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微/纳米马达在克服胃肠道生理屏障方面的最新进展。

Recent progress of micro/nanomotors to overcome physiological barriers in the gastrointestinal tract.

机构信息

School of Pharmaceutical Sciences, Zhengzhou University, Zhengzhou 450001, China; Henan Key Laboratory of Targeting Therapy and Diagnosis for Critical Diseases, Zhengzhou 450001, China; Key Laboratory of Advanced Drug Preparation Technologies, Ministry of Education, Zhengzhou 450001, China.

School of Pharmaceutical Sciences, Zhengzhou University, Zhengzhou 450001, China; Henan Key Laboratory of Targeting Therapy and Diagnosis for Critical Diseases, Zhengzhou 450001, China; Key Laboratory of Advanced Drug Preparation Technologies, Ministry of Education, Zhengzhou 450001, China; State Key Laboratory of Esophageal Cancer Prevention & Treatment, Zhengzhou 450001, China.

出版信息

J Control Release. 2023 Aug;360:514-527. doi: 10.1016/j.jconrel.2023.07.005. Epub 2023 Jul 12.

Abstract

Oral administration is a convenient administration route for gastrointestinal disease therapy with good patient compliance. But the nonspecific distribution of the oral drugs may cause serious side effects. In recent years, oral drug delivery systems (ODDS) have been applied to deliver the drugs to the gastrointestinal disease sites with decreased side effects. However, the delivery efficiency of ODDS is tremendously limited by physiological barriers in the gastrointestinal sites, such as the long and complex gastrointestinal tract, mucus layer, and epithelial barrier. Micro/nanomotors (MNMs) are micro/nanoscale devices that transfer various energy sources into autonomous motion. The outstanding motion characteristics of MNMs inspired the development of targeted drug delivery, especially the oral drug delivery. However, a comprehensive review of oral MNMs for the gastrointestinal diseases therapy is still lacking. Herein, the physiological barriers of ODDS were comprehensively reviewed. Afterward, the applications of MNMs in ODDS for overcoming the physiological barriers in the past 5 years were highlighted. Finally, future perspectives and challenges of MNMs in ODDS are discussed as well. This review will provide inspiration and direction of MNMs for the therapy of gastrointestinal diseases, pushing forward the clinical application of MNMs in oral drug delivery.

摘要

口服给药是一种方便的胃肠道疾病治疗给药途径,患者顺应性好。但口服药物的非特异性分布可能会导致严重的副作用。近年来,口服给药系统(ODDS)已被应用于将药物递送到胃肠道疾病部位,以减少副作用。然而,ODDS 的输送效率受到胃肠道部位生理屏障的极大限制,例如长而复杂的胃肠道、黏液层和上皮屏障。微/纳米马达(MNMs)是将各种能量源转化为自主运动的微/纳米级装置。MNMs 的出色运动特性激发了靶向药物输送的发展,特别是口服药物输送。然而,对于胃肠道疾病治疗的口服 MNMs 的全面综述仍然缺乏。本文首先全面综述了 ODDS 的生理屏障,然后重点介绍了 MNMs 在过去 5 年中克服 ODDS 中生理屏障的应用。最后,还讨论了 MNMs 在 ODDS 中的未来展望和挑战。本文综述将为胃肠道疾病治疗的 MNMs 提供灵感和指导,推动 MNMs 在口服药物输送中的临床应用。

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