2015
DOI: 10.4155/ppa.14.53
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Oral insulin-delivery System for Diabetes Mellitus

Abstract: Current insulin therapy for diabetes mellitus involves frequent dosing of subcutaneous injections, causing local discomfort, patient noncompliance, hypoglycemia and hyperinsulinemia, among others. While noninvasive therapy through oral delivery is greatly desired, there are challenges that include low bioavailability due to rapid enzymatic degradation in the stomach, inactivation and digestion by proteolytic enzymes in the intestinal lumen, poor permeability across the intestinal epithelium and poor stability.… Show more

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Cited by 18 publications
(13 citation statements)
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References 24 publications
(23 reference statements)
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“…(Draheim et al 2015;Kanzarkar et al 2015;Park et al 2015;Tang et al 2008;Weerapol et al 2015). Among these techniques, the adsorption process is the simplest and the most commonly used method of transforming formulations from liquid to solid, performed by simply combining them with solid absorbable carriers in a blender.…”
Section: Introductionmentioning
confidence: 99%
“…(Draheim et al 2015;Kanzarkar et al 2015;Park et al 2015;Tang et al 2008;Weerapol et al 2015). Among these techniques, the adsorption process is the simplest and the most commonly used method of transforming formulations from liquid to solid, performed by simply combining them with solid absorbable carriers in a blender.…”
Section: Introductionmentioning
confidence: 99%
“…Moreover, surfactin can promote INS to permeate the intestine layer by its ''detergent-like'' action on the cell membrane Deleu et al, 2013). Therefore, the biomolecule of surfactin is different from other peptide permeability enhancers such as zonula occludens toxin receptor agonist, which promotes INS permeability by modulating the tight junctions of the epithelial cell membrane (Kanzarkar et al, 2015).…”
Section: Discussionmentioning
confidence: 99%
“…Compared to other proteins/ peptides, e.g. variant-specific surface protein for resisting acidic pH and proteolytic degradation in the GI tract, or aprotinin, soybean trypsin inhibitor and ovomucoid as protease inhibitors (Kanzarkar et al, 2015), surfactin acts as protease inhibitor with different mechanisms for protecting INS from protease digestion. Surfactin can form co-precipitates with INS to resist pepsin degradation in the stomach, and bind to INS to form heteropolymer for inhibiting trypsin attack in the intestine.…”
Section: Discussionmentioning
confidence: 99%
“…Furthermore, this route has several side effects such as peripheral hyperinsulinemia, hypoglycemia, weight gain, fat deposition, etc. (Lim et al., 2014 ; Kanzarkar et al., 2015 ; Sousa et al., 2015 ). For these reasons, numerous researchers attempted to develop noninvasive routes for delivering INS (Nur & Vasiljevic, 2017 ).…”
Section: Introductionmentioning
confidence: 99%