The ability to deliver drugs to the human colon in a specific manner has be
come feasible in the last decade. A variety of means, including protective
coats and pH-dependent polymers, are currently in use. Utilization of the m
etabolic activity of the colon is an attractive implement to improve the dr
ug carriers' specificity. Biodegradable polymers, which are cleaved by colo
nic enzymes, can be used for that purpose. The mechanism of choice is azo-r
eduction and glycosidic-bond hydrolysis. In this review, some of the most c
ommon approaches to target drugs to the colon are reviewed and special atte
ntion is paid to modified polysaccharides as potential drug carriers to the
human colon. (C) 2000 Wiley-Liss, Inc.