Administering drugs that affect processes inside cells presents a significant challenge. Cellular membranes are designed to protect the internal environment and are selectively permeable. Therefore, treatments intended to modulate intracellular activities require careful consideration of drug delivery mechanisms. Oral administration offers a practical and often preferred route for these medications as it leverages the digestive system’s absorptive capabilities. For instance, some small molecule drugs can passively diffuse across the intestinal lining into the bloodstream. Other medications may utilize specific transporters present in the gut to facilitate their uptake. Successfully reaching intracellular targets depends on factors such as the drug’s molecular properties (size, lipophilicity, and charge) and its ability to withstand the digestive process.
The prevalence of oral administration for these treatments stems from several advantages. Patient convenience and adherence are enhanced by the ease of swallowing a pill compared to injections or infusions. Oral delivery can also improve bioavailability for certain drugs by utilizing the liver’s metabolic pathways to convert them into their active forms. Historically, the development of oral medications targeting intracellular pathways has represented a significant advancement in therapeutic strategies, enabling effective treatment of various diseases previously difficult to manage. This approach has contributed significantly to improved patient outcomes and quality of life.