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口腔治疗中的微针创新:变革蛋白质和肽的递送

Microneedle Innovations in Oral Therapeutics: Transforming Protein and Peptide Delivery.

作者信息

Gopal Kirthana, Mahmood Syed, Sofian Zarif Mohamed, Hilles Ayah R, Hashim Najihah Mohd

机构信息

Department of Pharmaceutical Technology, Faculty of Pharmacy, Universiti Malaya, 50603, Kuala Lumpur, Malaysia.

Centre of Advanced Materials (CAM), Faculty of Engineering, Universiti Malaya, 50603, Kuala Lumpur, Malaysia.

出版信息

AAPS PharmSciTech. 2025 May 28;26(5):146. doi: 10.1208/s12249-025-03127-2.

Abstract

Therapeutic proteins and peptides hold great potential in treating metabolic disorders, infectious diseases, and cancers; however, their oral administration remains challenging due to enzymatic degradation and poor intestinal permeability. To address these limitations, microneedles have emerged as a promising, minimally invasive delivery system to enhance oral bioavailability. This review explores the advantages of microneedles in overcoming physiological barriers to protein and peptide delivery, discussing various types, including solid, dissolvable, coated, hollow, and hydrogel-forming microneedles, in terms of their structural properties, mechanisms of action, and drug release kinetics. Additionally, we examine how microneedles enable controlled and efficient therapeutic protein and peptide release, improving bioavailability and efficacy. Recent research on microneedle applications for transdermal and oral delivery is summarized, alongside a detailed overview of mathematical modeling approaches used to optimize drug release. Microneedles show promise for administering protein and peptides such as vaccines, insulin, and other biologics via the oral route, addressing current limitations in biopharmaceutical delivery. Recent in vivo studies reinforce their feasibility and clinical relevance, demonstrating improved patient compliance and therapeutic outcomes. By offering a safe, effective, and patient-friendly solution, microneedle technology represents a transformative approach to drug delivery, paving the way for non-invasive and convenient therapeutic strategies for protein and peptide-based treatments.

摘要

治疗性蛋白质和肽在治疗代谢紊乱、传染病和癌症方面具有巨大潜力;然而,由于酶降解和肠道通透性差,它们的口服给药仍然具有挑战性。为了解决这些限制,微针已成为一种有前景的微创给药系统,以提高口服生物利用度。本文综述探讨了微针在克服蛋白质和肽递送的生理障碍方面的优势,讨论了各种类型,包括固体、可溶解、包衣、空心和形成水凝胶的微针,涉及它们的结构特性、作用机制和药物释放动力学。此外,我们研究了微针如何实现可控和高效的治疗性蛋白质和肽释放,提高生物利用度和疗效。总结了微针在透皮和口服给药应用方面的最新研究,以及用于优化药物释放的数学建模方法的详细概述。微针有望通过口服途径给药疫苗、胰岛素和其他生物制品等蛋白质和肽,解决目前生物制药递送中的局限性。最近的体内研究证实了它们的可行性和临床相关性,表明患者依从性和治疗效果得到改善。通过提供一种安全、有效且患者友好的解决方案,微针技术代表了一种变革性的药物递送方法,为基于蛋白质和肽的治疗的非侵入性和便捷治疗策略铺平了道路。

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