Gelatin/Ascorbic Acid Scaffolds for Controlled Release of Allantoin: A Fully Natural Approach for Skin Tissue Regeneration Through Pro-Regenerative, Antimicrobial, and Keratinocyte-Supportive Properties
Abstract
1. Introduction
2. Materials and Methods
2.1. Materials
2.2. Scaffolds Preparation
2.3. Hydrogel Scaffold Characterization
2.3.1. Fourier-Transform Infrared Spectroscopy (FTIR)
2.3.2. Scanning Electron Microscopy (SEM)
2.3.3. Porosity Measurements
2.3.4. Mechanical Testing
2.4. In Vitro Swelling Study
2.5. Adhesiveness Test
2.6. Biocompatibility Probes
2.6.1. In Vitro Cytotoxicity Assessment
2.6.2. Antimicrobial Activity
2.6.3. In Vitro Simultaneous Controlled Release Study
2.7. Statistical Analysis
3. Results and Discussion
3.1. Preparation of the Scaffolds
3.2. Structural Characteristics of the Scaffolds—FTIR Analysis
3.3. Morphology of the Scaffolds—SEM Analysis
3.4. Porosity of the Scaffolds
3.5. Mechanical Properties of the Scaffolds
3.6. Swelling Properties of the Scaffolds
3.7. Skin Tissue Adhesion Properties of the Scaffolds
3.8. Biocompatibility Assays of the Scaffolds
3.9. Antibacterial Properties of the Scaffolds
3.10. In Vitro Allantoin Release Properties of the Scaffolds
4. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
- Boateng, J.S.; Matthews, K.H.; Stevens, H.N.E.; Eccleston, G.M. Wound healing dressings and drug delivery systems: A review. J. Pharm. Sci. 2008, 97, 2892–2923. [Google Scholar] [CrossRef]
- Lazarus, G.S.; Cooper, D.M.; Knighton, D.R.; Margolis, D.J.; Pecoraro, R.E.; Rodeheaver, G.; Robson, M.C. Definitions and guidelines for assessment of wounds and evaluation of healing. Arch. Dermatol 1994, 130, 489–493. [Google Scholar] [CrossRef]
- Da, L.C.; Huang, Y.Z.; Xie, H.Q. Progress in development of bioderived materials for dermal wound healing. Regen. Biomater. 2017, 4, 325–334. [Google Scholar] [CrossRef]
- Chaudhari, A.A.; Vig, K.; Baganizi, D.R.; Sahu, R.; Dixit, S.; Dennis, V.; Singh, S.R.; Pillai, S.R. Future prospects for scaffolding methods and biomaterials in skin tissue engineering: A review. Int. J. Mol. Sci. 2016, 17, 1974. [Google Scholar] [CrossRef] [PubMed]
- Agarwal, T.; Narayan, R.; Maji, S.; Behera, S.; Kulanthaivel, S.; Maiti, T.K.; Banerjee, I.; Pal, K.; Giri, S. Gelatin/carboxymethyl chitosan based scaffolds for dermal tissue engineering applications. Int. J. Biol. Macromol. 2016, 93, 1499–1506. [Google Scholar] [CrossRef] [PubMed]
- Agrawal, P.; Soni, S.; Mittal, G.; Bhatnagar, A. Role of polymeric biomaterials as wound healing agents. Int. J. Low. Extrem. Wounds 2014, 13, 180–190. [Google Scholar] [CrossRef]
- Huang, S.; Fu, X. Naturally derived materials-based cell and drug delivery systems in skin regeneration. J. Control. Release 2010, 142, 149–159. [Google Scholar] [CrossRef] [PubMed]
- Sukmana, I. Bioactive polymer scaffold for fabrication of vascularized engineering tissue. J. Artif. Organs 2012, 15, 215–224. [Google Scholar] [CrossRef]
- Demenj, M.; Žabčić, M.; Vukomanović, M.; Ilić-Tomić, T.; Milivojević, D.; Tomić, S.; Živanović, D.; Babić Radić, M.M. Design of the multi-bioactive graphene-oxide/gelatin/alginate scaffolds as dual ECM-mimetic and specific wound healing phase-target therapeutic concept for advanced wound healing. Pharmaceutics 2025, 17, 89. [Google Scholar] [CrossRef]
- Babić Radić, M.M.; Žabčić, M.; Vukomanović, M.; Ilić-Tomić, T.; Milivojević, D.; Tomić, S.; Živanović, D.; Radić, M.M.B. Development of nano ZnO-embedded gelatin/alginate bioscaffolds for potential skin tissue regeneration via oxidative stress modulation and ECM mimicry. Biopolymers 2025, 116, e70046. [Google Scholar] [CrossRef]
- Poursamar, S.A.; Hatami, J.; Lehner, A.N.; Da Silva, C.L.; Ferreira, F.C.; Antunes, A.P.M. Potential application of gelatin scaffolds prepared through in situ gas foaming in skin tissue engineering. Int. J. Polym. Mater. Polym. Biomater. 2016, 65, 315–322. [Google Scholar] [CrossRef]
- Yang, G.; Xiao, Z.; Long, H.; Ma, K.; Zhang, J.; Ren, X.; Zhang, J. Assessment of the characteristics and biocompatibility of gelatin sponge scaffolds prepared by various crosslinking methods. Sci. Rep. 2018, 8, 1616. [Google Scholar] [CrossRef] [PubMed]
- Shankar, K.G.; Gostynska, N.; Montesi, M.; Panseri, S.; Sprio, S.; Kon, E.; Marcacci, M.; Tampieri, A.; Sandri, M. Investigation of different cross-linking approaches on 3D gelatin scaffolds for tissue engineering application: A comparative analysis. Int. J. Biol. Macromol. 2017, 95, 1199–1209. [Google Scholar] [CrossRef] [PubMed]
- Kumar, P.T.S.; Praveen, G.; Raj, M.; Chennazhi, K.P.; Jayakumar, R. Flexible, micro-porous chitosan-gelatin hydrogel/nanofibrin composite bandages for treating burn wounds. RSC Adv. 2014, 4, 65081–65087. [Google Scholar] [CrossRef]
- Ghalei, S.; Nourmohammadi, J.; Solouk, A.; Mirzadeh, H. Enhanced cellular response elicited by addition of amniotic fluid to alginate hydrogel–electrospun silk fibroin fibers for potential wound dressing application. Colloids Surf. B 2018, 172, 82–89. [Google Scholar] [CrossRef]
- Babić Radić, M.M.; Vukomanović, M.; Nikodinović-Runić, J.; Tomić, S. Gelatin-/Alginate-Based Hydrogel Scaffolds Reinforced with TiO2 Nanoparticles for Simultaneous Release of Allantoin, Caffeic Acid, and Quercetin as Multi-Target Wound Therapy Platform. Pharmaceutics 2024, 16, 372. [Google Scholar] [CrossRef]
- Babić Radić, M.M.; Filipović, V.V.; Vukomanović, M.; Nikodinović-Runić, J.; Tomić, S.L. Degradable 2-Hydroxyethyl Methacrylate/Gelatin/Alginate Hydrogels Infused by Nanocolloidal Graphene Oxide as Promising Drug Delivery and Scaffolding Biomaterials. Gels 2021, 8, 22. [Google Scholar] [CrossRef] [PubMed] [PubMed Central]
- Takigawa, T.; Endo, Y. Effects of glutaraldehyde exposure on human health. J. Occup. Health 2006, 48, 75–87. [Google Scholar] [CrossRef]
- Li, J.; Ren, N.; Qiu, J.; Jiang, H.; Zhao, H.; Wang, G.; Boughton, R.I.; Wang, Y.; Liu, H. Carbodiimide crosslinked collagen from porcine dermal matrix for high-strength tissue engineering scaffold. Int. J. Biol. Macromol. 2013, 61, 69–74. [Google Scholar] [CrossRef]
- Zeiger, E.; Gollapudi, B.; Spencer, P. Genetic toxicity and carcinogenicity studies of glutaraldehyde—A review. Mutat. Res. 2005, 589, 136–151. [Google Scholar] [CrossRef]
- Pischetsrieder, M. Reaction of L-ascorbic acid with L-arginine derivatives. J. Agric. Food Chem. 1996, 44, 2081–2085. [Google Scholar] [CrossRef]
- Linda, M. Nutritional Biochemistry and Metabolism with Clinical Applications, 2nd ed.; Appleton & Lange: East Norwalk, CT, USA, 1991. [Google Scholar]
- Delafuente, J.C.; Prendergast, J.M.; Modigh, A. Immunologic modulation by vitamin C. Int. J. Immunopharmacol. 1986, 8, 205–221. [Google Scholar] [CrossRef] [PubMed]
- Larisch, B.; Gross, U.; Pischetsrieder, M. On the reaction of L-ascorbic acid with propylamine under various conditions: Quantification of the main products by HPLC/DAD. Z. Lebensm. Unters. Forsch. A-Food Res. Technol. 1998, 206, 333–337. [Google Scholar] [CrossRef]
- Tiller, J.; Berlin, P.; Klemm, D. A novel efficient enzyme-immobilization reaction on NH2 polymers by means of L-ascorbic acid. Biotechnol. Appl. Biochem. 1999, 30, 155–162. [Google Scholar] [CrossRef] [PubMed]
- Falconi, M.; Salvatore, V.; Teti, G.; Focaroli, S.; Durante, S.; Nicolini, B.; Mazzotti, A.; Orienti, I. Gelatin crosslinked with dehydroascorbic acid as a novel scaffold for tissue regeneration with simultaneous antitumor activity. Biomed. Mater. 2013, 8, 035011. [Google Scholar] [CrossRef] [PubMed]
- Wilson, J.X. The physiological role of dehydroascorbic acid. FEBS Lett. 2002, 527, 5–9. [Google Scholar] [CrossRef]
- Cárcamo, J.M.; Pedraza, A.; Bórquez-Ojeda, O.; Zhang, B.; Sanchez, R.; Golde, D.W. Vitamin C is a kinase inhibitor: Dehydroascorbic acid inhibits IκB-alpha kinase beta. Mol. Cell. Biol. 2004, 24, 6645–6652. [Google Scholar] [CrossRef]
- Vera, J.C.; Rivas, C.I.; Fischbarg, J.; Golde, D.W. Mammalian facilitative hexose transporters mediate the transport of dehydroascorbic acid. Nature 1993, 364, 79–82. [Google Scholar] [CrossRef]
- Robinson, W. Stimulation of healing wounds: By allantoin occurring in maggot secretions and of wide biological distribution. J. Bone Jt. Surg. 1935, 17, 267–279. [Google Scholar]
- Araújo, L.U.; Grabe-Guimarães, A.; Mosqueira, V.C.F.; Carneiro, C.M.; Silva-Barcellos, N.M. Profile of wound healing process induced by allantoin. Acta Cir. Bras. 2010, 25, 460–466. [Google Scholar] [CrossRef]
- Yaşayan, G.; Karaca, G.; Akgüner, Z.P.; Bal Öztürk, A. Chitosan/collagen composite films as wound dressings encapsulating allantoin and lidocaine hydrochloride. Int. J. Polym. Mater. Polym. Biomater. 2020, 70, 623–635. [Google Scholar] [CrossRef]
- Sakthiguru, N.; Sithique, M.A. Fabrication of bioinspired chitosan/gelatin/allantoin biocomposite film for wound dressing application. Int. J. Biol. Macromol. 2020, 152, 873–883. [Google Scholar] [CrossRef]
- Babić, M.M.; Vukomanović, M.; Stefanič, M.; Nikodinović-Runić, J.; Tomić, S.L. Controlled curcumin release from hydrogel scaffold platform based on 2-hydroxyethyl methacrylate/gelatin/alginate/iron(III) oxide. Macromol. Chem. Phys. 2020, 221, 2000186. [Google Scholar] [CrossRef]
- Bell, C.L.; Peppas, N.A. Measurement of swelling force in ionic polymer networks. III. Swelling force of interpolymer complexes. J. Control. Release 1995, 37, 77–280. [Google Scholar] [CrossRef]
- Peppas, N.A. Analysis of Fickian and non-Fickian drug release from polymers. Pharm. Acta Helv. 1985, 60, 110–111. [Google Scholar] [PubMed]
- Babić, M.M.; Antić, K.M.; Vuković, J.S.; Božić, B.Đ.; Davidović, S.Z.; Filipović, J.M.; Tomić, S.L. Oxaprozin/poly(2-hydroxyethyl acrylate/itaconic acid) hydrogels: Morphological, thermal, swelling, drug release and antibacterial properties. J. Mater. Sci. 2015, 50, 906–922. [Google Scholar] [CrossRef]
- Fei, F.; Sanjoy, S.; Donny, H.P. Biomimetic hydrogels to promote wound healing. Front. Bioeng. Biotechnol. 2021, 9, 718377. [Google Scholar] [CrossRef]
- Koosha, M.; Aalipour, H.; Sarraf Shirazi, M.J.; Jebali, A.; Chi, H.; Hamedi, S.; Wang, N.; Li, T.; Moravvej, H. Physically crosslinked chitosan/PVA hydrogels containing honey and allantoin with long-term biocompatibility for skin wound repair: An in vitro and in vivo study. J. Funct. Biomater. 2021, 12, 61. [Google Scholar] [CrossRef]
- Pischetsrieder, M.; Larisch, B.; Severin, T. The Maillard Reaction of Ascorbic Acid with Amino Acids and Proteins—Identification of Products. In The Maillard Reaction in Foods and Medicine; O’Brien, J., Nursten, H.E., Crabbe, M.J.C., Ames, J.M., Eds.; Woodhead Publishing: Cambridge, UK, 2005; pp. 107–112. [Google Scholar] [CrossRef]
- Cheah, Y.J.; Yunus, M.H.M.; Fauzi, M.B.; Tabata, Y.; Hiraoka, Y.; Phang, S.J.; Chia, M.R.; Buyong, M.R.; Yazid, M.D. Gelatin–chitosan–cellulose nanocrystals as an acellular scaffold for wound healing application: Fabrication, characterisation and cytocompatibility towards primary human skin cells. Cellulose 2023, 30, 5071–5092. [Google Scholar] [CrossRef]
- Tian, X.; Tian, D.; Wang, Z.-Y.; Mo, F. Synthesis and evaluation of chitosan-vitamin C complex. Indian J. Pharm. Sci. 2009, 71, 371–376. [Google Scholar] [PubMed]
- Zhong, S.; Li, B.; Ji, Y.; Zeng, C. Multifunctional coordination polymer nanoparticles based on allantoin: Single peak upconversion emission, drug delivery and cytotoxicity study. J. Inorg. Organomet. Polym. 2016, 26, 527–535. [Google Scholar] [CrossRef]
- Menezes, J.E.S.A.; dos Santos, H.S.; Ferreira, M.K.A.; Magalhães, F.E.A.; da Silva, D.S.; Bandeira, P.N.; Saraiva, G.D.; Pessoa, O.D.L.; Ricardo, N.M.P.S.; Cruz, B.G.; et al. Preparation, structural and spectroscopic characterization of chitosan membranes containing allantoin. J. Mol. Struct. 2020, 1199, 127–136. [Google Scholar] [CrossRef]
- Annabi, N.; Nichol, J.W.; Zhong, X.; Ji, C.; Koshy, S.; Khademhosseini, A.; Dehghani, F. Controlling the porosity and microarchitecture of hydrogels for tissue engineering. Tissue Eng. B Rev. 2010, 16, 371–383. [Google Scholar] [CrossRef]
- Shi, C.; Yuan, Z.; Han, F.; Zhu, C.; Li, B. Polymeric biomaterials for bone regeneration. Ann. Jt. 2016, 1, 9. [Google Scholar] [CrossRef]
- Raucci, M.G.; D’Amora, U.; Ronca, A.; Demitri, C.; Ambrosio, L. Bioactivation routes of gelatin-based scaffolds to enhance at nanoscale level bone tissue regeneration. Front. Bioeng. Biotechnol. 2019, 7, 123. [Google Scholar] [CrossRef]
- Carvalho, I.C. Engineered 3D scaffolds of photocrosslinked chitosan-gelatin hydrogel hybrids for chronic wound dressings and regeneration. Mater. Sci. Eng. C 2017, 78, 690–705. [Google Scholar] [CrossRef] [PubMed]
- Vadav, P.; Beniwal, G.; Saxena, K.K. A review on pore and porosity in tissue engineering. Mater. Today Proc. 2021, 44, 2623–2628. [Google Scholar] [CrossRef]
- Staruch, R.M.; Glass, G.E.; Rickard, R.; Hettiaratchy, S.P.; Butler, P.E.M. Injectable pore-forming hydrogel scaffolds for complex wound tissue engineering: Designing and controlling their porosity and mechanical properties. Tissue Eng. Part B Rev. 2017, 23, 183–198. [Google Scholar] [CrossRef] [PubMed]
- Zang, J.C.; Wu, L.B.; Jing, D.Y.; Ding, J.D. A comparative study of porous scaffolds with cubic and spherical macropores. Polymer 2005, 46, 4979–4985. [Google Scholar] [CrossRef]
- Azizian, S.; Hadjizadeh, A.; Niknejad, H. Chitosan-gelatin porous scaffold incorporated with chitosan nanoparticles for growth factor delivery in tissue engineering. Carbohydr. Polym. 2018, 202, 315–322. [Google Scholar] [CrossRef]
- Cai, N.; Li, C.; Han, C.; Luo, X.; Shen, L.; Xue, Y.; Yu, F. Tailoring mechanical and antibacterial properties of chitosan/gelatin nanofiber membranes with Fe3O4 nanoparticles for potential wound dressing application. Appl. Surf. Sci. 2016, 369, 492–500. [Google Scholar] [CrossRef]
- Tseng, H.J.; Tsou, T.L.; Wang, H.J.; Hsu, S.H. Characterization of chitosan-gelatin scaffolds for dermal tissue engineering. J. Tissue Eng. Regen. Med. 2013, 7, 20–30. [Google Scholar] [CrossRef]
- Carton, F.; Rizzi, M.; Canciani, E.; Sieve, G.; Di Francesco, D.; Casarella, S.; Di Nunno, L.; Boccafoschi, F. Use of hydrogels in regenerative medicine: Focus on mechanical properties. Int. J. Mol. Sci. 2024, 25, 11426. [Google Scholar] [CrossRef]
- Hou, Y.; Jiang, N.; Sun, D.; Wang, Y.; Chen, X.; Zhu, S.; Zhang, L. A fast UV-curable PU-PAAm hydrogel with mechanical flexibility and self-adhesion for wound healing. RSC Adv. 2020, 10, 4907–4915. [Google Scholar] [CrossRef]
- Nishiguchi, A.; Kurihara, Y.; Taguchi, T. Underwater-adhesive microparticle dressing composed of hydrophobically-modified Alaska pollock gelatin for gastrointestinal tract wound healing. Acta Biomater. 2019, 99, 387–396. [Google Scholar] [CrossRef]
- Simson, J.A.; Strehin, I.A.; Allen, B.W.; Elisseeff, J.H. Bonding and fusion of meniscus fibrocartilage using a novel chondroitin sulfate bone marrow tissue adhesive. Tissue Eng. Part A 2013, 19, 1843–1851. [Google Scholar] [CrossRef] [PubMed]
- Korde, M.J.; Kandasubramanian, B. Biocompatible alkyl cyanoacrylates and their derivatives as bio-adhesives. Biomater. Sci. 2018, 6, 1691–1711. [Google Scholar] [CrossRef]
- Qu, J.; Zhao, X.; Liang, Y.; Zhang, T.; Ma, P.X.; Guo, B. Antibacterial adhesive injectable hydrogels with rapid self-healing, extensibility and compressibility as wound dressing for joint skin wound healing. Biomaterials 2018, 183, 185–199. [Google Scholar] [CrossRef]
- Chen, S.; Gil, C.J.; Ning, L.; Jin, L.; Perez, L.; Kabboul, G.; Tomov, M.L.; Serpooshan, V. Adhesive tissue engineered scaffolds: Mechanisms and applications. Front. Bioeng. Biotechnol. 2021, 9, 683079. [Google Scholar] [CrossRef] [PubMed]
- Yang, C.; Xu, L.; Zhou, Y.; Zhang, X.; Huang, X.; Wang, M.; Han, Y.; Zhai, M.; Wei, S.; Li, J. A green fabrication approach of gelatin/CM-chitosan hybrid hydrogel for wound healing. Carbohydr. Polym. 2010, 82, 1297–1305. [Google Scholar] [CrossRef]
- Al-Dhubaibi, M.S.; Mohammed, G.F.; Bahaj, S.S.; AbdElneam, A.I.; Al-Dhubaibi, A.M.; Atef, L.M. The role of keratinocytes in skin health and disease. Dermatol. Rev. 2025, 6, e70028. [Google Scholar] [CrossRef]
- Li, W.; Zhou, J.; Xu, Y. Study of the in vitro cytotoxicity testing of medical devices. Biomed. Rep. 2015, 3, 617–620. [Google Scholar] [CrossRef]
- ISO 10993-5:2009; Biological evaluation of medical devices—Part 5: Tests for in vitro cytotoxicity. International Organization for Standardization: Geneva, Switzerland, 2009.
- Alam, R.; Rasheed, R.; Ashraf, M.A.; Hussain, I.; Ali, S. Allantoin alleviates chromium phytotoxic effects on wheat by regulating osmolyte accumulation, secondary metabolism, ROS homeostasis and nutrient acquisition. J. Hazard. Mater. 2023, 458, 131920. [Google Scholar] [CrossRef] [PubMed]
- Tzeng, C.Y.; Lee, W.S.; Liu, K.F.; Tsou, H.K.; Chen, C.J.; Peng, W.H.; Tsai, J.C. Allantoin ameliorates amyloid β-peptide-induced memory impairment by regulating the PI3K/Akt/GSK-3β signaling pathway in rats. Biomed. Pharmacother. 2022, 153, 113389. [Google Scholar] [CrossRef] [PubMed]





| Scaffold | Gelatin (g) | L-Ascorbic Acid (g) | Allantoin (g) |
|---|---|---|---|
| SG/0.25ASA | 2 | 0.5 | 0 |
| SG/0.20ASA | 2 | 0.4 | 0 |
| SG/0.10ASA | 2 | 0.2 | 0 |
| SG/0.25ASA/All | 2 | 0.5 | 1 |
| SG/0.20ASA/All | 2 | 0.4 | 1 |
| SG/0.10ASA/All | 2 | 0.2 | 1 |
Disclaimer/Publisher’s Note: The statements, opinions and data contained in all publications are solely those of the individual author(s) and contributor(s) and not of MDPI and/or the editor(s). MDPI and/or the editor(s) disclaim responsibility for any injury to people or property resulting from any ideas, methods, instructions or products referred to in the content. |
© 2026 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license.
Share and Cite
Babić Radić, M.M.; Vukomanović, M.; Žabčić, M.; Gazvoda, L.; Živanović, D.; Tomić, S. Gelatin/Ascorbic Acid Scaffolds for Controlled Release of Allantoin: A Fully Natural Approach for Skin Tissue Regeneration Through Pro-Regenerative, Antimicrobial, and Keratinocyte-Supportive Properties. Pharmaceutics 2026, 18, 391. https://doi.org/10.3390/pharmaceutics18030391
Babić Radić MM, Vukomanović M, Žabčić M, Gazvoda L, Živanović D, Tomić S. Gelatin/Ascorbic Acid Scaffolds for Controlled Release of Allantoin: A Fully Natural Approach for Skin Tissue Regeneration Through Pro-Regenerative, Antimicrobial, and Keratinocyte-Supportive Properties. Pharmaceutics. 2026; 18(3):391. https://doi.org/10.3390/pharmaceutics18030391
Chicago/Turabian StyleBabić Radić, Marija M., Marija Vukomanović, Martina Žabčić, Lea Gazvoda, Dubravka Živanović, and Simonida Tomić. 2026. "Gelatin/Ascorbic Acid Scaffolds for Controlled Release of Allantoin: A Fully Natural Approach for Skin Tissue Regeneration Through Pro-Regenerative, Antimicrobial, and Keratinocyte-Supportive Properties" Pharmaceutics 18, no. 3: 391. https://doi.org/10.3390/pharmaceutics18030391
APA StyleBabić Radić, M. M., Vukomanović, M., Žabčić, M., Gazvoda, L., Živanović, D., & Tomić, S. (2026). Gelatin/Ascorbic Acid Scaffolds for Controlled Release of Allantoin: A Fully Natural Approach for Skin Tissue Regeneration Through Pro-Regenerative, Antimicrobial, and Keratinocyte-Supportive Properties. Pharmaceutics, 18(3), 391. https://doi.org/10.3390/pharmaceutics18030391

