JUSTINE PAULA RAMOS DE OLIVEIRA
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Artigo IPEN-doc 29052 Mucoadhesive polymers and their applications in drug delivery systems for the treatment of bladder cancer2022 - LIMA, CAROLINE S.A. de; VARCA, JUSTINE P.R.O.; ALVES, VICTORIA M.; NOGUEIRA, KAMILA M.; CRUZ, CASSIA P.C.; RIAL-HERMIDA, M. ISABEL; KADLUBOWSKI, SLAWOMIR S.; VARCA, GUSTAVO H.C.; LUGAO, ADEMAR B.Bladder cancer (BC) is the tenth most common type of cancer worldwide, affecting up to four times more men than women. Depending on the stage of the tumor, different therapy protocols are applied. Non-muscle-invasive cancer englobes around 70% of the cases and is usually treated using the transurethral resection of bladder tumor (TURBIT) followed by the instillation of chemotherapy or immunotherapy. However, due to bladder anatomy and physiology, current intravesical therapies present limitations concerning permeation and time of residence. Furthermore, they require several frequent catheter insertions with a reduced interval between doses, which is highly demotivating for the patient. This scenario has encouraged several pieces of research focusing on the development of drug delivery systems (DDS) to improve drug time residence, permeation capacity, and target release. In this review, the current situation of BC is described concerning the disease and available treatments, followed by a report on the main DDS developed in the past few years, focusing on those based on mucoadhesive polymers as a strategy. A brief review of methods to evaluate mucoadhesion properties is also presented; lastly, different polymers suitable for this application are discussed.Artigo IPEN-doc 27582 An updated review of macro, micro, and nanostructured hydrogels for biomedical and pharmaceutical applications2020 - LIMA, CAROLINE S.A. de; BALOGH, TATIANA S.; VARCA, JUSTINE P.R.O.; VARCA, GUSTAVO H.C.; LUGAO, ADEMAR B.; CAMACHO-CRUZ, LUIS A.; BUCIO, EMILIO; KADLUBOWSKI, SLAWOMIR S.Hydrogels are materials with wide applications in several fields, including the biomedical and pharmaceutical industries. Their properties such as the capacity of absorbing great amounts of aqueous solutions without losing shape and mechanical properties, as well as loading drugs of different nature, including hydrophobic ones and biomolecules, give an idea of their versatility and promising demand. As they have been explored in a great number of studies for years, many routes of synthesis have been developed, especially for chemical/permanent hydrogels. In the same way, stimuli-responsive hydrogels, also known as intelligent materials, have been explored too, enhancing the regulation of properties such as targeting and drug release. By controlling the particle size, hydrogel on the micro- and nanoscale have been studied likewise and have increased, even more, the possibilities for applications of the so-called XXI century materials. In this paper, we aimed to produce an overview of the recent studies concerning methods of synthesis, biomedical, and pharmaceutical applications of macro-, micro, and nanogels.Resumo IPEN-doc 25414 Development of mucoadhesive PVA/CMC based hydrogel for intravesical chemotherapy2018 - LIMA, C.S.A.; VARCA, J.O.; FERRARI, A.; NOGUEIRA, K.M.; VARCA, G.H.C.; LUGAO, A.B.Bladder cancer (BC) is one of the main diseases that attack the urinary tract and is globally responsible for 165,000 deaths per year. Bladder tumor may be classified as non-muscle invasive (superficial) or muscle invasive. About 70% of patients present the superficial bladder cancer which is treated by transurethral resection for tumor removal followed by intravesical chemo or immunotherapy. The main challenge reported in the instillation of chemotherapy is the limited drug residence time in the bladder as a consequence of urine levels that leads to fast drug removal from the bladder.1 Hydrogels are chemically or physically crosslinked polymer systems that form three-dimensional networks with high water absorption capacity. Carboxymethylcellulose (CMC) is one of the major soluble derivatives of cellulose widely applied in the medical and pharmaceutical fields due to its biocompatibility, nontoxicity, biodegradability and film forming ability.2 Polyvinyl Alcohol (PVA) is a synthetic polymer with wide pharmaceutical and biomedical applications as it is nontoxic, non-carcinogenic, bioadhesive and easy to process.3 In this work, we developed a mucoadhesive hydrogel from a CMC and PVA polymer blend for chemotherapeutic loading and suitable rheological properties for intravesical instillation, especially designed for treating superficial BC with increased residence time of chemotherapeutic agent. Three formulations (C1, C2 and C3) at different CMC concentrations were prepared - 1%, 2% and 3% (w/v), respectively. PVA concentration corresponded to 1% (w/v) for all formulations. The polymers were separately solubilized in Milli-Q water and then mixed prior to the addition of 20% (v/v) glycerin to increase the mucoadhesiveness of the material. The hydrogels were characterized according to their organoleptic and rheological properties to evaluate the behavior of the material under tension and temperature. Accelerated stability tests of the pharmaceutical form were also performed. Comparatively, formulations with glycerin presented improved mucoadhesiveness, and formulations with 1 and 2% of CMC presented more adequate rheological behavior for the proposed application. In conclusions, the systems presented adequate properties for the delivery of chemotherapeutic agents for optimized BC treatments.