Bernkop-Schnürch A, Walker G
Institute of Pharmaceutical Technology and Biopharmaceutics, Center of Pharmacy, University of Vienna, Austria.
Crit Rev Ther Drug Carrier Syst. 2001;18(5):459-501.
The oral administration of peptide drugs represents one of the greatest challenges in pharmaceutical technology. To gain a sufficient bioavailability of these therapeutic agents, various barriers including the mucus-layer barrier, the enzymatic barrier, and the membrane barrier have to be overcome. A promising strategy for achieving this goal is the use of multifunctional matrices. These matrices are based on polymers that display mucoadhesive properties, a permeation-enhancing effect, enzyme-inhibiting properties, and/or a high buffer capacity. Moreover, a sustained or delayed drug release can be provided by delivery systems that contain such polymers. Among them, polyacrylates, cellulose derivatives, and chitosan are promising excipients that can also be customized by chemical modification to improve certain properties. For example, the covalent attachment of thiol moieties on these polymers leads to improved mucoadhesive and permeation-enhancing properties, and the conjugation of enzyme inhibitors enables the matrices to provide protection for peptide drugs against enzymatic degradation. The efficacy of multifunctional matrices in oral peptide delivery has been verified by various in vivo studies that could pave the way for the development of commercially viable formulations.
肽类药物的口服给药是制药技术中最大的挑战之一。为了使这些治疗剂获得足够的生物利用度,必须克服包括黏液层屏障、酶屏障和膜屏障在内的各种障碍。实现这一目标的一个有前景的策略是使用多功能基质。这些基质基于具有黏膜黏附特性、渗透增强作用、酶抑制特性和/或高缓冲能力的聚合物。此外,包含此类聚合物的给药系统可以实现药物的持续或延迟释放。其中,聚丙烯酸酯、纤维素衍生物和壳聚糖是很有前景的辅料,也可以通过化学修饰进行定制以改善某些性能。例如,在这些聚合物上共价连接硫醇部分可改善黏膜黏附性和渗透增强性能,而酶抑制剂的共轭使基质能够为肽类药物提供抗酶降解保护。各种体内研究已证实多功能基质在口服肽递送中的有效性,这可为开发具有商业可行性的制剂铺平道路。