Non-Invasive and Less Degradative Ways of Insulin Administration

Protein and peptide delivery systems attract great attention nowadays. They play crucial role in several diseases, but their way of administration has some disadvantages that makes patients dissatisfied. In this study, we choose insulin as a peptide that is used for type I and type II diabetic patie...

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Published inPharmaceutical Sciences Vol. 25; no. 2; pp. 85 - 92
Main Authors Allahyari, Saeideh, Javadzadeh, Yousef
Format Journal Article
LanguageEnglish
Published Tabriz Tabriz University of Medical Sciences 01.06.2019
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Abstract Protein and peptide delivery systems attract great attention nowadays. They play crucial role in several diseases, but their way of administration has some disadvantages that makes patients dissatisfied. In this study, we choose insulin as a peptide that is used for type I and type II diabetic patients, but injection way of its usage is not suitable in diabetes as a chronic remedy. Although oral way is a needle-free one, but its bioavailability through that would be decreased because of degradation in gastro-intestine and consequently, further dosage should be used to get the desired hypoglycemic effect. Administration of insulin through non-parenteral and less enzymatic pathways, such as intranasal, pulmonary, transdermal, colon and vaginal routes, is new that attracts researchers’ attention considerably. Although the bioavailability of insulin may be lower than the current injection way, but it may be improved by some strategies like the use of permeation enhancers. There are also some limitations in each way, but propagation of them would result in improvement of patients’ quality of life and may cause some economic profits. The objective of this review was to introduce the convenient ways for long term insulin administration with few enzymatic barriers.
AbstractList Protein and peptide delivery systems attract great attention nowadays. They play crucial role in several diseases, but their way of administration has some disadvantages that makes patients dissatisfied. In this study, we choose insulin as a peptide that is used for type I and type II diabetic patients, but injection way of its usage is not suitable in diabetes as a chronic remedy. Although oral way is a needle-free one, but its bioavailability through that would be decreased because of degradation in gastro-intestine and consequently, further dosage should be used to get the desired hypoglycemic effect. Administration of insulin through non-parenteral and less enzymatic pathways, such as intranasal, pulmonary, transdermal, colon and vaginal routes, is new that attracts researchers’ attention considerably. Although the bioavailability of insulin may be lower than the current injection way, but it may be improved by some strategies like the use of permeation enhancers. There are also some limitations in each way, but propagation of them would result in improvement of patients’ quality of life and may cause some economic profits. The objective of this review was to introduce the convenient ways for long term insulin administration with few enzymatic barriers.
Since drug absorption from nasal cavity is dependent upon some parameters such as time available and viscosity of the formulations, the presence of penetration enhancers with bioadhesives would result in an improved absorption. [...]they found that the use of bioadhesive polymers like MCC and AG, may be introduced as a promising potential way for peptide delivery in nasal spray formulations.12 Chitosan as a biodegradable and biocompatible mucopolysaccharide obtained from deacetylation of chitin in crustaceans such as crabs and shrimps. In this way, loading entrapment of drug in PNAPs was also increased. [...]this way have the potential to be introduced for carrying of insulin through the lungs because of its proper aerodynamic size and maximal deposition.39 Transdermal administration Transdermal drug delivery (TDD) is another non-invasive alternative way to the subcutaneous injection of insulin in diabetic patients.40 This way is able to minimize painful administration of injection delivery41 and may improve patient compliance.42 This way is limited by the low permeability of stratum corneum (SC), flat and dead cells which filled with keratin fibers surrounded by lipid bilayers.3 Researchers demonstrated some pathways to bypass the skin barrier, such as sonophoresis and iontophoresis as physical enhancers.3,43 Theses enhancers may have some undesirable and irreversible damage to skin44 but synergistic use of them may be safe and cost effective accomplishing by enhanced penetration of chemicals with large molecular weight. [...]time-dependent films undergo time erosion processes by passing through the colon.51,52 In a study, chitosan (CS), triethylchitosan (TEC) and dimethylethyl-chitosan (DMEC) based nanoparticles were used for colon delivery of insulin.
Author Javadzadeh, Yousef
Allahyari, Saeideh
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StartPage 85
SubjectTerms Bioavailability
Chronic illnesses
Delivery ways
Diabetes
Drug dosages
Insulin
Less enzymatic
Non-invasive
Peptides
Permeability
Pharmaceutical industry
Polyethylene glycol
Proteins
Researchers
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Title Non-Invasive and Less Degradative Ways of Insulin Administration
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