An Evaluation of the Efficacy and Safety of TAMIXAM<sup>®</sup>, Based on Hyaluronic Acid and Tamarind Seed Extract, for Esophageal Mucosal Protection from Acid Insult

TAMIXAM<sup>®</sup> is a novel technology that combines hyaluronic acid and tamarind seed extract in its formulation. It is designed to protect the esophageal mucosa by creating a barrier through its filmogenic properties. The aim of this study is to evaluate the safety and efficacy of t...

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Main Authors: Marisa Francesca Motta, Giuseppe Pulitano, Antonino Bagnulo, Giampaolo Buriani, Umberto Di Maio, Fabio Amone, Vincenzo Nobile, Rocco Malivindi
Format: Article
Language:English
Published: MDPI AG 2024-02-01
Series:Gastrointestinal Disorders
Subjects:
Online Access:https://www.mdpi.com/2624-5647/6/1/15
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author Marisa Francesca Motta
Giuseppe Pulitano
Antonino Bagnulo
Giampaolo Buriani
Umberto Di Maio
Fabio Amone
Vincenzo Nobile
Rocco Malivindi
author_facet Marisa Francesca Motta
Giuseppe Pulitano
Antonino Bagnulo
Giampaolo Buriani
Umberto Di Maio
Fabio Amone
Vincenzo Nobile
Rocco Malivindi
author_sort Marisa Francesca Motta
collection DOAJ
description TAMIXAM<sup>®</sup> is a novel technology that combines hyaluronic acid and tamarind seed extract in its formulation. It is designed to protect the esophageal mucosa by creating a barrier through its filmogenic properties. The aim of this study is to evaluate the safety and efficacy of this technology through mucoadhesion tests, a cell viability assay, TEER measurements, and morphological analysis on reconstructed esophageal mucosa exposed to 10% hydrochloric acid before and after treatment. The mucoadhesion test highlighted the synergistic bioadhesive effect of the technology’s components. Cell viability assays revealed the substantial mucoprotective and barrier effects of the technology, preserving tissue viability when applied before exposure to acid insult. A morphological analysis illustrated TAMIXAM<sup>®</sup>’s efficacy in countering acid-induced damage, reducing erosion, necrosis, and tissue degeneration compared to the positive control, both pre- and post-acid insult. An evaluation of epithelial integrity through TEER measurements indicated a minimal reduction in tissues treated with the invention before acid exposure, demonstrating its ability to maintain epithelial integrity in the presence of an acid insult. However, this effect was less pronounced in tissues treated with the technology after the acid insult, implying a potential partial recovery of epithelial integrity. Furthermore, comprehensive in vitro and in vivo studies supported the safety profile of the invention. In conclusion, TAMIXAM<sup>®</sup> emerged as a compelling solution, providing enhanced mechanical action to maintain epithelial balance and shield the esophageal mucosa from acid-induced damage.
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spelling doaj.art-3c4342115ec64f9bb980d7935ec199772024-03-27T13:42:32ZengMDPI AGGastrointestinal Disorders2624-56472024-02-016120221310.3390/gidisord6010015An Evaluation of the Efficacy and Safety of TAMIXAM<sup>®</sup>, Based on Hyaluronic Acid and Tamarind Seed Extract, for Esophageal Mucosal Protection from Acid InsultMarisa Francesca Motta0Giuseppe Pulitano1Antonino Bagnulo2Giampaolo Buriani3Umberto Di Maio4Fabio Amone5Vincenzo Nobile6Rocco Malivindi7Department of Pharmacy, Health and Nutritional Sciences, University of Calabria, 87036 Rende, CS, ItalyNutratech S.r.l., c/o Department of Pharmacy, Health and Nutritional Sciences, University of Calabria, 87036 Rende, CS, ItalyNeilos S.r.l., Via Bagnulo 95, 80063 Piano di Sorrento, NA, ItalyBiochem S.r.l., Via G.Benini 13, 40069 Zola Predosa, BO, ItalyShedir Pharma Group S.p.A., Via Bagnulo 95, 80063 Piano di Sorrento, NA, ItalyNutratech S.r.l., c/o Department of Pharmacy, Health and Nutritional Sciences, University of Calabria, 87036 Rende, CS, ItalyComplife Italia S.r.l., 27028 San Martino Siccomario, PV, ItalyDepartment of Pharmacy, Health and Nutritional Sciences, University of Calabria, 87036 Rende, CS, ItalyTAMIXAM<sup>®</sup> is a novel technology that combines hyaluronic acid and tamarind seed extract in its formulation. It is designed to protect the esophageal mucosa by creating a barrier through its filmogenic properties. The aim of this study is to evaluate the safety and efficacy of this technology through mucoadhesion tests, a cell viability assay, TEER measurements, and morphological analysis on reconstructed esophageal mucosa exposed to 10% hydrochloric acid before and after treatment. The mucoadhesion test highlighted the synergistic bioadhesive effect of the technology’s components. Cell viability assays revealed the substantial mucoprotective and barrier effects of the technology, preserving tissue viability when applied before exposure to acid insult. A morphological analysis illustrated TAMIXAM<sup>®</sup>’s efficacy in countering acid-induced damage, reducing erosion, necrosis, and tissue degeneration compared to the positive control, both pre- and post-acid insult. An evaluation of epithelial integrity through TEER measurements indicated a minimal reduction in tissues treated with the invention before acid exposure, demonstrating its ability to maintain epithelial integrity in the presence of an acid insult. However, this effect was less pronounced in tissues treated with the technology after the acid insult, implying a potential partial recovery of epithelial integrity. Furthermore, comprehensive in vitro and in vivo studies supported the safety profile of the invention. In conclusion, TAMIXAM<sup>®</sup> emerged as a compelling solution, providing enhanced mechanical action to maintain epithelial balance and shield the esophageal mucosa from acid-induced damage.https://www.mdpi.com/2624-5647/6/1/15gastroesophageal reflux diseasehyaluronic acidbarrier effect
spellingShingle Marisa Francesca Motta
Giuseppe Pulitano
Antonino Bagnulo
Giampaolo Buriani
Umberto Di Maio
Fabio Amone
Vincenzo Nobile
Rocco Malivindi
An Evaluation of the Efficacy and Safety of TAMIXAM<sup>®</sup>, Based on Hyaluronic Acid and Tamarind Seed Extract, for Esophageal Mucosal Protection from Acid Insult
Gastrointestinal Disorders
gastroesophageal reflux disease
hyaluronic acid
barrier effect
title An Evaluation of the Efficacy and Safety of TAMIXAM<sup>®</sup>, Based on Hyaluronic Acid and Tamarind Seed Extract, for Esophageal Mucosal Protection from Acid Insult
title_full An Evaluation of the Efficacy and Safety of TAMIXAM<sup>®</sup>, Based on Hyaluronic Acid and Tamarind Seed Extract, for Esophageal Mucosal Protection from Acid Insult
title_fullStr An Evaluation of the Efficacy and Safety of TAMIXAM<sup>®</sup>, Based on Hyaluronic Acid and Tamarind Seed Extract, for Esophageal Mucosal Protection from Acid Insult
title_full_unstemmed An Evaluation of the Efficacy and Safety of TAMIXAM<sup>®</sup>, Based on Hyaluronic Acid and Tamarind Seed Extract, for Esophageal Mucosal Protection from Acid Insult
title_short An Evaluation of the Efficacy and Safety of TAMIXAM<sup>®</sup>, Based on Hyaluronic Acid and Tamarind Seed Extract, for Esophageal Mucosal Protection from Acid Insult
title_sort evaluation of the efficacy and safety of tamixam sup r sup based on hyaluronic acid and tamarind seed extract for esophageal mucosal protection from acid insult
topic gastroesophageal reflux disease
hyaluronic acid
barrier effect
url https://www.mdpi.com/2624-5647/6/1/15
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