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Chronic wounds are a remarkable cause of morbidity, requiring long-time treatments with
significant impact on quality of life and high costs for public health. Although there are a variety of
topical skin preparations commercially available, they have several limitations that frequently impair
wound healing, such as drug instability, toxicity, limited time of action and ineffective skin
permeation. In recent years, researchers have focused on the development of new effective treatments
for wound healing and frequently appeal for nanometric drug delivery systems to overcome such
obstacles. In dermatology, lipid nanoparticles (LNP) have received great attention of researchers due
to its great functionalities, greater adhesion to the skin and film formation, enabling the hydration and
maintenance of skin integrity, as well as presents a more effective penetration through the skin barrier.
This review provides an update on topical formulations based on Solid Lipid Nanoparticles (SLN) and
Nanostructured Lipid Carriers (NLC) as wound healing treatments. Both SLN and NLC are able to
increase solubility and stability of active pharmaceutical ingredients, and to increase skin penetration
compared to the free drugs. Additionally, SLN and NLC can increase pharmacological activity,
increase the release profile of the drugs, promote synergistic effects and improve the sensory
properties of the final formulation. Topical dosage forms containing nanoparticles have been
extensively evaluated for wound healing activity, mainly the dressings, films and scaffolds. Therefore,
lipid nanoparticles have contributed to improve wound healing therapies, including when incorporated
into other dosage forms, with better efficacy and lesser adverse effects than conventional
formulations.
The use of biocompatible polymers such as Hydroxypropylmethylcellulose (HPMC), Hydroxyethylcellulose (HEC), Carboxymethylcellulose (CMC), and Carbopol in solid formulations results in mucoadhesive systems capable of promoting the prolonged and localized release of Active Pharmaceutical Ingredients (APIs). This strategy represents a technological innovation that can be applied to improving the treatment of oral infections, such as oral candidiasis. Therefore, the aim of this study was to develop a tablet of Ximenia americana L. from mucoadhesive polymers for use in the treatment of oral candidiasis. An X. americana extract (MIC of 125 μg·mL−1) was obtained by turbolysis at 50% of ethanol, a level that demonstrated activity against Candida albicans. Differential Thermal Analysis and Fourier Transform Infrared Spectroscopy techniques allowed the choice of HPMC as a mucoadhesive agent, besides polyvinylpyrrolidone, magnesium stearate, and mannitol to integrate the formulation of X. americana. These excipients were granulated with an ethanolic solution 70% v/v at PVP 5%, and a mucoadhesive tablet was obtained by compression. Finally, mucoadhesive strength was evaluated, and the results demonstrated good mucoadhesive forces in mucin disk and pig buccal mucosa. Therefore, the study allowed a new alternative to be developed for the treatment of buccal candidiasis, one which overcomes the inconveniences of common treatments, costs little, and facilitates patients’ adhesion.
Reconstituted goat whey was fermented with the starter Streptococcus thermophilus TA‐40 in co‐culture with four probiotic adjuncts (independent treatments): Lactobacillus casei BGP93 (T1), Lactobacillus paracasei BGP1 (T2), Lb. paracasei LPC37 (T3) and Lactobacillus rhamnosus LR32 (T4). Lactobacillus populations were higher than 7 log cfu/mL after fermentation and storage. Proteolysis increased significantly (P < 0.05) during fermentation in all trials. Relative amount of low‐molecular‐weight protein fractions (<6.5 kDa) increased in goat whey trials with T1, T3 and T4 during fermentation and storage. The goat whey powder was considered a potential substrate for starter and probiotic cultures, which raised the opportunities to upgrade this by‐product into a functional food.
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