Title:
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Lectins in drug delivery to the oral cavity.
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Lectins are proteins or glycoproteins of non-immune origin, capable of specific
interaction with, and reversible binding to carbohydrate moieties of complex
glycoconjugates. Lectins are ubiquitous in nature and are present in all living organisms.
In nature lectins are implicated in cell recognition and adhesion processes, and have been
described as "second generation" mucoadhesives. The aim of this project was to identify
lectins that could be incorporated into dosage forms to allow their retention within the
oral cavity. This would allow prolonged localised drug delivery.
Initial screening studies on human buccal cells, usmg the avidin-biotincomplex/
diaminobenzidine method suggested that all the lectins tested appeared to bind
to varying degrees, as visualised by a diaminobenzidine (DAB) precipitate to the oral
epithelial surface. The stain intensities were analysed semi-qualitatively with E
micro densitometer GN5 (Barr and Stroud). A substantial reduction in lectin binding was
observed after exposing buccal cells to a series of lectin solutions pre-treated with
secretor and non-secretor saliva. However when bound to the buccal cells, there was little
displacement of lectins on exposure to either saliva types. Kinetic binding studies
revealed the presence of the lectins from Pisum sativum and Arachis hypogaea, after only
20 s contact. There were some differences in lectin binding evident between rat oral tissue
and human buccal cells, but those that bound avidly to both were selected for furthe
studies.
In order to allow a quantitative assessment of binding, the lectins from Canavali
ensiformis, Arachis hypogaea and Triticum vulgaris were labelled with Technetium-99n
(Tc-99m) using a cyclic diethylenetriamine pentaacetic acid conjugation technique. In
this preliminary study it was found that 1.18 fmoles of the Canavalia ensiformis lectir
3.27 fmoles of the Arachis hypogaea lectin and 11.11 fmoles of the Triticum vulgari
lectin bound per buccal cell. This was reduced when Tc-99m-labelled Canavali
ensiformis lectin was inhibited by the presence of 40% w/v glucose solution. It was
estimated that a therapeutic dose of a potential dosage form could be conjugated to the
Triticum vulgaris lectin within the oral cavity, thus demonstrating the feasibility of using
this, and possibly other lectins in a drug delivery strategy. Preliminary in vivo studies in
the conscious rat model suggested that the Tc-99m-labelled Canavalia ensiformis an
Triticum vulgaris lectins were present within the oral cavity, 1 hand 2 h respectively
after application, with about 25% of the Canavalia ensiformis lectin being lost into the
stomach through swallowing.
Transmission electron microscopy studies were initiated to determine the exact sites of
lectins binding to the human buccal cell. Fresh, unfixed human buccal cells were
incubated in a solution containing 20 nm gold-labelled Canavalia ensiformis lectin.
was found that after processing, the lectin bound to the external surface of the buccal
cells, or to external mucin. No binding was observed when pre-fixed human buccal cells
were used, indicating that fixation affects the glucose/ mannose-containing binding site
Canavalia ensiformis lectin binding to the buccal cells was partially inhibited by the
presence of glucose, the hapten sugar.
It was concluded that lectins will bind to the rat oral epithelial and human buccal cell
surfaces to varying degrees, and will persist, even in the presence of saliva. In particular
the lectin from Triticum vulgaris was shown to have good stability in the conscious rat
model for up to 2 h, and shows great promise for use in a potential lectin-containing drug
delivery system.
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