Division of Pharmacological & Pharmaceutical Sciences, University of Missouri Kansas City , Kansas , MO , USA.
Expert Opin Drug Deliv. 2019 Oct;16(10):1113-1131. doi: 10.1080/17425247.2019.1662785. Epub 2019 Sep 16.
: Proteins and peptides are prominent therapeutic agents, which are effective in number of ailments. Long-term delivery of protein and peptide therapeutics requires polymeric encapsulation to protect from degradation and for its sustained release. However, results from encapsulation of protein macromolecules in dynamic delivery systems report unreliable clinical outcome, indicating ease of degradation, low permeability, and serious immune responses. A specifically targeted delivery system as tumor or cancer theranostics may surpass these limitations. : This review covers recent advancements in approaches involving conjugated protein nano-formulations as targeting delivery technology for various ailments encompassing mostly cancer treatment options. Progressions in targeted chemotherapeutics, protein nanoparticles, peptide nanoparticles, lipidation, and antibody drug-conjugates are discussed. : Significant expansions have been made in forming new generation of antitumor-recombinant proteins, which proves a milestone of advancements for more potent and explicit cancer therapies. However, transformation of biologics from laboratory to clinical trials is an immense challenge, because of drop in efficiency of drug-loading, poor reproducibility of nanoparticles, inadequate information regarding long-term toxicity and insufficient pharmacokinetics data. Hence, early stage tumor diagnosis with précised drug delivery to tumor site is crucial for protein- and peptide- based therapeutics for cancer.
蛋白质和肽是重要的治疗剂,在许多疾病中都有疗效。蛋白质和肽治疗药物的长期递送需要聚合物包封,以防止降解并实现其持续释放。然而,将蛋白质大分子包封在动态递送系统中的结果报告显示临床结果不可靠,表明容易降解、渗透性低和严重的免疫反应。作为肿瘤或癌症治疗的靶向递药系统可能会克服这些限制。
本综述涵盖了涉及缀合蛋白纳米制剂的靶向递药技术在各种疾病中的最新进展,包括大多数癌症治疗选择。讨论了靶向化疗药物、蛋白纳米粒、肽纳米粒、脂质化和抗体药物偶联物的进展。
已经在形成新一代抗肿瘤重组蛋白方面取得了重大进展,这证明了更有效和明确的癌症治疗方法的进步的一个里程碑。然而,由于药物加载效率下降、纳米粒的重现性差、关于长期毒性的信息不足以及药代动力学数据不足,将生物制剂从实验室转化为临床试验是一个巨大的挑战。因此,早期肿瘤诊断和精确的药物递送到肿瘤部位对于基于蛋白质和肽的癌症治疗至关重要。