Zhang Shiyi, Bellinger Andrew M, Glettig Dean L, Barman Ross, Lee Young-Ah Lucy, Zhu Jiahua, Cleveland Cody, Montgomery Veronica A, Gu Li, Nash Landon D, Maitland Duncan J, Langer Robert, Traverso Giovanni
Department of Chemical Engineering and Koch Institute for Integrative Cancer Research, Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA.
Cardiovascular Division, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA.
Nat Mater. 2015 Oct;14(10):1065-71. doi: 10.1038/nmat4355. Epub 2015 Jul 27.
Devices resident in the stomach-used for a variety of clinical applications including nutritional modulation for bariatrics, ingestible electronics for diagnosis and monitoring, and gastric-retentive dosage forms for prolonged drug delivery-typically incorporate elastic polymers to compress the devices during delivery through the oesophagus and other narrow orifices in the digestive system. However, in the event of accidental device fracture or migration, the non-degradable nature of these materials risks intestinal obstruction. Here, we show that an elastic, pH-responsive supramolecular gel remains stable and elastic in the acidic environment of the stomach but can be dissolved in the neutral-pH environment of the small and large intestines. In a large animal model, prototype devices with these materials as the key component demonstrated prolonged gastric retention and safe passage. These enteric elastomers should increase the safety profile for a wide range of gastric-retentive devices.
驻留在胃中的装置——用于多种临床应用,包括用于减肥的营养调节、用于诊断和监测的可摄入电子设备以及用于延长药物递送的胃滞留剂型——通常包含弹性聚合物,以便在通过食管和消化系统中的其他狭窄孔口递送期间压缩装置。然而,如果装置意外断裂或迁移,这些材料的不可降解性质会有导致肠梗阻的风险。在此,我们表明一种弹性的、pH响应性超分子凝胶在胃的酸性环境中保持稳定且有弹性,但可在小肠和大肠的中性pH环境中溶解。在一个大型动物模型中,以这些材料作为关键组件的原型装置显示出延长的胃滞留时间和安全通过。这些肠溶弹性体应会提高多种胃滞留装置的安全性。