Division of Clinical Pharmacology, Department of Pediatrics, University of Utah , Salt Lake City , UT , USA.
Department of Pharmaceutics and Pharmaceutical Chemistry, University of Utah , Salt Lake City , UT , USA.
Expert Opin Drug Deliv. 2019 Oct;16(10):1051-1061. doi: 10.1080/17425247.2019.1656607. Epub 2019 Aug 21.
: Dendrimers showed promise as carriers for oral delivery due to their nanoscale size and transepithelial permeability across the gut epithelium. However, for the successful approval of dendrimer-based oral therapeutics for human use, it is essential to understand their pharmacokinetics. The knowledge of pharmacokinetics of drugs delivered with dendrimers within the context of oral delivery of therapeutics will help in the design of clinical trials, and development of dosage regimens. : This review summarizes the pharmacokinetic aspects of dendrimer and dendrimer-drug complexes after oral administration. We discussed the influence of size, core chemistry, surface charge, surface chemistry, and modification on the pharmacokinetics of dendrimers and dendrimer-drug complexes. Furthermore, we also discussed studies involving alternative dosage forms such as matrix tablets containing dendrimers, dendrimers encapsulated in lipid nanostructures, and chitosan anchored-dendrimers. : From the studies, it is evident that dendrimers significantly improve the oral bioavailability of drugs with poor biopharmaceutical properties. However, further in vivo studies are needed to establish the relationship between the properties of dendrimers and oral pharmacokinetics of dendrimer-drug complexes and conjugates.
树状高分子作为经口给药的载体具有很大的潜力,这是因为它们的纳米级尺寸和穿过肠道上皮的跨上皮通透性。然而,为了成功地将基于树状高分子的口服治疗药物批准用于人体,了解它们的药代动力学是至关重要的。了解在治疗药物经口给药的情况下,用树状高分子递药的药代动力学,将有助于临床试验的设计和剂量方案的制定。
本综述总结了经口给予树状高分子和树状高分子-药物复合物后的药代动力学方面。我们讨论了大小、核化学、表面电荷、表面化学和修饰对树状高分子和树状高分子-药物复合物的药代动力学的影响。此外,我们还讨论了涉及替代剂型的研究,如含有树状高分子的基质片剂、包封在脂质纳米结构中的树状高分子以及壳聚糖锚定的树状高分子。
从这些研究中可以明显看出,树状高分子显著提高了生物药剂学性质差的药物的口服生物利用度。然而,还需要进一步的体内研究来建立树状高分子的性质与树状高分子-药物复合物和缀合物的经口药代动力学之间的关系。