药物研发中的当前前药设计。
Current prodrug design for drug discovery.
作者信息
Hsieh Pei-Wen, Hung Chi-Feng, Fang Jia-You
机构信息
Pharmaceutics Laboratory, Graduate Institute of Natural Products, Chang Gung University, Kweishan, Taoyuan, Taiwan.
出版信息
Curr Pharm Des. 2009;15(19):2236-50. doi: 10.2174/138161209788682523.
Prodrugs are inactive compounds which are metabolized either chemically or enzymatically in a controlled or predictable manner to the parent active drug inside the body. Prodrugs can enhance the therapeutic efficacy and/or reduce adverse effects via different mechanisms, including increased solubility, improved permeability and bioavailability, prolonged half-life, and tissue-targeted delivery. Besides the prodrug itself, optimization of vehicles and other enhancement techniques is important as well. Strategies to improve the oral bioavailability and achieve tumor-specific targeting have been the most important developments in prodrug design during the last 5 years. This review describes recent developments in orally administered and tumor-targeted prodrugs. Pharmacokinetic and pharmacodynamic evaluations of these prodrugs are systematically introduced in this review.
前药是无活性的化合物,它们在体内以可控或可预测的方式通过化学或酶促作用代谢为母体活性药物。前药可通过不同机制提高治疗效果和/或减少不良反应,包括增加溶解度、改善渗透性和生物利用度、延长半衰期以及组织靶向递送。除了前药本身,载体的优化和其他增强技术也很重要。在过去5年中,提高口服生物利用度和实现肿瘤特异性靶向的策略一直是前药设计中最重要的进展。本文综述了口服和肿瘤靶向前药的最新进展。本文系统介绍了这些前药的药代动力学和药效学评价。