Noh Inhwan, Lee Kyuri, Rhee Yun-Seok
College of Pharmacy and Research Institute of Pharmaceutical Sciences, Gyeongsang National University, 501 Jinjudae-ro, Jinju, Gyeongsangnam-do 52828 Republic of Korea.
J Pharm Investig. 2022;52(3):273-292. doi: 10.1007/s40005-021-00558-4. Epub 2022 Jan 4.
Nucleic acid-based gene therapy is a promising technology that has been used in various applications such as novel vaccination platforms for infectious/cancer diseases and cellular reprogramming because of its fast, specific, and effective properties. Despite its potential, the parenteral nucleic acid drug formulation exhibits instability and low efficacy due to various barriers, such as stability concerns related to its liquid state formulation, skin barriers, and endogenous nuclease degradation. As promising alternatives, many attempts have been made to perform nucleic acid delivery using a microneedle system. With its minimal invasiveness, microneedle can deliver nucleic acid drugs with enhanced efficacy and improved stability.
This review describes nucleic acid medicines' current state and features and their delivery systems utilizing non-viral vectors and physical delivery systems. In addition, different types of microneedle delivery systems and their properties are briefly reviewed. Furthermore, recent advances of microneedle-based nucleic acid drugs, including featured vaccination applications, are described.
Nucleic acid drugs have shown significant potential beyond the limitation of conventional small molecules, and the current COVID-19 pandemic highlights the importance of nucleic acid therapies as a novel vaccination platform. Microneedle-mediated nucleic acid drug delivery is a potential platform for less invasive nucleic acid drug delivery. Microneedle system can show enhanced efficacy, stability, and improved patient convenience through self-administration with less pain.
基于核酸的基因治疗是一项很有前景的技术,因其具有快速、特异和有效的特性,已被应用于多种领域,如用于感染性疾病/癌症疾病的新型疫苗接种平台和细胞重编程。尽管其具有潜力,但由于各种障碍,如与液态制剂相关的稳定性问题、皮肤屏障和内源性核酸酶降解,肠胃外核酸药物制剂表现出不稳定性和低疗效。作为有前景的替代方法,人们已进行了许多尝试,利用微针系统进行核酸递送。微针具有微创性,能够递送疗效增强且稳定性提高的核酸药物。
本综述描述了核酸药物的现状和特点,以及利用非病毒载体和物理递送系统的递送系统。此外,还简要综述了不同类型的微针递送系统及其特性。此外,还描述了基于微针的核酸药物的最新进展,包括特色疫苗接种应用。
核酸药物已显示出超越传统小分子局限性的巨大潜力,当前的新冠疫情凸显了核酸疗法作为新型疫苗接种平台的重要性。微针介导的核酸药物递送是一种潜在的微创核酸药物递送平台。微针系统通过自我给药、疼痛减轻,可显示出增强的疗效、稳定性,并提高患者的便利性。