Primary and novel approaches for colon targeted drug delivery - A review

G. Tiwari, R. Tiwari, P. Wal, A. Wal, A. Rai
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引用次数: 63

Abstract

The colon is a site where both local and systemic delivery of drugs can take place. Local delivery could, for example, allow topical treatment of inflammatory bowel disease. Treatment could be made more effective if it were possible for drugs to be targeted directly on the colon. Systemic side effects could also be reduced. Colon specific systems might also allow oral administration of peptide and protein drugs, which are normally inactivated in the upper parts of the gastrointestinal tract. Primary approaches for CDDS (Colon Specific Drug Delivery), which includes prodrugs, pH and time dependent systems and microbially triggered drug delivery system achieved limited success and having limitations. Newly developed CDDS, which includes pressure controlled colonic delivery capsules (PCDCS), CODESTM and osmotic controlled drug delivery are unique in terms of achieving in vivo site specificity and feasibility of manufacturing process. This review also focuses on evaluations of CDDS in general. Keywords: Colon drug delivery systems; Primary approaches; Newly developed approaches; evaluation of colon targeted drug delivery systems
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结肠靶向给药的主要方法和新方法综述
结肠是一个可以进行局部和全身药物输送的地方。例如,局部输送可以用于局部治疗炎症性肠病。如果药物能够直接作用于结肠,治疗将会更加有效。系统副作用也可以减少。结肠特异性系统也可能允许口服肽类和蛋白类药物,这些药物通常在胃肠道上部失活。结肠特异性给药(CDDS)的主要方法包括前药、pH和时间依赖性系统以及微生物触发给药系统,但取得的成功有限,并且存在局限性。新开发的CDDS,包括压力控制结肠给药胶囊(PCDCS)、CODESTM和渗透控制给药,在实现体内部位特异性和制造工艺可行性方面具有独特的意义。本文还对CDDS的总体评价进行了综述。关键词:结肠给药系统;主要方法;新发展的方法;结肠靶向给药系统的评价
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