In this study, modified kappa-carrageenan/pectin hydrogel patches were fabricated for treatment of buccal fungal infections. For this purpose, kappa-carrageenan-gacrylic acid was modified with different thiolated agents (L-cysteine and 3-mercaptopropionic acid), and the thiol content of the resulting modified kappacarrageenan was confirmed by elemental analyzer. Then, the hydrogel patches were fabricated, and characterized by Fourier-transform infrared spectroscopy, thermogravimetric analysis, ex vivo mucoadhesion test, and swelling behavior.Triamcinolone acetonide was added either directly or by encapsulating within the poly(lactic-co-glycolic acid) nanoparticles. The release amount of the drug from the directly loaded patch was 7.81 mg/g polymer, while it was 3.28 mg/g polymer for the encapsulated patch with the same content at 7 hr. The hydrogel patches had no cytotoxicity by cell culture studies. Finally, the drug loaded hydrogel patches were demonstrated antifungal activity against Aspergillus fumigatus and Aspergillus flavus.These results provide that the novel modified kappa-carrageenan and pectin based buccal delivery system has promising antifungal property, and could have advantages compared to conventional buccal delivery systems.antifungal activity, buccal drug delivery, thiolated kappa-carrageenan, triamcinolone acetonide
| INTRODUCTIONUlcerative diseases in the mucous membrane of the buccal cavity are observed as a result of a wide etiological reasons such like infections, traumas, immunological disorders, or side effects of some drugs. 1,2 Amongst these, mucocutaneous diseases are observed frequently such as lichen planus, 3 aphthous stomatitis, 4 erythema multiforme, and Behçet's disease. 5 Conventional drug applied to the oral mucosa are generally in the form of in situ gels, 6 pastes, 7 or mouthwashes. 8 These forms have some drawbacks due to causing high-level drug concentration and in the oral cavity for a short period of time. 9 Therefore, the desired therapeutic drug concentration for mucosal and transmucosal absorption could not be adequately provided for healing. To overcome the limitations of the conventional delivery systems, use of oral mucoadhesive systems in the topical treatment of oral ulcerative diseases is a more rational approach. The oral mucoadhesive systems could be prepared in various forms such as buccal adhesive patches, films, and tablets. 10,11