Kumar T R Shantha, Soppimath K, Nachaegari S K
Lipocine Inc, Salt Lake City, UT 84108, USA.
Curr Pharm Biotechnol. 2006 Aug;7(4):261-76. doi: 10.2174/138920106777950852.
The protein and peptide therapeutics have become an important class of drugs due to advancement in molecular biology and recombinant technology. There are more than 100 biopharmaceutical products approved and generating revenue of more than 56 billion US dollars. A safe, effective and patient friendly delivery of these agents is the key to commercial success. Currently, most of therapeutic proteins are administered by the parenteral route which has many drawbacks. Various delivery strategies and specialized companies have evolved over the past few years to improve delivery of proteins and peptides. Polymeric depot and PEGylation technologies have overcome some of the issues associated with parenteral delivery. A considerable research has been focused on non-invasive routes such as pulmonary, per oral and transdermal for delivery of proteins and peptides, in order to increase patient compliance yet their delivery via non-invasive routes remains challenge due to their poor absorption and enzymatic instability. Pulmonary route has shown some success evidenced by recent FDA approval of inhalable insulin. Development of an oral dosage form for protein therapeutics is still the most desirable one but with greater challenge. This review presents the issues of delivery of proteins and peptides, current and potential formulation technologies to improve delivery and current market trends.
由于分子生物学和重组技术的进步,蛋白质和肽类疗法已成为一类重要的药物。目前有100多种生物制药产品获批上市,产生的收入超过560亿美元。安全、有效且对患者友好地递送这些药物是商业成功的关键。目前,大多数治疗性蛋白质通过非肠道途径给药,该途径存在许多缺点。在过去几年中,各种递送策略和专业公司不断涌现,以改善蛋白质和肽的递送。聚合物长效注射剂和聚乙二醇化技术克服了一些与非肠道递送相关的问题。大量研究集中在蛋白质和肽的非侵入性递送途径,如肺部、口服和透皮途径,以提高患者的依从性,但由于其吸收差和酶不稳定性,通过非侵入性途径递送它们仍然具有挑战性。肺部途径已取得了一些成功,最近美国食品药品监督管理局(FDA)批准吸入性胰岛素就是明证。开发蛋白质治疗药物的口服剂型仍然是最理想的,但面临的挑战更大。本综述介绍了蛋白质和肽的递送问题、当前和潜在的改善递送的制剂技术以及当前的市场趋势。