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核酸递送系统:制药技术专家面临的一项挑战。

Nucleic Acids Delivery Systems: A Challenge for Pharmaceutical Technologists.

作者信息

Silva Ana C, Lopes Carla M, Sousa Lobo Jose M, Amaral M Helena

机构信息

Laboratory of Pharmaceutical Technology/Centre of Research in Pharmaceutical Sciences, Faculty of Pharmacy, University of Porto, Rua Jorge Viterbo Ferreira, 228, P-4050-313 Porto, Portugal.

出版信息

Curr Drug Metab. 2015;16(1):3-16. doi: 10.2174/1389200216666150401110211.

Abstract

Nucleic acids (NA) therapies, including therapy with genes, aptamers or antisense oligonucleotides, have been showing promising results, especially in the treatment of severe diseases (e.g. cancer and AIDS). Nevertheless, the full success of medical treatments requires efficient achievement of the therapeutic target and also the safety and effectiveness of the pharmaceutical system. NA are not very efficient when administered alone, which means that the use of appropriate methods for in vivo transfection of these molecules into targeted cells is fundamental. Examples of these techniques are the use of viral and non-viral vectors to transfer the NA to the cells nucleus. Despite viral vectors have been demonstrating superior effectiveness for NA transfer, some drawbacks have been pointed out, which focused the research in the non-viral vectors. However, the development of effective NA delivery systems remains a challenge for pharmaceutical technologists, mainly because of their in vivo failure, which hinders their clinical application. In this review article we address the characteristics of NA molecules and their respective limitations for formulation and administration. An update on the state of the art related to the latest and outstanding developments from the in vivo applications of NA viral and non-viral delivery systems is also presented. From this review, we can conclude that there is a lack of research regarding pre-clinical studies in specific animal models of disease, which is required for further human clinical trials and for their use in clinics.

摘要

核酸(NA)疗法,包括基因、适配体或反义寡核苷酸疗法,已显示出有前景的结果,尤其是在治疗严重疾病(如癌症和艾滋病)方面。然而,医学治疗的全面成功需要有效达成治疗靶点以及药物系统的安全性和有效性。NA单独给药时效率不高,这意味着采用适当方法将这些分子体内转染至靶细胞至关重要。这些技术的例子包括使用病毒和非病毒载体将NA转移至细胞核。尽管病毒载体已证明在NA转移方面具有卓越效果,但也指出了一些缺点,这使得研究重点转向非病毒载体。然而,开发有效的NA递送系统对药物技术专家来说仍是一项挑战,主要是因为其在体内的失败阻碍了它们的临床应用。在这篇综述文章中,我们阐述了NA分子的特性及其在制剂和给药方面各自的局限性。还介绍了与NA病毒和非病毒递送系统体内应用的最新及杰出进展相关的技术现状更新。从这篇综述中,我们可以得出结论,针对特定疾病动物模型的临床前研究缺乏相关研究,而这对于进一步的人体临床试验及其在临床中的应用是必需的。

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