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用于治疗糖尿病的纳米颗粒的最新进展。

Recent developments in nanoparticles for the treatment of diabetes.

作者信息

Sharma Dinesh Kumar, Pattnaik Gurudutta, Behera Amulyaratna

机构信息

School of Pharmacy and Life Sciences, Centurion University of Technology and Management, Odisha, India.

出版信息

J Drug Target. 2023 Dec;31(9):908-919. doi: 10.1080/1061186X.2023.2261077. Epub 2023 Nov 16.

Abstract

Changes in the homeostasis of blood sugar levels are a hallmark of diabetes mellitus, an incurable metabolic condition, for which the first-line treatment is the subcutaneous injection of insulin. However, this method of administration is linked to low patient compliance because of the possibility of local infection, discomfort and pain. To enable the administration of the peptide through more palatable paths without requiring an injection, like by oral routes, the use of nanoparticles as insulin carriers has been suggested. The use of nanoparticles usually improves the bioavailability and physicochemical stability of the loaded medicine. The utilisation of several forms of nanoparticles (like lipid and polymeric nanoparticles, micelles, dendrimers, liposomes, niosomes, nanoemulsions and drug nanosuspensions) is discussed in this article as a way to improve the administration of various oral hypoglycaemic medications when compared to conventional treatments.

摘要

血糖水平稳态的变化是糖尿病的一个标志,糖尿病是一种无法治愈的代谢性疾病,其一线治疗方法是皮下注射胰岛素。然而,这种给药方法与患者依从性低有关,因为存在局部感染、不适和疼痛的可能性。为了能够通过更可口的途径(如口服途径)给药而无需注射,有人建议使用纳米颗粒作为胰岛素载体。纳米颗粒的使用通常会提高所载药物的生物利用度和物理化学稳定性。本文讨论了几种形式的纳米颗粒(如脂质和聚合物纳米颗粒、胶束、树枝状大分子、脂质体、非离子表面活性剂泡囊、纳米乳剂和药物纳米混悬液)的使用,作为与传统治疗方法相比改善各种口服降糖药物给药的一种方式。

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