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Cyclodextrin inclusion complexes improving antibacterial drug profiles: an update systematic review

    Anamaria M Santos

    *Author for correspondence:

    E-mail Address: anamaria_ms@outlook.com.br

    Postgraduate Program in Health Sciences, Federal University of Sergipe, Aracaju, 49060-100, Sergipe, Brazil

    ,
    José ACN Júnior

    Postgraduate Program in Pharmaceutical Sciences, Federal University of Sergipe,São Cristóvão, 49060-100, Sergipe, Brazil

    ,
    Silvia VS Cézar

    Department of Pharmacy,Federal University of Sergipe, São Cristóvão, 49060-100, Sergipe, Brazil

    ,
    Adriano AS Araújo

    Postgraduate Program in Health Sciences, Federal University of Sergipe, Aracaju, 49060-100, Sergipe, Brazil

    Postgraduate Program in Pharmaceutical Sciences, Federal University of Sergipe,São Cristóvão, 49060-100, Sergipe, Brazil

    Department of Pharmacy,Federal University of Sergipe, São Cristóvão, 49060-100, Sergipe, Brazil

    ,
    Lucindo JQ Júnior

    Postgraduate Program in Health Sciences, Federal University of Sergipe, Aracaju, 49060-100, Sergipe, Brazil

    Postgraduate Program in Pharmaceutical Sciences, Federal University of Sergipe,São Cristóvão, 49060-100, Sergipe, Brazil

    ,
    Diana M Aragón

    Departamento de Farmacia, Facultad de Ciencias, Universidad Nacional de Colombia, Bogotá D.C., Colombia

    &
    Mairim R Serafini

    Postgraduate Program in Health Sciences, Federal University of Sergipe, Aracaju, 49060-100, Sergipe, Brazil

    Postgraduate Program in Pharmaceutical Sciences, Federal University of Sergipe,São Cristóvão, 49060-100, Sergipe, Brazil

    Department of Pharmacy,Federal University of Sergipe, São Cristóvão, 49060-100, Sergipe, Brazil

    Published Online:https://doi.org/10.2217/fmb-2023-0124

    Aim: The study aimed to review experimental models using cyclodextrins to improve antibacterial drugs' physicochemical characteristics and biological activities. Methods: The following terms and their combinations were used: cyclodextrins and antibacterial agents in title or abstract, and the total study search was conducted over a period up to October 2022. The review was carried out using PubMed, Scopus and Embase databases. A total of 1580 studies were identified, of which 27 articles were selected for discussion in this review. Results: The biological results revealed that the antibacterial effect of the inclusion complexes was extensively improved. Cyclodextrins can enhance the therapeutic effects of antibiotics already existing on the market, natural products and synthetic molecules. Conclusion: Overall, CDs as drug-delivery vehicles have been shown to improve antibiotics solubility, stability, and bioavailability, leading to enhanced antibacterial activity.

    Plain language summary

    The overuse of drugs can cause bacteria to become less susceptible to them. This is known as resistance. One idea on how to tackle this resistance is by using cyclodextrins (CDs). CDs can change how drugs work, making them better at fighting bacteria. As CDs are already used in making drugs, they are a good choice for the basis of creating new drugs.

    Tweetable abstract

    Cyclodextrins play a crucial role in enhancing the physical and chemical characteristics of drugs, leading to improved bioavailability, biodistribution and solubility.

    Graphical abstract

    Cyclodextrin inclusion complexes and their use as new antibacterial therapeutic alternatives.

    Papers of special note have been highlighted as: •• of considerable interest

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