Biocompatible smart micro/nanorobots for active gastrointestinal tract drug delivery.

Expert opinion on drug delivery Pub Date : 2023-07-01 Epub Date: 2023-10-30 DOI:10.1080/17425247.2023.2270915
Baozhen Zhang, Lizhen Zhu, Hong Pan, Lintao Cai
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Abstract

Introduction: Oral delivery is the most commonly used route of drug administration owing to good patient compliance. However, the gastrointestinal (GI) tract contains multiple physiological barriers that limit the absorption efficiency of conventional passive delivery systems resulting in a low drug concentration reaching the diseased sites. Micro/nanorobots can convert energy to self-propulsive force, providing a novel platform to actively overcome GI tract barriers for noninvasive drug delivery and treatment.

Areas covered: In this review, we first describe the microenvironments and barriers in the different compartments of the GI tract. Afterward, the applications of micro/nanorobots to overcome GI tract barriers for active drug delivery are highlighted and discussed. Finally, we summarize and discuss the challenges and future prospects of micro/nanorobots for further clinical applications.

Expert opinion: Micro/nanorobots with the ability to autonomously propel themselves and to load, transport, and release payloads on demand are ideal carriers for active oral drug delivery. Although there are many challenges to be addressed, micro/nanorobots have great potential to introduce a new era of drug delivery for precision therapy.

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用于主动胃肠道药物递送的生物相容性智能微/纳米机器人。
引言:由于患者具有良好的依从性,口服给药是最常用的给药途径。然而,胃肠道包含多个生理屏障,这些生理屏障限制了传统被动递送系统的吸收效率,导致到达病变部位的药物浓度较低。微/纳米机器人可以将能量转化为自推进力,为主动克服胃肠道障碍提供了一个新的平台,用于无创药物输送和治疗。涵盖的领域:在这篇综述中,我们首先描述了胃肠道不同隔间中的微环境和屏障。随后,重点介绍和讨论了微/纳米机器人在克服胃肠道屏障以进行活性药物递送方面的应用。最后,我们总结并讨论了微/纳米机器人在进一步临床应用中面临的挑战和未来前景。专家意见:具有自主推进能力以及根据需要装载、运输和释放有效载荷的微型/纳米机器人是主动口服药物递送的理想载体。尽管有许多挑战需要解决,但微/纳米机器人在为精准治疗引入药物递送新时代方面具有巨大潜力。
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