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基于聚合物的胰岛素递送纳米颗粒策略

Polymer-Based Nanoparticle Strategies for Insulin Delivery.

作者信息

Mansoor Shazia, Kondiah Pierre P D, Choonara Yahya E, Pillay Viness

机构信息

Wits Advanced Drug Delivery Platform Research Unit, Department of Pharmacy and Pharmacology, School of Therapeutic Sciences, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, 7 York Road, Parktown 2193, South Africa.

出版信息

Polymers (Basel). 2019 Aug 22;11(9):1380. doi: 10.3390/polym11091380.

Abstract

Diabetes mellitus (DM) is a chronic metabolic illness estimated to have affected 451 million individuals to date, with this number expected to significantly rise in the coming years. There are two main classes of this disease, namely type 1 diabetes (T1D) and type 2 diabetes (T2D). Insulin therapy is pivotal in the management of diabetes, with diabetic individuals taking multiple daily insulin injections. However, the mode of administration has numerous drawbacks, resulting in poor patient compliance. In order to optimize insulin therapy, novel drug delivery systems (DDSes) have been suggested, and alternative routes of administration have been investigated. A novel aspect in the field of drug delivery was brought about by the coalescence of polymeric science and nanotechnology. In addition to polymeric nanoparticles (PNPs), insulin DDSes can incorporate the use of nanoplatforms/carriers. A combination of these systems can bring about novel formulations and lead to significant improvements in the drug delivery system (DDS) with regard to therapeutic efficacy, bioavailability, increased half-life, improved transport through physical and chemical barriers, and controlled drug delivery. This review will discuss how recent developments in polymer chemistry and nanotechnology have been employed in a multitude of platforms as well as in administration routes for the safe and efficient delivery of insulin for the treatment of DM.

摘要

糖尿病(DM)是一种慢性代谢性疾病,据估计,迄今为止已有4.51亿人受其影响,预计这一数字在未来几年将大幅上升。这种疾病主要分为两类,即1型糖尿病(T1D)和2型糖尿病(T2D)。胰岛素治疗在糖尿病管理中起着关键作用,糖尿病患者每天需要多次注射胰岛素。然而,这种给药方式有许多缺点,导致患者依从性差。为了优化胰岛素治疗,人们提出了新型药物递送系统(DDS),并对替代给药途径进行了研究。聚合物科学和纳米技术的结合为药物递送领域带来了一个新的方面。除了聚合物纳米颗粒(PNP),胰岛素DDS还可以采用纳米平台/载体。这些系统的组合可以带来新型制剂,并在治疗效果、生物利用度、延长半衰期、改善通过物理和化学屏障的转运以及控制药物递送等方面显著改善药物递送系统(DDS)。本综述将讨论聚合物化学和纳米技术的最新进展如何应用于多种平台以及给药途径,以安全有效地递送胰岛素治疗糖尿病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cbd/6780129/8442ca984440/polymers-11-01380-g001.jpg

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