Stella Valentino J, Nti-Addae Kwame W
Department of Pharmaceutical Chemistry, The University of Kansas, Lawrence, Kansas 66047, USA.
Adv Drug Deliv Rev. 2007 Jul 30;59(7):677-94. doi: 10.1016/j.addr.2007.05.013. Epub 2007 May 29.
Drug design in recent years has attempted to explore new chemical spaces resulting in more complex, larger molecular weight molecules, often with limited water solubility. To deliver molecules with these properties, pharmaceutical scientists have explored many different techniques. An older but time-tested strategy is the design of bioreversible, more water-soluble derivatives of the problematic molecule, or prodrugs. This review explores the use of prodrugs to effect improved oral and parenteral delivery of poorly water-soluble problematic drugs, using both marketed as well as investigational prodrugs as examples. Prodrug interventions should be considered early in the drug discovery paradigm rather than as a technique of last resort. Their importance is supported by the increasing percentage of approved new drug entities that are, in fact, prodrugs.
近年来,药物设计试图探索新的化学空间,从而产生更复杂、分子量更大的分子,这些分子往往水溶性有限。为了递送具有这些性质的分子,药物科学家探索了许多不同的技术。一种较为古老但经过时间考验的策略是设计有问题分子的生物可逆、水溶性更强的衍生物,即前药。本综述以已上市和正在研究的前药为例,探讨了前药在改善水溶性差的问题药物口服和肠胃外给药方面的应用。在前药发现模式中,应尽早考虑前药干预,而不是将其作为最后的手段。获批的新药物实体中前药所占比例不断增加,这也证明了它们的重要性。