Rosemary (Rosmarinus officinalis) is grown throughout the world and is widely used as a medicinal herb and to season and preserve food. Rosemary polyphenols and terpenoids have attracted great interest due to their potential health benefits. However, complete information regarding their absorption and bioavailability in Caco-2 cell model is scarce. The permeation properties of the bioactive compounds (flavonoids, diterpenes, triterpenes and phenylpropanoids) of a rosemary extract (RE), obtained by supercritical fluid extraction, was studied in Caco-2 cell monolayer model, both in a free form or liposomed. Compounds were identified and quantitated by liquid chromatography coupled to quadrupole time-of-flight with electrospray ionization mass spectrometry analysis (HPLC-ESI-QTOF-MS), and the apparent permeability values (Papp) were determined, for the first time in the extract, for 24 compounds in both directions across cell monolayer. For some compounds, such as triterpenoids and some flavonoids, Papp values found were reported for the first time in Caco-2 cells.Our results indicate that most compounds are scarcely absorbed, and passive diffusion is suggested to be the primary mechanism of absorption. The use of liposomes to vehiculize the extract resulted in reduced permeability for most compounds. Finally, the biopharmaceutical classification (BCS) of all the compounds was achieved according to their permeability and solubility data for bioequivalence purposes. BCS study reveal that most of the RE compounds could be classified as classes III and IV (low permeability); therefore, RE itself should also be classified into this category.
Citation: Pérez-Sánchez A, Borrás-Linares I, Barrajón-Catalán E, Arráez-Román D, González-Álvarez I, Ibáñez E, et al. (2017) Evaluation of the intestinal permeability of rosemary (Rosmarinus officinalis L.) extract polyphenols and terpenoids in Caco-2 cell monolayers. PLoS ONE 12(2): e0172063. https://doi.org/10.1371/journal.pone.0172063
Editor: Miguel Angel Medina, Universidad de Malaga, SPAIN
Received: October 19, 2016; Accepted: January 30, 2017; Published: February 24, 2017
Copyright: © 2017 Pérez-Sánchez et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Data Availability: All relevant data are within the paper and its Supporting Information files.
Funding: This work was supported by projects AGL2011-29857-C03-02, AGL2011-29857-C03-03, AGL2015-67995-C3-1-R, and AGL2015-67995-C3-2-R, and FPU grant (AP2007-03246) from Spanish Ministry of Science and Innovation; Torres Quevedo grants PTQ-13-06429 and PTQ-14-07243 from the Spanish Ministry of Economy and Competitiveness (MINECO); grant P11-CTS-7625 from Andalusian Regional Government Council of Innovation and Science; PROMETEO/2016/006, ACOMP/2013/093 and ACIF/2013/064 from Generalitat Valenciana; CIBER (CB12/03/30038, Fisiopatologia de la Obesidad y la Nutricion, CIBERobn, Instituto de Salud Carlos III). The authors are also thankful to ChemAxon for providing a free academic license of Marvin for structure handling and other toolkits. The funder Invitrotecnia S.L. provided support in the form of salaries for author EBC.
Competing interests: The funder Invitrotecnia S.L. provided support in the form of salaries for author EBC, but did not have any additional role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript. This does not alter author’s adherence to PLOS ONE policies on sharing data and materials. The other authors declare that there are no conflicts of interest.
Rosemary (Rosmarinus officinalis L.) is a shrub from the Labiatae (Lamiaceae) family that is primarily distributed throughout the Mediterranean area. It has been demonstrated that rosemary and its major compounds, the diterpenes carnosic acid (CA) and carnosol (CAR) and the caffeoyl derivative rosmarinic acid, exert various beneficial effects on health, including potent antioxidant capacity [1, 2] and hepaprotective , antimicrobial [4, 5], anti-inflammatory [6, 7], anti-cancer [8–13] and antidiabetic effects .
We have previously reported the antiproliferative effects of a polyphenol-enriched rosemary extract (RE) obtained via supercritical extraction in several colon cancer cell models . Transcriptomic and metabolomic analysis suggested that the extract activated genes related to antioxidant phase II enzymes and cell cycle progression . This result was consistent with the activation of nuclear receptor factor 2 (NRF2)-dependent pathways, ROS and glutathione metabolism by CA as determined using a comprehensive Foodomics approach . However, bioguided purification of the extract revealed potential synergistic antiproliferative effects between diterpenes and triterpenes .
The rosemary polyphenols (di- and triterpenes) are considered promising drug candidates in the pharmaceutical, cosmetic, and nutritional fields. However, these compounds exhibit physicochemical characteristics that result in unfavorable transcellular transport across epithelial barriers. Several attempts have been made to evaluate the absorption of the active compounds from rosemary extract in cell and animal models. The bioavailability of major diterpenoids derived from rosemary extract in different tissues in a rat model of obesity has been reported . Moreover, the absorption, distribution and elimination of carnosic acid have been evaluated in rats . However, complete information regarding the absorption and bioavailability of a full range of rosemary bioactive compounds (flavonoids, diterpenes and triterpenes) in Caco-2 cell monolayers is not available. Studies examining the permeation of carnosic acid and carnosol in Caco-2 cells are present in the literature, but permeation was either insufficiently characterized  or was found to be almost negligible . In addition, no comparative data regarding the permeation and potential absorption mechanisms of all compounds present in rosemary extract have been generated so far.
Liposomes have been utilized to improve solubility and selectivity and to improve bioavailability of poorly soluble drugs by modifying drug absorption, reducing metabolism, prolonging biological half-life or reducing toxicity. Phospholipid bilayers of liposomes are very similar to the structure of cell membranes; therefore, liposomes can deliver encapsulated drugs, peptides and natural compounds by fusing with target cell membranes, and their specificity can be improved by antibody coupling [19–22]. Several plant polyphenols and bioactive compounds, such as catechins , anthraquinones , phenylpropanoids , and diterpenes , have been shown to possess the capacity to interact with phospholipid membranes.
In the present paper, a Caco-2 cell monolayer model, which is a well-accepted model of human intestinal absorption , was used to comprehensively study and compare the permeation properties of different bioactive compounds (flavonoids, diterpenes, triterpenes and phenylpropanoids) identified in a rosemary extract (RE) by HPLC-ESI-QTOF-MS and obtained via supercritical fluid extraction . The permeation behaviors of the compounds were compared when the extract was in a free form or encapsulated into liposomes. Moreover, all compounds were biopharmaceutically classified based on their permeability and solubility data for bioequivalence purposes.
Materials and methods
Chemicals and cell culture materials
All chemicals were of analytical reagent grade and were used as received. For mobile phase preparation, formic acid and acetonitrile were purchased from Sigma-Aldrich (Steinheim, Germany) and Fisher Scientific (Madrid, Spain), respectively. Water was purified using a Milli-Q system from Millipore (Bedford, MA, USA). The standard compounds ursolic acid, rosmarinic acid, genkwanin, diosmetin and luteolin were obtained from Extrasynthese (Genay, France). Carnosol, carnosic acid and apigenin were obtained from Fluka, Sigma-Aldrich (Steinheim, Germany). Egg yolk phosphatidylcholine was purchased from Lipoid GmbH (Ludwigshafen, Germany), and cholesterol was obtained from Avanti Polar Lipids (Alabaster, AL, USA). Methanol and dimethyl sulfoxide (DMSO) from Fisher Scientific (Madrid, Spain) were used to prepare the stock solutions utilized for quantitation purposes. Hank´s balanced culture medium (HBSS), Dulbecco´s Modified Eagle’s Medium (DMEM), fetal bovine serum (FBS), 100 U/mL penicillin/streptomycin, MEM Non-Essential Amino Acids Solution (100x) and 1 M HEPES were obtained from Gibco/Thermo Fisher Scientific (Waltham, MA, USA). The human colon adenocarcinoma cell line Caco-2 was obtained from the American Type Culture Collection. Caco-2 cells were cultured in DMEM containing D-glucose (4.5 g/L) and supplemented with 10% FBS, 1% NEAA, 1% HEPES, penicillin (100 U/mL) and streptomycin (100 μg/mL) at 37°C in a humidified atmosphere with 5% CO2.
Cell viability assay
The cytotoxic effects of free and encapsulated RE extract on Caco-2 cells were tested using the 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay. Caco-2 cells were plated in 96-well plates (Costar, Fisher Scientific, Pittsburgh, PA, USA) until cell monolayers were obtained. Then, the medium was aspirated, and cells were treated with different concentrations of RE for 2 h. The medium was removed, and cells were washed with PBS and incubated with MTT for 3–4 h at 37°C and 5% CO2. The medium was removed, and 100 μL of DMSO per well was added to dissolve the formazan crystals. The plates were shaken for 15 min, and absorbance was measured using a microplate reader (SPECTROstar Omega, BMG LabTech GmbH, Germany) at 570 nm.
Caco-2 monolayer transport studies
Caco-2 cells are a well-established in vitro model for the investigation of intestinal permeabilities of different compounds or drugs [28–30]. Cells were seeded at a density of 5.0 x 105 cells on 6-well transwell polycarbonate filters (Millipore, Spain). Cell culture was maintained at 37°C under 90% humidity and 5% CO2. The medium was replaced every 2–3 days for both the apical (AP) and basal (BL) sides of the transwell filters. Cell monolayers were used 19–21 days after seeding, once confluence and differentiation were achieved. The integrity of each cell monolayer was checked by measuring the trans-epithelial electrical resistance (TEER) before and after the experiments with an epithelial voltohmmeter (Millicell-ERS®) (see results on S3 Table). Permeability studies were performed by adding the RE at a concentration of 200 μg/mL or the liposomal RE formulation.
The liposomal formulation was prepared using the conventional thin film hydration technique. Egg yolk phosphatidylcholine and cholesterol (80:20 w/w) and 10% (w/w) RE with respect to total phospholipids were dissolved in a 1:1 mixture of chloroform/methanol. A lipid film was obtained by evaporating the organic solvent under a stream of nitrogen (N2) and then further vacuum-dried for 3–4 h to remove any residual organic solvent. The film was hydrated with HEPES buffer (100 mM NaCl, 0.1 mM EDTA, 10 mM HEPES, pH 7.4) via vigorous vortexing for 30 min at 37°C. The multilamellar liposomal suspension was filter-extruded through a 100-nm polycarbonate Track-Etch Nuclepore membrane (Whatman, UK) to obtain large unilamellar vesicles (LUVs). Size reduction was carried out with 15 extrusion cycles performed by hand with a LiposofastTM syringe extruder (Avestin Inc., Canada). The resulting suspension was centrifuged at 4,000 rpm for 30 min (2 cycle) using an Amicon® Ultra (Millipore, Hayward, CA, USA) to separate the liposomes from non-encapsulated drug. The liposomal suspension was diluted to a concentration of 1.5 mM with HBSS for absorption experiments in the receiving chamber.
The transport experiment was initiated by removing the culture medium from the AP and BL sides of the transwell filters. The Caco-2 monolayers were rinsed twice with pre-warmed HBSS medium (pH 7.4) and incubated with the same solution at 37°C for 30 min. The test compounds were added to the AP (2.2 mL) or BL side (3.2 mL), while the receiving chamber contained the corresponding volume of HBSS. Incubation was performed at 37°C for 120 min, with shaking at 50 rpm.
To follow transport across the cell monolayer, several culture medium samples of 0.2 mL were collected at different time points (0, 30, 60, 90 and 120 min) from the AP or BL sides during the permeability assay. The volume of the samples taken at each time point was replaced with the same volume of HBSS to maintain the total volume in the chamber throughout the experiment.
Before HPLC-ESI-QTOF-MS analysis, samples were centrifuged for 15 min at 12,000 rpm and 4°C. The supernatant was spiked with 5 μg/mL of an internal standard (luteolin) to ensure the reproducibility of the results between analyses, and samples were stored at -80°C until analysis was complete. At the end of the transport study, the Caco-2 cell monolayers were also collected, and the cells were lysed with 3 subsequent freeze-thaw cycles (10 min each) followed by bath sonication. The samples were centrifuged for 15 min at 14,000 rpm and 4°C, and the supernatants (cytoplasmic fraction) and the pellets (cell membranes) were spiked with 5 μg/mL luteolin as an internal standard. Then, the samples were subjected to protein precipitation using methanol, vortex-mixed, maintained at -20°C for 2 h and centrifuged at 12,000 rpm for 15 min at 4°C. Finally, the supernatants were evaporated in a vacuum concentrator, re-dissolved in 100 μL of HBSS culture medium and stored at -80°C until analysis was performed.
Apparent permeability values (Papp) for each compound were calculated according to the following equation: where Papp is the apparent permeability (cm/s), dQ/dt is the steady state flux, A is the diffusion area of the monolayers (cm2), C0 is the initial concentration of the drug in the donor compartment (μM) and 60 is a conversion factor .
HPLC analyses were performed on an Agilent 1260 HPLC instrument (Agilent Technologies, Palo Alto, CA, USA) equipped with a binary pump, an online degasser, an auto-sampler, a thermostatically controlled column compartment, and diode array detectors. The samples were separated on an Agilent Zorbax Eclipse Plus C18 column (1.8 μm, 4.6 × 150 mm). The mobile phases consisted of water plus 0.1% formic acid as mobile phase A and acetonitrile as mobile phase B, using a gradient elution based on the following profile: 0 min, 5% B; 5 min, 62% B; 10 min, 68% B; 19 min, 80% B; 34 min, 95% B; 37 min, 5% B and finally a conditioning cycle of 5 min under the initial conditions before the next analysis. The flow rate was 0.8 mL/min, the column temperature set at 25°C and the auto-sampler compartment was refrigerated at 4°C to avoid sample degradation.
Detection was performed using an Agilent 6540 Ultra High Definition (UHD) Accurate-Mass Q-TOF mass spectrometer equipped with a Jet Stream dual ESI interface, which increases LC/MS sensitivity by improving the spatial focusing of electrospray droplets. Mass spectra were recorded in negative ionization mode over a mass range from 100–1700 m/z. Ultrahigh pure nitrogen was used as the drying and nebulizing gas. The operating parameters were as follows: drying gas flow rate, 10 L/min; drying gas temperature, 325°C; sheath gas temperature, 400°C; sheath gas flow, 12 L/min; nebulizer, 20 psig; capillary, 4000 V; fragmentor, 130 V, nozzle voltage, 500 V; skimmer, 45 V and octopole 1 RF Vpp, 750 V. Continuous infusion of the reference ions m/z 112.985587 (trifluoroacetate anion) and 1033.988109 (adduct of hexakis (1H,1H, 3H-tetrafluoropropoxy) phosphazine or HP-921) in negative ion mode were used to correct each spectrum to achieve accurate mass measurements, typically better than 2 ppm. All operations, acquisition and analysis of data were controlled using Masshunter workstation software version B.06.00 (Agilent Technologies, USA).
Two-way ANOVA and statistical comparisons of the different treatments were performed using Tukey´s post-test in GraphPad Prism version 5.00 (GraphPad Software, San Diego, CA, USA). Differences were considered statistically significant at p < 0.05. Statistical significance is detailed in figures using the following symbols: * p<0.05, ** p<0.01 and *** p<0.001.
Results and discussion
We recently reported the composition of the rosemary leaf extract (RE) under study as determined by HPLC-ESI-QTOF-MS analysis . In that study, bioguided purification of the most active fractions was undertaken to identify the compounds bearing the highest antiproliferative capacities in a colon cancer cell model. The aim of the present study was to compare the intestinal absorption and permeability behavior of all compounds in the RE, both when the extract was in a free or in an encapsulated formulation, using the Caco-2 model system. To achieve this, the quantitation of bioactive compounds and absorption results will be discussed by grouping the different bioactive compounds into families (flavonoids, diterpenes, triterpenes and phenylpropanoid derivatives).
HPLC ESI-UHD-Qq-TOF-MS analysis
For quantitative purposes, six standard calibration graphs were prepared using HBSS culture medium to quantify the major compounds in the rosemary extract using the following commercial standards: carnosol, carnosic acid, ursolic acid, rosmarinic acid, genkwanin, and diosmetin.
Variability of peak area produced by mass data change over time may be a limitation for quantification by mass spectrometry, depending on the instrument. Thus, an internal standard (luteolin) was used at a concentration of 5 μg/mL to improve reproducibility. This compound met all requirements in terms of structural similarity compared with the analytes, retention time (which did not interfere with other compounds) and compensation for potential variations in instrumental analysis. Moreover, to avoid ion suppression or signal enhancement of signals due to interference derived from the matrix, the calibration solutions were prepared in HBSS culture medium, which was the same matrix containing the samples in the permeability assay. Therefore, compound concentrations were determined using the corrected area for each individual compound (three replicates) and by interpolating the corresponding calibration curve. The limit of detection (LOD) ranged from 0.0008 ± 0.0002 (diosmetin) to 0.04 ± 0.01 (ursolic acid) μg/mL. The limit of quantification (LOQ) ranged from 0.003 ± 0.001 (diosmetin) to 0.14 ± 0.03 (ursolic acid) μg/mL.
Quantification was performed using available commercial standards for carnosol, diosmetin, apigenin, genkwanin and carnosic, ursolic and rosmarinic acids. Compounds that had no commercially available standards were tentatively quantified on the basis of calibration curves for other compounds with similar structures. Thus, rosmanol, its isomers epiisorosmanol and epirosmanol, miltipolone, rosmadial and rosmaridiphenol were quantified with the carnosol standard. Hinokione and 12-methoxycarnosic acid were expressed as carnosic acid. The ursolic acid calibration curve was used to quantify augustic, benthamic, micromeric and betulinic acids, in addition to anemosapogenin. Finally, the genkwanin standard was used for cirsimaritin quantification; -shogaol was expressed as rosmarinic acid, and diosmetin was used to estimate the hispidulin content.
Determination of Papp values
After quantifying the concentrations of all identified compounds in samples derived from the apical and basolateral compartments, as described in the previous section, concentration values were used to obtain Papp values based on the formula described in the Materials section. Values are shown in Table 1 for both the AB and BA directions and for free and encapsulated formulations. Some compounds could not be quantified because their concentrations fell below LOQ values, sometimes for both directions or formulations (free or encapsulated) and occasionally for one of these. Detailed explanations for clustering compounds in families are provided in the following sections.
Flavonoids and phenylpropanoid derivatives.
The phenylpropanoid derivative (9)-shogaol (a gingerol-like compound) and its isomer (Fig 1D) were present in all the samples but were below their respective LOQs; thus, no conclusions could be drawn for these compounds. A deeper analysis of the samples revealed that both compounds were partly retained by Caco-2 cells without any transport to the receptor chamber because amounts of these compounds below their LOQs were also detected in the cytoplasmic fractions of Caco-2 cells, as previously reported for (6)-shogaol .
A: Flavonoids, B: diterpenes, C: triterpenes, D: phenylpropanoid derivatives.
Despite the fact that flavonoids were less frequently represented in the extract based on our previous quantitative characterization , their potential absorption and biological activity are worthy of analysis. Flavonoids present in the RE were apigenin, hispidulin, diosmetin, genkwanin and cirsimaritin (Fig 1A). Conclusions regarding apigenin in the context of the whole extract could not be reached because the concentration fell below its LOQ. However, several studies have reported apigenin absorption in the Caco-2 cell model [33–37]. For the other four flavonoids, no permeation was detected in either of the directions when the RE sample was encapsulated into liposomes. However, significant permeation was detected for the RE in its free form in both the AB and BA directions. The highest values for AB were obtained for cirsimaritin and genkwanin, with no significant differences between them (p>0.05); this is the first report of cirsimaritin and genkwanin values in Caco-2 cells. Diosmetin and hispidulin exhibited lower permeation values that demonstrated statistically significant differences compared to cirsimaritin (p<0.001 and 0.01, respectively), but there was no difference between them (p>0.05). Higher values than those observed in our study have been reported for pure diosmetin in both flux directions , but it must be noted that competition with other polyphenols and terpenoids may take place in the whole extract. Absorption values for hispidulin and apigenin in the whole extract were in agreement with those reported for the pure compounds [39, 40]. Regarding the basal-apical direction, cirsimaritin, genkwanin and hispidulin demonstrated similar permeation values with no significant differences between them (p>0.05), followed by diosmetin, which had the lowest value (p<0.001).
Based on our results, we can conclude that rosemary flavonoids did not exhibit differences when comparing the two flux directions (AB and BA) for the free-form extract, which suggests a passive diffusion transport mechanism. No transport at all was observed when these compounds were incorporated into liposomes.
Diterpenoids (10.87% w/w of the extract) together with triterpenoids constitute the major group of compounds in the extract and comprise up to 10 compounds (Fig 1B and Table 1) . The diterpenoids present in the RE were carnosic acid, carnosol, rosmanol and its isomers (epiisorosmanol and epirosmanol), 12-methoxycarnosic acid, rosmadial, rosmaridiphenol, hinokione and miltipolone.
Among all the diterpenes and the non-encapsulated RE, the highest permeability in the AB direction was obtained for carnosic acid (with p<0.001), followed by epirosmanol and rosmanol, which did not demonstrate statistically significant differences between them (p>0.05). A carnosol isomer, rosmadial, 12-methoxy carnosic acid, miltipolone and carnosol exhibited Papp values ranging from 2.1 to 1.46E-05. In contrast, the diterpenoid rosmaridiphenol demonstrated lower absorption (Papp in the E-06 range), while hinokione showed no absorption. For the BA direction, the highest permeability value was obtained for carnosic acid (p<0.001) followed by the rest of the compounds, with no relevant differences between them (p>0.05) with the exception of miltipolone, which was not absorbed.
In general, absorption values of the compounds were lower for the encapsulated form than for the free extract. When absorption for the encapsulated form in the AB direction was studied, rosmanol demonstrated the highest permeability followed by epiisorosmanol, rosmadial and epirosmanol. The encapsulated formulation dramatically decreased the permeability for epirosmanol, epiisorosmanol (both at p<0.001) and rosmanol (p<0.05) in the AB direction, with no changes in the BA direction compared with the free formulation. As there is no difference in polarity between these compounds (see Log P in Table 2), it can be assumed that the few differences in their structures must be crucial for their absorption. Both isomers of carnosol showed significantly lower absorption values than those previously reported. The rest of the compounds showed no absorption in the encapsulated extract (12-methoxy carnosic acid, carnosic acid, rosmaridiphenol, miltipolone and hinokione). For the BA direction, identical behavior for the abovementioned compounds was observed.
It can be concluded that among all the diterpenes, rosmanol and its isomers epiisorosmanol and epirosmanol exhibited the highest permeabilities for both formulations, particularly in the AB direction. Rosmadial and rosmanol demonstrated similar absorption values when the free and encapsulated formulations were compared. In contrast, epirosmanol and epiisorosmanol showed higher absorption values in the AB direction when encapsulated (p<0.001 for both). Finally, miltipolone exhibited interesting behavior: no absorption was observed in the BA direction for the free formulation, whereas no absorption was observed in the opposite direction (AB) for the encapsulated form.
Interestingly, certain facts should be noted for individual compounds. Diterpenoids, such as carnosol and its isomer, demonstrated less absorption when encapsulated, regardless of the direction analyzed. In the case of both carnosol isomers, the Papp values for the AB direction and for the BA direction were significantly higher for the free formulation (carnosol (p<0.01) and carnosol isomer (p<0.001)) than for the encapsulated formulation. The carnosol isomer exhibited a higher Papp value than carnosol in the free formulation (both directions), but no significant differences were observed for these compounds when the AB and BA directions were compared (p >0.05). For the encapsulated extract, no significant differences were observed between the isomers in the AB direction, but carnosol demonstrated a higher permeability than its isomer in the BA direction. These results contradict the generally accepted notion that hydrophobic diterpenes are better absorbed when encapsulated into phospholipid vesicles and thus may deserve further study.
Another interesting issue is related to the influence of certain moieties present in the compounds on absorption behavior. For carnosic and 12-methoxycarnosic acids, Papp values could be obtained only for the free formulation. Permeation in the AB direction was higher than in the BA direction for both compounds, but only for carnosic acid was statistically significant (p < 0.001). The presence of the methoxy moiety increases the permeability by almost one order of magnitude in the AB direction but reduces the permeability in the opposite direction. This result indicates that the increase in hydrophobicity attributable to the methoxy group increases absorption and concomitantly enhances retention once the compound is absorbed by reducing BA permeability. However, further studies should be undertaken to elucidate the absorption mechanism.
Considering previous data reported in the literature, it appears that the absorption observed in the present work for most of the compounds was higher than absorption values previously reported. For example, the absorption of carnosic acid and carnosol has previously been studied in a Caco-2 cell model, but no permeation was observed in certain cases , or longer periods of time were required to achieve permeation into the basolateral chamber . No information regarding the other diterpenoids is available in the literature, either for individual compounds or complex mixtures or extracts.
Triterpenoids were the most abundant family in the rosemary extract (12.16% w/w) according to our previous analysis  and comprised six compounds (Fig 1C): augustic, betulinic, micromeric, benthamic and ursolic acids and anemosapogenin.
No absorption data for the triterpenoids could be determined based on the concentrations of the compounds in the basolateral and apical chambers when the extract was applied in the encapsulated formulation (Table 1). Augustic acid and anemosapogenin were detected only in the donor chamber but at levels below their LOQs. A similar result was obtained for ursolic, micromeric and benthamic acids; however, their concentrations could be measured in the donor chamber because they surpassed LOQs. Betulinic acid was detected both in the donor chamber and also inside the cells but was not detected in the receptor chamber. These data indicate that none of the triterpenoids are absorbed from the encapsulated formulation, independent of their chemical structure. It is likely that the high hydrophobicities of these compounds, which demonstrate high Log P values (Table 2), favor their retention in phospholipid vesicles or their association with the plasmatic membrane and other lipophilic structures inside cells.
In contrast, all triterpenoids were absorbed with low Papp values in the free formulation, although important differences were observed (Table 1). Ursolic acid, which showed a Papp values similar to that one previously reported and betulinic acid were not absorbed in the AB direction and were partly retained by the Caco-2 cells. The other four triterpenoids were absorbed in the AB direction, with no significant differences (p>0.05) between them. All six triterpenoids were absorbed in the BA direction, also with low Papp values and with no significant differences between them (p>0.05). This indicates that the slight differences between the chemical structures of these compounds do not result in different absorption behaviors. As mentioned for the diterpenoids, encapsulation into phospholipid vesicles did not appear to be a good approach to increase triterpenoid bioavailability. As with most of the diterpenoids analyzed in the previous section, data regarding the absorption of rosemary triterpenoids are presented in this study for the first time.
The absorption of natural polyphenols has been widely studied in the Caco-2 model [36–38, 42–44]. However, scant information regarding the absorption of these compounds is available for complex mixtures such as botanical extracts. In some absorption studies, no identification of rosemary compounds was performed, and only total polyphenolic content was determined . Other studies have reported the permeabilities of only a few compounds within a studied extract, employing a semiquantitative approach [17, 18, 44]. In the present study, the permeabilities of all compounds identified in the rosemary extract via HPLC ESI-UHD-Qq-TOF-MS analysis were studied in both the AB and BA directions and, additionally, were compared with an encapsulated formulation of the extract. Given that the absorptions of all compounds were analyzed in the context of the whole RE, several mechanisms of interaction, such as competition and inhibition of potentiation, between compounds may occur, particularly between compounds sharing similar chemical structures. The analyses performed in this study indicate that the permeabilities of complex botanical extracts can be fully analyzed by employing high sensitivity mass spectrometry and improved purification techniques.
Our results indicate that most compounds are scarcely absorbed, and passive diffusion is suggested to be the major mechanism of absorption for most compounds, as the AB and BA directions both yielded similar results. Further mechanistic studies must be carried out to elucidate this mechanism. In contrast, we confirmed that contrary to previous observations for other compounds, the use of liposomes to encapsulate RE compounds is not a good approach to improve their permeability because Papp values were reduced or negligible for the majority of the compounds. According to Fick’s Law, absorption depends on the permeability/diffusion constant and concentration of the compound. If the solubility of a compound demonstrating low absorption is increased due to encapsulation into liposomes and its concentration is enhanced in the donor chamber, an increase in the absorption may occur to compensate for its reduced absorption, as reported for other hydrophobic natural compounds . This does not appear to be the case for the diterpenoids and triterpenoids in RE, but further studies must be carried out to clarify these observations.
The Biopharmaceutical Classification System (BCS) was developed by Amidon and coworkers twenty years ago to classify drugs for a waiver of in vivo bioequivalence studies . This system classifies drugs into four categories based on their intestinal permeability and solubility (see S1 Table), and currently this system is accepted worldwide by researchers and governmental institutions such as the FDA and EMA. In addition to its regulatory use, BCS is a tool for drug development because it helps identify the limiting factors in the absorption process . In this work, the 24 compounds identified from RE were classified individually according to this system to obtain relevant information regarding their absorbed oral fraction. For this purpose, only data derived from the free extract permeation were used.
Log P values were obtained for all compounds using ChemDraw software® Ultra version 8.0 (CambridgeSoft Corp. USA) and are shown in Table 2. The Log P value is a widely accepted parameter to express the lipophilicities of biological drugs in medicinal and agro chemistry. According to BCS, compounds are divided into high permeability (Class I: high permeability, high solubility; Class II: high permeability, low solubility) or low permeability (Class III: low permeability, high solubility; Class IV: low permeability, low solubility) categories by comparing with the Log P value (2.18) of the standard metoprolol, which is the reference compound employed for this purpose [48, 49]. Based on this parameter, the permeabilities of all compounds derived from RE were tabulated as high or low (Table 2). Moreover, the Papp value of this reference drug (0.6 x 10−4 cm/s) was also available, which allowed us to establish another classification for the permeabilities of RE compounds based on this parameter, using the Papp values of the compounds obtained in the AB direction only for the free formulations (Table 2). Therefore, the Log P and Papp values were used in Table 2 to classify compounds as high- or low-solubility drugs for permeability, providing two different classifications based on the partition coefficient and the intestinal permeability.
Together with permeability, water solubility is another parameter that is required to classify drugs or compounds according BCS. For this purpose, the dose number value, D0, must be obtained from the following equation: where Sw is the minimum solubility of each compound in water (in the pH range from 1.2 to 6.8) and the 250 value indicates the volume of a glass of water. A value of D0 ≤ 1 indicates that the maximum administered dose can be dissolved in a glass of water; thus, the compound is classified as a high-solubility drug. Unfortunately, natural compounds such as polyphenols and terpenoids exhibit poor solubility. No experimental data regarding the solubilities of the 24 compounds identified from RE in this study are available. This problem was overcome using Marvin Suite software (version 188.8.131.52, ChemAxon Ltd.), which provides several physicochemical properties, including a prediction of water solubility (Sw). Table 2 includes the Sw values for all 24 compounds.
As no information was available regarding the maximum doses of these compounds, two putative scenarios were selected to simulate a high-activity drug, dosed as a 10-mg tablet, or a low-activity drug, dosed as a 100-mg tablet. Table 2 shows the results for the high-activity drug (10-mg dose), and S2 Table includes results from the second option (100-mg dose). In the present study, all compounds were classified for BCS by considering the experimental data for absorption (Papp) and the calculated Log P value (Table 2). According to the Log P value, most compounds belong to the high-permeability classes (I and II), with class II being the most numerous (Fig 2A), except in the case of the flavonoids. However, when experimental Papp values were used for classification, the results changed dramatically, and low-permeability classes (III and IV) became the most abundant (Fig 2B). This classification was nearly independent of the solubility scenario and considered dose (compare Fig 2 and S1 Fig). Moreover, the different families of compounds also exhibited different behaviors in terms of BCS classification. Most flavones in RE were classified as class III (low permeability, high solubility) and class IV (low permeability, low solubility) with the exception of apigenin, for which no experimental Papp could be determined and, consequently, no BCS classification was proposed. This result was in agreement with recently reported data and reinforces the notion that the limited bioavailabilities of most polyphenols may be improved by strategies focused on increasing drug solubilities and dissolution rates in the gastrointestinal fluid . The phenylpropanoid derivatives shogaol and shogaol isomer (gingerol-like compounds) were classified as class II (high permeability, low solubility), which is in agreement with the presence of a long saturated carbon chain in their structure that confers a certain degree of hydrophobicity to these compounds.
Plots show the BCS classification of all compounds in RE using the 10 mg dose scenario according LogP (A) y Paap (B) values.
Conversely, most terpenoids demonstrated different classes depending on the use of Log P or Papp for their classification (see Table 2). Both diterpenoids and triterpenoids were primarily classified as class II (high permeability, low solubility) or class IV (low permeability, low solubility) when Log P or Papp was utilized, respectively, for the classification. A regulatory classification of any compound must be based on experimental data, but the Log P approach has previously been used for screening purposes [48, 49]. Based on our results, we confirm that important differences may arise when experimental Papp values are used to classify compounds versus Log P approximation. It can be concluded that the Papp value, when available, is a more appropriate alternative to establish BCS classification because this value is derived from data determined in a living cellular model, which provides results with greater biological significance than those obtained from calculations based on physicochemical characteristics.
It must be noted that in this study, Sw was obtained for the individual compounds. However, the solubilities of the compounds in the complex RE mixture may be affected by the presence of other compounds, and this will exert an undeniable impact on the absorption of the compound. This feature deserves further investigation.
In conclusion, BCS classification of the 24 compounds present in the RE extract was achieved by considering the aforementioned limitations and using experimental Papp rather than Log P when available. This revealed that most of the compounds in RE were classified as classes III and IV. Based on this, RE enriched in diterpenes and triterpenes should also be classified as class III or IV (low permeability), which is in agreement with the low bioavailabilities of rosemary compounds reported in the literature. However, this statement should be interpreted with caution due to the complexity of the extract, and further research may be required before a final classification is given. The results obtained here represent a significant contribution to our knowledge of the oral absorptions and bioavailabilities of rosemary compounds and their biopharmaceutical classifications and will aid in the development of delivery strategies to improve solubility and bioavailability. In addition, as rosemary compounds have demonstrated their influence in microbioma in previous studies [51–53] this point must be also addressed in future studies.
Rosemary is widely used as a medicinal herb and to season and preserve food, and its bioactive compounds (terpenoids and polyphenols) possess demonstrated potential health benefits related to chronic human diseases. Although most studies have been performed in cell models, recent evidence for such effects is emerging in animal models. However, only a few studies have explored the intestinal absorption of these compounds to determine their permeability and the metabolites responsible for such effects. In this study, we provide data regarding the permeabilities of 24 compounds derived from a rosemary extract in Caco-2 cell monolayers (flavonoids, diterpenes, triterpenes and phenylpropanoids) by comparing the extract in both free and encapsulated form. Flavonoids demonstrated a passive diffusion transport mechanism, with cirsimaritin and genkwanin having the highest permeation values. Among the diterpenes, carnosic acid, rosmanol and its isomers epiisorosmanol and epirosmanol exhibited the highest permeability values. Triterpenoids exhibited lower permeability values than diterpenes and flavonoids. Most compounds demonstrated poor or negligible permeation when RE was incorporated into phospholipid vesicles. For some of the aforementioned compounds, this study is the first report of their permeability. In this study, we also performed biopharmaceutical classification (BCS) for all the compounds based on their permeability and solubility data for bioequivalence purposes, which may represent a basis for future studies focused on the development of rosemary-based nutraceuticals or drugs. Most of the RE compounds were classified as classes III and IV (low permeability); therefore, RE should also be classified into this category.
S1 Fig. BCS classification.
Plots show the BCS classification of all compounds in RE using the 100 mg dose scenario according LogP (A) y Paap (B) values.
S2 Table. Chemical family, physicochemical and permeation data and BCS classification.
Chemical family, physicochemical and permeation data and BCS classification for all the compounds of RE studied in the absorption assay in the free form and considering 100 mg dose scenario.
S3 Table. TEER values.
Trans-epithelial electrical resistance (TEER) obtained in Ω.cm2units by using an epithelial voltohmmeter (Millicell-ERS®). Each weel (6 wells were used for each condition) was measured three independents times before sample addition (initial value) and at the end of the incubation time (final value).
This work was supported by projects AGL2011-29857-C03-02, AGL2011-29857-C03-03, AGL2015-67995-C3-1-R, and AGL2015-67995-C3-2-R, and FPU grant (AP2007-03246) from Spanish Ministry of Science and Innovation; Torres Quevedo grants PTQ-13-06429 and PTQ-14-07243 from the Spanish Ministry of Economy and Competitiveness (MINECO); grant P11-CTS-7625 from Andalusian Regional Government Council of Innovation and Science; PROMETEO/2016/006, ACOMP/2013/093 and ACIF/2013/064 from Generalitat Valenciana; CIBER (CB12/03/30038, Fisiopatologia de la Obesidad y la Nutricion, CIBERobn, Instituto de Salud Carlos III). The authors are also thankful to ChemAxon for providing a free academic license of Marvin for structure handling and other toolkits.
- Conceptualization: VM MB EI ASC.
- Formal analysis: EBC.
- Funding acquisition: VM ASC DAR MB.
- Investigation: APS IGA IBL EBC VM DAR ASC.
- Methodology: EBC APS IBL DAR IGA MB.
- Project administration: VM MB ASC.
- Resources: EI VM ASC.
- Supervision: VM.
- Validation: DAR EBC MB.
- Visualization: APS EBC.
- Writing – original draft: EBC.
- Writing – review & editing: EBC APS IGA IBL VM DAR MB ASC.
- 1. Perez-Fons L, Aranda FJ, Guillen J, Villalain J, Micol V. Rosemary (Rosmarinus officinalis) diterpenes affect lipid polymorphism and fluidity in phospholipid membranes. Arch Biochem Biophys. 2006;453(2):224–36. pmid:16949545
- 2. Perez-Fons L, Garzon MT, Micol V. Relationship between the antioxidant capacity and effect of rosemary (Rosmarinus officinalis L.) polyphenols on membrane phospholipid order. J Agric Food Chem. 2010;58(1):161–71. pmid:19924866
- 3. Sotelo-Felix JI, Martinez-Fong D, Muriel P, Santillan RL, Castillo D, Yahuaca P. Evaluation of the effectiveness of Rosmarinus officinalis (Lamiaceae) in the alleviation of carbon tetrachloride-induced acute hepatotoxicity in the rat. J Ethnopharmacol. 2002;81(2):145–54. pmid:12065145
- 4. Bozin B, Mimica-Dukic N, Samojlik I, Jovin E. Antimicrobial and antioxidant properties of rosemary and sage (Rosmarinus officinalis L. and Salvia officinalis L., Lamiaceae) essential oils. J Agric Food Chem. 2007;55(19):7879–85. pmid:17708648
- 5. Del Campo J, Amiot MJ, Nguyen-The C. Antimicrobial effect of rosemary extracts. J Food Prot. 2000;63(10):1359–68. pmid:11041135
- 6. Altinier G, Sosa S, Aquino RP, Mencherini T, Della Loggia R, Tubaro A. Characterization of topical antiinflammatory compounds in Rosmarinus officinalis L. J Agric Food Chem. 2007;55(5):1718–23. pmid:17288440
- 7. Tsai TH, Chuang LT, Lien TJ, Liing YR, Chen WY, Tsai PJ. Rosmarinus officinalis extract suppresses Propionibacterium acnes-induced inflammatory responses. J Med Food. 2013;16(4):324–33. pmid:23514231
- 8. Dorrie J, Sapala K, Zunino SJ. Carnosol-induced apoptosis and downregulation of Bcl-2 in B-lineage leukemia cells. Cancer Lett. 2001;170(1):33–9. pmid:11448532
- 9. Huang SC, Ho CT, Lin-Shiau SY, Lin JK. Carnosol inhibits the invasion of B16/F10 mouse melanoma cells by suppressing metalloproteinase-9 through down-regulating nuclear factor-kappa B and c-Jun. Biochem Pharmacol. 2005;69(2):221–32. pmid:15627474
- 10. Lo AH, Liang YC, Lin-Shiau SY, Ho CT, Lin JK. Carnosol, an antioxidant in rosemary, suppresses inducible nitric oxide synthase through down-regulating nuclear factor-kappaB in mouse macrophages. Carcinogenesis. 2002;23(6):983–91. pmid:12082020
- 11. Valdes A, Garcia-Canas V, Simo C, Ibanez C, Micol V, Ferragut JA, et al. Comprehensive foodomics study on the mechanisms operating at various molecular levels in cancer cells in response to individual rosemary polyphenols. Anal Chem. 2014;86(19):9807–15. pmid:25188358
- 12. Valdes A, Garcia-Canas V, Rocamora-Reverte L, Gomez-Martinez A, Ferragut JA, Cifuentes A. Effect of rosemary polyphenols on human colon cancer cells: transcriptomic profiling and functional enrichment analysis. Genes & nutrition. 2013;8(1):43–60.
- 13. Borrás-Linares I, Pérez-Sánchez A, Lozano-Sánchez J, Barrajón-Catalán E, Arraez-Roman D, Cifuentes A, et al. A bioguided identification of the active compounds that contribute to the antiproliferative/cytotoxic effects of rosemary extract on colon cancer cells. Food Chem Toxicol. 2015;80:215–22. pmid:25801906
- 14. Bakirel T, Bakirel U, Keles OU, Ulgen SG, Yardibi H. In vivo assessment of antidiabetic and antioxidant activities of rosemary (Rosmarinus officinalis) in alloxan-diabetic rabbits. J Ethnopharmacol. 2008;116(1):64–73. pmid:18063331
- 15. Romo Vaquero M, Garcia Villalba R, Larrosa M, Yanez-Gascon MJ, Fromentin E, Flanagan J, et al. Bioavailability of the major bioactive diterpenoids in a rosemary extract: metabolic profile in the intestine, liver, plasma, and brain of Zucker rats. Molecular nutrition & food research. 2013;57(10):1834–46.
- 16. Doolaege EH, Raes K, De Vos F, Verhe R, De Smet S. Absorption, distribution and elimination of carnosic acid, a natural antioxidant from Rosmarinus officinalis, in rats. Plant Foods Hum Nutr. 2011;66(2):196–202. pmid:21751091
- 17. Arranz E, Mes J, Wichers HJ, Jaime L, Mendiola JA, Reglero G, et al. Anti-inflammatory activity of the basolateral fraction of Caco-2 cells exposed to a rosemary supercritical extract. Journal of Functional Foods. 2015;13:384–90.
- 18. Cristina SR, Marín FR, Susana S, García-Risco MR, Javier S, F., Guillermo R. Testing and enhancing the in vitro bioaccessibility and bioavailability of Rosmarinus officinalis extracts with a high level of antioxidant abietanes. Journal of Agricultural and Food Chemistry. 2010;58(2):1144–52. pmid:20038145
- 19. Sharma A SU. Liposomes in drug delivery: progress and limitations. Int J Pharm 1997;154(2):123–40.
- 20. Lian T, Ho RJ. Trends and developments in liposome drug delivery systems. J Pharm Sci. 2001;90(6):667–80. pmid:11357170
- 21. Barrajon-Catalan E, Menendez-Gutierrez MP, Falco A, Carrato A, Saceda M, Micol V. Selective death of human breast cancer cells by lytic immunoliposomes: Correlation with their HER2 expression level. Cancer Lett. 2010;290(2):192–203. pmid:19896266
- 22. Catania A, Barrajon-Catalan E, Nicolosi S, Cicirata F, Micol V. Immunoliposome encapsulation increases cytotoxic activity and selectivity of curcumin and resveratrol against HER2 overexpressing human breast cancer cells. Breast Cancer Res Treat. 2013;141:55–65. pmid:23959397
- 23. Caturla N, Vera-Samper E, Villalain J, Mateo CR, Micol V. The relationship between the antioxidant and the antibacterial properties of galloylated catechins and the structure of phospholipid model membranes. Free Radic Biol Med. 2003;34(6):648–62. pmid:12633742
- 24. Alves DS, Perez-Fons L, Estepa A, Micol V. Membrane-related effects underlying the biological activity of the anthraquinones emodin and barbaloin. Biochem Pharmacol. 2004;68(3):549–61. pmid:15242821
- 25. Funes L, Laporta O, Cerdán-Calero M, Micol V. Effects of verbascoside, a phenylpropanoid glycoside from lemon verbena, on phospholipid model membranes. Chem Phys Lipids. 2010;163(2):190–9. pmid:19925782
- 26. van Breemen RB, Li Y. Caco-2 cell permeability assays to measure drug absorption. Expert Opin Drug Metab Toxicol. 2005;1(2):175–85. pmid:16922635
- 27. Herrero M, Plaza M, Cifuentes A, Ibáñez E. Green processes for the extraction of bioactives from Rosemary: Chemical and functional characterization via ultra-performance liquid chromatography-tandem mass spectrometry and in-vitro assays. J Chromatogr A. 2010;1217(16):2512–20. pmid:19945706
- 28. Artursson P, Karlsson J. Correlation between oral drug absorption in humans and apparent drug permeability coefficients in human intestinal epithelial (Caco-2) cells. Biochem Biophys Res Commun. 1991;175(3):880–5. pmid:1673839
- 29. Artursson P, Palm K, Luthman K. Caco-2 monolayers in experimental and theoretical predictions of drug transport. Adv Drug Deliv Rev. 2001;46(1–3):27–43. pmid:11259831
- 30. Artursson P. Epithelial transport of drugs in cell culture. I: A model for studying the passive diffusion of drugs over intestinal absorptive (Caco-2) cells. J Pharm Sci. 1990;79(6):476–82. pmid:1975619
- 31. Lin H, Gebhardt M, Bian S, Kwon KA, Shim CK, Chung SJ, et al. Enhancing effect of surfactants on fexofenadine·HCl transport across the human nasal epithelial cell monolayer. Int J Pharm. 2007;330(1–2):23–31. pmid:16997520
- 32. Mukkavilli R, Gundala SR, Yang C, Donthamsetty S, Cantuaria G, Jadhav GR, et al. Modulation of cytochrome P450 metabolism and transport across intestinal epithelial barrier by ginger biophenolics. PLoS ONE. 2014;9(9):e108386. pmid:25251219
- 33. Falé PL, Ascensão L, Serralheiro MLM. Effect of luteolin and apigenin on rosmarinic acid bioavailability in Caco-2 cell monolayers. Food and Function. 2013;4(3):426–31. pmid:23223784
- 34. Teng Z, Yuan C, Zhang F, Huan M, Cao W, Li K, et al. Intestinal absorption and first-pass metabolism of polyphenol compounds in rat and their transport dynamics in caco-2 cells. PLoS ONE. 2012;7(1).
- 35. D'Antuono I, Garbetta A, Linsalata V, Minervini F, Cardinali A. Polyphenols from artichoke heads (Cynara cardunculus (L.) subsp. scolymus Hayek): In vitro bio-accessibility, intestinal uptake and bioavailability. Food and Function. 2015;6(4):1268–77. pmid:25758164
- 36. Tian XJ, Yang XW, Yang X, Wang K. Studies of intestinal permeability of 36 flavonoids using Caco-2 cell monolayer model. Int J Pharm. 2009;367(1–2):58–64. pmid:18848870
- 37. Yang Y, Bai L, Li X, Xiong J, Xu P, Guo C, et al. Transport of active flavonoids, based on cytotoxicity and lipophilicity: An evaluation using the blood-brain barrier cell and Caco-2 cell models. Toxicology in Vitro. 2014;28(3):388–96. pmid:24362044
- 38. Serra H, Mendes T, Bronze MR, Simplício AL. Prediction of intestinal absorption and metabolism of pharmacologically active flavones and flavanones. Bioorg Med Chem. 2008;16(7):4009–18. pmid:18249545
- 39. Wang Y, Wu Q, Yang XW, Yang X, Wang K. The membrane transport of flavonoids from Crossostephium chinense across the Caco-2 monolayer. Biopharm Drug Dispos. 2011;32(1):16–24. pmid:21162116
- 40. Fale PL, Ascensao L, Serralheiro ML. Effect of luteolin and apigenin on rosmarinic acid bioavailability in Caco-2 cell monolayers. Food Funct. 2013;4(3):426–31. pmid:23223784
- 41. Qiang Z, Ye Z, Hauck C, Murphy PA, McCoy JA, Widrlechner MP, et al. Permeability of rosmarinic acid in Prunella vulgaris and ursolic acid in Salvia officinalis extracts across Caco-2 cell monolayers. J Ethnopharmacol. 2011;137(3):1107–12. pmid:21798330
- 42. Seiquer I, Rueda A, Olalla M, Cabrera-Vique C. Assessing the bioavailability of polyphenols and antioxidant properties of extra virgin argan oil by simulated digestion and Caco-2 cell assays. Comparative study with extra virgin olive oil. Food Chemistry. 2015;188:496–503. pmid:26041223
- 43. Tarko T, Duda-Chodak A, Zajac N. Digestion and absorption of phenolic compounds assessed by in vitro simulation methods. A review. Roczniki Państwowego Zakładu Higieny. 2013;64(2):79–84. pmid:23987074
- 44. Borrás-Linares I, Herranz-López M, Barrajón-Catalán E, Arráez-Román D, González-Álvarez I, Bermejo M, et al. Permeability study of polyphenols derived from a phenolic-enriched hibiscus sabdariffa extract by UHPLC-ESI-UHR-Qq-TOF-MS. International journal of molecular sciences. 2015;16(8):18396–411. pmid:26262611
- 45. Barrajón-Catalán E., Funes L., Herranz-López M., González-Álvarez I., Bermejo M., V. M. Differential absorption of curcuminoids between free and liposomed curcumin formulations. In: Curcumin: clinical uses, health effects and potential complications: Nova Publishers; 2016. p. 99–110.
- 46. Amidon GL, Lennernas H, Shah VP, Crison JR. A theoretical basis for a biopharmaceutic drug classification: the correlation of in vitro drug product dissolution and in vivo bioavailability. Pharm Res. 1995;12(3):413–20. pmid:7617530
- 47. Benet LZ. The Role of BCS (Biopharmaceutics Classification System) and BDDCS (Biopharmaceutics Drug Disposition Classification System) in Drug Development. J Pharm Sci. 2013;102(1):34–42. pmid:23147500
- 48. Kasim NA, Whitehouse M, Ramachandran C, Bermejo M, Lennernas H, Hussain AS, et al. Molecular properties of WHO essential drugs and provisional biopharmaceutical classification. Mol Pharm. 2004;1(1):85–96. pmid:15832504
- 49. Takagi T, Ramachandran C, Bermejo M, Yamashita S, Yu LX, Amidon GL. A provisional biopharmaceutical classification of the top 200 oral drug products in the United States, Great Britain, Spain, and Japan. Molecular Pharmaceutics. 2006;3(6):631–43. pmid:17140251
- 50. Kaur H, Kaur G. A Critical Appraisal of Solubility Enhancement Techniques of Polyphenols. Journal of pharmaceutics. 2014;2014:180845. pmid:26556188
- 51. Anabousi S, Bakowsky U, Schneider M, Huwer H, Lehr CM, Ehrhardt C. In vitro assessment of transferrin-conjugated liposomes as drug delivery systems for inhalation therapy of lung cancer. Eur J Pharm Sci. 2006;29(5):367–74. pmid:16952451
- 52. Ambrosini MV, Bruschelli G, Mariucci G, Mandile P, Giuditta A. Post-trial sleep in old rats trained for a two-way active avoidance task. Physiol Behav. 1997;62(4):773–8. pmid:9284496
- 53. Anilkumar AP, Kumari V, Mehrotra R, Aasen I, Mitterschiffthaler MT, Sharma T. An fMRI study of face encoding and recognition in first-episode schizophrenia. Acta neuropsychiatrica. 2008;20(3):129–38. pmid:25385522