Evaluation of a multi-component mucoadhesive buccal patch: cytokine-associated inflammatory responses and tissue remodeling in experimental models - Summary - DentalSpire

Evaluation of a multi-component mucoadhesive buccal patch: cytokine-associated inflammatory responses and tissue remodeling in experimental models

  • By

  • Rekha Rani Kokkanti

  • Sandhiya Viswanathan

  • Nandita Parida

  • Soumyajit Biswas

  • Gajraj Singh Kushwaha

  • Pratap Kumar Deheri

  • Alok Kumar Panda

  • Abikshyeet Panda

  • Atul Anand Bajoria

  • Srinivas Patnaik

  • May 28, 2026

  • 0 min

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Objective:

To investigate cytokine-associated inflammatory and fibrotic responses, specifically IL-6, TNF-α, and MMP-2, following treatment with a mucoadhesive buccal patch containing isotretinoin, bromelain, and limonene.

Key Findings:
  • LPS stimulation induced upregulation of IL-6, TNF-α, and MMP-2; treatment with the formulation reduced expression of these inflammatory markers and COX-2.
  • Altered IL-2 and TGF-β expression suggested modulation of immune regulatory and fibrosis-associated pathways.
  • In vivo treatment showed reduced collagen-associated staining, improved tissue architecture, and functional improvements in mouth opening.
Interpretation:

The findings provide preliminary observations on cytokine-associated responses under inflammatory and fibrotic conditions relevant to OSMF.

Limitations:
  • The in vitro model represented an acute inflammatory epithelial response and did not fully recapitulate the fibrotic pathology of OSMF, indicating a need for more comprehensive models.
  • Further studies are required to define underlying mechanisms and evaluate translational applicability, particularly in human subjects.
Conclusion:

The study highlights the potential of a mucoadhesive buccal patch in modulating inflammatory and fibrotic responses in OSMF, suggesting a novel therapeutic approach.

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