Institute of Clinical Physiology, Campus Benjamin Franklin, Charité- Universitätsmedizin Berlin, Freie Universität and Humboldt Universität, Berlin, Germany.
Ann N Y Acad Sci. 2012 Jul;1258:86-92. doi: 10.1111/j.1749-6632.2012.06562.x.
A variety of chemical compounds are currently being discussed as novel drug delivery strategies. One promising strategy is to selectively open the paracellular pathway of epithelia for the passage of macromolecules. A prerequisite for this effect is a rapid and reversible action of these compounds, to allow a marked translocation of a drug, but also to avoid unwanted adverse effects, such as the translocation of noxious agents. Bioactive molecules that elevate paracellular permeability include Ca(2+) chelators, bacterial toxins, and other compounds, some of which perturb the structural basis of epithelial barrier function--the tight junction. Within the tight junction, organ- and tissue-specific barrier properties are determined mainly by claudins. The majority of members of the claudin protein family seal the paracellular pathway. This paper focuses on recent approaches concerning absorption-enhancing effects, with regard to selectivity and mechanism.
目前,人们正在讨论各种化学化合物作为新型药物传递策略。一种有前途的策略是选择性地打开上皮细胞的旁细胞途径,以便大分子通过。这种效应的一个前提是这些化合物具有快速和可逆的作用,以允许药物的显著转位,但也要避免不必要的不良反应,例如有毒物质的转位。提高细胞旁通透性的生物活性分子包括 Ca(2+)螯合剂、细菌毒素和其他化合物,其中一些会破坏上皮屏障功能的结构基础——紧密连接。在紧密连接中,器官和组织特异性的屏障特性主要由 Claudin 决定。Claudin 蛋白家族的大多数成员封闭细胞旁途径。本文主要关注与选择性和机制有关的吸收增强效果的最新方法。