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胰岛素非侵入性给药途径:现状与展望。

Non-invasive routes for insulin administration: current state and perspectives.

作者信息

González Claudio, Kanevsky Diego, De Marco Rubén, Di Girolamo Guillermo, Santoro Silvina

机构信息

Department of Pharmacology, Instituto Universitario, CEMIC, Galvan 4102, Ciudad Autónoma de Buenos Aires, Argentina.

出版信息

Expert Opin Drug Deliv. 2006 Nov;3(6):763-70. doi: 10.1517/17425247.3.6.763.

DOI:10.1517/17425247.3.6.763
PMID:17076598
Abstract

Diabetes mellitus is a chronic disease that usually requires multiple insulin injections to achieve adequate glycaemic control. This represents a major cause of reduced compliance to treatment. Consequently, other routes for insulin administration have been explored. During recent years, much progress in the development of inhaled insulin has been made. Inhaled insulin has shown favourable properties, such as a rapid onset of action, improved bioavailability and good tolerability; thereby providing satisfaction and ease of administration. However, long-term safety of inhaled insulin needs to be assessed, and the cost would be higher than injectable insulin. Nasal, oral and transdermal insulins are undergoing early phases of pharmacological development. The purpose of this review is to describe the latest developments in the area of non-invasive routes for insulin delivery.

摘要

糖尿病是一种慢性病,通常需要多次注射胰岛素才能实现充分的血糖控制。这是导致治疗依从性降低的一个主要原因。因此,人们探索了胰岛素给药的其他途径。近年来,吸入式胰岛素的研发取得了很大进展。吸入式胰岛素已显示出有利的特性,如起效迅速、生物利用度提高和耐受性良好;从而提供了给药的便利性和满意度。然而,吸入式胰岛素的长期安全性需要评估,而且其成本会高于注射用胰岛素。鼻腔、口服和透皮胰岛素正处于药理学开发的早期阶段。本综述的目的是描述胰岛素非侵入性给药途径领域的最新进展。

相似文献

1
Non-invasive routes for insulin administration: current state and perspectives.胰岛素非侵入性给药途径:现状与展望。
Expert Opin Drug Deliv. 2006 Nov;3(6):763-70. doi: 10.1517/17425247.3.6.763.
2
New ways of insulin delivery.胰岛素递送的新方法。
Int J Clin Pract Suppl. 2011 Feb(170):31-46. doi: 10.1111/j.1742-1241.2010.02577.x.
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Alternatives routes of insulin delivery.
Diabetes Metab. 2006 Dec;32(5 Pt 2):513-22. doi: 10.1016/s1262-3636(06)72804-x.
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Alternative routes of insulin delivery.胰岛素递送的替代途径。
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2009 Oct;34(10):933-48.
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New ways of insulin delivery.胰岛素递送的新方法。
Int J Clin Pract Suppl. 2010 Feb(166):29-40. doi: 10.1111/j.1742-1241.2009.02276.x.
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Novel drug delivery systems for insulin: clinical potential for use in the elderly.胰岛素的新型给药系统:在老年人中的临床应用潜力。
Drugs Aging. 2003;20(4):303-12. doi: 10.2165/00002512-200320040-00006.
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Inhaled insulin in diabetes mellitus.糖尿病中的吸入型胰岛素。
Cochrane Database Syst Rev. 2003(3):CD003890. doi: 10.1002/14651858.CD003890.
8
New developments in insulin delivery.胰岛素给药的新进展。
Drug Dev Ind Pharm. 2003 Mar;29(3):253-65. doi: 10.1081/ddc-120018199.
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Current Therapeutic Strategy in the Nasal Delivery of Insulin: Recent Advances and Future Directions.胰岛素鼻腔给药的当前治疗策略:最新进展与未来方向。
Curr Pharm Biotechnol. 2018;19(5):400-415. doi: 10.2174/1389201019666180619145429.
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Pharmacokinetic considerations of new insulin formulations and routes of administration.新型胰岛素制剂及给药途径的药代动力学考量
Clin Pharmacokinet. 1997 Oct;33(4):285-301. doi: 10.2165/00003088-199733040-00004.

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Front Neural Circuits. 2021 Dec 23;15:803769. doi: 10.3389/fncir.2021.803769. eCollection 2021.
2
Insulin chewing gum: Need of the day for diabetic patients.胰岛素口香糖:糖尿病患者当下的需求。
Int J Pharm Investig. 2011 Jul;1(3):131-4. doi: 10.4103/2230-973X.85961.
3
Awake intranasal insulin delivery modifies protein complexes and alters memory, anxiety, and olfactory behaviors.清醒状态下经鼻给予胰岛素可改变蛋白质复合物,并影响记忆、焦虑和嗅觉行为。
J Neurosci. 2009 May 20;29(20):6734-51. doi: 10.1523/JNEUROSCI.1350-09.2009.
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Epithelial barrier modulation by a channel forming peptide.一种形成通道的肽对上皮屏障的调节作用。
J Membr Biol. 2008 Mar;222(1):17-30. doi: 10.1007/s00232-008-9099-3.