Lipolysis-Permeation Setup for Simultaneous Study of Digestion and Absorption in Vitro
Open accessAbstract
Lipid-based formulations (LBFs) are a delivery strategy to enhance intestinal absorption of poorly water-soluble drugs. LBF performance is typically evaluated by in vitro lipolysis studies, but these do not accurately predict the in vivo performance. One possible reason is the absence of an absorptive membrane driving sink conditions in the serosal compartment. To explore the impact of absorption under sink conditions on the performance evaluation, we developed a lipolysis-permeation setup that allows simultaneous investigation of intestinal digestion of an LBF and drug absorption. The setup consists of two chambers, an upper one for digestion (luminal), and a lower, receiving one (serosal), separated by a Caco-2 monolayer. Digestions were performed with immobilized lipase, instead of the pancreatic extract typically used during lipolysis, since the latter has proven incompatible with Caco-2 cells. Danazol-loaded LBFs were used to develop the setup, and fenofibrate-loaded LBFs were used to establish an in vitro in vivo correlation. As in regular lipolysis studies, our setup allows for the evaluation of (i) the extent of digestion and (ii) drug distribution in different phases present during lipolysis of drug-loaded LBFs (i.e., oil, aqueous, and solid phase). In addition, our setup can determine drug permeation across Caco-2 monolayers and hence, the absorptive flux of the compound. The presence of the absorptive monolayer and sink conditions tended to reduce aqueous drug concentrations and supersaturation in the digestion chamber. The drug transfer across the Caco-2 membrane accurately reflected in vivo drug exposure upon administration of three different LBFs loaded with fenofibrate, where the traditional lipolysis setup failed to predict in vivo performance. As the new setup reflects the dynamic processes occurring in the gastrointestinal tract, it is a valuable tool that can be used in the development of LBFs prior to in vivo studies.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The two-stage model correctly predicted the rank order of in vivo performance in pigs of three fenofibrate lipid-based drug delivery systems and carvedilol absorption in dogs after administration as dissolved in lipid-based drug delivery systems or co-administered with lipid-based drug delivery systems.
“Thus, the twostage model correctly predicted the rank order of the in vivo performance in pigs of three fenofibrate LBDDS and the carvedilol absorption in dogs after administration as dissolved in LBDDS or co-administered with LBDDS (Keemink et al., 2019; Griffin et al., 2014; Alskär et al., 2019).”
From Exploring impact of supersaturated lipid-based drug delivery systems of celecoxib on in vitro permeation across PermeapadⓇ membrane and in vivo absorption (2020) · cites this paper as Keemink et al., 2019
Split into 2 atoms — 1 confirmed, 0 partially supported, 0 disputed, 0 misattributed, 1 unverifiable. Expand the claim to see per-atom verdicts.
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
50 years of oral lipid-based formulations: provenance, progress and future perspectives
Feeney, O. M., Crum, M. F., McEvoy, C. L., Trevaskis, N. L., Williams, H. D., Pouton, C. W., Charman, W. N., Bergström, C. A. S., & Porter, C. J. H. (2016) · Advanced Drug Delivery Reviews · doi:10.1016/j.addr.2016.04.007 · Cited by 426 · see citing works
Self-citation
Flagged first, then by citations
Research works printed but not linked: 42
- Carrière F. Impact of Gastrointestinal Lipolysis on Oral Lipid-Based Formulations and Bioavailability of Lipophilic Drugs. Biochimie 2016, 125, 297– 305. 10.1016/j.biochi.2015.11.016. 26607242 · DOI
- Bergström C. A. S.; Charman W. N.; Porter C. J. H. Computational Prediction of Formulation Strategies for Beyond-Rule-of-5 Compounds. Adv. Drug Delivery Rev. 2016, 101, 6– 21. 10.1016/j.addr.2016.02.005. 26928657 · DOI
- Fong S. Y. K.; Bauer-Brandl A.; Brandl M. Oral Bioavailability Enhancement through Supersaturation: An Update and Meta-Analysis. Expert Opin. Drug Delivery 2017, 14 (3), 403– 426. 10.1080/17425247.2016.1218465. 27488049 · DOI
- Porter C. J. H.; Trevaskis N. L.; Charman W. N. Lipids and Lipid-Based Formulations: Optimizing the Oral Delivery of Lipophilic Drugs. Nat. Rev. Drug Discovery 2007, 6 (3), 231– 248. 10.1038/nrd2197. 17330072 · DOI · Paper page
- Hauss D. J. Oral Lipid-Based Formulations. Adv. Drug Delivery Rev. 2007, 59 (7), 667– 676. 10.1016/j.addr.2007.05.006. 17618704 · DOI
- Kollipara S.; Gandhi R. K. Pharmacokinetic Aspects and in Vitro–in Vivo Correlation Potential for Lipid-Based Formulations. Acta Pharm. Sin. B 2014, 4 (5), 333– 349. 10.1016/j.apsb.2014.09.001. 26579403 PMC4629105 · DOI
- Thomas N.; Richter K.; Pedersen T. B.; Holm R.; Müllertz A.; Rades T. In Vitro Lipolysis Data Does Not Adequately Predict the In Vivo Performance of Lipid-Based Drug Delivery Systems Containing Fenofibrate. AAPS J. 2014, 16 (3), 539– 549. 10.1208/s12248-014-9589-4. 24687210 PMC4012058 · DOI · Paper page
- Williams H. D.; Anby M. U.; Sassene P.; Kleberg K.; Bakala-N’Goma J.-C.; Calderone M.; Jannin V.; Igonin A.; Partheil A.; Marchaud D.; et al. Toward the Establishment of Standardized in Vitro Tests for Lipid-Based Formulations. 2. The Effect of Bile Salt Concentration and Drug Loading on the Performance of Type I, II, IIIA, IIIB, and IV Formulations during in Vitro Digestion. Mol. Pharmaceutics 2012, 9 (11), 3286– 3300. 10.1021/mp300331z. 23030411 · DOI
- Brouwers J.; Brewster M. E.; Augustijns P. Supersaturating Drug Delivery Systems: The Answer to Solubility-Limited Oral Bioavailability?. J. Pharm. Sci. 2009, 98 (8), 2549– 2572. 10.1002/jps.21650. 19373886 · DOI
- Gautschi N.; Bergström C. A. S.; Kuentz M. Rapid Determination of Drug Solubilization versus Supersaturation in Natural and Digested Lipids. Int. J. Pharm. 2016, 513 (1–2), 164– 174. 10.1016/j.ijpharm.2016.09.015. 27609663 · DOI
- Bibi H. A.; Holm R.; Bauer-Brandl A. Simultaneous Lipolysis/Permeation in Vitro Model, for the Estimation of Bioavailability of Lipid Based Drug Delivery Systems. Eur. J. Pharm. Biopharm. 2017, 117, 300– 307. 10.1016/j.ejpb.2017.05.001. 28478159 · DOI · Paper page
- Dahan A.; Hoffman A. The Effect of Different Lipid Based Formulations on the Oral Absorption of Lipophilic Drugs: The Ability of in Vitro Lipolysis and Consecutive Ex Vivo Intestinal Permeability Data to Predict in Vivo Bioavailability in Rats. Eur. J. Pharm. Biopharm. 2007, 67 (1), 96– 105. 10.1016/j.ejpb.2007.01.017. 17329087 · DOI
- Stillhart C.; Imanidis G.; Griffin B. T.; Kuentz M. Biopharmaceutical Modeling of Drug Supersaturation During Lipid-Based Formulation Digestion Considering an Absorption Sink. Pharm. Res. 2014, 31 (12), 3426– 3444. 10.1007/s11095-014-1432-1. 24962509 · DOI
- Crum M. F.; Trevaskis N. L.; Williams H. D.; Pouton C. W.; Porter C. J. H. A New in Vitro Lipid Digestion - in Vivo Absorption Model to Evaluate the Mechanisms of Drug Absorption from Lipid-Based Formulations. Pharm. Res. 2016, 33 (4), 970– 982. 10.1007/s11095-015-1843-7. 26703975 · DOI
- Suys E. J. A.; Chalmers D. K.; Pouton C. W.; Porter C. J. H. Polymeric Precipitation Inhibitors Promote Fenofibrate Supersaturation and Enhance Drug Absorption from a Type IV Lipid-Based Formulation. Mol. Pharmaceutics 2018, 15 (6), 2355 10.1021/acs.molpharmaceut.8b00206. 29659287 · DOI
- Hubatsch I.; Ragnarsson E. G. E.; Artursson P. Determination of Drug Permeability and Prediction of Drug Absorption in Caco-2 Monolayers. Nat. Protoc. 2007, 2 (9), 2111– 2119. 10.1038/nprot.2007.303. 17853866 · DOI
- Keemink J.; Bergström C. A. S. Caco-2 Cell Conditions Enabling Studies of Drug Absorption from Digestible Lipid-Based Formulations. Pharm. Res. 2018, 35 (4), 74 10.1007/s11095-017-2327-8. 29484506 PMC5847224 · DOI
- Griffin B. T.; Kuentz M.; Vertzoni M.; Kostewicz E. S.; Fei Y.; Faisal W.; Stillhart C.; O’Driscoll C. M.; Reppas C.; Dressman J. B. Comparison of in Vitro Tests at Various Levels of Complexity for the Prediction of in Vivo Performance of Lipid-Based Formulations: Case Studies with Fenofibrate. Eur. J. Pharm. Biopharm. 2014, 86 (3), 427– 437. 10.1016/j.ejpb.2013.10.016. 24184675 · DOI · Paper page
- Alskär L. C.; Porter C. J. H.; Bergström C. A. S. Tools for Early Prediction of Drug Loading in Lipid-Based Formulations. Mol. Pharmaceutics 2016, 13 (1), 251– 261. 10.1021/acs.molpharmaceut.5b00704. PMC4928820 26568134 · DOI
- Pouton C. W. Formulation of Poorly Water-Soluble Drugs for Oral Administration: Physicochemical and Physiological Issues and the Lipid Formulation Classification System. Eur. J. Pharm. Sci. 2006, 29 (3–4), 278– 287. 10.1016/j.ejps.2006.04.016. 16815001 · DOI
- Williams H. D.; Sassene P.; Kleberg K.; Bakala-N’Goma J.-C.; Calderone M.; Jannin V.; Igonin A.; Partheil A.; Marchaud D.; Jule E.; et al. Toward the Establishment of Standardized in Vitro Tests for Lipid-Based Formulations, Part 1: Method Parameterization and Comparison of in Vitro Digestion Profiles across a Range of Representative Formulations. J. Pharm. Sci. 2012, 101 (9), 3360– 3380. 10.1002/jps.23205. 22644939 · DOI
- Linn M.; Collnot E.-M.; Djuric D.; Hempel K.; Fabian E.; Kolter K.; Lehr C.-M. Soluplus® as an Effective Absorption Enhancer of Poorly Soluble Drugs in Vitro and in Vivo. Eur. J. Pharm. Sci. 2012, 45 (3), 336– 343. 10.1016/j.ejps.2011.11.025. 22172603 · DOI
- Bernkop-Schnürch A.; Jalil A. Do Drug Release Studies from SEDDS Make Any Sense?. J. Controlled Release 2018, 271, 55– 59. 10.1016/j.jconrel.2017.12.027. 29287908 · DOI
- Phan S.; Salentinig S.; Hawley A.; Boyd B. J. Immobilised Lipase for in Vitro Lipolysis Experiments. J. Pharm. Sci. 2015, 104 (4), 1311– 1318. 10.1002/jps.24327. 25630824 · DOI
- Carrière F.; Renou C.; Lopez V.; De Caro J.; Ferrato F.; Lengsfeld H.; De Caro A.; Laugier R.; Verger R. The Specific Activities of Human Digestive Lipases Measured from the in Vivo and in Vitro Lipolysis of Test Meals. Gastroenterology 2000, 119 (4), 949– 960. 10.1053/gast.2000.18140. 11040182 · DOI
- Cuiné J. F.; McEvoy C. L.; Charman W. N.; Pouton C. W.; Edwards G. A.; Benameur H.; Porter C. J. H. Evaluation of the Impact of Surfactant Digestion on the Bioavailability of Danazol after Oral Administration of Lipidic Self-Emulsifying Formulations to Dogs. J. Pharm. Sci. 2008, 97 (2), 995– 1012. 10.1002/jps.21246. 18064698 · DOI
- Kataoka M.; Masaoka Y.; Yamazaki Y.; Sakane T.; Sezaki H.; Yamashita S. In Vitro System to Evaluate Oral Absorption of Poorly Water-Soluble Drugs: Simultaneous Analysis on Dissolution and Permeation of Drugs. Pharm. Res. 2003, 20 (10), 1674– 1680. 10.1023/A:1026107906191. 14620525 · DOI
- Mols R.; Deferme S.; Augustijns P. Sulfasalazine Transport in In-Vitro, Ex-Vivo and in-Vivo Absorption Models: Contribution of Efflux Carriers and Their Modulation by Co-Administration of Synthetic Nature-Identical Fruit Extracts. J. Pharm. Pharmacol. 2005, 57 (12), 1565– 1573. 10.1211/jpp.57.12.0006. 16354400 · DOI
- Mudie D. M.; Shi Y.; Ping H.; Gao P.; Amidon G. L.; Amidon G. E. Mechanistic Analysis of Solute Transport in an in Vitro Physiological Two-Phase Dissolution Apparatus. Biopharm. Drug Dispos. 2012, 33 (7), 378– 402. 10.1002/bdd.1803. 22847296 PMC4503256 · DOI
- Amidon G. E.; Higuchi W. I.; Ho N. F. H. Theoretical and Experimental Studies of Transport of Micelle-Solubilized Solutes. J. Pharm. Sci. 1982, 71 (1), 77– 84. 10.1002/jps.2600710120. 7057387 · DOI
- Bevernage J.; Brouwers J.; Brewster M. E.; Augustijns P. Evaluation of Gastrointestinal Drug Supersaturation and Precipitation: Strategies and Issues. Int. J. Pharm. 2013, 453 (1), 25– 35. 10.1016/j.ijpharm.2012.11.026. 23194883 · DOI
- Hens B.; Brouwers J.; Corsetti M.; Augustijns P. Gastrointestinal Behavior of Nano- and Microsized Fenofibrate: In Vivo Evaluation in Man and in Vitro Simulation by Assessment of the Permeation Potential. Eur. J. Pharm. Sci. 2015, 77, 40– 47. 10.1016/j.ejps.2015.05.023. 26004010 · DOI
- Miller J. M.; Beig A.; Carr R. A.; Webster G. K.; Dahan A. The Solubility-Permeability Interplay When Using Cosolvents for Solubilization: Revising the Way We Use Solubility-Enabling Formulations. Mol. Pharmaceutics 2012, 9 (3), 581– 590. 10.1021/mp200460u. 22280478 · DOI
- Bevernage J.; Brouwers J.; Annaert P.; Augustijns P. Drug Precipitation-Permeation Interplay: Supersaturation in an Absorptive Environment. Eur. J. Pharm. Biopharm. 2012, 82 (2), 424– 428. 10.1016/j.ejpb.2012.07.009. 22841881 · DOI
- Boyd B. J.; Porter C. J. H.; Charman W. N. Using the Polymer Partitioning Method to Probe the Thermodynamic Activity of Poorly Water soluble Drugs Solubilized in Model Lipid Digestion Products. J. Pharm. Sci. 2003, 92 (6), 1262– 1271. 10.1002/jps.10390. 12761815 · DOI
- Aguirre T. A. S.; Teijeiro-Osorio D.; Rosa M.; Coulter I. S.; Alonso M. J.; Brayden D. J. Current Status of Selected Oral Peptide Technologies in Advanced Preclinical Development and in Clinical Trials. Adv. Drug Delivery Rev. 2016, 106, 223– 241. 10.1016/j.addr.2016.02.004. 26921819 · DOI
- Anderson C. M.; Stahl A. SLC27 Fatty Acid Transport Proteins. Mol. Aspects Med. 2013, 34 (2–3), 516– 528. 10.1016/j.mam.2012.07.010. 23506886 PMC3602789 · DOI
- Giacomini K. M.; Huang S.-M.; Tweedie D. J.; Benet L. Z.; Brouwer K. L. R.; Chu X.; Dahlin A.; Evers R.; Fischer V.; Hillgren K. M.; et al. Membrane Transporters in Drug Development. Nat. Rev. Drug Discovery 2010, 9 (3), 215– 236. 10.1038/nrd3028. 20190787 PMC3326076 · DOI · Paper page
- Ölander M.; Wisniewski J. R.; Matsson P.; Lundquist P.; Artursson P. The Proteome of Filter-Grown Caco-2 Cells With a Focus on Proteins Involved in Drug Disposition. J. Pharm. Sci. 2016, 105 (2), 817– 827. 10.1016/j.xphs.2015.10.030. 26869432 · DOI
- Gröer C.; Brück S.; Lai Y.; Paulick A.; Busemann A.; Heidecke C. D.; Siegmund W.; Oswald S. LC-MS/MS-Based Quantification of Clinically Relevant Intestinal Uptake and Efflux Transporter Proteins. J. Pharm. Biomed. Anal. 2013, 85, 253– 261. 10.1016/j.jpba.2013.07.031. 23973632 · DOI
- Volpe D. A. Drug-Permeability and Transporter Assays in Caco-2 and MDCK Cell Lines. Future Med. Chem. 2011, 3 (16), 2063– 2077. 10.4155/fmc.11.149. 22098353 · DOI
- Fatouros D. G.; Mullertz A. In Vitro Lipid Digestion Models in Design of Drug Delivery Systems for Enhancing Oral Bioavailability. Expert Opin. Drug Metab. Toxicol. 2008, 4 (1), 65– 76. 10.1517/17425255.4.1.65. 18370859 · DOI
Cited by
Sorted by citations
Alskär, L. C., Parrow, A., Keemink, J., Johansson, P., Abrahamsson, B., & Bergström, C. A. S. (2019) · Journal of Controlled Release · doi:10.1016/j.jconrel.2019.04.038 · Cited by 36 · see citing works
Self-citationIlie, A.-R., Griffin, B. T., Brandl, M., Bauer-Brandl, A., Jacobsen, A.-C., Vertzoni, M., Kuentz, M., Kolakovic, R., & Holm, R. (2020) · European Journal of Pharmaceutical Sciences · doi:10.1016/j.ejps.2020.105452 · Cited by 33 · see citing works
“Specifically, Keemink and co-workers developed a two-compartment model to simultaneously study the digestion-permeation interplay using Caco-2 cell monolayers in a cone-shaped digestion vessel (Keemink et al., 2019).”
Method
- Authors
- Keemink, J., Mårtensson, E., & Bergström, C. A. S.
- Affiliations
- Uppsala University (SE)
- Uppsala University , , Uppsala Biomedical Center , P.O. Box 580, ,
- ORCID
- Keemink, Janneke
- Venue
- Molecular Pharmaceutics
- Publisher
- American Chemical Society (ACS)
- Published
- 2019-01-10
- Volume
- 16
- Issue
- 3
- Pages
- 921-930
- ISSN
- 1543-8384 (ISSN-L)
- 1543-8392
- PMC
- PMC6437649
- OpenAlex
- W2909432337
- Cited by
- 82
- References
- 1
- Citations by year
- 2026: 6 · 2025: 12 · 2024: 9 · 2023: 9 · 2022: 8 · 2021: 11 · 2020: 20 · 2019: 7
- FWCI
- 4.90
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Molecular Pharmaceutics (publishedVersion, other-oa)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- KTH Publication Database DiVA (KTH Royal Institute of Technology) (submittedVersion, other-oa)
- Funders
- H2020 European Research Council (638965)
- Vetenskapsrådet (2014-3309)
- Topics
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmaceutical Science › Drug Solubulity and Delivery Systems
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmaceutical Science › Advanced Drug Delivery Systems
- Health Sciences › Medicine › Oncology › Drug Transport and Resistance Mechanisms
- Keywords
- lipid-based formulations, intestinal digestion, drug absorption, Caco-2 cell monolayers, sink conditions, immobilized lipase, fenofibrate, danazol, in vitro-in vivo correlation, drug permeation, supersaturation, poorly water-soluble drugs, drug delivery
- MeSH terms
- Administration, Oral, Chemistry, Pharmaceutical, Danazol, Digestion, Drug Compounding, Pharmaceutical Preparations, Humans, Intestinal Absorption, Lipase, Lipids, Lipolysis, Membranes, Artificial, Models, Biological, Fenofibrate, Solubility, Caco-2 Cells, Absorption, Physicochemical, In Vitro Techniques
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 ›
Are you an author, or do you see a problem with this page? Request a review