PMID- 37962352 OWN - NLM STAT- MEDLINE DCOM- 20231205 LR - 20231205 IS - 1543-8392 (Electronic) IS - 1543-8384 (Linking) VI - 20 IP - 12 DP - 2023 Dec 4 TI - Opportunities for Bioactive Glass in Gastrointestinal Conditions: A Review of Production Methodologies, Morphology, Composition, and Performance. PG - 5954-5980 LID - 10.1021/acs.molpharmaceut.3c00188 [doi] AB - Bioactive glasses (BGs) are widely used in orthopedic and dental applications for their ability to stimulate endogenous bone formation and regeneration. BG applications more recently broadened to include soft tissue conditions, based on their ability to stimulate angiogenesis, soft tissue regeneration, and wound healing. Sol-gel synthesis has helped facilitate this expansion, allowing formulators to tailor the morphological characteristics of the BG matrix. The effectiveness of BGs in skin wound healing is viewed as a gateway for their use as both a therapeutic and drug delivery platform in other soft tissue applications, notably gastrointestinal (GI) applications, which form the focus of this review. Recent changes in international guidelines for GI conditions shifted clinical objectives from symptom management to mucosal wound healing. The additional scrutiny of proton pump inhibitor (PPI) safety, increasing burden of disease, and financial costs associated with gastroesophageal reflux disease (GERD), peptic ulcer disease (PUD), and inflammatory bowel disease (IBD) open new clinical possibilities for BG. This narrative literature review intersects materials engineering, formulation science, and clinical practice, setting it apart from prior literature. Broadly, current evidence for BG applications in GI conditions is sparse and under-developed, which this review directly addresses. It explores and synthesizes evidence that supports the potential use of sol-gel-derived BG for the efficacious treatment of soft tissue applications, with specific reference to GI conditions. An overview with comparative analysis of current BG synthesis techniques and associated challenges is presented, and influences of composition, biologically active ions, and morphological characteristics in soft tissue applications are explored. To contextualize this, sol-gel-derived BGs are proposed as a dual, tailorable therapeutic and drug delivery platform for upper and lower GI conditions. Future directions for this largely untapped area of translational research are also proposed, based on extant literature. FAU - Harrop, Angus C F AU - Harrop ACF AUID- ORCID: 0000-0002-8278-304X AD - The University of Queensland, School of Pharmacy, The Pharmacy Australia Centre of Excellence, 20 Cornwall St, Woolloongabba, Queensland 4102, Australia. FAU - Tupally, Karnaker R AU - Tupally KR AD - The University of Queensland, School of Pharmacy, The Pharmacy Australia Centre of Excellence, 20 Cornwall St, Woolloongabba, Queensland 4102, Australia. FAU - Pandey, Preeti AU - Pandey P AD - The University of Queensland, School of Pharmacy, The Pharmacy Australia Centre of Excellence, 20 Cornwall St, Woolloongabba, Queensland 4102, Australia. FAU - Parekh, Harendra S AU - Parekh HS AUID- ORCID: 0000-0001-8792-4318 AD - The University of Queensland, School of Pharmacy, The Pharmacy Australia Centre of Excellence, 20 Cornwall St, Woolloongabba, Queensland 4102, Australia. LA - eng PT - Journal Article PT - Review DEP - 20231114 PL - United States TA - Mol Pharm JT - Molecular pharmaceutics JID - 101197791 RN - 0 (Biocompatible Materials) SB - IM MH - *Wound Healing MH - *Osteogenesis MH - Glass MH - Biocompatible Materials OTO - NOTNLM OT - bioactive glass OT - gastrointestinal OT - gastrointestinal reflux disease OT - inflammatory bowel disease OT - soft tissue wound healing OT - sol-gel EDAT- 2023/11/14 12:43 MHDA- 2023/12/05 12:43 CRDT- 2023/11/14 09:04 PHST- 2023/12/05 12:43 [medline] PHST- 2023/11/14 12:43 [pubmed] PHST- 2023/11/14 09:04 [entrez] AID - 10.1021/acs.molpharmaceut.3c00188 [doi] PST - ppublish SO - Mol Pharm. 2023 Dec 4;20(12):5954-5980. doi: 10.1021/acs.molpharmaceut.3c00188. Epub 2023 Nov 14.