Characterisation of zinc delivery from a nipple shield delivery system using a breastfeeding simulation apparatus.

Zinc delivery from a nipple shield delivery system (NSDS), a novel platform for administering medicines to infants during breastfeeding, was characterised using a breastfeeding simulation apparatus. In this study, human milk at flow rates and pressures physiologically representative of breastfeeding...

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Main Authors: Rebekah L Scheuerle, Sylvaine F A Bruggraber, Stephen E Gerrard, Richard A Kendall, Catherine Tuleu, Nigel K H Slater
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2017-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0171624&type=printable
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author Rebekah L Scheuerle
Sylvaine F A Bruggraber
Stephen E Gerrard
Richard A Kendall
Catherine Tuleu
Nigel K H Slater
author_facet Rebekah L Scheuerle
Sylvaine F A Bruggraber
Stephen E Gerrard
Richard A Kendall
Catherine Tuleu
Nigel K H Slater
author_sort Rebekah L Scheuerle
collection DOAJ
description Zinc delivery from a nipple shield delivery system (NSDS), a novel platform for administering medicines to infants during breastfeeding, was characterised using a breastfeeding simulation apparatus. In this study, human milk at flow rates and pressures physiologically representative of breastfeeding passed through the NSDS loaded with zinc-containing rapidly disintegrating tablets, resulting in release of zinc into the milk. Inductively coupled plasma optical emission spectrometry was used to detect the zinc released, using a method that does not require prior digestion of the samples and that could be applied in other zinc analysis studies in breast milk. Four different types of zinc-containing tablets with equal zinc load but varying excipient compositions were tested in the NSDS in vitro. Zinc release measured over 20 minutes ranged from 32-51% of the loaded dose. Total zinc release for sets tablets of the same composition but differing hardness were not significantly different from one another with P = 0.3598 and P = 0.1270 for two tested pairs using unpaired t tests with Welch's correction. By the same test total zinc release from two sets of tablets having similar hardness but differing composition were also not significantly significant with P = 0.2634. Future zinc tablet composition and formulation optimisation could lead to zinc supplements and therapeutics with faster drug release, which could be administered with the NSDS during breastfeeding. The use of the NSDS to deliver zinc could then lead to treatment and prevention of some of the leading causes of child mortality, including diarrheal disease and pneumonia.
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spelling doaj-art-52e1f424f69342e98e90d30edc9572d02025-08-20T02:31:58ZengPublic Library of Science (PLoS)PLoS ONE1932-62032017-01-01122e017162410.1371/journal.pone.0171624Characterisation of zinc delivery from a nipple shield delivery system using a breastfeeding simulation apparatus.Rebekah L ScheuerleSylvaine F A BruggraberStephen E GerrardRichard A KendallCatherine TuleuNigel K H SlaterZinc delivery from a nipple shield delivery system (NSDS), a novel platform for administering medicines to infants during breastfeeding, was characterised using a breastfeeding simulation apparatus. In this study, human milk at flow rates and pressures physiologically representative of breastfeeding passed through the NSDS loaded with zinc-containing rapidly disintegrating tablets, resulting in release of zinc into the milk. Inductively coupled plasma optical emission spectrometry was used to detect the zinc released, using a method that does not require prior digestion of the samples and that could be applied in other zinc analysis studies in breast milk. Four different types of zinc-containing tablets with equal zinc load but varying excipient compositions were tested in the NSDS in vitro. Zinc release measured over 20 minutes ranged from 32-51% of the loaded dose. Total zinc release for sets tablets of the same composition but differing hardness were not significantly different from one another with P = 0.3598 and P = 0.1270 for two tested pairs using unpaired t tests with Welch's correction. By the same test total zinc release from two sets of tablets having similar hardness but differing composition were also not significantly significant with P = 0.2634. Future zinc tablet composition and formulation optimisation could lead to zinc supplements and therapeutics with faster drug release, which could be administered with the NSDS during breastfeeding. The use of the NSDS to deliver zinc could then lead to treatment and prevention of some of the leading causes of child mortality, including diarrheal disease and pneumonia.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0171624&type=printable
spellingShingle Rebekah L Scheuerle
Sylvaine F A Bruggraber
Stephen E Gerrard
Richard A Kendall
Catherine Tuleu
Nigel K H Slater
Characterisation of zinc delivery from a nipple shield delivery system using a breastfeeding simulation apparatus.
PLoS ONE
title Characterisation of zinc delivery from a nipple shield delivery system using a breastfeeding simulation apparatus.
title_full Characterisation of zinc delivery from a nipple shield delivery system using a breastfeeding simulation apparatus.
title_fullStr Characterisation of zinc delivery from a nipple shield delivery system using a breastfeeding simulation apparatus.
title_full_unstemmed Characterisation of zinc delivery from a nipple shield delivery system using a breastfeeding simulation apparatus.
title_short Characterisation of zinc delivery from a nipple shield delivery system using a breastfeeding simulation apparatus.
title_sort characterisation of zinc delivery from a nipple shield delivery system using a breastfeeding simulation apparatus
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0171624&type=printable
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