The enhancing effects of bile salts on buccal penetration was investig
ated in vitro using porcine buccal mucosa, correlating permeability ch
anges with histological effects. The permeability of the buccal mucosa
to the model compound fluorescein isothiocyanate (FITC) was studied i
n the presence and absence of bile salts. Light microscopy, freeze-fra
cture electron microscopy and confocal laser scanning microscopy were
used in order to investigate the interaction between the bile salts an
d the buccal epithelium. A significant increase in permeation of FITC
was obtained after coadministration with bile salts. After 4h treatmen
t, bile salts (at a concentration of 0.1M) caused a loss of distal lay
ers in the epithelium and a split of the epithelium from the connectiv
e tissue. The results of freeze-fracture studies show that the bile sa
lts affect the cytoplasmic domain of the buccal epithelium. Due to the
bile salt treatment, the mode of fracture was altered in such a way t
hat cell membranes were almost absent. However, no differences were ob
served between the enhancing effects of dihydroxy and trihydroxy bile
salts, either with the transport rate or with the histological studies
.