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Delivery aspects of antioxidants in diabetes management
Lakshmi Sailaja Duvvuri1, Sameer Katiyar, Ashutosh Kumar
1National Institute of Pharmaceutical Education and Research (NIPER), Department of Pharmaceutics , Hyderabad-500037 , India +91 40 23073741 ; +91 40 23073751 ; wahid@niperhyd.ac.in.
Introduction:
Ample research has been done to study the role of oxidative stress due to the generation of excess reactive species in initiation and progression of diabetic complications. A positive result has been indicated hypothesizing that abating this oxidative stress can prove to be an alternate strategy in therapy apart from oral antidiabetic drugs. But these dietary antioxidants are less efficient because of poor solubility, permeability, instability on storage, gastrointestinal degradation and first-pass metabolism.
Areas Covered:
This review gives a brief insight into the molecular mechanism of oxidative stress in development of diabetic complications. Major hurdles limiting the translation of antioxidants to clinical area are also discussed. Various delivery approaches including both conventional and novel drug delivery systems explored so far for combating these challenges in antioxidant delivery are also explored. Mitochondrial targeting of such molecules is also briefly discussed.
Expert Opinion:
A thorough study of clinical efficacy and safety of antioxidants on long-term use judging its clinical applicability is required. The clinical success of antioxidants as a therapeutic strategy involves a combination of effective design of drug delivery carrier that are in turn related to their degradation profile, possibility of cellular uptake at defined site of action and so on and clinical and preclinical trials that will provide a base for the design of dose and administration regimen.
Insights
Oxidative stress contributes to diabetic complications. While antioxidants show promise, their clinical use is limited by delivery challenges, necessitating advanced drug delivery systems for effective therapy.
Area of Science:
- Biochemistry
- Pharmacology
- Diabetology
Background:
- Oxidative stress from reactive species is implicated in diabetic complications.
- Dietary antioxidants offer a potential therapeutic strategy beyond oral antidiabetic drugs.
- Current antioxidants face limitations like poor solubility, permeability, and degradation, hindering clinical efficacy.
Purpose of the Study:
- To review the molecular mechanisms of oxidative stress in diabetic complications.
- To discuss the challenges in translating antioxidant therapies to clinical practice.
- To explore various drug delivery systems for enhancing antioxidant efficacy.
Main Methods:
- Literature review of oxidative stress mechanisms in diabetes.
- Analysis of limitations in current antioxidant drug delivery.
- Exploration of conventional and novel drug delivery systems, including mitochondrial targeting.
Main Results:
- Oxidative stress plays a key role in the initiation and progression of diabetic complications.
- Significant hurdles exist in the clinical application of antioxidants due to their physicochemical properties and bioavailability.
- Various drug delivery strategies are being investigated to overcome these limitations.
Conclusions:
- Further clinical studies are needed to evaluate the long-term efficacy and safety of antioxidants.
- Successful clinical application requires optimized drug delivery carriers, considering degradation, cellular uptake, and targeted delivery.
- Robust preclinical and clinical trials are essential for designing effective antioxidant dosing and administration regimens.
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