Mehrdadi Soheil
Department of Pharmaceutical and Pharmacological Sciences, University of Padova, Padua, Italy.
Adv Pharm Bull. 2024 Mar;14(1):48-66. doi: 10.34172/apb.2024.016. Epub 2023 Oct 14.
Delivery and formulation of oral peptide and protein therapeutics have always been a challenge for the pharmaceutical industry. The oral bioavailability of peptide and protein therapeutics mainly relies on their gastrointestinal solubility and permeability which are affected by their poor membrane penetration, high molecular weight and proteolytic (chemical and enzymatic) degradation resulting in limited delivery and therapeutic efficacy. The present review article highlights the challenges and limitations of oral delivery of peptide and protein therapeutics focusing on the application, potential and importance of solid lipid nanoparticles (SLNs) and nanostructured lipid carriers (NLCs) as lipid-based drug delivery systems (LBDDSs) and their advantages and drawbacks. LBDDSs, due to their lipid-based matrix can encapsulate both lipophilic and hydrophilic drugs, and by reducing the first-pass effect and avoiding proteolytic degradation offer improved drug stability, dissolution rate, absorption, bioavailability and controlled drug release. Furthermore, their small size, high surface area and surface modification increase their mucosal adhesion, tissue-targeted distribution, physiological function and half-life. Properties such as simple preparation, high-scale manufacturing, biodegradability, biocompatibility, prolonged half-life, lower toxicity, lower adverse effects, lipid-based structure, higher drug encapsulation rate and various drug release profile compared to other similar carrier systems makes LBDDSs a promising drug delivery system (DDS). Nevertheless, undesired physicochemical features of peptide and protein drug development and discovery such as plasma stability, membrane permeability and circulation half-life remain a serious challenge which should be addressed in future.
口服肽类和蛋白质类治疗药物的递送和制剂一直是制药行业面临的挑战。肽类和蛋白质类治疗药物的口服生物利用度主要取决于它们在胃肠道中的溶解度和渗透性,而这又受到其膜穿透性差、分子量高以及蛋白水解(化学和酶促)降解的影响,从而导致递送和治疗效果受限。本综述文章重点介绍了口服肽类和蛋白质类治疗药物的挑战和局限性,聚焦于固体脂质纳米粒(SLNs)和纳米结构脂质载体(NLCs)作为脂质基药物递送系统(LBDDSs)的应用、潜力和重要性,以及它们的优缺点。LBDDSs由于其脂质基基质,既可以包封亲脂性药物也可以包封亲水性药物,并且通过减少首过效应和避免蛋白水解降解,提高了药物稳定性、溶解速率、吸收、生物利用度以及实现了药物的控释。此外,它们的小尺寸、高表面积和表面修饰增加了其黏膜粘附性、组织靶向分布、生理功能和半衰期。与其他类似载体系统相比,LBDDSs具有诸如制备简单、大规模生产、可生物降解、生物相容性好、半衰期延长、毒性较低、不良反应较少、基于脂质的结构、较高的药物包封率以及多种药物释放曲线等特性,使其成为一种有前景的药物递送系统(DDS)。然而,肽类和蛋白质类药物研发中诸如血浆稳定性、膜通透性和循环半衰期等不理想的物理化学特性仍然是一个严峻的挑战,未来需要加以解决。