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Cracking the intestinal lymphatic system window utilizing oral delivery vehicles for precise therapy

期刊

JOURNAL OF NANOBIOTECHNOLOGY
卷 21, 期 1, 页码 -

出版社

BMC
DOI: 10.1186/s12951-023-01991-3

关键词

Intestinal lymphatic system; Nanoparticle; Oral delivery; Drug delivery; Immune System

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Oral administration is the preferred method of drug delivery due to its safety and high patient compliance, but it is limited by poor bioavailability. This review discusses the targeted drug vehicles to the intestinal lymphatic system (ILS) and their significance in medication absorption and transport. The review presents various approaches to targeting the ILS for enhanced bioavailability and targeted delivery, as well as methods for opening the ILS window for potential clinical applications.
Oral administration is preferred over other drug delivery methods due to its safety, high patient compliance, ease of ingestion without discomfort, and tolerance of a wide range of medications. However, oral drug delivery is limited by the poor oral bioavailability of many drugs, caused by extreme conditions and absorption challenges in the gastrointestinal tract. This review thoroughly discusses the targeted drug vehicles to the intestinal lymphatic system (ILS). It explores the structure and physiological barriers of the ILS, highlighting its significance in dietary lipid and medication absorption and transport. The review presents various approaches to targeting the ILS using spatially precise vehicles, aiming to enhance bioavailability, achieve targeted delivery, and reduce first-pass metabolism with serve in clinic. Furthermore, the review outlines several methods for leveraging these vehicles to open the ILS window, paving the way for potential clinical applications in cancer treatment and oral vaccine delivery. By focusing on targeted drug vehicles to the ILS, this article emphasizes the critical role of these strategies in improving therapeutic efficacy and patient outcomes. Overall, this article emphasizes the critical role of targeted drug vehicles to the ILS and the potential impact of these strategies on improving therapeutic efficacy and patient outcomes.

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