title: Oral delivery of proteins by biodegradable nanoparticles.
abstract: Successful administration of therapeutic proteins via the oral route has long eluded the drug delivery community; a variety of factors, both physical and physiological, have hindered the myriad approaches to increasing the bioavailability of orally administered therapeutic proteins, including: 1) pre-systemic degradation by enzymes and 2) poor penetration of the intestinal mucosa and epithelium. Even when bypassing the harsh, acidic environment of the stomach, the intestines pose significant obstacles to systemic uptake. For example, the lining of the gastrointestinal tract comprises a thick wall of epithelial cells covered by a layer of polysaccharides and mucus. In this review, we will discuss the biology underlying intestinal uptake of protein-containing, biodegradable nanoparticles, review insulin delivery as the most accepted model for oral delivery of proteins, and present a variety of new material systems enabling novel approaches to oral protein delivery which we believe will bring to bear the next therapeutic advances in our field.
authors.affiliation: Department of Molecular Pharmacology, Physiology and Biotechnology, Brown University, Providence, RI 02912, USA.
authors.forename: Sasha H
authors.initials: SH
authors.lastname: Bakhru
authors.forename: Stacia
authors.initials: S
authors.lastname: Furtado
authors.forename: A Peter
authors.initials: AP
authors.lastname: Morello
authors.forename: Edith
authors.initials: E
authors.lastname: Mathiowitz
mesh_terms: D000284:Administration, Oral; D001682:Biological Availability; D004337:Drug Carriers / Q000008:administration & dosage* / Q000493:pharmacokinetics*; D041981:Gastrointestinal Tract / Q000378:metabolism; D006801:Humans; D007328:Insulin / Q000008:administration & dosage / Q000493:pharmacokinetics; D007408:Intestinal Absorption / Q000502:physiology; D053758:Nanoparticles / Q000008:administration & dosage* / Q000737:chemistry; D004364:Pharmaceutical Preparations / Q000008:administration & dosage*; D011108:Polymers / Q000493:pharmacokinetics; D011506:Proteins / Q000008:administration & dosage*; D057900:Transcytosis / Q000502:physiology
chemical_list: D004337:Drug Carriers; D007328:Insulin; D004364:Pharmaceutical Preparations; D011108:Polymers; D011506:Proteins