Past, Present, and Future Technologies for Oral Delivery of Therapeutic Proteins
Open accessAbstract
Biological drugs are usually complex proteins and cannot be orally delivered due to problems related to degradation in the acidic and protease-rich environment of the gastrointestinal (GI) tract. The high molecular weight of these drugs often results in poor absorption into the periphery when administered orally. The most common route of administration for these therapeutic proteins is injection. Most of these proteins have short serum half-lives and need to be administered frequently or in high doses to be effective. So, difficulties in the administration of protein-based drugs provides the motivation for developing drug delivery systems (DDSs) capable of maintaining therapeutic drug levels without side effects as well as traversing the deleterious mucosal environment. Employing a polymer as an entrapment matrix is a common feature among the different types of systems currently being pursued for protein delivery. Protein release from these matrices can occur through various mechanisms, such as diffusion through or erosion of the polymer matrix, and sometimes a combination of both. Encapsulation of proteins in liposomes has also been a widely investigated technology for protein delivery. All of these systems have merit and our worthy of pursuit.
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The limited bioavailability of orally administered mAbs is due to limited penetration across the intestinal epithelium and susceptibility to enzymatic degradation by proteases and peptidases in the intestinal lumen.
“The limited bioavailability of orally administered mAbs is due to their limited penetration across the intestinal epithelium16 and susceptibility to enzymatic degradation by proteases and peptidases in the intestinal lumen.17”
From Tutorial on monoclonal antibody pharmacokinetics and its considerations in early development (2018) · cites this paper as [17]
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“, 2003) whereas non-toxic hydrophilic PEG is known for its stabilising effect on proteins (Kissel et al., 1996; Singh et al., 2008; Wade and Weller, 1994).”
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Islam, M. A., Firdous, J., Badruddoza, A. Z. M., Reesor, E., Azad, M. A., Hasan, A., Lim, M., Cao, W., Guillemette, S. R., & Cho, C. S. (2018) · Biomaterials · doi:10.1016/j.biomaterials.2018.10.041 · Cited by 64 · see citing works
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“Oral delivery is not a viable delivery method for therapeutic proteins due to poor absorption and degradation in the gastrointestinal tract and liver [1,2].”
BackgroundLipid-Based Nanocarriers for the Oral Administration of Biopharmaceutics
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“To overcome these delivery limitations, there has been continuous efforts towards developing formulations that can protect and release the molecules at the epithelial surface of the GI tract, as well as enhancing the intestinal permeability (Li et al., 2012; Singh et al., 2008).”
BackgroundSingh, B., Maharjan, S., Jiang, T., Kang, S., Choi, Y.-J., & Cho, C. (2015) · Biomaterials · doi:10.1016/j.biomaterials.2015.04.017 · Cited by 49 · see citing works
“Both synthetic and natural polymers including enteric coating polymers are currently being evaluated as vehicles to deliver the proteins to the GI tract [3,4].”
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Glucose sensitive konjac glucomannan/concanavalin A nanoparticles as oral insulin delivery system
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Controlled-release systemic delivery - a new concept in cancer chemoprevention
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Protease-resistant single-domain antibodies inhibit Campylobacter jejuni motility
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“Monoclonal antibodies and larger antibody fragments (i.e. Fabs, scFvs) have shown limited success in the GI tract (Reilly et al., 1997; Singh et al., 2008; Hussack et al., 2011).”
BackgroundSmith, A. M., Jaime-Fonseca, M. R., Grover, L. M., & Bakalis, S. (2010) · Journal of Agricultural and Food Chemistry · doi:10.1021/jf904466p · Cited by 44 · see citing works
Strategies for Enhanced Peptide and Protein Delivery
McCrudden, M., Singh, T. R. R., Migalska, K., & Donnelly, R. F. (2013) · Therapeutic Delivery · doi:10.4155/tde.13.31 · Cited by 43 · see citing works
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“On the contrary, given that a-MSH is a typical peptide, oral delivery of this peptide results in an extremely low bioavailability because of its abundant and unfavourable degradation in the stomach and lack of stability in the luminal environment (Scheuch & Siekmeier, 2007; Singh et al., 2008; Fan et al., 2014).”
BackgroundBandiwadekar, A., Jose, J., Khayatkashani, M., Habtemariam, S., Kashani, H. R. K., & Nabavi, S. M. (2021) · Journal of Molecular Neuroscience · doi:10.1007/s12031-021-01922-7 · Cited by 42 · see citing works
“However, it is not suitable for the delivery of drugs that undergo first-pass metabolism, in which degradation of the drug will occur (Singh et al. 2008).”
BackgroundMicroneedles for drug delivery and monitoring
Singh, T. R. R., McMillan, H. L., Mooney, K. M., Alkilani, A. Z., & Donnelly, R. F. (2013) · Elsevier eBooks · doi:10.1533/9780857097040.2.185 · Cited by 41 · see citing works
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“of BCS class III drugs, like proteins, by protecting them against degradation in the gastro-intestinal tract (GIT) and by improving their intestinal absorption (Patel and Ryman, 1976; Rowland and Woodley, 1981; Fricker and Drewe, 1996; Singh et al., 2008; Werle and Takeuchi, 2009).”
BackgroundBioneedles as alternative delivery system for hepatitis B vaccine
Hirschberg, H. J. H. B., van de Wijdeven, G. G. P., Kraan, H., Amorij, J., & Kersten, G. F. A. (2010) · Journal of Controlled Release · doi:10.1016/j.jconrel.2010.06.028 · Cited by 40 · see citing works
Cracking the intestinal lymphatic system window utilizing oral delivery vehicles for precise therapy
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“The unfolding of some proteins in gastric juices may cause them to lose their ability to function normally [65].”
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“Due to their intrinsic versatility for drug formulations, sustained-release properties, subcellular size and tissue and cell biocompatibility, nano-sized particles appear to be a highly promising solution for peptide and/or protein administration, and have consistently been receiving more attention than do liposomes b…”
BackgroundNanoscale carriers for targeted delivery of drugs and therapeutic biomolecules
Kiparissides, C. A., & Kammona, O. (2012) · The Canadian Journal of Chemical Engineering · doi:10.1002/cjce.21685 · Cited by 35 · see citing works
Responsive polysaccharides and polysaccharides-based nanoparticles for drug delivery
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Biomaterial adjuvant effect is attenuated by anti-inflammatory drug delivery or material selection
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“These principles of engaging innate and adaptive immune responses towards foreign antigens are utilized in the pharmaceutical formulations for vaccine delivery using polymers, such as chitosan[5-9] and PLGA[5,6,10-13]; whereas, it would be detrimental to tissue engineered device function to engage adaptive immune resp…”
BackgroundTherapeutic potential of Camel Milk
Dubey, U. S., Lal, M., Mittal, A., & Kapur, S. (2015) · Emirates Journal of Food and Agriculture · doi:10.9755/ejfa.2015-04-122 · Cited by 34 · see citing works
“They play a vital role in preventing the degradation of protein drugs in the harsh environment of the GI tract (Okada et al., 1998; Singh et al., 2008; Behrens et al., 2002).”
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Biomaterials for Protein Delivery: Opportunities and Challenges to Clinical Translation
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“Furthermore, the intestinal wall represents a selectively permeable barrier that prevents larger macromolecules, such as proteins, from being absorbed [31,32].”
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“However, surfactant should be restricted to the minimum level required to avoid possible toxic and hypersensitivity reactions.(8,132) Poly vinyl alcohol (PVA) was historically used to stabilize proteins during emulsification and these remains until today, especially for stabilization of the secondary emulsion.”
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A Comprehensive Review of the Evolution of Insulin Development and Its Delivery Method
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“Degradation by gastrointestinal enzymes is likely through this route [77,78].”
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“For example, oral delivery may inactivate a drug through phase I metabolism [1] while hypodermic injection requires trained personnel [2].”
BackgroundProtein-coated nanoparticles embedded in films as delivery platforms
Morales, J. O., Ross, A. C., & McConville, J. T. (2013) · Journal of Pharmacy and Pharmacology · doi:10.1111/jphp.12046 · Cited by 28 · see citing works
“However, in general the polymers used in formulations containing proteins are more hydrophobic in comparison with the hydrophilic nature of proteins.([8]) This could potentially lead to precipitation of proteins during storage, or in vivo, leading to possible instability.”
BackgroundOn prilled Nanotubes-in-Microgel Oral Systems for protein delivery
Kruif, J. K. D., Ledergerber, G., Garofalo, C., Fasler‐Kan, E., & Kuentz, M. (2016) · European Journal of Pharmaceutics and Biopharmaceutics · doi:10.1016/j.ejpb.2016.01.014 · Cited by 27 · see citing works
What is the Future of Noninvasive Routes for protein- and peptide-based drugs?
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Experimental Validation of Diffraction Lithography for Fabrication of Solid Microneedles
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“macromolecules such as proteins and insulin restrict the use of oral options primarily due to their poor absorption and vulnerability to the degradation in the gastrointestinal tract and liver [9,10].”
BackgroundProspective use of amniotic mesenchymal stem cell metabolite products for tissue regeneration
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“Oral delivery is generally preferred, but oral delivery is not a viable method for proteins due to their poor absorption and degradation in the gastrointestinal tract and liver [96].”
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“The conventional drug delivery approaches, such as oral administration and hypodermic injection, have their own limitations because a drug may be inactive through phase I metabolism during oral delivery [1], while the hypodermic injection requires trained personnel [2].”
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Enzyme-Functionalized PLGA Nanoparticles with Enhanced Mucus Permeation Rate
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“For oral insulin administration, many drug nano-carrier have been developed to protect insulin from biodegradation and enhance transmucosal absorption [7, 8].”
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Fabrication of hyaluronic acid hollow microneedle array
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- Authors
- Singh, R., Singh, S., & Lillard, J. W.
- Affiliations
- University of Louisville (US)
- Corresponding author
- Lillard, James W.
- Venue
- Journal of Pharmaceutical Sciences
- Publisher
- Elsevier BV
- Published
- 2008-07
- Volume
- 97
- Issue
- 7
- Pages
- 2497-2523
- ISSN
- 0022-3549 (ISSN-L)
- PMC
- PMC4627499
- OpenAlex
- W1966939994
- Cited by
- 186
- References
- 184
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 9 · 2023: 13 · 2022: 14 · 2021: 12 · 2020: 10 · 2019: 6 · 2018: 12 · 2017: 6 · 2016: 14 · 2015: 13 · 2014: 13 · 2013: 10 · 2012: 13
- FWCI
- 0.55
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Pharmaceutical Sciences (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (5p60md000525-04)
- National Cancer Institute (U54CA118638)
- National Institute of Allergy and Infectious Diseases (AI 057808, R01AI057808)
- National Institute of Diabetes and Digestive and Kidney Diseases (DK58967, R03DK058967)
- National Center for Research Resources (RR 03034, G12RR003034)
- National Institute on Minority Health and Health Disparities (MD00525, P60-MD000525)
- Topics
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmaceutical Science › Advanced Drug Delivery Systems
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmaceutical Science › Drug Solubulity and Delivery Systems
- Life Sciences › Agricultural and Biological Sciences › Food Science › Proteins in Food Systems
- Keywords
- oral drug delivery, therapeutic proteins, protein degradation, gastrointestinal tract, drug delivery systems, protein encapsulation, liposomes, mucosal barrier, serum half-life
- MeSH terms
- Absorption, Administration, Oral, Biocompatible Materials, Drug Carriers, Drug Stability, Liposomes, Particle Size, Polymers, Proteins, Technology, Pharmaceutical, Drug Delivery Systems, Nanoparticles
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