重新设计口服胰岛素:结构修改,先进的配方策略和未来的方向
Yilin Zheng1, Xiaoyi Fang1, Jiangtao Gao1
1Key BioAI Synthetica Lab for Natural Product Drug Discovery, College of Bee and Biomedical Sciences, Fujian Agriculture and Forestry University, Fuzhou, People's Republic of China.
Drug delivery
|February 5, 2026
概括
口服胰岛素提供了更好的糖尿病管理,但胃肠道障碍限制了吸收. 本综述探讨了先进的策略,如纳米载体和结构修改,以改善口服胰岛素的生物可用性和疗效.
科学领域:
- 制药科学 制药科学
- 生物技术是生物技术.
- 材料科学 材料科学 材料科学
背景情况:
- 皮下胰岛素注射在糖尿病管理中带来了挑战,包括患者的遵从性和非生理性分娩.
- 口服胰岛素的输送有望改善顺应性和自然胰岛素的释放,但由于胃肠道障碍,它面临着重要的生物可用性问题.
研究的目的:
- 综合审查目前克服胃肠道障碍,提供口服胰岛素的战略.
- 分析胰岛素修饰,配方技术和口服吸收增强方面的进展.
主要方法:
- 对结构修改的审查:PEGylation,脂化,循环化,糖基工程.
- 配方技术的分析:纳米载体 (聚合物,脂质,无机,MOF),仿生系统,刺激响应系统.
- 检查吸收增强:化学增强剂,受体介导的细胞转移,活性输送通路,微生物群载体,智能设备.
主要成果:
- 结构性修改增强了胰岛素的稳定性和活性.
- 纳米载体和先进配方保护胰岛素并促进其运输.
- 在临床前模型中,增强吸收的策略显示出有前途.
- 在可扩展性,安全性和监管批准方面仍然存在挑战.
结论:
- 在开发口服胰岛素输送系统方面取得了重大进展.
- 跨学科的方法对于解决剩余的生物,技术和翻译障碍至关重要.
- 未来的方向包括混合系统,数字健康整合和个性化医疗,以有效的糖尿病护理.
相关概念视频
Insulin Formulations: Types and Delivery
758
Insulin preparations are categorized by their duration of action into short-acting and long-acting types. Two strategies are used to modify insulin's absorption and pharmacokinetic profile: slowing the absorption post-subcutaneous injection, or altering human insulin's amino acid sequence or protein structure. These changes retain the insulin's ability to bind to the insulin receptor, but alter its behavior in solution or after injection.
Short-acting insulins are divided into...
Short-acting insulins are divided into...
758
Anticoagulant Drugs: Vitamin K Antagonists and Direct Oral Anticoagulants
2.4K
Oral anticoagulants are vital tools in preventing and treating blood clotting disorders. This diverse class of medications can be categorized as vitamin K antagonists, exemplified by warfarin, and direct thrombin inhibitors (DTIs), such as dabigatran, as well as factor Xa inhibitors, including rivaroxaban.
Warfarin, a prominent vitamin K antagonist family member, exerts its effect by inhibiting the enzyme VKORC1 (vitamin K epoxide reductase complex 1). By hindering this enzyme, warfarin...
Warfarin, a prominent vitamin K antagonist family member, exerts its effect by inhibiting the enzyme VKORC1 (vitamin K epoxide reductase complex 1). By hindering this enzyme, warfarin...
2.4K
What is Genetic Engineering?
80.3K
Overview
80.3K
Histone Modification
16.2K
The histone proteins have a flexible N-terminal tail extending out from the nucleosome. These histone tails are often subjected to post-translational modifications such as acetylation, methylation, phosphorylation, and ubiquitination. Particular combinations of these modifications form “histone codes” that influence the chromatin folding and tissue-specific gene expression.
Acetylation
The enzyme histone acetyltransferase adds acetyl group to the histones. Another enzyme, histone...
Acetylation
The enzyme histone acetyltransferase adds acetyl group to the histones. Another enzyme, histone...
16.2K
Spreading of Chromatin Modifications
9.5K
The histone proteins in the nucleosomes are post-translationally modified (PTM) to increase or decrease access to DNA. The commonly observed PTMs are methylation, acetylation, phosphorylation, and ubiquitination of lysine amino acids in the histone H3 tail region. These histone modifications have specific meaning for the cell. Hence, they are called "histone code". The protein complex involved in histone modification is termed as "reader-writer" complex.
Writers
The writer...
Writers
The writer...
9.5K
Persuasion Strategies
43.5K
Researchers have tested many persuasion strategies, including the foot-in-the door and the door-in-the-face techniques, in a variety of contexts. Ultimately, the principles are effective in selling products and changing people’s attitude, ideas, and behaviors (Cialdini & Goldstein, 2004).
43.5K


