Pharmaceutical Applications of Nanoparticle Carriers

Once it has been administered, an active principle still has to face many physiological barriers on the way to its target, and this may significantly affect its efficiency. These different barriers depend to a great extent on the active ingredient itself and on the way it is administered. They may be constituted by enzymes, an acidic or basic pH, or cell membranes that must be crossed. As a consequence, the active principle may be degraded or distributed to organs other than the therapeutic target. This can reduce the efficiency of the administered dose, or even lead to toxicity with regard to organs other than the target. For example, this situation is observed in trials for the oral administration of insulin (for treating type I diabetes). One point is that this molecule is weakly absorbed by the digestive epithelium (first barrier). Secondly, it undergoes enzymatic degradation by gastric proteases (second barrier). As a consequence, the free form of the molecule cannot be administered orally. This is why insulin is mainly administered subcutaneously, so that it attains the blood circulation directly. However, such a means of administration requires specific training of the patient. This example shows that lack of efficiency and/or difficulties in using certain molecules are not necessarily due to their pharmacology, but rather in some cases to their physicochemical properties.