Abstract
In the present study, we report the properties of a mucoadhesive chitosan-pectinate nanoparticulate formulation able to retain its integrity in the milieu of the upper gastrointestinal tract and subsequently, mucoadhere and release curcumin in colon conditions. Using this system, we aimed to deliver curcumin to the colon for the possible management of colorectal cancer. The delivery system comprised of a chitosan-pectinate composite nanopolymeric with a z-average of 206.0 nm (±6.6 nm) and zeta potential of +32.8 mV (±0.5 mV) and encapsulation efficiency of 64%. The nanoparticles mucoadhesiveness was higher at alkaline pH compared to acidic pH. Furthermore, more than 80% release of curcumin was achieved in pectinase-enriched medium (pH 6.4) as opposed to negligible release in acidic and enzyme-restricted media at pH 6.8. SEM images of the nanoparticles after exposure to the various media indicate a retained matrix in acid media as opposed to a distorted/fragmented matrix in pectinase-enriched medium. The data strongly indicates that the system has the potential to be applied as a colon-targeted mucoadhesive curcumin delivery system for the possible treatment of colon cancer.
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INTRODUCTION
Despite recent research advances in cancer therapy, treatment options remains challenging and a significant number of cases are often referred to surgery, which is associated with high risk of damage to adjacent tissues, pain, infection and recurrence of the cancer (1–5). A less invasive option by way of radiation therapy manifests side effects such as skin changes, faecal incontinence, diarrhoea, nausea and vomiting which obviously affects quality of life (6–9). Further down the line in terms of non-invasiveness is chemotherapy which aptly is the first choice in the management of cancer. However, chemotherapy is also associated with side effects such as pain, sores in the mouth and throat, nausea and vomiting as well as blood disorders (10–15)
In order to mitigate some of the side effects due to chemotherapy, there is a growing interest in the use of anticancer agents of plant origin. These have been reported to manifest fewer side effects compared to their chemotherapeutic cousins (16–18).
Curcumin, commonly known as turmeric, is a natural polyphenol derived from the rhizome of the plant Curcuma longa and reported to have anticancer activity (19–24). Although curcumin has an effective and safe anticancer activity (25–27), its beneficial effects are limited due to poor absorption from the gastrointestinal tract along with rapid metabolism and clearance from the blood (28,29). For curcumin to present systematically as a favourable anticancer alternative, some form of formulation intervention is necessary. Using adjuvants like piperine, the oral bioavailability of curcumin was improved due to inhibition of curcumin metabolising enzymes by the former (30,31). The use of micelles, liposomes and phospholipid complexes has also been explored for the purpose of improving bioavailability of curcumin (32–35). More recently, nanoparticle formulation technology has gained traction as a viable alternative to the delivery of anticancer agents systematically (36,37). These nanoparticle delivery devices are often constructed from polymeric materials such as poly(lactide-co-glycolide) (PLGA), chitosan and poly-hydroxyethyl methacrylate/stearic acid (38–40).
In the present study however, our aim was not to improve the systemic bioavailability of curcumin, but rather to employ appropriate formulation strategies that ensure intact delivery of curcumin to the colon after oral administration, where curcumin may manifest its anticancer effects locally, through an added effect of mucoadhesion. In this regard, the delivery system must retain its integrity and protect curcumin from the variable hydrodynamics and milieu of the upper gastrointestinal tract as it transits from the mouth to the colon. The latter is reinforced because of the instability of curcumin in acidic media. Such a delivery system is likely to materialise with enhanced therapy due to the restriction of the disease to the colon and a possible high payload dumping of curcumin at the colon due to localised enzymatic effect on the formulation. In a previous study, we reported that chitosan-curcumin nanoparticles demonstrated mucoadhesive and anticancer properties (41). In this study, the formulation has been modified to address the buffering potential in acidic conditions, whilst manifesting enhanced mucoadhesion in colonic conditions.
Chitosan is used here because it is biodegradable and used extensively as a pharmaceutical excipient (42–46). Recently, it has been investigated for use in novel drug delivery applications such as carriers for vaccines and DNA (47,48). When suitably formulated, it also possesses mucoadhesive properties.
Pectin is an anionic and soluble polysaccharide extracted from the primary cell walls of plants. It is widely and safely used in food and pharmaceutical industries (49,50). Pectin passes intact through the upper gastrointestinal tract and is degraded by colonic microflora (51,52). Furthermore, pectin is mucoadhesive at alkaline pH of the colon (53). However, when used alone, pectin swells at alkaline conditions which may lead to premature release of drug payload. When used in conjunction with other polymers however, more stable matrices are formed (54). Therefore, pectin was used along with chitosan in the formulation of the nanoparticles in order to restrict premature release of curcumin at lower pH but to ensure enhanced mucoadhesive properties at the colonic condition. Furthermore, pectin is susceptible to colonic microbial degradation, which would ensure release of curcumin from the composite polymer matrices locally.
MATERIALS AND METHODS
Curcumin analytical standard was purchased from Fluka, USA. Low molecular weight chitosan and sodium tripolyphosphate (TPP) was purchased from Sigma Aldrich, USA. Low methoxy pectin was from CP Kelco, USA, and mucin type III from porcine stomach was purchased from Sigma-Aldrich, USA. Pectinase (Aspergillus niger) was purchased from Abnova, Taiwan. Glacial acetic acid and absolute ethanol were purchased from R&M Chemicals, UK. Acetonitrile (HPLC grade) was purchased from RCI Labscan, Thailand.
Formulations of Curcumin Chitosan-Pectinate Nanoparticles
A 300 μl aliquot solution of curcumin in ethanol (1 mg/ml) was added dropwise to 25 ml of pectin solution (0.05 g/ml) and then 25 ml of (0.15 g/ml) chitosan solution in 2% v/v acetic acid with different concentrations, which pH was adjusted to 5 using 2 M NaOH. The mixture was stirred at 500 rpm for 60 min on a magnetic stirrer followed by addition of 25 ml of (0.05 g/ml) TPP and further stirring at 500 rpm for 60 min.
Further optimisation was carried out by varying the quantities of chitosan, TPP and pectin (3:1:1, 3:2:1, 4:1:1, 4:2:1, 5:1:1 and 5:2:1, respectively), stirring speed (500, 800 and 1000 rpm) and stirring time (2 min/20 min, 2 min/40 min, 2 min/60 min), upon the addition of chitosan and TPP, respectively.
Size and Zeta Potential Measurement
The z-average diameter and zeta potentials of freshly prepared CS-PEC-NPs and CUR-CS-PEC-NPs and those exposed to acidic (pH 1.2) and alkaline (pH 6.8) media were determined using a Zeta Sizer Nano Series® (Malvern Instruments, UK) equipped with a 4-mW He-Ne laser at wavelength of 633 nm. Hydrodynamic diameter (d, nm) was measured by dynamic laser scattering (DLS) at a scattering angle of 173°. The CS-PEC-NPs and CUR-CS-PEC-NPs were diluted 5- and 10-fold, respectively, with deionised water prior to measurements. Samples were run in triplicate and mean reading was taken.
Morphological and Surface Topography
The morphology and surface topography of the CUR-CS-PEC-NPs were observed using field emission scanning electron microscopy (FESEM) (Model Quanta 400F, FEI Company, USA) at an accelerating voltage of 5 kV. Samples were prepared by placing one drop of NPs suspension on the stub and left to dry at ambient temperature 24 h before viewing. Nanoparticles exposed to acidic (pH 1.2), alkaline (pH 7.4) and alkaline (pH 6.4) with pectinase were observed for morphological changes using the FESEM described above.
Fourier Transform Infrared (FTIR) Analysis and X-Ray Diffractometry
Evidence of chemical association within the nanoparticles was ascertained using a Spectrum RX1 FTIR spectrometer (Perkin Elmer, USA) and an XRD 7000 diffractometer (Shimadzu, Japan). Samples for the FTIR analysis were prepared using potassium bromide (KBr) at 98:2 w/w ratio of KBr to freeze-dried nanoparticles, respectively, and then compressed into a 5-mm disc using a Carver pressor®, Carver Inc. USA at 5 ton pressure for 5 min. FTIR scans were acquired between 4000 and 400 cm−1 with 64 runs at a resolution of 4 cm−1 using an interval of 1 cm−1. For the XRD analysis, freeze-dried samples were finely grounded and prepared as a film followed by irradiation with CuKα generated at 40 kV and 80 mA. Data were recorded at 2θ range between 0 and 40°C at a scanning speed of 0.5°/min using Maxima XRD7000, Shimadzu, Japan.
Differential Scanning Calorimetry (DSC)
Thermal analysis on formulations was carried out using Q2000 (TA Instruments, USA) differential scanning calorimeter under a gentle stream (20 ml/min) of nitrogen gas. Sample weight ranged from 8 to 12 mg except for curcumin which was 3 mg. Samples were prepared in aluminium pans using a standard pneumatic press and then heated from 0 to 320°C at rate of 5°C/min. The reference was sealed aluminium pan.
Determination of Encapsulation Efficiency
The unbound curcumin in the supernatant and the weakly adsorbed curcumin on the surface of the CUR-CS-PEC-NPs were collected by centrifugation and washed off twice with methanol, respectively. The amount of curcumin in the methanol rinse and the supernatant were both analysed to determine the total unbound curcumin by injecting 20 μl onto an HPLC system (55). Briefly, the mobile phase comprised of 2% acetic acid (v/v)/acetonitrile (60:40) run at 2 ml/min and response detected at a wavelength of 425 nm. The amount of curcumin in the samples was obtained by comparing peak area obtained with those from a standard curve treated similarly. The percentage of encapsulated curcumin was calculated as follows:
The encapsulation capacity was calculated as follows
Curcumin Release from Nanoparticles
CUR-CS-PEC-NPs collected by centrifugation was washed and suspended in phosphate buffer saline (pH 6.4) containing 1% (w/v) Tween 80 and 2.5% (w/v) pectinase enzyme to a final concentration of 10 mg CUR-CS-PEC-NPs per ml of solution. Similarly, the CUR-CS-PEC-NPs were suspended in 0.1 N HCl (pH 1.2) and HEPES buffer (pH 6.8). Each of the three types of dissolution media containing CUR-CS-PEC-NPs were seeded into eight sampling vials and subjected to rotary shaking at 180 rpm (WiseCube®, Witeg Inc., Germany) incubated at 37°C. Curcumin release was studied over 6 h at 20 min, 40 min, 1 h, 2 h, 3 h, 4 h, 5 h and 6 h by withdrawing one vial and its content centrifuged at 4000 rpm for 10 min to pellet the particles. The amount of curcumin released was determined in the supernatant using the HPLC method described above in three independent runs and reported as the mean of these runs.
Since the CUR-CS-PEC-NPs are designed to transit the upper GIT followed by the alkaline conditions of the distal GIT, the effect that this variable pH might have on the physical integrity of the CUR-CS-PEC-NPs was studied by suspending the nanoparticles in pH 1.2 for 1 h, retrieving by centrifugation and then exposing them in pH 6.8 for 2 h. The zeta potential values and percentage retention of curcumin were determined as described above.
Mucoadhesion Studies
The mucoadhesive propensities of the CUR-CS-PEC-NPs were determined by dispersing them in type III mucin solution from porcine stomach at 0.1, 0.2, 0.4 and 0.6 mg/ml. The magnitude of mucoadhesion was obtained by measuring the changes in the zeta potential of the particles after interaction with mucin (56,57). The CUR-CS-PEC-NPs mucin suspension was vortex mixed for 1 min followed by incubation in an incubating shaker operated at 180 rpm for 1 h at 37°C. The zeta potential of the nanoparticles was then measured using the Zetasizer and the drop in zeta potential recorded as a measure of degree of interaction of CUR-CS-PEC-NPs with mucin.
RESULTS AND DISCUSSION
The size, pDI and zeta potential of the CS-PEC-NPs were 206.0 ± 0.6 nm, 0.475 and 24.0 ± 0.3 mV, respectively, whilst those for CUR-CS-PEC-NPs were 211.3 ± 2.0 nm, 0.374 and 23.5 ± 0.4 mV. Thus, there was an increase in the size of the particles after incorporation of curcumin; however, this increase was statistically significant (p = 0.0143). The formation of the nanoparticles is based on electrostatic interaction between the deprotonated negative charge of the carboxylic acid moiety of pectin (–COO−) interacting with the protonated positively charged amine (-NH3 +) groups of chitosan. The addition of TPP results in crosslinking network between the triphosphate moiety (–P3O10 −) of TPP and -NH3 + of chitosan. The crosslinking allows primary interactions between pectin and chitosan to be further pulled inward so that the particles assume a spherical shape and become smaller. The zeta potential for both CS-PEC-NPs and CUR-CS-PEC-NPs was positive and this can be attributed to the residual -NH3 + in chitosan. Curcumin is known to exist in tautomeric forms such as the 1,3,-diketo and two equivalent enols forms (58). The enol form (-RCO4 −) predominates in organic solvents as in the present study and competes with the TPP (–P3O10 −) for –NH3 + groups of chitosan. Additionally, the presence of curcumin impedes reproach by TPP toward free –NH3 + due to stearic hindrance by the former so that the z-potential of CUR-CS-PEC-NPs was lower relative to CS-PEC-NPs. The encapsulation efficiency was 64%, which suggest that the CUR-CS-PEC-NPs retained a significant load although the loading capacity was 0.096%.
Effect of Formulation Variables on Physical Properties of Nanoparticles
In order to study the effects of formulation variables on the physical properties of the nanoparticles, a series of formulas were studied by varying the ratio of CS/TPP/PEC. Figure 1a shows that an increase in the TPP ratio caused a dramatic increase in the size of the particles, causing phase separation. This could be due to increased inter- and intramolecular interactions between TPP and chitosan and pectin. On the other hand, increase in chitosan concentration caused a decrease in the size of the nanoparticles and this is attributable to the heightened level of interaction between free amino group (-NH3 +) of chitosan with the negative phosphate (–P3O10 −) and carboxylic (COO−) groups in TPP and pectin, respectively. Particles with lowest z-average were obtained at 5:1:1. In terms of applicability to the current pursuit, nanoparticles with low z-average are desirable due to high surface-to-volume ratio. Subsequently, this ratio was selected for studying effect of stirring time and stirring speed on the physical properties of the nanoparticles.
From the data in Fig. 1b, we observed a direct relation between the stirring time and the z-average for both CUR-CS-PEC-NPs and CS-PEC-NPs. This could be explained by the fact that as the nanoparticles are formed initially, further stirring of the component results in disrupting the ionic gel of the previously formed particles. This disruption of the nanoparticle fabric also causes a decrease in zeta potential with longer stirring time. From a formulation and stability standpoint, a stirring speed of 500 rpm for 2 min after the addition of chitosan to pectin followed by an additional 20 min of stirring after the addition of TPP was deemed applicable. The formulation was further optimised using stirring speeds of 500, 800 and 1000 rpm and the data on the effect of stirring speed on the physical properties of both the CUR-CS-PEC-NPs and CS-PEC-NPs are presented in Fig. 1c. Stirring speed of 500 rpm not only produced the desired lower z-average, but also a lower pDI and high zeta potential. This effect of stirring speed on size of the nanoparticles has also been reported previously (59,60) and is attributed to high shear forces disrupting the crosslinked fabric of the nanoparticles imposed by TPP much, like the effects of extended stirring times described earlier.
Morphology of CUR-CS-PEC-NPs
Figure 2 shows the FESEM image of the CUR-CS-PEC-NPs of the optimised formulation, which appear spherical and the sizes are in agreement with those obtained from the photon correlation analysis described above. The particles also appear to be well separated from each other which suggest that sufficient electrical charge is retained by the dispersion. The surface of the nanoparticles is free of cracks or fissures which indicate effective crosslinking.
FTIR and X-Ray Diffractometry
The FTIR spectra of the raw materials and formulated nanoparticles are presented in Fig. 3a. In the raw materials, stretching vibrations of C=O group of curcumin (i) appears at 1604 cm−1. No peaks can be observed within the range of 1800–1650 cm−1 which suggests that curcumin is present in the keto-enol tautomeric form (61). The chitosan spectrum (ii) shows a broad peak at 3434 cm−1 which is attributed to the stretching vibration of the hydroxyl groups whilst the amide I stretching of the carbonyl groups presents at 1653 cm−1. Furthermore, a peak appears at 1389 cm−1 corresponds to the N-H stretching of amide and ether bonds and the peak at 1081 cm−1 assigns to a secondary hydroxyl group (62,63). The broad peak of pectin (iii) at 3400 cm−1 is assigned to the stretching frequency of -OH group. The peak at 1051 cm−1 is related to C=C or C=O double bonds within pectin while the peak at 1639 cm−1 is assigned to asymmetric stretching bands of COO− groups (64,65). The characteristic peak at 1129 cm−1 is assigned to P=O groups of TPP (iv) while the one at 899 cm−1 is related to the P-O-P asymmetric stretching (66,67). These bands were all present in both the formulations CUR-CS-PEC-NPs and CS-PEC-NPs, spectra (v and vi, respectively). We may conclude that these groups are not typically involved in covalent chemical bonding with the other components during the formulation process. The CUR-CS-PEC-NPs FTIR spectrum is similar to the CS-PEC-NPs spectrum except for a slight shifting of the amine peak at 1562 cm−1 which is attributed to curcumin loading in CUR-CS-PEC-NPs (63). Furthermore, the peak attributed to curcumin is absent in the CUR-CS-PEC-NPs spectrum which assures curcumin loading in the latter. The XRD data of curcumin (Fig. 3b) shows multiple peaks at 2θ range of 7–30° intimating its crystalline state. However, these peaks are absent in CUR-CS-PEC-NPs suggesting that the curcumin is present in the amorphous state. This is crucially significant because an amorphous arrangement ensures a rapid rate of release.
DSC Analyses
In order to further ascertain the physical nature of the nanoparticles, thermal analyses were carried out on both the optimised CUR-CS-PEC-NPs and CS-PEC-NPs in comparison with the raw materials. Figure 3c shows the DSC data where curcumin (i) shows a sharp melting peak at 178.7°C whilst chitosan (ii) shows endothermal peak at 113.9°C and an exothermic peak at 307.4°C. Pectin (iii) has a transition peak at 190°C. Endothermic peaks are correlated with loss of water associated with the hydrophilic groups of chitosan while the exothermic peaks result from the degradation of polyelectrolytes followed by the hydration and depolymerization reactions which happen due to the partial decarboxylation of the protonated carboxylic groups and oxidation reactions of the polyelectrolytes (68). TPP (iv) shows melting point of the salt at 116.6°C. The thermograms of the physical mixture of chitosan, TPP, pectin and curcumin (v) showed similar peaks observed in the pure samples. Thermograms of the formulations (CS-PEC-NPs and CUR-CS-PEC-NPs), (vi) and (vii), respectively, showed a broad endothermic peak at about 89.5°C, which appear to be a shift of the TPP peak at 112°C (iv). This broadening of the peak in the formulations is due to complexation of TPP because the sharpness of this peak in the physical mixture is lost but prominent in TPP. There is a broad exothermic peak at 269.3°C in both formulations and this is due to chitosan but is slightly shifted from the peak at 307.4°C in pure chitosan because of weak interaction. Furthermore, the melting point of curcumin cannot be seen in the thermograms of CUR-CS-PEC-NPs because curcumin is molecularly dispersed in the NPs in the amorphous state. Thus, the data from the DSC analysis complement those of the FTIR and X-ray diffractometry.
Mucoadhesive Properties of the Optimised Formulation
The mucoadhesive properties of the optimised CS-PEC-NPs and CUR-CS-PEC-NPs formulation were studied at four concentrations of mucin maintained in pH 1.2, 6.8 and 7.4. There was a direct relationship between the drop in zeta potential and mucin concentration as presented in Fig. 4a. The drop in zeta potential is a measure of the extent of mucoadhesion of the nanoparticles by mucin (56). Consequently, the drop in zeta potential of the CUR-CS-PEC-NPs and CS-PEC-NPs at pH 6.8 was more drastic compared to in pH 1.2 (Fig. 4b), suggesting that the nanoparticles are more mucoadhesive at pH 6.8. At pH 7.4 (Fig. 4c), both CS-PEC-NPs and CUR-CS-PEC-NPs have higher mucoadhesion than in both pH 1.2 and 6.8; however, the extent of adhesion is similar for CUR-CS-PEC-NPs compared to CS-PEC-NPs. Variation in pH affects the surface charge on mucin, CS-PEC-NPs and CUR-CS-PEC-NPs. Mucin has sialic acid residues which have a pKa of 2.6, resulting in a negative charge at physiological pH (pH 7.4). There was a positive correlation between the drop in zeta potential and pH and this can be explained by the fact that at higher pH the ionised carboxyl functional groups of mucin (COO−) repel each other and change the spatial conformation from a coiled state into a “rod-like” structure, which results in making them more accessible for inter-diffusion and interpenetration (69). The COO− in mucin allows the positively charged –NH4 + groups of chitosan to form polyelectrolyte complexes which results in mucoadhesion. At higher pH, the amine groups in chitosan become more positive and therefore forms stronger polyelectrolyte bonds with mucin. Therefore the particles are completely covered by mucin at higher pH and thus register identical zeta potential as mucin.
Curcumin Release from CUR-CS-PEC-NPs
Curcumin release in pH 1.2, 6.8 and 6.4 (in the presence of pectinase) are presented in Fig. 5. Besides this, CUR-CS-PEC-NPs morphology was studied at the same pH variations used in the release studies. Since chitosan and pectin have different pKa values (6.1–6.5 and 2.9–4.1, respectively), they act differently in terms of protonation/deprotonation as a function of pH. In acidic conditions (pH 1.2), both the amine groups of chitosan and the carboxylic groups of pectin are protonated. Since the ionisation of carboxylic groups of pectin is limited, and it has the dominant effect, the coulombic repulsion of the carboxylic groups is reduced which protects the NPs. However, a slight swelling (Fig. 6a) and negligible leaching of curcumin were observed at this pH. At pH 6.8, the carboxylic groups of pectin become deprotonated and hence electrostatic repulsion between ionised groups lead to chain repulsion. However, the amine group of chitosan is protonated and more electrostatic interaction between –NH3 + and –COO− is formed so that nanoparticles’ swelling is impeded (Fig. 6b). Despite this interaction and crosslinking, pectinase randomly catalysing the cleavage of α-1,4-glycosidic linkages of pectin breaks existing bond formation between pectin and chitosan causing a burst release of 15% of curcumin obtained in the first 20 min (70). A plateau was manifested in 5 h with more than 80% at end of study. Figure 6c shows the morphology of CUR-CS-PEC-NPs after 6 h treatment in pectinase enzyme at pH 6.4. The nanoparticles appear dark which might be due to the enzymatic digestion (71–73). Pectinase is one of several enzymes produced by colonic bacteria and shows here that the above formulation is not only mucoadhesive at alkaline conditions but also releases curcumin significantly in the presence of colonic enzyme. In order to study the protective effects of pectin against the acidic media of the upper GIT, pectin-free NPs were suspended in a 0.1 N HCl solution (pH 1.2) for 1 h and the morphology of the NPs was studied under FESEM (Fig. 7). The NPs appear deformed and distorted after this treatment, which suggests degradation of the particles.
From Table I we note that there was an increase in the zeta potential of the nanoparticles after exposure to pH 1.2, representing the stomach. This increase in zeta potential is due to protonation of the amine groups of chitosan. At this pH, there is also a reduction in the magnitude of the negative charge on the carboxylic moiety of pectin due to protonation. This combined effect on the amine groups and carboxylic acid in acidic media contributes to rise in surface charge. On the other hand, exposure of the CUR-CS-PEC-NPs to pH 6.4 (representing the colon pH) after treatment in pH 1.2 caused a fall in the zeta potential to the initial value. This change in zeta potential can be attributed to the deprotonation of the carboxylic group of pectin to the charged species (–COO−), allowing electrostatic interaction between –NH3 + of chitosan. In parallel, the percentage retention of curcumin within the CUR-CS-PEC-NPs was ascertained after exposure to the different media. The percentage retention of curcumin decreased slightly after exposure to pH 1.2, with further decrease in pH 6.4; however, this decrease is minimal and suggests that the CUR-CS-PEC-NPs have the potential to retain a significant amount of the payload against variable pH profile.
CONCLUSION
A curcumin-containing chitosan-pectinate composite nanoformulation was successfully formulated and optimised. Mucoadhesion is strongest in alkaline conditions and dependent on mucin concentration. Crucially, the nanoparticles retained a significant curcumin payload after exposure in acidic and then alkaline media. We may conclude that the above formulation has the potential for possible delivery to the colon for localised curcumin activity whereby, through a combination of mucoadhesion and enzymatic degradation on the matrix, the therapeutic effect may manifest effectively.
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Guest Editors: Claudio Salomon, Francisco Goycoolea, and Bruno Moerschbacher
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Alkhader, E., Billa, N. & Roberts, C.J. Mucoadhesive Chitosan-Pectinate Nanoparticles for the Delivery of Curcumin to the Colon. AAPS PharmSciTech 18, 1009–1018 (2017). https://doi.org/10.1208/s12249-016-0623-y
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DOI: https://doi.org/10.1208/s12249-016-0623-y