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The evidence behind every mucus model.

Peer-reviewed studies and application notes for 3D models of human mucus: gut, airway, stomach and cervicovaginal tract.

13
publications
2019–26
years of research
4
anatomical sites
ESKAPE pathogens growing as biofilms in Universal-Bac³Gel, confocal microscopy, recoloured. Peluso et al., MicrobiologyOpen 2026, CC BY.
Publications

Studies using Bac³Gel models.

Showing 13 of 13
2026
Drug permeation dataset across diverse chemical space using PermeaPad and high-throughput plate reader assays
Garbero O.V., Butnarasu C.S., Serra S., et al.
Journal of Pharmaceutical Innovation, 22:226
Gut³Gel · small intestinePeer-reviewed
Graphical summarySchematic, not to scale

The question

Can a single plate-reader measurement replace calibration-heavy methods for early permeability screening, and does it still hold when intestinal mucus is added?

Main finding

Intestinal mucus changes the answer: some drugs that cross a lipid barrier become poorly permeable once mucus is added.

The calibration-free workflow agreed with conventional UV and LC–MS/MS quantification for rapid screening.

Mucus interferes with direct optical reads, so the mucus-coupled workflow suits compounds with suitable spectral properties.

How the model was used

Model
SI-Gut³Gel, the small-intestinal mucus model, layered over the PermeaPad® 96-well barrier.
Challenge
A chemically diverse panel of small-molecule drugs, with and without mucus.
Readout
Endpoint absorbance on a plate reader, compared with UV calibration and LC–MS/MS.
PermeabilityPermeaPad®High-throughputOral drugs
Read the paper
2026
Universal-Bac³Gel: a 3D biofilm-relevant matrix that supports in vitro growth and biofilm formation of ESKAPE pathogens
Peluso E., van Uden S., Visentin S., Petrini P., Visai L., Pacheco D.P.
MicrobiologyOpen, 15:e70371
Bac³GelCommentary
Graphical summarySchematic, not to scale

The question

Can a ready-to-use 3D matrix grow the ESKAPE pathogens as biofilms under standardised conditions?

Main finding

Every ESKAPE pathogen grew throughout the gel, each with its own biofilm architecture.

Bacteria grown in the gel were less susceptible to ciprofloxacin than planktonic cultures, consistent with biofilm-associated tolerance.

Biofilm biomass accumulated within the hydrogel, and species-specific traits were visible side by side in one plate.

How the model was used

Model
Universal-Bac³Gel in its ready-to-use 96-well format.
Challenge
E. faecium, S. aureus, K. pneumoniae, A. baumannii, P. aeruginosa and E. cloacae; then ciprofloxacin.
Readout
Spot plating, confocal laser scanning microscopy and crystal violet staining.
BiofilmAntimicrobial resistanceConfocal microscopy
Read the paper
2026
Lung³GelPeer-reviewed
Graphical summarySchematic, not to scale

The question

Can a single treatment combining phages with ciprofloxacin clear mature single- and mixed-species biofilms grown in cystic fibrosis airway mucus?

Main finding

In cystic fibrosis airway mucus, phages and phage cocktails mostly worked synergistically with ciprofloxacin against mature biofilms of three pathogens, alone and mixed.

Treatment reshaped the communities: S. aureus came to dominate under ciprofloxacin, and K. pneumoniae under phage cocktails, its phage being the least effective.

Younger biofilms responded more strongly to the phage–antibiotic combination than week-old biofilms.

How the model was used

Model
Lung³Gel, cystic fibrosis gradient version (named Air³Gel and CF-Mu³Gel in the paper): the mucus matrix for growing biofilms in plates and syringes, recovered with Bac³Gel Dissolution Medium.
Challenge
Mature single-, dual- and poly-species biofilms of P. aeruginosa, S. aureus and K. pneumoniae, each given one treatment: phage, phage cocktail, ciprofloxacin or a combination.
Readout
Viable counts per species, phage titres, metabolic activity, and biofilm structure by electron and live/dead confocal microscopy.
Phage therapyPolymicrobial biofilmsCystic fibrosisAntibiotic synergy
Read the paper
2025
Gut³Gel: a high throughput mucus model to support intestinal microbiome research
Suárez Vargas N., Antunes M., Sobral J., et al.
Gut Microbiology, 100003
Gut³GelPeer-reviewed
Graphical summarySchematic, not to scale

The question

Can a complex gut microbiota be cultured in a mucus model without an anaerobic chamber?

Main finding

Gut³Gel sustains diverse donor microbiota and enriches mucus-associated bacteria.

Bifidobacterium, Lactobacillus and Faecalibacterium became more prevalent.

More acetate, butyrate and exopolysaccharides confirmed that the community was metabolically active.

How the model was used

Model
Gut³Gel, the colonic mucus model, used under ordinary aerobic incubation.
Challenge
Intestinal microbiota from healthy donors, each inoculated individually.
Readout
Taxonomic profiling, short-chain fatty acids and exopolysaccharide production.
Gut microbiotaCultureSCFANo anaerobic chamber
Read the paper
2025
Gut³GelPreprint
Graphical summarySchematic, not to scale

The question

Does Gut³Gel reproduce what clinical studies report for inulin supplementation?

Main finding

The model captured inulin’s prebiotic effect and the differences between individuals.

Inulin raised Bifidobacterium and Lacticaseibacillus and increased metabolic activity.

Each donor’s baseline microbiota strongly shaped how it responded.

How the model was used

Model
Gut³Gel gradient colonic model.
Challenge
Microbiota from healthy individuals, with and without inulin.
Readout
Taxonomic profiling, diversity and microbial metabolic activity.
PrebioticsPersonalised nutritionGut microbiota
Read the paper
2024
Lung³GelPeer-reviewed
Graphical summarySchematic, not to scale

The question

How do bacterial quorum sensing molecules cross cystic fibrosis mucus and the cell membrane on their way to a cytoplasmic immune receptor?

Main finding

Cystic fibrosis mucus acts as a strong shield: combined with a membrane model, it markedly reduced the permeation of pyocyanin, the receptor-activating molecule.

Through the membrane model alone, the receptor-activating molecule permeated more readily than the molecules that do not activate it.

The mucus model reduced the diffusion of every quorum sensing molecule tested, consistent with interactions between negatively charged mucus and positively charged pyocyanin.

How the model was used

Model
Lung³Gel, in its published cystic fibrosis mucus formulation of mucin and alginate, used alone and coupled to a PAMPA membrane model.
Challenge
Quorum sensing molecules of three classes: quinolones, lactones and phenazines.
Readout
Permeability of each molecule through mucus, membrane and the combined system, by HPLC–MS.
Cystic fibrosisQuorum sensingPermeabilityPAMPA
Read the paper
2023
Permeability assessment of a high-throughput mucosal platform
Butnarasu C.S., Garbero O.V., Petrini P., Visai L., Visentin S.
Pharmaceutics, 15(2):380
Lung³GelPeer-reviewed
Graphical summarySchematic, not to scale

The question

Can a mucus barrier be built into a cell-free, high-throughput permeability assay?

Main finding

Solubility, size and shape govern how drugs permeate; charge governs how they interact with mucus.

Experimental and computational approaches were combined to identify the determinants of passive diffusion.

The mucosal platform is proposed for drug-permeability profiling that accounts for mucus.

How the model was used

Model
Lung³Gel, a pathological 3D airway mucus model, coupled to PermeaPad® 96-well plates.
Challenge
A panel of drugs with different physicochemical properties.
Readout
Permeability measurements combined with computational modelling.
PermeabilityCystic fibrosisIn silico
Read the paper
2023
Heterogeneity governs 3D-cultures of clinically relevant microbial communities
Pacheco D.P., Bertoglio F., Butnarasu C.S., et al.
Advanced Functional Materials
Lung³GelPeer-reviewed
Graphical summarySchematic, not to scale

The question

Does the heterogeneity of a mucus niche change how bacteria organise and respond to antibiotics?

Main finding

The model’s gradients change bacterial organisation and antibiotic tolerance in ways standard cultures cannot reproduce.

Oxygen falls steeply a few millimetres below the air–mucus interface, as in cystic fibrosis airway mucus.

Antimicrobial susceptibility in the gel mirrors the mismatch seen between lab cultures and patients.

How the model was used

Model
Lung³Gel, published under its legacy name CF-Mu³Gel: a cystic fibrosis mucus model with structural and oxygen gradients.
Challenge
S. aureus and P. aeruginosa in mono- and co-culture, then antimicrobials.
Readout
Rheology, oxygen profiling, bacterial organisation and antimicrobial tolerance.
Cystic fibrosisOxygen gradientsAntimicrobial tolerance
Read the paper
2022
Mucosomes: intrinsically mucoadhesive glycosylated mucin nanoparticles as multi-drug delivery platform
Butnarasu C.S., Petrini P., Bracotti F., et al.
Advanced Healthcare Materials, 11(15):e2200340
Lung³GelPeer-reviewed
Graphical summarySchematic, not to scale

The question

Can nanoparticles made from mucin itself keep its glycans, carry different drugs and stick to mucus?

Main finding

Mucin nanoparticles, mucosomes, were made and loaded in one step, kept mucin's surface glycans and stayed in a cystic fibrosis mucus model far longer than free dye.

Under a flow of simulated nasal fluid, much more fluid was needed to wash mucosomes off the mucus model than free dye, and mucosomes also crossed a mucus layer more slowly.

Mucosomes carried small drugs, a peptide nucleic acid and a protein, and did not alter blood-clotting tests under the conditions studied.

How the model was used

Model
Lung³Gel, supplied by Bac³Gel as a cystic fibrosis mucus model, was the mucus surface for the adhesion test; the same published formulation was used for the diffusion test.
Challenge
Dye-loaded mucosomes against free dye, washed with simulated nasal fluid or left to diffuse through a mucus layer.
Readout
Fluorescence: the fluid volume needed to wash off each formulation, and dye crossing the mucus layer over time.
MucoadhesionMucin nanoparticlesNasal deliveryCystic fibrosis
Read the paper
2022
Cystic fibrosis mucus model to design more efficient drug therapies
Butnarasu C.S., Caron G., Pacheco D.P., Petrini P., Visentin S.
Molecular Pharmaceutics, 19(2):520–531
Lung³GelPeer-reviewed
Graphical summarySchematic, not to scale

The question

How does a pathological cystic fibrosis mucus layer change the passive permeability of a chemically diverse panel of commercial drugs?

Main finding

Cystic fibrosis mucus acts as an interactive filter, not a mere physical barrier: it slowed many drugs, left others unaffected and let a few through faster.

Once mucus was added, molecular descriptors such as polar surface area no longer predicted permeability, so the effect of mucus cannot be read from drug structure alone.

Calcium in the mucus formed salts with some anionic anti-inflammatory drugs and raised their permeability, a trend also seen in patient sputum with added calcium.

How the model was used

Model
Lung³Gel, published as a pathological cystic fibrosis mucus model: a mucin–alginate hydrogel layered on the phospholipid membrane of a PAMPA plate.
Challenge
A broad panel of commercial drugs, including antibiotics and anti-inflammatories used in cystic fibrosis, with patient sputum as an ex vivo comparison.
Readout
Apparent permeability of each drug with and without mucus, by HPLC–MS or HPLC–UV.
Cystic fibrosisPermeabilityPAMPAAirway mucus
Read the paper
2021
Engineered modular microphysiological models of the human airway clearance phenomena
Pedersoli L., Zhang S., Briatico-Vangosa F., et al.
Biotechnology and Bioengineering, 118(10):3898–3913
Lung³GelPeer-reviewed
Graphical summarySchematic, not to scale

The question

Can airway mucus models placed on beating artificial cilia reproduce mucociliary clearance without cell culture?

Main finding

Healthy-airway mucus was carried along by the artificial cilia over a periciliary layer, while cystic fibrosis mucus pressed the cilia flat and stalled until a mucolytic-like treatment loosened it.

Without a periciliary-layer simulant, healthy-airway mucus stagnated on the cilia; with one, it moved at speeds reported for physiological mucus.

Breaking the calcium crosslinks of the cystic fibrosis mucus with EDTA let the cilia move it again, and the more crosslinked formulation moved more slowly.

How the model was used

Model
Lung³Gel, published under its legacy names L-Mu³Gel and CF-Mu³Gel: healthy and cystic fibrosis airway mucus models laid over magnetic artificial cilia.
Challenge
Mucus transport with and without a periciliary-layer simulant, at healthy and cystic fibrosis beating frequencies, before and after EDTA treatment.
Readout
Rheology and mesh size of each mucus model, cilia beating, and mucus transport speed from tracked particles.
Mucociliary clearanceCystic fibrosisArtificial ciliaMucolytics
Read the paper
2019
Disassembling the complexity of mucus barriers to develop a fast screening tool for early drug discovery
Pacheco D.P., Butnarasu C.S., Briatico-Vangosa F., et al.
Journal of Materials Chemistry B, 7:4940–4952
Lung³GelPeer-reviewed
Graphical summarySchematic, not to scale

The question

Can a simple mucin–alginate hydrogel that mimics cystic fibrosis airway mucus be added to a standard permeability screen to show how mucus slows drugs down?

Main finding

Layered onto a PAMPA membrane, the mucus model separated drugs by how strongly they bind mucin: a non-binding drug passed freely, while mucin-binding drugs were held back, which the bare membrane could not show.

The optimised hydrogel matched the viscoelasticity of cystic fibrosis sputum at breathing and ciliary-beating frequencies and stayed stable in screening media.

Alginate alone slowed the most mucin-avid drug a little; the strong hold-up appeared only when mucin was present, separating the interactive barrier from the steric one.

How the model was used

Model
Lung³Gel, in its first published form as an airway cystic fibrosis mucus model: a mucin–alginate hydrogel cast on a PAMPA membrane.
Challenge
Aspirin, cephalexin and epirubicin, three drugs that differ in mucin binding, size, charge and solubility, compared with the membrane alone.
Readout
Drug passage into the receiver well over time by UV–Vis, with rheology, mesh size and stability of the hydrogel.
Cystic fibrosisDrug–mucin interactionPermeabilityDrug discovery
Read the paper
2019
Mucin binding to therapeutic molecules: the case of antimicrobial agents used in cystic fibrosis
Butnarasu C.S., Barbero N., Pacheco D.P., Petrini P., Visentin S.
International Journal of Pharmaceutics, 564:136–144
Lung³GelPeer-reviewed
Graphical summarySchematic, not to scale

The question

How do the antimicrobials used in cystic fibrosis therapy interact with mucin?

Main finding

Cystic fibrosis antimicrobials bind mucin, which matters for their pharmacokinetics where mucin is overexpressed.

The binding mechanism, binding constants, number of binding sites and thermodynamics were characterised.

The results inform drug design for mucus-rich diseases.

How the model was used

Model
Lung³Gel, published under a legacy name: its mucin, the glycoprotein at the core of airway mucus.
Challenge
Antimicrobial agents used in cystic fibrosis therapy.
Readout
UV–Vis and fluorescence spectroscopy.
Mucin bindingCystic fibrosisSpectroscopy
Read the paper

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