Type Prodrugs Coatings Coatings Pectine and calcium pectinate Matrix and coatings Dextran hydrogel conjugates Prodrugs Prof. Dr. Adel Sakr 9 Methods of Colonic Targeting COLONIC TARGETING OF A PEPTIDE ANTI-BACTERIAL AGENT Prof. Dr. Adel Sakr Industrial Pharmacy Graduate Program College of Pharmacy, University of Cincinnati Cincinnati, Ohio, USA CONGRESS CHAIR, FIP-INDUSTRIAL PHARMACY SECTION • Protection of Nisin until it reaches the colon is essential. Prof. Dr. Adel Sakr 7 Methods of Colonic Targeting • Chemical/Microbiological Approach – Bacterial count in the colon is much higher than that of the small intestine. Prof. Dr. Adel Sakr 4 Nisin • Active against many Gram-positive bacteria species. • Reported activity against: – – – – – Mycobacterium Actinomyces Penicillin-resistant Neisseria gonorrhoeae Helibacter pylori Clostridium difficile Vancomycin-resistant enterococci Dradelsakr@gmail.com Introduction • Nisin • Significance of colonic delivery of Nisin • Methods of colonic targeting • EUDRAGIT L30D-55 • Wurster fluid bed coating challenge. • Targeting drugs to the colon is becoming of great interest for systemic absorption or local action. Prof. Dr. Adel Sakr 3 Nisin • Peptide antimicrobial agent • Belongs to the class of Antibiotics • Produced by Lactococcus lactis • Used as a food preservative • Consists of 34 amino acids • Solubility decreases with increasing pH • Solubility decreases in the presence of salt • Vancomycin-resistant enterococci are a cause for untreatable or difficult to treat bacterial infections. • Both types of organisms colonize the colon. • Technological/Physiological Approach – Colonic bacteria is capable of extensive enzymatic activity. – Colonic targeting is achieved by compounds selectively degraded by the microbial enzymatic activity (prodrugs or universal systems). – Most of the materials are not approved for human use. Fra Baidu bibliotek Prof. Dr. Adel Sakr 6 Significance of Colonic Delivery of Nisin • Nisin shows activity against both types of organisms. • Nisin will be digested in the small intestine. Prof. Dr. Adel Sakr 8 Methods of Colonic Targeting Delivery System Azo-linked polyamides Azo polymers based on hydroxyethyl methacrylate, methyl methacrylate, and methacrylic acid Amylose Prof. Dr. Adel Sakr 2 Introduction • Peroral drug delivery is the most convenient method of drug delivery. • Peroral delivery of proteins and peptides presents a Prof. Dr. Adel Sakr 5 Significance of Colonic Delivery of Nisin • Clostridium difficile causes antibiotic associated diarrhea leading to colitis or bowel inflammation.