Among the different methods for achieving stomach-selective drug delivery t
he use of mucoadhesive microspheres holds great promise. The aim of this st
udy was to produce polysaccharide chitosan microspheres and investigate the
ir potential use for the delivery of antibiotics to the gastric mucous memb
rane. Chitosan was chosen because of its mucoadhesive and biodegradable pro
perties. In order to design microspheres suitable for stomach-specific drug
delivery, it was necessary to address the problem of the high solubility o
f this biopolymer in acidic media and consequently, its limited capacity fo
r controlling release of the entrapped drug in the stomach cavity. These li
mitations were overcome by re-acetylating chitosan upon exposure to acetic
anhydride during the microsphere formation process. Using a single-step pro
cedure, it was possible to encapsulate hydrophilic antibiotics such as amox
icillin (about 100% encapsulation efficiency) and provide different release
patterns depending on the type of chitosan used and the extent of re-acety
lation. More specifically, polymer solubility and microsphere surface poros
ity were adjusted by re-acetylation of the free amino groups, thereby contr
olling release of the encapsulated amoxicillin. Fluorescent microspheres we
re also obtained using a fluorescent derivative of chitosan, and the intera
ction of chitosan microspheres with the gastric mucous membrane was evaluat
ed in BALB-c mice following oral administration. Examination of stomach tis
sue by florescence microcopy demonstrated that chitosan microspheres could
cross the epithelial barrier and were located inside gastric epithelial cel
ls at 1 h post-administration. Furthermore, it was observed that the micros
pheres remained internalized at 96 h post-administration, suggesting their
ability to provide sustained intramucosal delivery of the associated antibi
otic. These findings support the potential use of chitosan microspheres in
the treatment of gastric diseases caused by Helicobacter pylori.