Mucus interaction to improve gastrointestinal retention and pharmacokinetics of orally administered nano-drug delivery systems

Abstract Oral delivery of therapeutics is the preferred route of administration due to ease of administration which is associated with greater patient medication adherence. One major barrier to oral delivery and intestinal absorption is rapid clearance of the drug and the drug deliver...

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Main Authors: Subramanian, Deepak A., Langer, Robert, Traverso, Giovanni
Other Authors: Massachusetts Institute of Technology. Department of Chemical Engineering
Format: Article
Language:English
Published: BioMed Central 2022
Online Access:https://hdl.handle.net/1721.1/144258
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author Subramanian, Deepak A.
Langer, Robert
Traverso, Giovanni
author2 Massachusetts Institute of Technology. Department of Chemical Engineering
author_facet Massachusetts Institute of Technology. Department of Chemical Engineering
Subramanian, Deepak A.
Langer, Robert
Traverso, Giovanni
author_sort Subramanian, Deepak A.
collection MIT
description Abstract Oral delivery of therapeutics is the preferred route of administration due to ease of administration which is associated with greater patient medication adherence. One major barrier to oral delivery and intestinal absorption is rapid clearance of the drug and the drug delivery system from the gastrointestinal (GI) tract. To address this issue, researchers have investigated using GI mucus to help maximize the pharmacokinetics of the therapeutic; while mucus can act as a barrier to effective oral delivery, it can also be used as an anchoring mechanism to improve intestinal residence. Nano-drug delivery systems that use materials which can interact with the mucus layers in the GI tract can enable longer residence time, improving the efficacy of oral drug delivery. This review examines the properties and function of mucus in the GI tract, as well as diseases that alter mucus. Three broad classes of mucus-interacting systems are discussed: mucoadhesive, mucus-penetrating, and mucolytic drug delivery systems. For each class of system, the basis for mucus interaction is presented, and examples of materials that inform the development of these systems are discussed and reviewed. Finally, a list of FDA-approved mucoadhesive, mucus-penetrating, and mucolytic drug delivery systems is reviewed. In summary, this review highlights the progress made in developing mucus-interacting systems, both at a research-scale and commercial-scale level, and describes the theoretical basis for each type of system.
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spelling mit-1721.1/1442582023-07-19T20:16:59Z Mucus interaction to improve gastrointestinal retention and pharmacokinetics of orally administered nano-drug delivery systems Subramanian, Deepak A. Langer, Robert Traverso, Giovanni Massachusetts Institute of Technology. Department of Chemical Engineering Koch Institute for Integrative Cancer Research at MIT Abstract Oral delivery of therapeutics is the preferred route of administration due to ease of administration which is associated with greater patient medication adherence. One major barrier to oral delivery and intestinal absorption is rapid clearance of the drug and the drug delivery system from the gastrointestinal (GI) tract. To address this issue, researchers have investigated using GI mucus to help maximize the pharmacokinetics of the therapeutic; while mucus can act as a barrier to effective oral delivery, it can also be used as an anchoring mechanism to improve intestinal residence. Nano-drug delivery systems that use materials which can interact with the mucus layers in the GI tract can enable longer residence time, improving the efficacy of oral drug delivery. This review examines the properties and function of mucus in the GI tract, as well as diseases that alter mucus. Three broad classes of mucus-interacting systems are discussed: mucoadhesive, mucus-penetrating, and mucolytic drug delivery systems. For each class of system, the basis for mucus interaction is presented, and examples of materials that inform the development of these systems are discussed and reviewed. Finally, a list of FDA-approved mucoadhesive, mucus-penetrating, and mucolytic drug delivery systems is reviewed. In summary, this review highlights the progress made in developing mucus-interacting systems, both at a research-scale and commercial-scale level, and describes the theoretical basis for each type of system. 2022-08-08T12:18:25Z 2022-08-08T12:18:25Z 2022-08-06 2022-08-07T03:12:12Z Article http://purl.org/eprint/type/JournalArticle https://hdl.handle.net/1721.1/144258 Journal of Nanobiotechnology. 2022 Aug 06;20(1):362 PUBLISHER_CC en https://doi.org/10.1186/s12951-022-01539-x Creative Commons Attribution https://creativecommons.org/licenses/by/4.0/ The Author(s) application/pdf BioMed Central BioMed Central
spellingShingle Subramanian, Deepak A.
Langer, Robert
Traverso, Giovanni
Mucus interaction to improve gastrointestinal retention and pharmacokinetics of orally administered nano-drug delivery systems
title Mucus interaction to improve gastrointestinal retention and pharmacokinetics of orally administered nano-drug delivery systems
title_full Mucus interaction to improve gastrointestinal retention and pharmacokinetics of orally administered nano-drug delivery systems
title_fullStr Mucus interaction to improve gastrointestinal retention and pharmacokinetics of orally administered nano-drug delivery systems
title_full_unstemmed Mucus interaction to improve gastrointestinal retention and pharmacokinetics of orally administered nano-drug delivery systems
title_short Mucus interaction to improve gastrointestinal retention and pharmacokinetics of orally administered nano-drug delivery systems
title_sort mucus interaction to improve gastrointestinal retention and pharmacokinetics of orally administered nano drug delivery systems
url https://hdl.handle.net/1721.1/144258
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AT traversogiovanni mucusinteractiontoimprovegastrointestinalretentionandpharmacokineticsoforallyadministerednanodrugdeliverysystems