The effects of the non-ionic surfactants polysorbate 20, polysorbate 60, po
lysorbate 85, cholesteryl poly (24) oxyethylene ether (Solulan C24) and the
lanolin-based poly (16) oxyethylene ether (Solulan 16) on the epithelial i
ntegrity of monolayers of human intestinal epithelial (Caco-2) cells has be
en studied using metformin as a model drug. The aim was to identify the sur
factants and their optimal concentrations capable of enhancing drug transpo
rt while causing no, or only minor, cellular damage. Effects on cell permea
bility were assessed by measurements of the transport of metformin, a hydro
philic drug, by monitoring transepithelial electrical resistance. Cell viab
ility was determined by the diphenyltetrazolium bromide test (the MTT test)
.
All the surfactants studied demonstrated concentration-dependent effects on
cell permeability and cell viability. The effects on transepithelial elect
rical resistance correlated with cell viability, i.e. increased transepithe
lial electrical resistance and increased cell-monolayer permeability for me
tformin corresponded to decreased cell viability. The results indicate that
the Solulan and polysorbate surfactants were active as absorption enhancer
s, Solulan C24 and 16 being more effective than polysorbates 20, 60 or 85,
causing an increase in metformin transport at lower concentrations than the
polysorbates. Polysorbate 20 exerted its greatest effect at a concentratio
n of 5%-increasing the flux of metformin after 3h by a factor of around 20
over the control. Large increases in the transport of metformin, especially
at surfactant levels of 0.05%, 0.1% and 0.5%, were related to the effect o
f Solulan C24 and Solulan 16 on the cell permeability.
The Caco-2 cell monolayer experiments confirmed the ability, especially of
polysorbate 20, Solulan C24 and Solulan 16, to increase the absorption of m
etformin. The polysorbates increased permeability as a result of solubilisa
tion of membrane components, while Solulans did so by penetrating and solub
ilising the membrane. Correlation between increase in membrane permeability
and the toxicity of the surfactants towards the cell membrane has been est
ablished.