Division of Pharmaceutical Sciences, School of Pharmacy, University of Missouri-Kansas City, 2464 Charlotte Street, Kansas City, MO 64108, USA.
Division of Pharmaceutical Sciences, School of Pharmacy, University of Missouri-Kansas City, 2464 Charlotte Street, Kansas City, MO 64108, USA.
Adv Drug Deliv Rev. 2018 Feb 15;126:67-95. doi: 10.1016/j.addr.2018.01.008. Epub 2018 Jan 13.
The impact of proteins and peptides on the treatment of various conditions including ocular diseases over the past few decades has been advanced by substantial breakthroughs in structural biochemistry, genetic engineering, formulation and delivery approaches. Formulation and delivery of proteins and peptides, such as monoclonal antibodies, aptamers, recombinant proteins and peptides to ocular tissues poses significant challenges owing to their large size, poor permeation and susceptibility to degradation. A wide range of advanced drug delivery systems including polymeric controlled release systems, cell-based delivery and nanowafers are being exploited to overcome the challenges of frequent administration to ocular tissues. The next generation systems integrated with new delivery technologies are anticipated to generate improved efficacy and safety through the expansion of the therapeutic target space. This review will highlight recent advances in formulation and delivery strategies of protein and peptide based biopharmaceuticals. We will also describe the current state of proteins and peptides based ocular therapy and future therapeutic opportunities.
在过去几十年中,蛋白质和肽对各种疾病(包括眼部疾病)的治疗产生了重大影响,这得益于结构生物化学、基因工程、制剂和给药方法方面的重大突破。由于蛋白质和肽(如单克隆抗体、适体、重组蛋白和肽)体积大、渗透性差且易降解,因此将其递送到眼部组织会面临重大挑战。为了克服频繁向眼部组织给药的挑战,人们正在广泛开发各种先进的药物传递系统,包括聚合物控释系统、基于细胞的传递系统和纳米片。预计与新的给药技术集成的下一代系统将通过扩大治疗靶标空间来提高疗效和安全性。本文综述了蛋白质和肽类生物制药制剂和给药策略的最新进展。我们还将描述基于蛋白质和肽的眼部治疗的现状和未来的治疗机会。