The oral route is attractive for drug administration because it is associat
ed with patient acceptability, less stringent production conditions, and lo
wer costs. However, gastrointestinal destruction of labile molecules and lo
w levels of absorption generally render oral delivery of peptides and prote
ins ineffective. Several strategies have the potential to enhance the effic
acy of orally administered drugs. Bioadhesion is an approach for increasing
interaction between drugs and the mucosae. Bioadhesive systems can be nons
pecific, achieving adhesion via mechanical processes or specific systems th
at recognize receptors on epithelial cells. Lectins are one group of specif
ic bioadhesives with many suitable properties for targeting of cells in the
gastrointestinal tract (GIT). This review assesses the potential of lectin
s in the delivery of drugs and vaccines to the GIT.