E. Bjork et al., STARCH MICROSPHERES INDUCE PULSATILE DELIVERY OF DRUGS AND PEPTIDES ACROSS THE EPITHELIAL BARRIER BY REVERSIBLE SEPARATION OF THE TIGHT JUNCTIONS, Journal of drug targeting., 2(6), 1995, pp. 501-507
Non-parenteral administration of peptide drugs is prevented by the lim
ited permeability of the epithelia lining the mucosal tissues. As a ne
w approach to non-parenteral delivery, degradable starch microspheres
(dsm) were coated with insulin and administered to the mucosal side of
monolayers of human intestinal epithelial (Caco-2) cells in vitro. Th
e microspheres induced a pulsed delivery of insulin across the epithel
ium that lasted for 1-2 h. The pulsed delivery correlated with a rever
sible appearance of focal dilatations in the tight junctions between t
he epithelial cells, indicating that dsm enhance the delivery of insul
in by the paracellular route. These results provide an explanation for
the previously observed absorption enhancing properties of dsm.