Biorelevant dissolution testing of colon-specific delivery systems activated by colonic microflora.

The fermentation of non-starch polysaccharides by colonic microflora is popular as a triggering mechanism to achieve colon-specific drug delivery in that the existence of colonic microflora is independent of gastrointestinal transit time, pH, and disease conditions, and various delivery systems were developed using this strategy. One of such delivery systems, COLAL technology, has advanced into late stage of product development. However, in vitro characterization of these delivery systems remains a challenge in part because the critical performance indicator is colonic specificity of drug release. Moreover, the dynamic and ecologically diverse features of the colon are difficult to be incorporated into USP dissolution methods. As a result, alternative dissolution approaches have been designed to better represent the colonic conditions, such as utilizing polysaccharide-degrading enzymes, rat caecal contents, human fecal slurries, and multi-stage culture systems. The primary focus of this article is to summarize and review the dissolution testing currently used in characterizing colon-specific delivery systems activated by microflora. A brief description of physiological parameters of the colon relevant to colonic drug release is also presented.

[1]  M. Camilleri,et al.  Noninvasive measurement of human ascending colon volume , 1993, Nuclear medicine communications.

[2]  H. Englyst,et al.  Digestion of the polysaccharides of some cereal foods in the human small intestine. , 1985, The American journal of clinical nutrition.

[3]  Y. Chan,et al.  Xylooligosaccharides and fructooligosaccharides affect the intestinal microbiota and precancerous colonic lesion development in rats. , 2004, The Journal of nutrition.

[4]  G. Macfarlane,et al.  Influence of retention time on degradation of pancreatic enzymes by human colonic bacteria grown in a 3-stage continuous culture system. , 1989, The Journal of applied bacteriology.

[5]  A M Stephen,et al.  The microbial contribution to human faecal mass. , 1980, Journal of medical microbiology.

[6]  Jinhe Li,et al.  In vitro evaluation of dissolution behavior for a colon-specific drug delivery system (CODES™) in multi-pH media using United States Pharmacopeia apparatus II and III , 2002, AAPS PharmSciTech.

[7]  J. Newton,et al.  Colonic delivery of 4‐aminosalicylic acid using amylose–ethylcellulose‐coated hydroxypropylmethylcellulose capsules , 2002, Alimentary pharmacology & therapeutics.

[8]  G. Macfarlane,et al.  Validation of a Three-Stage Compound Continuous Culture System for Investigating the Effect of Retention Time on the Ecology and Metabolism of Bacteria in the Human Colon , 1998, Microbial Ecology.

[9]  I. Wilding,et al.  The Use of Scintigraphy to Provide 'Proof of Concept' for Novel Polysaccharide Preparations Designed for Colonic Drug Delivery , 2004, Pharmaceutical Research.

[10]  Yoshinori Masuda,et al.  Scintigraphic evaluation of a novel colon-targeted delivery system (CODES) in healthy volunteers. , 2004, Journal of pharmaceutical sciences.

[11]  Amit Kumar Srivastava,et al.  Cross-Linked Guar Gum Hydrogel Discs for Colon-Specific Delivery of Ibuprofen: Formulation and In Vitro Evaluation , 2006, Drug delivery.

[12]  J. Newton,et al.  The potential of organic-based amylose-ethylcellulose film coatings as oral colon-specific drug delivery systems , 2000, AAPS PharmSciTech.

[13]  N. Hosten,et al.  Intestinal fluid volumes and transit of dosage forms as assessed by magnetic resonance imaging , 2005, Alimentary pharmacology & therapeutics.

[14]  G. Macfarlane,et al.  Use of a three-stage continuous culture system to study the effect of mucin on dissimilatory sulfate reduction and methanogenesis by mixed populations of human gut bacteria , 1988, Applied and environmental microbiology.

[15]  V. Sinha,et al.  In vivo evaluation of time and site of disintegration of polysaccharide tablet prepared for colon-specific drug delivery. , 2005, International journal of pharmaceutics.

[16]  G. Macfarlane,et al.  The control and consequences of bacterial fermentation in the human colon. , 1991, The Journal of applied bacteriology.

[17]  V. Satyanarayana,et al.  Studies on the Development of Colon Targeted Oral Drug Delivery Systems for Ornidazole in the Treatment of Amoebiasis , 2003, Drug delivery.

[18]  G. Macfarlane,et al.  Factors affecting fermentation reactions in the large bowel , 1993, Proceedings of the Nutrition Society.

[19]  H. Englyst,et al.  Polysaccharide breakdown by mixed populations of human faecal bacteria , 1987 .

[20]  Libo Yang,et al.  Colon-specific drug delivery: new approaches and in vitro/in vivo evaluation. , 2002, International journal of pharmaceutics.

[21]  R. Schubert,et al.  Degradation of raw or film-incorporated beta-cyclodextrin by enzymes and colonic bacteria. , 2004, European journal of pharmaceutics and biopharmaceutics : official journal of Arbeitsgemeinschaft fur Pharmazeutische Verfahrenstechnik e.V.

[22]  E. McConnell,et al.  Colonic drug delivery using amylose films: the role of aqueous ethylcellulose dispersions in controlling drug release , 2006 .

[23]  F. Guarner,et al.  Gut flora in health and disease , 2003, The Lancet.

[24]  S M Scott,et al.  Manometric techniques for the evaluation of colonic motor activity: current status , 2003, Neurogastroenterology and motility : the official journal of the European Gastrointestinal Motility Society.

[25]  P. Bampton,et al.  Spatial and temporal organization of pressure patterns throughout the unprepared colon during spontaneous defecation , 2000, American Journal of Gastroenterology.

[26]  J. Juśkiewicz,et al.  Physiological effects of lactulose and inulin in the caecum of rats , 2004, Archives of animal nutrition.

[27]  J. Newton,et al.  Amylose formulations for drug delivery to the colon: a comparison of two fermentation models to assess colonic targeting performance in vitro. , 2004, International journal of pharmaceutics.

[28]  Hitoshi Kawai,et al.  Studies on lactulose formulations for colon-specific drug delivery. , 2002, International journal of pharmaceutics.

[29]  J. Tremblay,et al.  USP Dissolution Apparatus III (reciprocating cylinder) for screening of guar-based colonic delivery formulations , 1997 .

[30]  C. Samyn,et al.  The Relation Between Swelling Properties and Enzymatic Degradation of Azo Polymers Designed for Colon-Specific Drug Delivery , 1994, Pharmaceutical Research.

[31]  J. Mathers,et al.  Comparative gastrointestinal and plasma cholesterol responses of rats fed on cholesterol-free diets supplemented with guar gum and sodium alginate , 2001, British Journal of Nutrition.

[32]  Willy Verstraete,et al.  Polymers for colon specific drug delivery. , 1996 .

[33]  Wei Wu,et al.  In vitro evaluation and pharmacokinetics in dogs of guar gum and Eudragit FS30D-coated colon-targeted pellets of indomethacin , 2007, Journal of drug targeting.

[34]  He Wei,et al.  Pectin/Ethylcellulose as film coatings for colon-specific drug delivery: preparation and in vitro evaluation using 5-fluorouracil pellets. , 2007, PDA journal of pharmaceutical science and technology.

[35]  B. Griffith,et al.  Proof of concept: hemodynamic response to long-term partial ventricular support with the synergy pocket micro-pump. , 2009, Journal of the American College of Cardiology.

[36]  S. S. Rao,et al.  Ambulatory 24-h colonic manometry in healthy humans. , 2001, American journal of physiology. Gastrointestinal and liver physiology.

[37]  A. Sintov,et al.  Colonic Drug Delivery: Enhanced Release of Indomethacin from Cross-Linked Chondroitin Matrix in Rat Cecal Content , 1992, Pharmaceutical Research.

[38]  G. Pitarresi,et al.  Photocrosslinking of dextran and polyaspartamide derivatives: a combination suitable for colon-specific drug delivery. , 2007, Journal of controlled release : official journal of the Controlled Release Society.

[39]  J. Cummings,et al.  Mechanism of action of dietary fibre in the human colon , 1980, Nature.

[40]  B. Goldin,et al.  Alterations in fecal microflora enzymes related to diet, age, lactobacillus supplements, and dimethylhydrazine , 1977, Cancer.

[41]  H. Brøndsted,et al.  Dextran hydrogels for colon-specific drug delivery , 1995 .

[42]  G. Bassotti,et al.  Manometric investigation of high-amplitude propagated contractile activity of the human colon. , 1988, The American journal of physiology.

[43]  W. Verstraete,et al.  Development of a 5-step multi-chamber reactor as a simulation of the human intestinal microbial ecosystem , 1993, Applied Microbiology and Biotechnology.

[44]  H. Brøndsted,et al.  Current applications of polysaccharides in colon targeting. , 1996, Critical reviews in therapeutic drug carrier systems.

[45]  J. Rokem,et al.  In Vitro Evaluation of Calcium Pectinate: A Potential Colon-Specific Drug Delivery Carrier , 1993, Pharmaceutical Research.

[46]  Jinhe Li,et al.  Effect of Colonic Lactulose Availability on the Timing of Drug Release Onset in Vivo from a Unique Colon-Specific Drug Delivery System (CODES™) , 2003, Pharmaceutical Research.

[47]  I. Mena,et al.  Postprandial colonic transit and motor activity in chronic constipation , 1990 .

[48]  I. Mena,et al.  Effect of eating on colonic motility and transit in patients with functional diarrhea. Simultaneous scintigraphic and manometric evaluations. , 1991, Gastroenterology.

[49]  P. J. Wilson,et al.  Exploiting gastrointestinal bacteria to target drugs to the colon: an in vitro study using amylose coated tablets. , 2005, International journal of pharmaceutics.

[50]  V. Sinha,et al.  Compression coated systems for colonic delivery of 5‐fluorouracil , 2007, The Journal of pharmacy and pharmacology.

[51]  A. Salyers,et al.  Bacteroides of the human lower intestinal tract. , 1984, Annual review of microbiology.

[52]  A. Morelli,et al.  Colonic propulsive and postprandial motor activity in patients with ulcerative colitis in remission , 2006, European journal of gastroenterology & hepatology.

[53]  A. Rubinstein Approaches and opportunities in colon-specific drug delivery. , 1995, Critical reviews in therapeutic drug carrier systems.

[54]  S. Satyanarayana,et al.  In vitro evaluation of guar gum as a carrier for colon-specific drug delivery. , 1998, Journal of controlled release : official journal of the Controlled Release Society.

[55]  W. Coward,et al.  In vivo studies of amylose- and ethylcellulose-coated [13C]glucose microspheres as a model for drug delivery to the colon , 1996 .

[56]  M. Samsom,et al.  Association between pain episodes and high amplitude propagated pressure waves in patients with irritable bowel syndrome , 2003, American Journal of Gastroenterology.

[57]  J. Doré,et al.  Differences in Fecal Microbiota in Different European Study Populations in Relation to Age, Gender, and Country: a Cross-Sectional Study , 2006, Applied and Environmental Microbiology.

[58]  B. Yagen,et al.  Phosphated crosslinked guar for colon-specific drug delivery. II. In vitro and in vivo evaluation in the rat. , 2000, Journal of controlled release : official journal of the Controlled Release Society.

[59]  G. Macfarlane,et al.  Investigations of bifidobacterial ecology and oligosaccharide metabolism in a three-stage compound continuous culture system. , 1997, Scandinavian journal of gastroenterology. Supplement.

[60]  Y. Krishnaiah,et al.  Development of colon‐targeted albendazole‐β‐cyclodextrin‐complex drug delivery systems , 2005 .

[61]  V. Pillay,et al.  Unconventional dissolution methodologies. , 1999, Journal of pharmaceutical sciences.

[62]  G. Macfarlane,et al.  Modulation of genotoxic enzyme activities by non-digestible oligosaccharide metabolism in in-vitro human gut bacterial ecosystems. , 2001, Journal of medical microbiology.

[63]  F. Podczeck,et al.  The formation of colonic digestible films of amylose and ethylcellulose from aqueous dispersions at temperatures below 37°C , 2002 .

[64]  G. Macfarlane,et al.  Influence of mucin on glycosidase, protease and arylamidase activities of human gut bacteria grown in a 3-stage continuous culture system. , 1989, The Journal of applied bacteriology.

[65]  Cynthia K. Brown,et al.  FIP/AAPS guidelines to dissolution/in vitro release testing of novel/special dosage forms , 2008, AAPS PharmSciTech.

[66]  M. Turkoğlu,et al.  Colonic delivery of compression coated nisin tablets using pectin/HPMC polymer mixture. , 2007, European journal of pharmaceutics and biopharmaceutics : official journal of Arbeitsgemeinschaft fur Pharmazeutische Verfahrenstechnik e.V.

[67]  G. Gibson,et al.  Modulation of the human gut microflora towards improved health using prebiotics--assessment of efficacy. , 2005, Current pharmaceutical design.

[68]  J. Newton,et al.  Amylose as a coating for drug delivery to the colon: Preparation and in vitro evaluation using 5-aminosalicylic acid pellets , 1996 .

[69]  M. Quigley,et al.  Polysaccharide degradation by human intestinal bacteria during growth under multi-substrate limiting conditions in a three-stage continuous culture system , 1998 .

[70]  T. Ravi,et al.  An in vitro and in vivo investigation into the suitability of bacterially triggered delivery system for colon targeting. , 2002, Chemical & pharmaceutical bulletin.

[71]  S. P. Butler,et al.  Scintigraphic assessment of colonic function during defaecation , 2004, International Journal of Colorectal Disease.

[72]  J. Dent,et al.  Relationships between spatial patterns of colonic pressure and individual movements of content. , 2000, American journal of physiology. Gastrointestinal and liver physiology.

[73]  Sanjay K. Jain,et al.  Potential of calcium pectinate beads for target specific drug release to colon , 2007, Journal of drug targeting.

[74]  W. Moore,et al.  Some current concepts in intestinal bacteriology. , 1978, The American journal of clinical nutrition.

[75]  G. Fahey,et al.  Selected indigestible oligosaccharides affect large bowel mass, cecal and fecal short-chain fatty acids, pH and microflora in rats. , 1997, The Journal of nutrition.

[76]  J. Dwyer,et al.  Influence of diet and age on fecal bacterial enzymes. , 1978, The American journal of clinical nutrition.

[77]  M. Kerley,et al.  Dietary fructooligosaccharide, xylooligosaccharide and gum arabic have variable effects on cecal and colonic microbiota and epithelial cell proliferation in mice and rats. , 1995, The Journal of nutrition.

[78]  G. Macfarlane,et al.  Variation in human intestinal microbiota with age. , 2002, Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver.

[79]  B. Drasar,et al.  Intestinal bacteria and the hydrolysis of glycosidic bonds. , 1971, Journal of medical microbiology.

[80]  J. Proll,et al.  Dietary guar gum and pectin stimulate intestinal microbial polyamine synthesis in rats. , 1998, The Journal of nutrition.