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药物研发中的聚乙二醇化修饰:大分子药物与免疫治疗药物的现状及新趋势

PEGylation in Pharmaceutical Development: Current Status and Emerging Trends in Macromolecular and Immunotherapeutic Drugs.

作者信息

Santhanakrishnan Karthick R, Koilpillai Jebastin, Narayanasamy Damodharan

机构信息

Pharmacy, Sri Ramaswamy Memorial (SRM) Institute of Science and Technology, Chennai, IND.

Pharmaceutics, Sri Ramaswamy Memorial (SRM) Institute of Science and Technology, Chennai, IND.

出版信息

Cureus. 2024 Aug 12;16(8):e66669. doi: 10.7759/cureus.66669. eCollection 2024 Aug.

Abstract

The purpose of the research is to examine the advantages and difficulties of target-site drug delivery methods, with an emphasis on the application of polyethylene glycol (PEG) to enhance drug solubility, bioavailability, and immune response characteristics. It has been demonstrated that this method lowers immunogenicity, enhances pharmacokinetics, and helps drugs pass the blood-brain barrier while reducing reticuloendothelial system clearance. PEG and its derivatives are being used more and more to alter therapeutic substances, offering an escape from some of the drawbacks of conventional medication formulations. In the review, different PEGylation tactics are examined, including cutting-edge methods for reversing multi-drug resistance in nanocarriers. PEGylation has a number of benefits, but there are still drawbacks, including the immunogenic reaction to PEG, which is sometimes referred to as "anti-PEG antibodies," and stability problems that call for the creation of countermeasures. The study devotes a large amount of its space to listing FDA-approved PEGylated medications, emphasizing their therapeutic advantages and clinical uses in a range of medical specialties. The research also explores the regulatory environment that surrounds PEG, closely examining its effectiveness and safety in medication compositions. The review goes beyond PEGylation and includes lipid-based nanocarriers, including liposomes, nanostructured lipid carriers (NLCs), and solid lipid nanoparticles (SLNs). Because these nanocarriers can target specific tissues or cells, improve bioavailability, and encapsulate pharmaceuticals, they are becoming more and more significant in drug delivery systems. The Target Product Profile (TPP) and Quality by Design (QbD) principles serve as the foundation for the creation and characterization of these lipid-based systems. These tools direct the methodical assessment of material properties and risk assessments during the formulation phase. This method guarantees that the finished product satisfies the appropriate requirements for efficacy, safety, and quality. The regulatory status and safety profile of nano lipid carriers are covered in the paper's conclusion, which emphasizes the importance of careful examination and oversight in bringing these cutting-edge products to market. Overall, this thorough analysis highlights the revolutionary potential of lipid-based nanocarriers and PEGylation in improving drug delivery and therapeutic efficacy, but it also draws attention to the continued difficulties and legal issues that need to be resolved in order to fully reap the benefits of these technologies in biomedicine.

摘要

该研究的目的是探讨靶点给药方法的优势与困难,重点在于聚乙二醇(PEG)在提高药物溶解度、生物利用度及免疫反应特性方面的应用。已证实该方法可降低免疫原性、增强药代动力学,并有助于药物穿过血脑屏障,同时减少网状内皮系统清除。PEG及其衍生物越来越多地用于改变治疗物质,规避传统药物制剂的一些缺点。在该综述中,研究了不同的聚乙二醇化策略,包括纳米载体中逆转多药耐药性的前沿方法。聚乙二醇化有诸多益处,但仍存在缺点,包括对PEG的免疫反应,有时称为“抗PEG抗体”,以及稳定性问题,这需要制定应对措施。该研究用大量篇幅列出了美国食品药品监督管理局(FDA)批准的聚乙二醇化药物,强调其治疗优势及在一系列医学专科中的临床应用。该研究还探讨了围绕PEG的监管环境,仔细研究其在药物组合物中的有效性和安全性。该综述不仅涵盖聚乙二醇化,还包括基于脂质的纳米载体,如脂质体、纳米结构脂质载体(NLC)和固体脂质纳米颗粒(SLN)。由于这些纳米载体可靶向特定组织或细胞、提高生物利用度并封装药物,它们在药物递送系统中变得越来越重要。目标产品概况(TPP)和质量源于设计(QbD)原则是这些基于脂质的系统的创建和表征的基础。这些工具指导在制剂阶段对材料特性进行系统评估和风险评估。这种方法确保最终产品满足疗效、安全性和质量的适当要求。论文结论涵盖了纳米脂质载体的监管状况和安全性概况,强调了在将这些前沿产品推向市场时进行仔细审查和监督的重要性。总体而言,这项全面分析突出了基于脂质的纳米载体和聚乙二醇化在改善药物递送和治疗效果方面的变革潜力,但也提请注意在生物医学中充分利用这些技术的益处之前仍需解决的持续困难和法律问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37ca/11390148/f80dc4bfa73f/cureus-0016-00000066669-i01.jpg

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