Vaishya Ravi, Khurana Varun, Patel Sulabh, Mitra Ashim K
University of Missouri-Kansas City, Pharmaceutical Sciences , Kansas City, MO , USA
Expert Opin Drug Deliv. 2015 Mar;12(3):415-40. doi: 10.1517/17425247.2015.961420. Epub 2014 Sep 24.
Proteins are effective biotherapeutics with applications in diverse ailments. Despite being specific and potent, their full clinical potential has not yet been realized. This can be attributed to short half-lives, complex structures, poor in vivo stability, low permeability, frequent parenteral administrations and poor adherence to treatment in chronic diseases. A sustained release system, providing controlled release of proteins, may overcome many of these limitations.
This review focuses on recent development in approaches, especially polymer-based formulations, which can provide therapeutic levels of proteins over extended periods. Advances in particulate, gel-based formulations and novel approaches for extended protein delivery are discussed. Emphasis is placed on dosage form, method of preparation, mechanism of release and stability of biotherapeutics.
Substantial advancements have been made in the field of extended protein delivery via various polymer-based formulations over last decade despite the unique delivery-related challenges posed by protein biologics. A number of injectable sustained-release formulations have reached market. However, therapeutic application of proteins is still hampered by delivery-related issues. A large number of protein molecules are under clinical trials, and hence, there is an urgent need to develop new methods to deliver these highly potent biologics.
蛋白质是有效的生物治疗药物,可应用于多种疾病。尽管蛋白质具有特异性和强效性,但其全部临床潜力尚未得到充分发挥。这可归因于其半衰期短、结构复杂、体内稳定性差、渗透性低、需要频繁肠胃外给药以及慢性病患者对治疗的依从性差。一种能够实现蛋白质控释的缓释系统或许可以克服其中许多限制。
本综述聚焦于近期在给药方法方面的进展,尤其是基于聚合物的制剂,这类制剂能够在较长时间内维持蛋白质的治疗水平。文中讨论了颗粒制剂、凝胶制剂以及蛋白质长效递送新方法的进展。重点在于剂型、制备方法、释放机制以及生物治疗药物的稳定性。
尽管蛋白质生物制剂在递送方面存在独特挑战,但过去十年间,通过各种基于聚合物的制剂在蛋白质长效递送领域已取得了显著进展。一些可注射的缓释制剂已投放市场。然而,蛋白质的治疗应用仍受到递送相关问题的阻碍。大量蛋白质分子正处于临床试验阶段,因此,迫切需要开发新方法来递送这些强效生物制剂。