多肽类药物的口服递送策略

    Oral Delivery Strategies of Polypeptide Drugs

    • 摘要: 与传统的小分子药物相比,多肽具有生物活性高、靶点特异性强、不良反应小等优势,越来越受到新药研发人员的关注。多肽类药物因渗透性和稳定性差,口服吸收差,大多经非胃肠道途径给药,患者顺应性差,因此开发多肽的口服制剂具有很大的应用价值,但也面临巨大挑战,本文综述了口服多肽面临的吸收障碍,针对其障碍提出口服递送的一般策略,并列举了多肽口服的成功案例。口服多肽面临的吸收障碍主要是化学屏障、酶屏障、黏液层屏障、上皮细胞屏障和生物个体差异的影响等。提高口服吸收的策略主要包括化学修饰改变多肽结构、抑制肠道酶降解、促渗透技术、自乳化/纳米递送技术等。这些技术都致力于保护多肽的稳定性、增强多肽的跨膜吸收等,在很大程度上提高了多肽类药物口服的吸收。本文还以索马鲁肽、奥曲肽等为例深入分析多肽类药物实现口服递送的机制,为提高多肽药物的口服吸收,实现多肽药物的口服递送研究提供理论支撑。

       

      Abstract: Compared with traditional small molecule drugs, peptides have advantages such as higher biological activity, stronger target specificity, and fewer adverse effect, and are increasingly attracting the attention of new drug researchers. Due to their poor permeability and stability, and poor oral absorption, most peptide drugs are administered through non-gastrointestinal routes, which leads to poor patient compliance. Therefore, the development of oral peptide formulations has great application value but also faces huge challenges. This article reviews the absorption barriers faced by oral peptides, proposes general strategies for oral delivery in response to these barriers, and lists successful cases of oral peptides. The main absorption barriers faced by oral peptides include chemical barriers, enzyme barriers, mucus layer barriers, epithelial cell barriers, and the influence of individual biological differences. Strategies to improve oral absorption mainly include chemical modification to change the structure of peptides, inhibition of intestinal enzyme degradation, osmotic promotion technology, self-emulsifying/nano-delivery technology, etc. These technologies are all aimed at protecting the stability of peptides and enhancing their transmembrane absorption, which has greatly improved the oral absorption of peptide drugs. This article also takes semaglutide and octreotide as examples to deeply analyze the mechanism of oral delivery of peptide drugs, providing theoretical support for improving the oral absorption of peptide drugs and realizing the research on oral delivery of peptide drugs.

       

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