Department of Pharmacy, School of Health Sciences, National and Kapodistrian University of Athens, Greece.
Drug Delivery and Disposition, Department of Pharmaceutical and Pharmacological Sciences, KU Leuven, Belgium.
Eur J Pharm Sci. 2019 Jun 15;134:153-175. doi: 10.1016/j.ejps.2019.04.013. Epub 2019 Apr 13.
Oral administration is the most common route of drug delivery. The absorption of a drug from the gut into the bloodstream involves disintegration of the solid dosage form, dissolution of the active pharmaceutical ingredient and its transport across the gut wall. The efficiency of these processes is determined by highly complex and dynamic interplay between the gastrointestinal tract, the dosage form and the API. The European Network on Understanding Gastrointestinal Absorption-related Processes (UNGAP) aims to improve our understanding of intestinal drug absorption by creating a multidisciplinary Network of researchers from academia and industry engaging in scientific discussions. As part of the basis for the UNGAP project, this review aims to summarize the current knowledge on anatomy and physiology of the human gastrointestinal tract with emphasis on human studies for the evaluation of the regional drug absorption and the prediction of oral dosage form performance. A range of factors and methods will be considered, including imaging methods, intraluminal sampling and, models for predicting segmental/regional absorption. In addition, in vitro and in silico methods to evaluate regional drug absorption will be discussed. This will provide the basis for further work on improving predictions for the in vivo behavior of drug products in the gastrointestinal tract.
口服是最常见的给药途径。药物从肠道吸收进入血液涉及到固体制剂的崩解、活性药物成分的溶解以及其穿过肠壁的运输。这些过程的效率取决于胃肠道、剂型和 API 之间高度复杂和动态的相互作用。欧洲理解胃肠道吸收相关过程网络(UNGAP)旨在通过创建一个由学术界和工业界的研究人员组成的多学科网络,进行科学讨论,来提高我们对肠道药物吸收的理解。作为 UNGAP 项目的基础的一部分,本综述旨在总结有关人类胃肠道解剖学和生理学的当前知识,重点是用于评估区域性药物吸收和预测口服剂型性能的人体研究。将考虑一系列因素和方法,包括成像方法、腔内采样以及用于预测节段/区域吸收的模型。此外,还将讨论用于评估区域性药物吸收的体外和计算方法。这将为进一步改善对药物产品在胃肠道中的体内行为的预测提供基础。