Tight junction modulation and its relationship to drug delivery
Abstract
In order for therapeutic agents to exert their pharmacological effects, they have to cross the biological membranes into the systemic circulation and reach the site of action. Drugs cross the membranes by one of two pathways; paracellular or transcellular. Most drugs are transported transcellularly depending on their physiocochemical properties, however the paracellular route is usually the main route of absorption for hydrophilic drugs (proteins, peptides, etc.). The paracellular pathway is governed by the tight junctions (TJs). The modulation of the TJs by absorption enhancers for paracellular drug transport enhancement and hence drug delivery improvement has been hampered for so many years by lack of comprehensive understanding of the structure and function of the TJs. The TJs are a multiple unit structure composed of multiprotein complex that affiliates with the underlying apical actomyosin ring. TJ proteins identified include transmembrane proteins; occludin and claudin, and cytoplasmic plaque proteins; ZO-1, ZO-2, ZO-3, cingulin, and 7H6. Among the new absorption enhancers that evolved in the past few years is Zonula Occludens toxin, Zot. In vivo and in vitro studies have shown that Zot and its biologically active fragment DeltaG could be effectively used to increase the transport/absorption of paracellular markers and low bioavailable drugs across the intestinal epithelium. Above all, the transient opening of the TJs by Zot suggests that it could be used as a novel approach for the safe drug delivery of therapeutic agents.
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Preservation of the intestinal barrier's integrity relies on the tight junctions between intestinal epithelial cells and their molecular structure including ZO and occludin.
“The preservation of the intestinal barrier’s integrity relies on the tight junctions between intestinal epithelial cells and their molecular structure including the cytoplasmic and transmembrane proteins, ZO, and occludin [63].”
From Neuroprotective Effects of Sodium Butyrate by Restoring Gut Microbiota and Inhibiting TLR4 Signaling in Mice with MPTP-Induced Parkinson’s Disease (2023) · cites this paper as [63]
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- Authors
- SALAMA, N., EDDINGTON, N., & FASANO, A.
- Affiliations
- University of Maryland, Baltimore (US)
- Corresponding author
- FASANO, A
- ORCID
- SALAMA, N
- Venue
- Advanced Drug Delivery Reviews
- Publisher
- Elsevier BV
- Published
- 2006-04-20
- Volume
- 58
- Issue
- 1
- Pages
- 15-28
- ISSN
- 0169-409X (ISSN-L)
- OpenAlex
- W2153192347
- Cited by
- 357
- References
- 95
- Citations by year
- 2026: 10 · 2025: 14 · 2024: 10 · 2023: 17 · 2022: 14 · 2021: 15 · 2020: 20 · 2019: 13 · 2018: 17 · 2017: 17 · 2016: 17 · 2015: 17 · 2014: 27 · 2013: 26 · 2012: 22
- FWCI
- 12.93
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Advanced Drug Delivery Reviews (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Neuroscience › Neurology › Barrier Structure and Function Studies
- Health Sciences › Medicine › Oncology › Drug Transport and Resistance Mechanisms
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmaceutical Science › Drug Solubulity and Delivery Systems
- Keywords
- tight junctions, absorption enhancers, zonula occludens toxin, zot, intestinal epithelium, occludin, claudins, ZO-1, ZO-2, ZO-3, cingulin, tight junction modulation, drug delivery
- MeSH terms
- Animals, Cholera Toxin, Pharmaceutical Preparations, Endotoxins, Humans, Intestinal Absorption, Drug Delivery Systems, Tight Junctions
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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