Infant friendly adhesive film containing glucose for neonatal hypoglycemia

J Control Release. 2024 Jun:370:643-652. doi: 10.1016/j.jconrel.2024.05.019. Epub 2024 May 15.

Abstract

Neonatal hypoglycemia is a common disease in newborns, which can precipitate energy shortage and follow by irreversible brain and neurological injury. Herein, we present a novel approach for treating neonatal hypoglycemia involving an adhesive polyvinylpyrrolidone/gallic acid (PVP/GA) film loading glucose. The PVP/GA film with loose cross-linking can be obtained by mixing their ethanol solution and drying complex. When depositing this soft film onto wet tissue, it can absorb interfacial water to form a hydrogel with a rough surface, which facilitates tight contact between the hydrogel and tissue. Meanwhile, the functional groups in the hydrogels and tissues establish both covalent and non-covalent bonds, leading to robust bioadhesion. Moreover, the adhered PVP/GA hydrogel can be detached without damaging tissue as needed. Furthermore, the PVP/GA films exhibit excellent antibacterial properties and biocompatibility. Notably, these films effectively load glucose and deliver it to the sublingual tissue of newborn rabbits, showcasing a compelling therapeutic effect against neonatal hypoglycemia. The strengths of the PVP/GA film encompass excellent wet adhesion in the wet and highly dynamic environment of the oral cavity, on-demand detachment, antibacterial efficacy, biocompatibility, and straightforward preparation. Consequently, this innovative film holds promise for diverse biomedical applications, including but not limited to wearable devices, sealants, and drug delivery systems.

Keywords: Antibacterial property; Neonatal hypoglycemia; On-demand detachment; Sublingual drug delivery; Wet adhesion.

MeSH terms

  • Adhesives / administration & dosage
  • Adhesives / chemistry
  • Animals
  • Animals, Newborn*
  • Anti-Bacterial Agents / administration & dosage
  • Drug Delivery Systems
  • Glucose* / administration & dosage
  • Glucose* / chemistry
  • Humans
  • Hydrogels / administration & dosage
  • Hydrogels / chemistry
  • Hypoglycemia*
  • Infant, Newborn
  • Povidone* / chemistry
  • Rabbits

Substances

  • Glucose
  • Povidone
  • Hydrogels
  • Adhesives
  • Anti-Bacterial Agents