1. A Noninvasive Gut-to-Brain Oral Drug Delivery System for Treating Brain Tumors.
- Author
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Miao YB, Chen KH, Chen CT, Mi FL, Lin YJ, Chang Y, Chiang CS, Wang JT, Lin KJ, and Sung HW
- Subjects
- Animals, Antineoplastic Agents pharmacokinetics, Blood-Brain Barrier drug effects, Disulfides, Endocytosis, Lymphatic System, Macrophages metabolism, Magnetic Resonance Spectroscopy, Mice, Neoplasm Transplantation, Temozolomide pharmacokinetics, beta-Glucans chemistry, Administration, Oral, Antineoplastic Agents administration & dosage, Brain Neoplasms drug therapy, Drug Delivery Systems, Glioma drug therapy, Intestines drug effects, Prodrugs chemistry, Temozolomide administration & dosage
- Abstract
Most orally administered drugs fail to reach the intracerebral regions because of the intestinal epithelial barrier (IEB) and the blood-brain barrier (BBB), which are located between the gut and the brain. Herein, an oral prodrug delivery system that can overcome both the IEB and the BBB noninvasively is developed for treating gliomas. The prodrug is prepared by conjugating an anticancer drug on β-glucans using a disulfide-containing linker. Following oral administration in glioma-bearing mice, the as-prepared prodrug can specifically target intestinal M cells, transpass the IEB, and be phagocytosed/hitchhiked by local macrophages (Mϕ). The Mϕ-hitchhiked prodrug is transported to the circulatory system via the lymphatic system, crossing the BBB. The tumor-overexpressed glutathione then cleaves the disulfide bond within the prodrug, releasing the active drug, improving its therapeutic efficacy. These findings reveal that the developed prodrug may serve as a gut-to-brain oral drug delivery platform for the well-targeted treatment of gliomas., (© 2021 Wiley-VCH GmbH.)
- Published
- 2021
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