胃肠透增强剂超越酸盐和SNAC - 接下来会发生什么?
Marilena Bohley1, Jean-Christophe Leroux1
1Institute of Pharmaceutical Sciences, Department of Chemistry and Applied Biosciences, ETH Zurich, Zurich, 8093, Switzerland.
Advanced science (Weinheim, Baden-Wurttemberg, Germany)
|June 17, 2024
概括
口服交付正在推进新的透增强剂 (PE). 本综述探讨了挑战,并评估了新出现的PE,以改善口服的生物可用性,用于未来的药物开发.
科学领域:
- 药理学 药理学是指药理学的学科.
- 药物输送系统 药物输送系统
- 生物技术是生物技术.
背景情况:
- 由于肠道透性较低,口服的输送面临重大挑战.
- 最近的批准强调了胃肠透增强剂 (PE) 的潜力.
- 目前的PE如SNAC,C8和C10提供有限的口服生物可用性 (BA).
研究的目的:
- 审查口服递送中的生物障碍,重点关注上皮质屏障.
- 描述透增强剂 (PE) 的机制和目标.
- 批判性地评估当前和新兴的PE的有效性,安全性和可翻译性.
主要方法:
- 对口服吸收的生物障碍物进行文献综述.
- 透增强剂 (PE) 概念,作用模式和目标的分析.
- 对新型PE的临床前和临床数据的评估.
主要成果:
- 目前的PE实现了相对较低的口服生物可用性 (BAs).
- 对于更有效的PE,存在着大量未满足的需求.
- 新兴PE显示出前景,但需要进行彻底评估.
结论:
- 新型透增强剂 (PE) 对于推进口服疗法至关重要.
- 了解表皮屏障功能是开发更好的PE的关键.
- 严格评估安全性和疗效对于临床转化至关重要.
相关概念视频
Factors Affecting Dissolution: Drug Permeability, Stability and Stereochemistry
196
Orally administered drugs primarily enter the systemic circulation via passive diffusion through the intestinal membranes. The drug's absorption is influenced by drug stability in the gastrointestinal GI tract, membrane permeability, the surface area available for absorption, luminal drug concentration, and residence time in the lumen. Drug permeability can be enhanced by adjusting the lipophilicity, polarity, or molecular size of the drug, promoting its passive transport across intestinal...
196
Carrier-Mediated Transport
345
Carrier-mediated transport is a pivotal process in drug absorption, particularly for lipid-insoluble drugs, and encompasses facilitated diffusion and active transport. Facilitated diffusion allows drugs to move along their concentration gradient without energy expenditure, while active transport utilizes ATP to drive drug movement against this gradient.
Active transport involves two types of membrane-spanning transporters: uptake and efflux. Uptake transporters are expressed in the small...
Active transport involves two types of membrane-spanning transporters: uptake and efflux. Uptake transporters are expressed in the small...
345
Methods for Studying Drug Absorption: In situ
227
In situ experiments, such as the Doluisio method and Single-Pass Perfusion technique, provide critical insights into drug uptake by simulating in vivo conditions for drug absorption.
The Doluisio method involves perfusing a prepared segment of a rat's small intestine with a solution of radiolabeled drug and a non-absorbable marker. This helps to differentiate between absorbed and non-absorbed drug concentrations. The intestinal segment is connected at both ends using tubing and syringes,...
The Doluisio method involves perfusing a prepared segment of a rat's small intestine with a solution of radiolabeled drug and a non-absorbable marker. This helps to differentiate between absorbed and non-absorbed drug concentrations. The intestinal segment is connected at both ends using tubing and syringes,...
227
Methods for Studying Drug Absorption: In vitro
225
In vitro experiments are crucial for understanding the transport and absorption of drugs through biological materials. These studies employ varied methods such as the diffusion cell method, the everted sac technique, and the everted ring technique.
The diffusion cell method uses a two-compartment cell, including a donor compartment with the drug solution, which simulates the environment where the drug is applied, and a receptor compartment with a buffer solution, which simulates the environment...
The diffusion cell method uses a two-compartment cell, including a donor compartment with the drug solution, which simulates the environment where the drug is applied, and a receptor compartment with a buffer solution, which simulates the environment...
225
Factors Influencing Drug Absorption: Physicochemical Parameters
256
The physicochemical characteristics of drugs play a crucial role in formulating stable and bioavailable drug products. The solubility of a drug, governed by the varying pH along the GI tract and its dissociation constant (pKa), is pivotal in determining its ionization state and absorption rate. Notably, weak acids and bases remain unionized and are absorbed more rapidly.
Enhanced drug absorption can be achieved by reducing particle sizes and increasing surface areas, thereby facilitating...
Enhanced drug absorption can be achieved by reducing particle sizes and increasing surface areas, thereby facilitating...
256
Mechanisms of Drug Absorption: Paracellular, Transcellular, and Vesicular Transport
509
Drugs need to permeate cell membranes to reach their target sites after administration. Orally administered drugs must transcend intestinal epithelial membrane barriers to infiltrate the systemic circulation. Drugs with a molecular weight of less than 500 Daltons diffuse through gaps between neighboring cells, called paracellular pathways.
However, most drugs use the transcellular route, traversing directly through the cell membranes via two mechanisms: passive and active transport. Passive...
However, most drugs use the transcellular route, traversing directly through the cell membranes via two mechanisms: passive and active transport. Passive...
509


