 76%. Subsequently, these formula was used to prep. smaller microcapsules by means of an atomization device. Despite of the high viscosity of the biomass suspension, the spraying system produced spherical and non-aggregated microcapsules able to survive in harsh condition better than beads: the survival of the probiotic bacteria after acid incubation was 91%. The performance of the microcapsules in simulated gastric fluid (SGF) contg. pepsin and in gut medium (GM) contg. bile salts was excellent (viability > 95%). Furthermore, the viability of probiotic bacteria was maintained after an incubation of 24 h in GM. Finally, stability tests performed at 5 °C highlighted a bacterial viability of about 82% and 70% after 6 and 9 mo, resp.
- 27Mazumder, M. A. J.; Burke, N. A. D.; Shen, F.; Potter, M. A.; Stover, H. D. H. Biomacromolecules 2009, 10, 1365– 1373There is no corresponding record for this reference.
- 28Gbassi, G. K.; Vandamme, T.; Ennahar, S.; Marchioni, E. Int. J. Food Microbiol. 2009, 129, 103– 10528Microencapsulation of Lactobacillus plantarum spp in an alginate matrix coated with whey proteinsGbassi, Gildas Komenan; Vandamme, Thierry; Ennahar, Said; Marchioni, EricInternational Journal of Food Microbiology (2009), 129 (1), 103-105CODEN: IJFMDD; ISSN:0168-1605. (Elsevier B.V.)Whey proteins were used as a coating material to improve encapsulation of Lactobacillus plantarum strains in calcium alginate beads. L. plantarum 299v, L. plantarum 800 and L. plantarum CIP A159 were used in this study. Inactivation expts. were carried out in simulated gastric fluid (SGF) and simulated intestinal fluid (SIF). Cross-sections of freeze-dried beads revealed the random distribution of bacteria throughout the alginate network. From an initial count of 10.04 ± 0.01 log10 CFU g- 1 for L. plantarum 299v, 10.12 ± 0.04 for L. plantarum CIP A159 and 10.03 ± 0.01 for L. plantarum 800, bacteria in coated beads and incubated in SGF (37 °C, 60 min) showed a better survival for L. plantarum 299v, L. plantarum CIP A159 and L. plantarum 800 (resp. 7.76 ± 0.12, 6.67 ± 0.08 and 5.81 ± 0.25 log10 CFU g- 1) when compared to uncoated beads (2.19 ± 0.09, 1.89 ± 0.09 and 1.65 ± 0.10 log10 CFU g- 1) (p < 0.05). Only bacteria in the coated beads survived in the SIF medium (37 °C, 180 min) after SGF treatment. This preliminary work showed that whey proteins are a convenient, cheap and efficient material for coating alginate beads loaded with bacteria.
- 29Lin, J. Z.; Yu, W. T.; Liu, X. D.; Xie, H. G.; Wang, W.; Ma, X. J. J. Biosci. Bioeng. 2008, 105, 660– 665There is no corresponding record for this reference.
- 30Liserre, A. M.; Re, M. I.; Franco, B. Food Biotechnol. 2007, 21, 1– 1630Microencapsulation of Bifidobacterium animalis subsp. lactis in modified alginate-chitosan beads and evaluation of survival in simulated gastrointestinal conditionsLiserre, Alcina Maria; Re, Maria Ines; Franco, Bernadette D. G. M.Food Biotechnology (Philadelphia, PA, United States) (2007), 21 (1), 1-16CODEN: FBIOEE; ISSN:0890-5436. (Taylor & Francis, Inc.)Bifidobacterium animalis subsp. lactis was entrapped in alginate, alginate-chitosan, alginate-chitosan-Sureteric and alginate-chitosan-Acryl-Eze. Survival and in vitro release of bifidobacteria from the microparticles were investigated under conditions simulating gastrointestinal fluids covering the pH range from 1.5 to 7.5, with and without pepsin (3gL-1), pancreatin (1gL-1), and bile (10gL-1). All types of microcapsules protected B. animalis, but the use of chitosan and enteric polymers in the formulation of the beads, esp. Acryl-Eze, enhanced the beneficial effects of the microencapsulation technique. Besides promoting the controlled release of bifidobacteria in simulated gastrointestinal juices, the microencapsulation with enteric polymers improved the survival rate of these microorganisms.
- 31Mandal, S.; Puniya, A. K.; Singh, K. Int. Dairy J. 2006, 16, 1190– 119531Effect of alginate concentrations on survival of microencapsulated Lactobacillus casei NCDC-298Mandal, S.; Puniya, A. K.; Singh, K.International Dairy Journal (2006), 16 (10), 1190-1195CODEN: IDAJE6; ISSN:0958-6946. (Elsevier B.V)This study reports the tolerance of Lactobacillus casei NCDC-298 encapsulated in different alginate concns. (2%, 3% or 4%), to low pH (1.5), high bile salt concn. (1% or 2%) and heat processing (55, 60 or 65°C for 20 min). The release of encapsulated cells in simulated aq. soln. of colonic pH was also assessed. The survival of encapsulated L. casei was better at low pH, high bile salt concn. and during heat treatment as compared to free cells. The survival increased proportionately with increasing alginate concns. without affecting the release of entrapped cells in soln. of colonic pH.
- 32Krasaekoopt, W.; Bhandari, B.; Deeth, H. Int. Dairy J. 2004, 14, 737– 74332The influence of coating materials on some properties of alginate beads and survivability of microencapsulated probiotic bacteriaKrasaekoopt, Wunwisa; Bhandari, Bhesh; Deeth, HiltonInternational Dairy Journal (2004), 14 (8), 737-743CODEN: IDAJE6; ISSN:0958-6946. (Elsevier Science B.V)The probiotics, Lactobacillus acidophilus 547, Bifidobacterium bifidum ATCC 1994, and Lactobacillus casei 01, were encapsulated into uncoated calcium alginate beads and the same beads were coated with three types of material, chitosan, sodium alginate, and poly-L-lysine in combination with alginate. The thickness of the alginate beads increased with the addn. of coating materials. No differences were detectable in the bead strength by texture anal. or in the thickness of the beads with different types of coating materials by TEM. The survivability of three probiotics in uncoated beads, coated beads, and as free cells (unencapsulated) was conducted in 0.6% bile salt soln. and simulated gastric juice (pH 1.55) followed by incubation in simulated intestinal juice with and without 0.6% bile salt. Chitosan-coated alginate beads provided the best protection for L. acidophilus and L. casei in all treatments. However, B. bifidum did not survive the acidic conditions of gastric juice even when encapsulated in coated beads.
- 33Chandramouli, V.; Kailasapathy, K.; Peiris, P.; Jones, M. J. Microbiol. Methods 2004, 56, 27– 3533An improved method of microencapsulation and its evaluation to protect Lactobacillus spp. in simulated gastric conditionsChandramouli, V.; Kailasapathy, K.; Peiris, P.; Jones, M.Journal of Microbiological Methods (2004), 56 (1), 27-35CODEN: JMIMDQ; ISSN:0167-7012. (Elsevier Science B.V.)An improved method of microencapsulation was developed to increase the efficacy of capsules in protecting the encapsulated bacteria under simulated gastric conditions. Lactobacillus acidophilus CSCC 2400 was encapsulated in calcium alginate and tested for its survival in simulated gastric conditions. The effects of different capsule sizes (200, 450, 1000 μm), different sodium alginate concns. (0.75%, 1%, 1.5%, 1.8% and 2% w/v) and different concns. of calcium chloride (0.1, 0.2, 1.0 M) on the viability of encapsulated bacteria were investigated. The viability of the cells in the microcapsules increased with an increase in alginate capsule size and gel concn. There was no significant difference (p>0.05) in the viability of encapsulated cells when the concn. of calcium chloride was increased. Increase in cell load during encapsulation increased the no. of bacterial survivors at the end of 3-h incubation in simulated gastric conditions. Hardening the capsule in calcium chloride soln. for a longer time (8 h) had no impact on increasing the viability of encapsulated bacteria in a simulated gastric environment. The release of encapsulated cells at different phosphate buffer concns. was also studied. When encapsulated L. acidophilus CSCC 2400 and L. acidophilus CSCC 2409 were subjected to low pH (pH 2) and high bile concn. (1.0% bile) under optimal encapsulation conditions (1.8% (w/v) alginate, 109 CFU/mL, 30 min hardening in 0.1 M CaCl2 and capsule size 450 μm), there was a significant increase (p<0.05) in viable cell counts, compared to the free cells under similar conditions. Thus the encapsulation method described in this study may be effectively used to protect the lactobacillus from adverse gastric conditions.
- 34Krasaekoopt, W.; Bhandari, B.; Deeth, H. C. Lebensm. Wiss. Technol. 2006, 39, 177– 18334Survival of probiotics encapsulated in chitosan-coated alginate beads in yoghurt from UHT- and conventionally treated milk during storageKrasaekoopt, Wunwisa; Bhandari, Bhesh; Deeth, Hilton C.LWT--Food Science and Technology (2005), 39 (2), 177-183CODEN: LSTWB3 ISSN:. (Elsevier B.V.)Survival of the microencapsulated probiotics, Lactobacillus acidophilus 547, Bifidobacterium bifidum ATCC 1994, and Lactobacillus casei 01, in stirred yoghurt from UHT- and conventionally treated milk during low temp. storage was investigated. The probiotic cells both as free cells and microencapsulated cells (in alginate beads coated with chitosan) were added into 20 g/100 g total solids stirred yoghurt from UHT-treated milk and 16 g/100 g total solids yoghurt from conventionally treated milk after 3.5 h of fermn. The products were kept at 4° for 4 wk. The survival of encapsulated probiotic bacteria was higher than free cells by approx. 1 log cycle. The no. of probiotic bacteria was maintained above the recommended therapeutic min. (107 cfu g-1) throughout the storage except for B. bifidum. The viabilities of probiotic bacteria in yoghurts from both UHT- and conventionally treated milks were not significantly (P > 0.05) different.
- 35Dressman, J. B.; Berardi, R. R.; Dermentzoglou, L. C.; Russell, T. L.; Schmaltz, S. P.; Barnett, J. L.; Jarvenpaa, K. M. Pharm. Res. 1990, 7, 756– 61There is no corresponding record for this reference.
- 36Mojaverian, P.; Vlasses, P. H.; Kellner, P. E.; Rocci, M. L. Pharm. Res. 1988, 5, 639– 644There is no corresponding record for this reference.
- 37Naguib, M.; Samarkandimb, A. H.; Al-Hattab, Y.; Turkistani, A.; Delvi, M. B.; Riad, W.; Attia, M. Can. J. Anaesth. 2001, 48, 344– 5037Metabolic, hormonal and gastric fluid and pH changes after different preoperative feeding regimensNaguib M; Samarkandimb A H; Al-Hattab Y; Turkistani A; Delvi M B; Riad W; Attia MCanadian journal of anaesthesia = Journal canadien d'anesthesie (2001), 48 (4), 344-50 ISSN:0832-610X.PURPOSE: To evaluate the metabolic, hormonal and gastric fluid and pH changes after administration of a small volume of different preoperative feeding regimens. METHODS: In a prospective, randomized, double-blind study 375 adult patients were allocated to one of five groups. Patients ingested 60 ml honey, glucose-fructose-sucrose-maltose mixture (GFSM), apple juice or water two hours before surgery or continued their overnight fast (controls). Blood samples were obtained from an indwelling venous catheter before the administration of feeding regimens and before induction of anesthesia for determination of glucose, triglycerides, insulin, epinephrine and norepinephrine concentrations. Before anesthesia induction, patients were asked to grade the degree of thirst and hunger. After tracheal intubation residual gastric volume (RGV) was suctioned through an orogastric tube. RESULTS: Administration of honey, GFSM, apple juice or water resulted in increases in RGV without changes in the gastric pH. The median RGV values were 15 ml in controls and 20-25 ml in other groups. Thirst was noted after administration of fluids containing sugars. Hunger was noted in the apple juice group. Plasma concentrations of glucose increased and triglycerides decreased after ingestion of fluids containing sugars. Plasma insulin concentrations decreased in GFSM and apple juice groups. Norepinephrine concentrations increased in the control, apple juice and water groups. CONCLUSIONS: Small volumes of fluid increased RGV (P < 0.05). Apple juice resulted in increased incidence of thirst and hunger and plasma glucose and norepinephrine concentrations. Compared with GFSM or apple juice, honey had a gentler effect on plasma glucose and insulin concentrations.
- 38Locatelli, I.; Mrhar, A.; Bogataj, M. Pharm. Res. 2009, 26 (7) 1607– 17There is no corresponding record for this reference.
- 39Corcoran, B. M.; Stanton, C.; Fitzgerald, G. F.; Ross, R. P. Appl. Environ. Microbiol. 2005, 71, 3060– 7There is no corresponding record for this reference.
- 40Ding, W. K.; Shah, N. P. J. Food Sci. 2009, 74, M100– M107There is no corresponding record for this reference.
- 41Hansen, L. T.; Allan-Wojtas, P. M.; Jin, Y. L.; Paulson, A. T. Food Microbiol. 2002, 19, 35– 4541Survival of Ca-alginate microencapsulated Bifidobacterium spp. in milk and simulated gastrointestinal conditionsHansen, L. Truelstrup; Allan-Wojtas, P. M.; Jin, Y.-L.; Paulson, A. T.Food Microbiology (2002), 19 (1), 35-45CODEN: FOMIE5; ISSN:0740-0020. (Elsevier Science)Nine bifidobacteria were tested for their tolerance to simulated gastrointestinal tract conditions at 37°C. Resistance to simulated gastric juice (pH 2·0 and 3·0) and bile salts (5 and 10 g l-1) varied among test strains. Bifidobacteria lactis Bb-12 was significantly more resistant to low pH and bile than any other test strain. Bifidobacteria adolescentis 15703, Bifidobacteria breve 15700, Bifidobacteria lactis Bb-12 and Bifidobacteria longum Bb-46, with the best overall resistance, were encapsulated in alginate microspheres (mean diams. of 20 and 70 μ m). Cold-stage SEM revealed groups of encapsulated bacteria in the porous alginate microspheres. The alginate microspheres retained their integrity at pH 2·0. Microencapsulation of Bifidobacteria did not significantly improve survival over free cells when exposed to simulated gastric juice. Survival was improved for microencapsulated Bifidobacteria longum Bb-46 over that of free cells during refrigerated storage in milk with 2% fat. However, the presence of microencapsulated Bifidobacteria longum and Bifidobacteria lactis in milk resulted in off-flavors not found in samples with free cells, indicating the metab. of entrapped cells had been altered.
- 42Gombotz, W. R.; Wee, S. F. Adv. Drug Delivery Rev. 1998, 31, 267– 28542Protein release from alginate matrixesGombotz, Wayne R.; Wee, SiowFongAdvanced Drug Delivery Reviews (1998), 31 (3), 267-285CODEN: ADDREP; ISSN:0169-409X. (Elsevier Science B.V.)A review with 129 refs. There are a variety of both natural and synthetic polymeric systems that have been investigated for the controlled release of proteins. Many of the procedures employed to incorporate proteins into a polymeric matrix can be harsh and often cause denaturation of the active agent. Alginate, a naturally occurring biopolymer extd. from brown algae, has several unique properties that have enabled it to be used as a matrix for the entrapment and/or delivery of a variety of biol. agents. Alginate polymers are a family of linear unbranched polysaccharides which contain varying amts. of 1,4'-linked β-d-mannuronic acid and α-l-guluronic acid residues. The residues may vary widely in compn. and sequence and are arranged in a pattern of blocks along the chain. Alginate can be ionically crosslinked by the addn. of divalent cations in aq. soln. The relatively mild gelation process has enabled not only proteins, but cells and DNA to be incorporated into alginate matrixes with retention of full biol. activity. Furthermore, by selection of the type of alginate and coating agent, the pore size, degrdn. rate, and ultimately release kinetics can be controlled. Gels of different morphologies can be prepd. including large block matrixes, large beads (>1 mm in diam.) and microbeads (<0.2 mm in diam.). In situ gelling systems have also been made by the application of alginate to the cornea, or on the surfaces of wounds. Alginate is a bioadhesive polymer which can be advantageous for the site specific delivery to mucosal tissues. All of these properties, in addn. to the nonimmunogenicity of alginate, have led to an increased use of this polymer as a protein delivery system. This review will discuss the chem. of alginate, its gelation mechanisms, and the phys. properties of alginate gels. Emphasis will be placed on applications in which biomols. have been incorporated into and released from alginate systems.
- 43Hanson, M. A.; Ge, X.; Kostov, Y.; Brorson, K. A.; Moreira, A. R.; Rao, G. Biotechnol. Bioeng. 2007, 97, 833– 841There is no corresponding record for this reference.
- 44Bradley, M.; Alexander, L.; Duncan, K.; Chennaoui, M.; Jones, A. C.; Sánchez-Martín, R. M. Bioorg. Med. Chem. Lett. 2008, 18, 313– 317There is no corresponding record for this reference.
- 45Kobayashi, S.; Kojidani, T.; Osakada, H.; Yamamoto, A.; Yoshimori, T.; Hiraoka, Y.; Haraguchi, T. Autophagy 2010, 6, 36– 45There is no corresponding record for this reference.
- 46Leclerc, L.; Boudard, D.; Pourchez, J.; Forest, V.; Marmuse, L.; Louis, C.; Bin, V.; Palle, S.; Grosseau, P.; Bernache-Assollant, D. J. Nanopart. Res. 2012, 14, 1– 13There is no corresponding record for this reference.
- 47Hornig, S.; Biskup, C.; Gräfe, A.; Wotschadlo, J.; Liebert, T.; Mohr, G. J.; Heinze, T. Soft Matter 2008, 4, 1169– 1172There is no corresponding record for this reference.
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