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chitosan and plga microspheres as drug delivery ... - UniCA Eprints

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1. General Introductionalveolar space, are to provide a surface for g<strong>as</strong> exchange <strong>and</strong> to serve <strong>as</strong> a permeabilitybarrier. Alveolar epithelial type II cells have a much smaller surface area per cell <strong>and</strong> theyrepresent 16% of the total cells in the lung. They play a b<strong>as</strong>ic role in synthesis, secretion <strong>and</strong>recycling of surface-active material (lung surfactant).The alveolar blood barrier in its simplest form consists of a single epithelial cell, a b<strong>as</strong>ementmembrane, <strong>and</strong> a single endothelial cell. While this morphologic arrangement readilyfacilitates the exchange, it can still represent a major barrier to large molecules. Beforeentering the systemic circulation, solutes must traverse a thin layer of fluid, the epitheliallining fluid. This layer tends to collect at the corners of the alveoli <strong>and</strong> is covered by anattenuated layer of surfactant.Figure 1.3: Lung Surfactant CompositionUnlike the larger airways, the alveolar region is lined with a surface active layer consisting ofphospholipids (mainly phosphatidylcholine <strong>and</strong> phosphatidylglycerol) (66) <strong>and</strong> several keyapoproteins (67). The surfactant lining fluid plays an important role in maintaining alveolarfluid homeost<strong>as</strong>is <strong>and</strong> permeability, <strong>and</strong> participates in various defence mechanisms. Recentstudies suggest that the surfactant may slow down diffusion out of the alveoli (68, 69). Therespiratory airways, from the upper airways to the terminal bronchioles, are lined with aviscoel<strong>as</strong>tic, gel-like mucus layer 0.5–5.0 mm thick (70). The secretion lining consists of twolayers: a fluid layer of low viscosity, which surrounds the cilia (periciliary fluid layer), <strong>and</strong> amore viscous layer on top, the mucus (71). The mucus is a protective layer that consists of acomplex mixture of glycoproteins rele<strong>as</strong>ed primarily by the goblet cells <strong>and</strong> local gl<strong>and</strong>s (72).The mucus blanket removes inhaled particles from the airways by entrapment <strong>and</strong>mucociliary transport at a rate that depends on viscosity <strong>and</strong> el<strong>as</strong>ticity (73). The lung tissue is17

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