School of Pharmacy, The University of Queensland, Brisbane, QLD 4102, Australia.
School of Pharmacy, The University of Queensland, Brisbane, QLD 4102, Australia; Mater Research Institute -The University of Queensland, Translational Research Institute, Woolloongabba, QLD 4102, Australia.
J Control Release. 2020 Oct 10;326:544-555. doi: 10.1016/j.jconrel.2020.07.021. Epub 2020 Jul 18.
Oral ingestion remains as the most convenient route of administration for the application of pharmaceuticals since it is non-invasive and does not require trained personnel to administer the drugs. Despite significant progress in novel oral drug delivery platforms over the past few decades, the oral delivery of macromolecules (particularly for peptides and proteins) is one of the major challenges faced by the biopharmaceutical industry. This is even more important since a large number of biologic drugs have been available in the past decade which typically require intravenous administration. Recently, silica nanoparticles have emerged as multifunctional, biocompatible and biodegradable inorganic nanocarriers with enormous potential as an oral drug delivery platform for various therapeutics including macromolecules. Their unique structural composition facilitates the loading of large therapeutic payloads at desired loading capacities for a controlled and site-specific oral delivery. Here, we review first the physiological challenges for oral delivery of peptides and proteins. Next, we discuss silica-based functional materials for oral delivery of macromolecules and highlight their evolving role not only as an encapsulant but as a permeation enhancer as well. Lastly, we also discuss potential strategies for future translation of these novel materials to the clinic.
口服仍然是应用药物最方便的给药途径,因为它是非侵入性的,不需要经过专门培训的人员来给药。尽管在过去几十年中新型口服药物传递平台取得了重大进展,但大分子(特别是肽和蛋白质)的口服传递仍然是生物制药行业面临的主要挑战之一。这一点更为重要,因为过去十年中出现了大量生物药物,这些药物通常需要静脉注射。最近,硅纳米颗粒作为多功能、生物相容和可生物降解的无机纳米载体而崭露头角,具有作为各种治疗药物(包括大分子)的口服药物传递平台的巨大潜力。其独特的结构组成便于在所需的载药能力下装载大量治疗有效载荷,以实现可控和靶向的口服传递。在这里,我们首先回顾了肽和蛋白质口服传递的生理挑战。接下来,我们讨论了基于硅的用于大分子口服传递的功能材料,并强调了它们作为包封剂以及渗透增强剂的作用不断发展。最后,我们还讨论了将这些新型材料未来转化为临床应用的潜在策略。