|
|
Polymeric Nanomaterials Used in Oral Insulin Delivery Systems |
MA Pin-pin,XIONG Xiang-yuan**() |
College of Life Sciences, Jiangxi Science and Technology Normal University, Nanchang 330013, China |
|
|
Abstract Subcutaneous insulin is the most effective way to control blood sugar levels and plays a crucial role in the treatment of patients with type I and advanced type II diabetes. However, frequent subcutaneous injections bring great pain to patients, so for the treatment of diabetes, oral therapy is preferred at present. Oral insulin can mimic physiological insulin secretion and provide more comprehensive regulation of hepatic glucose metabolism, but the development of oral insulin administration is greatly hampered by gastrointestinal malabsorption. The rapid development nanoscale drug delivery systems (NDDS) of has increased the possibility of oral insulin. Polymeric nanomaterials are important carrier materials in NDDS, which have been widely used to promote oral insulin absorption. They have the advantages of biodegradability, biocompatibility and storage stability, and their molecular chain is long and the structure is easy to be changed, modified and processed. The polymeric nanomaterials can protect the encapsulated insulin from the effects of acid denaturation and enzymatic degradation, promote the uptake of insulin by cells, and thus improve the bioavailability of insulin. This review discusses the main physiological obstacles to oral insulin and summarizes the research progress of polymer nanomaterials for oral insulin delivery in recent years.
|
Received: 14 September 2022
Published: 31 March 2023
|
|
Corresponding Authors:
**Xiang-yuan XIONG
E-mail: xy.xiong@qq.com
|
|
|
[1] |
International Diabetes Federation. IDF Diabetes Atlas, 10th ed. [2022-04-21]. https://www.diabetesatlas.org.
|
|
|
[2] |
Despins L A, Wakefield B J. Making sense of blood glucose data and self-management in individuals with type 2 diabetes mellitus: a qualitative study. Journal of Clinical Nursing, 2020, 29(13-14): 2572-2588.
doi: 10.1111/jocn.15280
pmid: 32279366
|
|
|
[3] |
Suplotova L A, Sudnitsyna A S, Romanova N V. Analysis of the quality of life of patients with type 1 diabetes mellitus in real clinical practice who received insulin degludec. Meditsinskiy Sovet, 2021(14): 96-103.
|
|
|
[4] |
Chen G Y, Kang W R, Li W Q, et al. Oral delivery of protein and peptide drugs: from non-specific formulation approaches to intestinal cell targeting strategies. Theranostics, 2022, 12(3): 1419-1439.
doi: 10.7150/thno.61747
pmid: 35154498
|
|
|
[5] |
Park H, Otte A, Park K. Evolution of drug delivery systems: from 1950 to 2020 and beyond. Journal of Controlled Release, 2022, 342: 53-65.
doi: 10.1016/j.jconrel.2021.12.030
|
|
|
[6] |
Cui Z X, Qin L, Guo S, et al. Design of biotin decorated enterocyte targeting muco-inert nano complexes for enhanced oral insulin delivery. Carbohydrate Polymers, 2021, 261: 117873.
doi: 10.1016/j.carbpol.2021.117873
|
|
|
[7] |
Jiang W X, Chen L, Guo X, et al. Combating multidrug resistance and metastasis of breast cancer by endoplasmic reticulum stress and cell-nucleus penetration enhanced immunochemotherapy. Theranostics, 2022, 12(6): 2987-3006.
doi: 10.7150/thno.71693
pmid: 35401832
|
|
|
[8] |
Cheng H B, Cui Z X, Guo S, et al. Mucoadhesive versus mucopenetrating nanoparticles for oral delivery of insulin. Acta Biomaterialia, 2021, 135: 506-519.
doi: 10.1016/j.actbio.2021.08.046
pmid: 34487859
|
|
|
[9] |
Liu L, Zhang Y, Yu S J, et al. Dual stimuli-responsive nanoparticle-incorporated hydrogels as an oral insulin carrier for intestine-targeted delivery and enhanced paracellular permeation. ACS Biomaterials Science & Engineering, 2018, 4(8): 2889-2902.
|
|
|
[10] |
Banerjee A, Ibsen K, Brown T, et al. Ionic liquids for oral insulin delivery. Proceedings of the National Academy of Sciences of the United States of America, 2018, 115(28): 7296-7301.
|
|
|
[11] |
Seyam S, Nordin N A, Alfatama M. Recent progress of chitosan and chitosan derivatives-based nanoparticles: pharmaceutical perspectives of oral insulin delivery. Pharmaceuticals (Basel, Switzerland), 2020, 13(10): 307.
|
|
|
[12] |
Xu Z Y, Chen L, Duan X Y, et al. Microparticles based on alginate/chitosan/casein three-dimensional system for oral insulin delivery. Polymers for Advanced Technologies, 2021, 32(11): 4352-4361.
doi: 10.1002/pat.v32.11
|
|
|
[13] |
Fu Y, Sun Y X, Chen M, et al. Glycopolymer nanoparticles with on-demand glucose-responsive insulin delivery and low-hypoglycemia risks for type 1 diabetic treatment. Biomacromolecules, 2022, 23(3): 1251-1258.
doi: 10.1021/acs.biomac.1c01496
|
|
|
[14] |
Zhou Y H, Liu L, Cao Y, et al. A nanocomposite vehicle based on metal-organic framework nanoparticle incorporated biodegradable microspheres for enhanced oral insulin delivery. ACS Applied Materials & Interfaces, 2020, 12(20): 22581-22592.
|
|
|
[15] |
Kumari Y, Singh S K, Kumar R, et al. Modified apple polysaccharide capped gold nanoparticles for oral delivery of insulin. International Journal of Biological Macromolecules, 2020, 149: 976-988.
doi: S0141-8130(19)39044-0
pmid: 32018009
|
|
|
[16] |
Huang Q, Yu H J, Wang L, et al. Synthesis and testing of polymer grafted mesoporous silica as glucose-responsive insulin release drug delivery systems. European Polymer Journal, 2021, 157: 110651.
doi: 10.1016/j.eurpolymj.2021.110651
|
|
|
[17] |
Pauletti G M, Gangwar S, Knipp G T, et al. Structural requirements for intestinal absorption of peptide drugs. Journal of Controlled Release, 1996, 41(1-2): 3-17.
doi: 10.1016/0168-3659(96)01352-1
|
|
|
[18] |
Evans D F, Pye G, Bramley R, et al. Measurement of gastrointestinal pH profiles in normal ambulant human subjects. Gut, 1988, 29(8): 1035-1041.
pmid: 3410329
|
|
|
[19] |
Saeed S, Irfan M, Naz S, et al. Routes and barriers associated with protein and peptide drug delivery system. JPMA the Journal of the Pakistan Medical Association, 2021, 71(8): 2032-2039.
|
|
|
[20] |
Cheng H, Leblond C P. Origin, differentiation and renewal of the four main epithelial cell types in the mouse small intestine. III. Entero-endocrine cells. The American Journal of Anatomy, 1974, 141(4): 503-519.
doi: 10.1002/(ISSN)1553-0795
|
|
|
[21] |
Sonia T A, Sharma C P. An overview of natural polymers for oral insulin delivery. Drug Discovery Today, 2012, 17(13-14): 784-792.
doi: 10.1016/j.drudis.2012.03.019
pmid: 22521664
|
|
|
[22] |
Li S Y, Qin T T, Chen T T, et al. Poly(vinyl alcohol)/poly(hydroxypropyl methacrylate-co-methacrylic acid) as pH-sensitive semi-IPN hydrogels for oral insulin delivery: preparation and characterization. Iranian Polymer Journal, 2021, 30(4): 343-353.
doi: 10.1007/s13726-020-00893-7
|
|
|
[23] |
Volpatti L R, Matranga M A, Cortinas A B, et al. Glucose-responsive nanoparticles for rapid and extended self-regulated insulin delivery. ACS Nano, 2020, 14(1): 488-497.
doi: 10.1021/acsnano.9b06395
pmid: 31765558
|
|
|
[24] |
Xi Z Y, Ahmad E, Zhang W, et al. Dual-modified nanoparticles overcome sequential absorption barriers for oral insulin delivery. Journal of Controlled Release: Official Journal of the Controlled Release Society, 2022, 342: 1-13.
doi: 10.1016/j.jconrel.2021.11.045
|
|
|
[25] |
Xiong X Y, Li Y P, Li Z L, et al. Vesicles from Pluronic/poly(lactic acid) block copolymers as new carriers for oral insulin delivery. Journal of Controlled Release, 2007, 120(1-2): 11-17.
pmid: 17509718
|
|
|
[26] |
Xie S, Gong Y C, Xiong X Y, et al. Targeted folate-conjugated pluronic P85/poly(lactide-co-glycolide) polymersome for the oral delivery of insulin. Nanomedicine (London, England), 2018, 13(19): 2527-2544.
doi: 10.2217/nnm-2017-0372
|
|
|
[27] |
Wang A H, Fan W W, Yang T T, et al. Liver-target and glucose-responsive polymersomes toward mimicking endogenous insulin secretion with improved hepatic glucose utilization. Advanced Functional Materials, 2020, 30(13): 1910168.
doi: 10.1002/adfm.v30.13
|
|
|
[28] |
Zhou D X, Li S Y, Fei Z X, et al. Glucose and pH dual-responsive polymersomes with multilevel self-regulation of blood glucose for insulin delivery. Biomacromolecules, 2021, 22(9): 3971-3979.
doi: 10.1021/acs.biomac.1c00772
pmid: 34423981
|
|
|
[29] |
Lee S W, Kim Y M, Cho C H, et al. An open-label, randomized, parallel, phase II trial to evaluate the efficacy and safety of a cremophor-free polymeric micelle formulation of paclitaxel as first-line treatment for ovarian cancer: a Korean gynecologic oncology group study (KGOG-3021). Cancer Research and Treatment, 2018, 50(1): 195-203.
doi: 10.4143/crt.2016.376
|
|
|
[30] |
Li C, Liu X Y, Zhang Y L, et al. Nanochaperones mediated delivery of insulin. Nano Letters, 2020, 20(3): 1755-1765.
doi: 10.1021/acs.nanolett.9b04966
pmid: 32069419
|
|
|
[31] |
Han X F, Lu Y, Xie J B, et al. Zwitterionic micelles efficiently deliver oral insulin without opening tight junctions. Nature Nanotechnology, 2020, 15(7): 605-614.
doi: 10.1038/s41565-020-0693-6
pmid: 32483319
|
|
|
[32] |
Li C, Wu G, Ma R J, et al. Nitrilotriacetic acid (NTA) and phenylboronic acid (PBA) functionalized nanogels for efficient encapsulation and controlled release of insulin. ACS Biomaterials Science & Engineering, 2018, 4(6): 2007-2017.
|
|
|
[33] |
Cao S J, Xu S, Wang H M, et al. Nanoparticles: oral delivery for protein and peptide drugs. AAPS PharmSciTech, 2019, 20(5): 190.
doi: 10.1208/s12249-019-1325-z
|
|
|
[34] |
Yan C Y, Gu J W, Lv Y G, et al. Caproyl-modified G2 PAMAM dendrimer (G2-AC) nano complexes increases the pulmonary absorption of insulin. AAPS PharmSciTech, 2019, 20(7): 298.
doi: 10.1208/s12249-019-1505-x
|
|
|
[35] |
Parashar A K, Patel P, Gupta A K, et al. Synthesis, characterization and in vivo Evaluation of PEGylated PPI dendrimer for safe and prolonged delivery of insulin. Drug Delivery Letters, 2019, 9(3): 248-263.
doi: 10.2174/2210303109666190401231920
|
|
|
[36] |
Bai Y L, Zhou R, Wu L, et al. Nanoparticles with surface features of dendritic oligopeptides as potential oral drug delivery systems. Journal of Materials Chemistry B, 2020, 8(13): 2636-2649.
doi: 10.1039/c9tb02860a
pmid: 32129375
|
|
|
[37] |
Dan N, Samanta K, Almoazen H. An update on pharmaceutical strategies for oral delivery of therapeutic peptides and proteins in adults and pediatrics. Children (Basel, Switzerland), 2020, 7(12): 307.
|
|
|
[38] |
Bednarikova Z, Antal I, Kubovcikova M, et al. Modified polymer nanospheres:characterization and their anti-amyloid activity to insulin amyloid aggregation. Journal of Magnetism and Magnetic Materials, 2021, 521: 167527.
doi: 10.1016/j.jmmm.2020.167527
|
|
|
[39] |
Trinh T A, Le T M D, Ho H G V, et al. A novel injectable pH-temperature sensitive hydrogel containing chitosan-insulin electrosprayed nanosphere composite for an insulin delivery system in type I diabetes treatment. Biomaterials Science, 2020, 8(14): 3830-3843.
doi: 10.1039/d0bm00634c
pmid: 32538381
|
|
|
[40] |
Jaradat A, Macedo M H, Sousa F, et al. Prediction of the enhanced insulin absorption across a triple co-cultured intestinal model using mucus penetrating PLGA nanoparticles. International Journal of Pharmaceutics, 2020, 585: 119516.
doi: 10.1016/j.ijpharm.2020.119516
|
|
|
[41] |
Fang Y, Wang Q, Lin X J, et al. Gastrointestinal responsive polymeric nanoparticles for oral delivery of insulin: optimized preparation, characterization, and in vivo evaluation. Journal of Pharmaceutical Sciences, 2019, 108(9): 2994-3002.
doi: S0022-3549(19)30253-9
pmid: 31047941
|
|
|
[42] |
Gabriel T, Belete A, Hause G, et al. Nanocellulose-based nanogels for sustained drug delivery: preparation, characterization and in vitro evaluation. Journal of Drug Delivery Science and Technology, 2022, 75: 103665.
doi: 10.1016/j.jddst.2022.103665
|
|
|
[43] |
Ahmed S, Alhareth K, Mignet N. Advancement in nanogel formulations provides controlled drug release. International Journal of Pharmaceutics, 2020, 584: 119435.
doi: 10.1016/j.ijpharm.2020.119435
|
|
|
[44] |
Mudassir J, Darwis Y, Muhamad S, et al. Self-assembled insulin and nanogels polyelectrolyte complex (Ins/NGs-PEC) for oral insulin delivery: characterization, lyophilization and in-vivo evaluation. International Journal of Nanomedicine, 2019, 14: 4895-4909.
doi: 10.2147/IJN
|
|
|
[45] |
Elshaarani T, Yu H J, Wang L, et al. Dextran-crosslinked glucose responsive nanogels with a self-regulated insulin release at physiological conditions. European Polymer Journal, 2020, 125: 109505.
doi: 10.1016/j.eurpolymj.2020.109505
|
|
|
|
Viewed |
|
|
|
Full text
|
|
|
|
|
Abstract
|
|
|
|
|
Cited |
|
|
|
|
|
Shared |
|
|
|
|
|
Discussed |
|
|
|
|