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Liquid crystal nanoparticles for oral combination antibiotic therapies: A strategy towards protecting commensal gut bacteria during treatment
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Pharmacy, Department of Pharmacy.ORCID iD: 0009-0000-1697-2902
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Biochemistry and Microbiology, Infection and Immunity.ORCID iD: 0000-0003-0060-005x
Uppsala University, Disciplinary Domain of Science and Technology, Chemistry, Department of Chemistry - BMC, Organic Chemistry.ORCID iD: 0000-0002-8165-5863
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Pharmacy, Department of Medicinal Chemistry, Drug Design and Discovery. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Disciplinary Domain of Medicine and Pharmacy, research centers etc., Uppsala Antibiotic Center.ORCID iD: 0000-0002-9500-4535
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2025 (English)In: Journal of Colloid and Interface Science, ISSN 0021-9797, E-ISSN 1095-7103, Vol. 678, p. 287-300Article in journal (Refereed) Published
Abstract [en]

Antibiotics are essential for treating infections and reducing risks during medical interventions. However, many commonly used antibiotics lack the physiochemical properties for an efficient oral administration when treating systemic infection. Instead, we are reliant on intravenous delivery, which presents complications outside of clinical settings. Developing novel formulations for oral administration is a potential solution to this problem. We engineered hexosome and cubosome liquid crystal nanoparticles (LCNPs) characterized by small-angle X-ray scattering and cryogenic transmission electron microscopy, and could encapsulate the antibiotics vancomycin (VAN) and clarithromycin (CLA) with high loading efficiencies. By rationally choosing stable lipid building blocks, the loaded LCNPs demonstrated excellent resilience against enzymatic degradation in an in vitro gut model LCNP stability is crucial as premature antibiotic leakage can negatively impact the gut microbiota. In screens against the representative gut bacteria Enterococcus faecalis and Escherichia coli, our LCNPs provided a protective effect. Furthermore, we explored co-administration and dual loading strategies of VAN and CLA, and demonstrated effective loading, stability and protection for E. faecalis and E. coli. This work represents a proof of concept for the early-stage development of antibiotic-loaded LCNPs to treat systemic infection via oral administration, opening opportunities for combination antibiotic therapies.

Place, publisher, year, edition, pages
Elsevier, 2025. Vol. 678, p. 287-300
Keywords [en]
Cubosome, Hexosome, Non-lamellar, Liquid crystal nanoparticle, Antibiotics, Oral drug delivery, Combination therapy, Vancomycin, Clarithromycin
National Category
Nano Technology Microbiology in the medical area Pharmaceutical Sciences
Research subject
Analytical Pharmaceutical Chemistry; Molecular Medicine; Biochemical Pharmacology; Clinical Bacteriology
Identifiers
URN: urn:nbn:se:uu:diva-540089DOI: 10.1016/j.jcis.2024.08.230ISI: 001314012000001OAI: oai:DiVA.org:uu-540089DiVA, id: diva2:1904705
Funder
Vinnova, 2019-00048Available from: 2024-10-10 Created: 2024-10-10 Last updated: 2025-10-08Bibliographically approved
In thesis
1. Liquid crystal nanoparticles for oral antibiotic delivery
Open this publication in new window or tab >>Liquid crystal nanoparticles for oral antibiotic delivery
2025 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The global rise in antimicrobial resistance has created an urgent demand for novel drug delivery strategies that can improve access to antibiotics and reduce reliance on intravenous administration. Oral therapy remains the most practical route for outpatient treatment, yet many antibiotics display poor solubility, low permeability, and instability in the gastrointestinal tract, limiting their effectiveness. Lipid-based nanocarriers, particularly liquid crystal nanoparticles (LCNPs), offer structural versatility, high internal surface area, and tunable release properties that make them attractive for enabling oral delivery. 

The overall aim of this thesis was to develop LCNP-based oral formulations of clinically relevant antibiotics through an integrated approach combining molecular understanding with potential scalable manufacturing.

In the first part, antibiotic-loaded LCNPs with internal cubic and hexagonal phases were developed from non-digestible lipid building blocks and systematically evaluated for their physicochemical properties, stability in simulated intestinal fluids, and impact on representative commensal bacteria. Complementing these experimental findings, all-atom molecular dynamics simulations were employed to reveal that the studied antibiotics, clarithromycin preferentially localized within the lipid domain, whereas vancomycin resided at the lipid–water interface. Therefore, these primary results provide both experimental and molecular-level evidence for how lipid composition and nanostructure govern drug localization, stability, and release in LCNPs-based antibiotic formulations.

In the second part, the influence of internal mesophase on transepithelial permeability was investigated in intestinal models using Caco-2 cells. Compared with liposomes, non-lamellar LCNPs exhibited superior uptake via energy-independent internalization and significantly enhanced vancomycin transport across intestinal monolayers, underscoring the role of mesophase architecture in promoting oral absorption.

In the final part, a semi-solid extrusion (SSE) 3D printing platform was developed to convert vancomycin-loaded hexosomes into personalized oral tablets. LCNPs-based formulations preserved a stable hexagonal phase throughout the preparation of the printable gel, the 3D printing process, and tablet rehydration. Moreover, the printed tablets complied with European Pharmacopoeia standards for mass uniformity, drug content, and disintegration. The optimized gels displayed favorable rheological properties, ensuring precise, reproducible dosing for better patient compliance.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2025. p. 80
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Pharmacy, ISSN 1651-6192 ; 386
Keywords
antimicrobial resistance, oral delivery, liquid crystal nanoparticles, cubosomes, hexosomes, molecular dynamics, Caco-2 permeability, 3D printing, personalized antibiotic dosage form
National Category
Nanotechnology for/in Life Science and Medicine
Research subject
Pharmaceutical Science
Identifiers
urn:nbn:se:uu:diva-568292 (URN)978-91-513-2620-7 (ISBN)
Public defence
2025-11-21, A1:111a, BMC, Uppsala, 13:15 (English)
Opponent
Supervisors
Available from: 2025-10-29 Created: 2025-10-01 Last updated: 2025-11-26Bibliographically approved

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He, XiguoKarlsson, PhilipXiong, RuishengMoodie, Lindon W. K.Wang, HelenBergström, ChristelHubert, Madlen

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