Department of Bioengineering and Therapeutic Sciences, University of California, San Francisco, CA 94158, USA.
Small. 2012 Dec 21;8(24):3839-46. doi: 10.1002/smll.201201367. Epub 2012 Sep 7.
A variety of oral administrative systems such as enterically coated tablets, capsules, particles, and liposomes have been developed to improve oral bioavailability of drugs. However, they suffer from poor intestinal localization and therapeutic efficacy due to the various physiological conditions and high shear fluid flow. Fabrication of novel microdevices combined with the introduction of controlled release, improved adhesion, selective targeting, and tissue permeation may overcome these issues and potentially diminish the toxicity and high frequency of conventional oral administration. Herein, thin, asymmetric, poly(methyl methacrylate) (PMMA) microdevices are fabricated with multiple reservoirs using photolithography and reactive ion etching. They are loaded with different individual model drug in each reservoir. Enhanced bioadhesion of the microdevices is observed in the presence of a conjugated of targeting protein (tomato lectin) to the PMMA surface. As compared to drug encompassing hydrogels, an increase in drug permeation across the caco-2 monolayer is noticed in the presence of a microdevice loaded with the same drug-hydrogel system. Also, the release of multiple drugs from their respective reservoirs is found to be independent from each other. The use of different hydrogel systems in each reservoir shows differences in the controlled release of the respective drugs over the same release period. These results suggest that, in the future, microfabricated unidirectional multi-drug releasing devices will have an impact on the oral administration of a broad range of therapeutics.
已经开发出各种口服给药系统,如肠溶片剂、胶囊、颗粒和脂质体,以提高药物的口服生物利用度。然而,由于各种生理条件和高剪切流体流动,它们存在肠道定位和治疗效果差的问题。结合控制释放、改善粘附性、选择性靶向和组织渗透的新型微器件的制造可能克服这些问题,并有可能降低传统口服给药的毒性和高频率。本文采用光刻和反应离子刻蚀技术,制备了具有多个储液器的薄、不对称的聚甲基丙烯酸甲酯(PMMA)微器件。每个储液器中都装载有不同的模型药物。在 PMMA 表面连接靶向蛋白(番茄凝集素)后,观察到微器件的生物粘附性增强。与包含药物的水凝胶相比,在装载有相同药物-水凝胶系统的微器件存在的情况下,药物在 Caco-2 单层中的渗透增加。此外,从各自的储液器中释放多种药物彼此独立。在每个储液器中使用不同的水凝胶系统显示出在相同的释放期内各自药物的控制释放存在差异。这些结果表明,未来,微制造的单向多药物释放装置将对广泛治疗剂的口服给药产生影响。