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Oral delivery of glucagon-like peptide-1 and analogs: alternatives for diabetes control?
Francisca Araújo1, Pedro Fonte, Hélder A Santos
1Department of Pharmaceutical Sciences, Centro de Investigação em Ciências da Saúde, Health Sciences Research Center,Instituto Superior de Ciências da Saúde, CESPU, Gandra, Portugal.
Abstract:
Type 2 diabetes mellitus (T2DM) is one of the most prevalent diseases worldwide. Current treatments are often associated with off-target effects and do not significantly impact disease progression. New therapies are therefore urgently needed to overcome this social burden. Glucagon-like peptide-1 (GLP-1), an incretin hormone, has been used to control T2DM symptomatology. However, the administration of peptide or proteins drugs is still a huge challenge in the pharmaceutical field, requiring administration by parenteral routes. This article reviews the main hurdles in oral administration of GLP-1 and focuses on the strategies utilized to overcome them.
Insights
New therapies for type 2 diabetes mellitus (T2DM) are needed. This review explores challenges and strategies for oral administration of glucagon-like peptide-1 (GLP-1) to improve T2DM treatment.
Area of Science:
- Pharmacology and Endocrinology
- Drug Delivery Systems
Background:
- Type 2 diabetes mellitus (T2DM) is a global health challenge with current treatments having limitations.
- Glucagon-like peptide-1 (GLP-1) shows therapeutic potential for T2DM but faces administration challenges.
Purpose of the Study:
- To review the obstacles hindering oral administration of GLP-1.
- To highlight innovative strategies for overcoming these barriers in GLP-1 drug delivery.
Main Methods:
- Literature review of existing research on GLP-1 and oral drug delivery technologies.
- Analysis of challenges including peptide degradation and low bioavailability.
- Examination of formulation and delivery strategies to enhance oral absorption.
Main Results:
- Oral administration of GLP-1 is impeded by gastrointestinal degradation and poor membrane permeability.
- Various strategies, including chemical modification, nano-encapsulation, and absorption enhancers, are being explored.
- These approaches aim to protect GLP-1 and facilitate its uptake for improved T2DM management.
Conclusions:
- Overcoming the hurdles of oral GLP-1 administration is crucial for developing more convenient T2DM therapies.
- Successful oral delivery systems could significantly improve patient compliance and therapeutic outcomes.
- Continued research into advanced drug delivery is essential for realizing the full potential of GLP-1 for type 2 diabetes.
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