Current status of Liraglutide delivery systems for the management of type 2 diabetes mellitus.

IF 5.5 3区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL
Riti Chatterjee, Vishal Sangita Babasaheb Galave, Anil B Jindal
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引用次数: 0

Abstract

Diabetes is a metabolic disorder of increasing global concern. Characterized by constantly elevated levels of glucose, severe β-cell dysfunction, and insulin resistance, it is the cause of a major burden on patients if not managed with therapeutic and lifestyle changes. The human body is slowly developing tolerance to many marketed antidiabetic drugs and the quest for the discovery of newer molecules continues. Liraglutide is a prominent GLP-1 receptor agonist which is administered daily via subcutaneous injection. In addition to lowering HbA1c levels, it is also known for promoting weight loss and improving cardiovascular outcomes. A variety of novel formulation strategies have been explored to improve its bioavailability and patient compliance. To address these limitations, various advanced drug delivery systems have been investigated, including polymeric nanoparticles, lipid-based nanocarriers, biodegradable microparticles, hydrogels, and dissolvable microneedles. These systems aim to prolong drug release, enhance mucosal penetration, increase stability, and reduce dosing frequency. While many of these platforms show promise in preclinical and early clinical studies, critical translational barriers remain. These include challenges in large-scale manufacturing, ensuring formulation sterility, achieving regulatory approval, and maintaining stability during storage and distribution.This review provides a comprehensive overview of the formulation strategies developed for liraglutide delivery, critically examines their pharmacokinetic and pharmacodynamic profiles, and evaluates the current state of clinical translation. By identifying both the potential and the limitations of these delivery technologies, the article aims to inform future research directions in GLP-1-based therapeutics and improve treatment outcomes for patients with T2DM.

利拉鲁肽在2型糖尿病治疗中的应用现状
糖尿病是一种日益受到全球关注的代谢性疾病。其特点是葡萄糖水平持续升高,严重的β细胞功能障碍和胰岛素抵抗,如果不通过治疗和生活方式的改变来控制,它会给患者带来重大负担。人体对许多已上市的抗糖尿病药物正在慢慢产生耐受性,对新分子的探索仍在继续。利拉鲁肽是一种突出的GLP-1受体激动剂,每天通过皮下注射给予。除了降低HbA1c水平外,它还以促进减肥和改善心血管疾病而闻名。各种新的配方策略已被探索,以提高其生物利用度和患者的依从性。为了解决这些限制,人们研究了各种先进的药物输送系统,包括聚合物纳米颗粒、脂基纳米载体、可生物降解的微颗粒、水凝胶和可溶解的微针。这些系统旨在延长药物释放,增强粘膜渗透,增加稳定性,减少给药频率。虽然许多这些平台在临床前和早期临床研究中表现出希望,但关键的转化障碍仍然存在。这些挑战包括大规模生产、确保配方无菌、获得监管部门批准以及在储存和分销过程中保持稳定性。这篇综述提供了利拉鲁肽递送的配方策略的全面概述,严格检查了它们的药代动力学和药效学概况,并评估了临床转化的现状。通过确定这些输送技术的潜力和局限性,本文旨在为基于glp -1的治疗方法的未来研究方向提供信息,并改善T2DM患者的治疗结果。
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来源期刊
Drug Delivery and Translational Research
Drug Delivery and Translational Research MEDICINE, RESEARCH & EXPERIMENTALPHARMACOL-PHARMACOLOGY & PHARMACY
CiteScore
11.70
自引率
1.90%
发文量
160
期刊介绍: The journal provides a unique forum for scientific publication of high-quality research that is exclusively focused on translational aspects of drug delivery. Rationally developed, effective delivery systems can potentially affect clinical outcome in different disease conditions. Research focused on the following areas of translational drug delivery research will be considered for publication in the journal. Designing and developing novel drug delivery systems, with a focus on their application to disease conditions; Preclinical and clinical data related to drug delivery systems; Drug distribution, pharmacokinetics, clearance, with drug delivery systems as compared to traditional dosing to demonstrate beneficial outcomes Short-term and long-term biocompatibility of drug delivery systems, host response; Biomaterials with growth factors for stem-cell differentiation in regenerative medicine and tissue engineering; Image-guided drug therapy, Nanomedicine; Devices for drug delivery and drug/device combination products. In addition to original full-length papers, communications, and reviews, the journal includes editorials, reports of future meetings, research highlights, and announcements pertaining to the activities of the Controlled Release Society.
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