颗粒跨上皮膜的摄取与转运。
Particle uptake and translocation across epithelial membranes.
作者信息
Thomas N W, Jenkins P G, Howard K A, Smith M W, Lavelle E C, Holland J, Davis S S
机构信息
Department of Pharmaceutical Sciences, University of Nottingham, UK.
出版信息
J Anat. 1996 Dec;189 ( Pt 3)(Pt 3):487-90.
Oral delivery of drugs and vaccines has many advantages over other routes of administration. For example, for vaccination, enteric delivery may result in the induction of a mucosal immune response against pathogens which colonise and invade the mucosa. However, the oral delivery of peptide or protein drugs or antigens is beset with problems, such as gastrointestinal breakdown of labile molecules, low level of macromolecular absorption and, for vaccines, the poor immune response usually elicited by orally administered soluble antigens. Investigations are therefore in progress to develop means of increasing intestinal absorption and decreasing digestion of orally administered molecules. Molecules can be incorporated into biodegradable microparticles to reduce the effect of gut secretions and to enable the absorption of bioactive agents in an unaltered form. The uptake of microparticulates through the gut wall is accepted as a true biological phenomenon but the mechanism and route of uptake have not been established. Furthermore, in general, only small numbers of microparticles are translocated across epithelial membranes, possibly making these systems inappropriate for drug or vaccine delivery. This paper reviews particle uptake across the gastrointestinal tract and describes studies carried out to determine whether a humoral response can be elicited following oral administration of an antigen associated with biodegradable poly(DL lactide-coglycolide) microparticles. The use of lipid delivery vehicles to enhance microparticle uptake and the selective transport of microspheres across M cells is also described.
与其他给药途径相比,口服给药和疫苗具有许多优势。例如,对于疫苗接种,肠道给药可能会诱导针对定植并侵入粘膜的病原体的粘膜免疫反应。然而,肽或蛋白质药物或抗原的口服给药存在诸多问题,如不稳定分子在胃肠道的分解、大分子吸收水平低,以及对于疫苗而言,口服可溶性抗原通常引发的免疫反应较差。因此,目前正在进行研究以开发增加肠道吸收和减少口服分子消化的方法。分子可以被包裹在可生物降解的微粒中,以减少肠道分泌物的影响,并使生物活性剂以未改变的形式被吸收。微粒通过肠壁的摄取被认为是一种真实的生物学现象,但摄取的机制和途径尚未确定。此外,一般来说,只有少量微粒能够穿过上皮膜,这可能使这些系统不适用于药物或疫苗递送。本文综述了胃肠道对微粒的摄取,并描述了为确定口服与可生物降解的聚(DL-丙交酯-乙交酯)微粒相关的抗原后是否能引发体液反应而进行的研究。还描述了使用脂质递送载体来增强微粒摄取以及微球跨M细胞的选择性转运。