临床实验和转化医学中的药物传递趋势:核酸类治疗药物传递中的挑战和机遇。

Drug delivery trends in clinical trials and translational medicine: challenges and opportunities in the delivery of nucleic acid-based therapeutics.

机构信息

Department of Pharmaceutical Sciences, University of Colorado, 12700 East Nineteenth Avenue, Aurora, Colorado 80045, USA.

出版信息

J Pharm Sci. 2011 Jan;100(1):38-52. doi: 10.1002/jps.22243.

Abstract

The ability to deliver nucleic acids (e.g., plasmid DNA, antisense oligonucleotides, siRNA) offers the potential to develop potent vaccines and novel therapeutics. However, nucleic acid-based therapeutics are still in their early stages as a new category of biologics. The efficacy of nucleic acids requires that these molecules be delivered to the interior of the target cell, which greatly complicates delivery strategies and compromises efficiency. Due to the safety concerns of viral vectors, synthetic vectors such as liposomes and polymers are preferred for the delivery of nucleic acid-based therapeutics. Yet, delivery efficiencies of synthetic vectors in the clinic are still too low to obtain therapeutic levels of gene expression. In this review, we focus on some key issues in the field of nucleic acid delivery such as PEGylation, encapsulation and targeted delivery and provide some perspectives for consideration in the development of improved synthetic vectors.

摘要

递送核酸(例如质粒 DNA、反义寡核苷酸、siRNA)的能力为开发强效疫苗和新型疗法提供了潜力。然而,核酸疗法作为一类新型生物制剂仍处于早期阶段。核酸的疗效要求这些分子递送到靶细胞的内部,这极大地增加了递送策略的复杂性并降低了效率。由于对病毒载体的安全性的担忧,因此脂质体和聚合物等合成载体更适合于核酸类治疗药物的递送。然而,在临床上,合成载体的递送效率仍然太低,无法达到治疗水平的基因表达。在这篇综述中,我们专注于核酸递送领域的一些关键问题,如聚乙二醇化、封装和靶向递送,并为改进合成载体的开发提供了一些考虑角度。

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