Mucus |
Negatively charged gel reduces movement of large, charged, and nonpolar molecules |
[34,35,36,37] |
Enzymatic degradation |
Antimicrobial and other enzymes in mucus and epithelial cells degrade the drug |
[36] |
Ciliary clearance |
Ciliary turnover of mucus will remove slowly diffusing drugs |
[38] |
Tight junctions |
Apical proteins greatly restrict drug movement across epithelium between cells |
[39,40,41,42,43,44] |
Intrinsic drug characteristics |
Molecule weight over 1 kDa, polarity, strong charge can affect absorption |
[45,46,47,48,49,50,51,52,53,54,55,56,57,58,59,60] |
Formulation factors |
pH, buffer capacity, osmolarity, and volume are important for liquids. Solubility is additionally important for powders |
[61,62,63] |
Vasculature and Lymphatics drainage |
Vasculature of lamina propria can drain away drug before transport into the CNS |
[64] |