Cleland J L, Daugherty A, Mrsny R
Pharmaceutical Research & Development, Genentech Inc, 1 DNA Way, South San Francisco, CA 94080, USA.
Curr Opin Biotechnol. 2001 Apr;12(2):212-9. doi: 10.1016/s0958-1669(00)00202-0.
The efficient and safe delivery of therapeutic proteins is the key to commercial success and, in some cases, the demonstration of efficacy in current and future biotechnology products. Numerous delivery technologies and companies have evolved over the past year. To critically evaluate the available options, each method must be assessed in terms of how easily it can be manufactured, impact on protein quality, bioavailability, and toxicity. Recent advances in depot delivery systems have, for the most part, overcome all of these obstacles except for complex and costly manufacturing. On the other hand, pulmonary delivery usually involves efficient manufacturing, but low protein bioavailability resulting in higher doses compared with injections. Although recent advances in transdermal and oral delivery have been significant, both of these delivery routes require logarithmic increases in bioavailability to make them viable candidates for commercialization. In the next few years, protein delivery for commercial products will probably be limited to injection devices, depot systems and pulmonary administration.
治疗性蛋白质的高效安全递送是商业成功的关键,在某些情况下,也是当前和未来生物技术产品疗效证明的关键。在过去一年里,涌现出了众多递送技术和公司。为了严格评估现有的选择,每种方法都必须从其制造的难易程度、对蛋白质质量的影响、生物利用度和毒性等方面进行评估。储库递送系统的最新进展在很大程度上克服了所有这些障碍,除了制造过程复杂且成本高昂。另一方面,肺部递送通常涉及高效制造,但蛋白质生物利用度低,与注射相比需要更高的剂量。尽管经皮和口服递送最近取得了重大进展,但这两种递送途径都需要生物利用度呈对数级增加才能使其成为可行的商业化候选方案。在未来几年,商业产品的蛋白质递送可能会局限于注射装置、储库系统和肺部给药。