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shots from a pill?
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Ulcerative Colitis
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UCHater
Regular Member
Joined : Jun 2012
Posts : 278
Posted 10/1/2014 5:50 PM (GMT 0)
Kind of interesting...a little scary.
But wonder if they could create a pill that delivers some kind of shot directly to the colon...
gizmodo.com/would-you-swallow-a-pill-covered-in-needles-instead-of-1641234428
iPoop
Forum Moderator
Joined : Aug 2012
Posts : 16483
Posted 10/1/2014 5:58 PM (GMT 0)
A neat idea, I just hope they don't hurt coming out the other end...
DBwithUC
Veteran Member
Joined : Feb 2011
Posts : 4545
Posted 10/1/2014 7:06 PM (GMT 0)
yes it could deliver in the colon. It would simply vary the composition of the pH sensitive coating mentioned. And if the sugar based needles are used, they will dissolve before exiting.
But the need for UC is not clear. Most UC meds act topically. You want contact with not injection through the mucosa. The example mentioned of antibodies, which are large proteins that would be destroyed by the digestive juices - well it is not clear that it has to enter the bloodstream in the colon. Blood circulates quickly.
There would have to be some med that needed to get into the tissue behind the mucosa, or into the small blood vessels of the colon, and it would also be a med that could not be absorbed.
Maybe some biological could be injected into colon tissue in smaller doses than is currently put in through IV infusion. Perhaps this extends the SSI concept, but only using physical delivery. Still I am not sure this is a technology that solves a current UC medication problem.
iPoop
Forum Moderator
Joined : Aug 2012
Posts : 16483
Posted 10/1/2014 7:12 PM (GMT 0)
Yeah biologics and SSI I am sure. SSI benefits the most from this approach as it needs to reach the site (the site specific part of SSI) and then deploy it's content. Biologics is just you have the convenience of not needing to poke yourself with a needle, or get an IV set in you. I can only imagine how expensive such a high-tech pill would be though. And I hope the high tech pill doesn't get en-lodged inside the center of a big old turd on the way down, so therefore not able to do it's job and reach the wall lol. Dissolvable needles sound good for the poop shoot...
DBwithUC
Veteran Member
Joined : Feb 2011
Posts : 4545
Posted 10/2/2014 2:25 PM (GMT 0)
I think solidification of the turd occurs fairly far along the colon. might make this less useful for proctitis.
ultimately we will take a pill full of nano robots ( http://en.wikipedia.org/wiki/Nanoroboticsthat reach the mucosa in a site-specific fashion ) these will repair barrier, regulate distributions of immune cells and of commensual bacteria.
Possibly they could even be reprogrammed with external signals as treatment progresses.
But this is a ways out
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