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              Printable Handouts
Navigable Slide Index
- Introduction
 - Outline
 - Lymphatic transport: drug properties
 - Characteristics of lymphatic drug transport
 - Lymphatic transport
 - Drug absorption in the lymph
 - Mesenteric lymph duct
 - Thoracic lymph duct
 - Animal setup
 - Case examples
 - Amphotericin B (AmB)
 - Oral AmB in mouse VL model
 - Oral AmB ED50 in mouse VL model <2.5 mg/kg
 - Antifungal activity
 - Lymphatic transport of amphotericin B
 - Pharmacokinetics: Ontazolast
 - Effect of formulation
 - Lymphatic transport of TG
 - PRS-211,220 and Dexanabinol (1)
 - PRS-211,220 and Dexanabinol (2)
 - Effect of a high-fat meal on drug absorption (1)
 - Effect of a high-fat meal on drug absorption (2)
 - Intestinal lymphatic transport of drugs vs. degree of association with chylomicrons
 - Characteristics of lymphatic drug transport
 - Summary
 - Thank you
 
Topics Covered
- The lymphatic system
 - Lymphatic drug transport
 - Amphotericin B lipid-based drug delivery
 - Triglycerides and lymphatic transport
 - Dexanabinol
 - Diazepam
 - Dichlorodiphenyltrichloroethane (DDT)
 - High-fat meals and drug absorption
 
Talk Citation
Wasan, K.M. (2023, May 31). Role of the lymphatic system in drug absorption [Video file]. In The Biomedical & Life Sciences Collection, Henry Stewart Talks. Retrieved November 4, 2025, from https://doi.org/10.69645/AAVJ5507.Export Citation (RIS)
Publication History
- Published on May 31, 2023
 
Financial Disclosures
- Dr. Kishor M. Wasan has not informed HSTalks of any commercial/financial relationship that it is appropriate to disclose.
 
Other Talks in the Series: Drug Delivery
Transcript
Please wait while the transcript is being prepared...
      
      
        
                  0:00
                
                
                  
                    Hello, my name is Kishor Wasan.
                  
                    I'm currently a Distinguished
University Scholar
                  
                    and Adjunct Professor in
                  
                    the Department of
Biological Sciences in
                  
                    the Faculty of Medicine at the
                  
                    University of British Columbia,
                  
                    as well as the co-director
and co-founder
                  
                    of our Neglected Global
Diseases Initiative.
                  
                    I was a professor
at UBC and then was
                  
                    a Dean of a pharmacy
school on the prairies,
                  
                    retired from there
and have now come
                  
                    back to my former university.
                  
                    Today I'd like to
talk to you about
                  
                    a very neat and niche area of
                  
                    how we can enhance
                  
                    the oral absorption of drugs
and its bioavailability.
                  
                
              
                  0:34
                
                
                  
                    The outline for my presentation
today is the following,
                  
                    what is lymphatic transport?
                  
                    What are the drug properties
                  
                    required for
lymphatic transport?
                  
                    What did become the
characteristics
                  
                    of lymphatic transport?
                  
                    Then I wanted to give you
some key actual examples
                  
                    where drugs that are
                  
                    your package into
lipid packages that
                  
                    can enhance lymphatic
transport are done
                  
                    or drugs themselves or nutrients
                  
                    that had the
characteristics that make
                  
                    them ideal for
lymphatic transport.
                  
                
              
                  1:04
                
                
                  
                    Over the years, a number of
                  
                    different research groups
have worked together in
                  
                    developing key principles and
                  
                    properties that would
make a drug candidate,
                  
                    a good candidate for
lymphatic transport.
                  
                    Kind of like how we have
the Lipinski rule of five,
                  
                    we've come down with
four fundamental
                  
                    critical properties
that seemed to be
                  
                    required in order for
a drug to be able to
                  
                    absorb using the mechanisms
of lymphatic transport.
                  
                    The first one is the cLog
P being greater than five,
                  
                    that is the optimal
water coefficient.
                  
                    The idea here is that a drug
that's very lipophilic,
                  
                    water-loving in its properties
with greater of 5:1
                  
                    ratio is something that
                  
                    would be viable for
lymphatic transport.
                  
                    The second is
triglyceride solubility.
                  
                    That a drug has a
high solubility and
                  
                    triglycerides usually greater
than 50 milligrams per mil,
                  
                    and it's usually a function of
                  
                    medium-chain triglycerides
and long-chain triglycerides.
                  
                    A third factor is the ability of
                  
                    the drug to partition
into chylomicrons.
                  
                    Chylomicrons are
triglyceride-rich lipoproteins,
                  
                    and usually anywhere between
40% distribution into
                  
                    chylomicrons makes this an
                  
                    ideal candidate for
lymphatic transport.
                  
                    Finally, most drugs
usually have to be
                  
                    small molecules and have
                  
                    a molecular weight
less than 500.