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口服蛋白和肽类药物传递方法生物利用度的最新进展:专利广泛综述。

Current Advancements on Oral Protein and Peptide Drug Delivery Approaches to Bioavailability: Extensive Review on Patents.

机构信息

Department of Pharmacy, Biju Patnaik University of Technology, Rourkela, Odisha, India.

School of Pharmacy & Life Sciences, Centurion University of Technology and Management, Bhubaneswar, Odisha, India.

出版信息

Recent Adv Drug Deliv Formul. 2024;18(4):227-246. doi: 10.2174/0126673878299775240719061653.

DOI:10.2174/0126673878299775240719061653
PMID:39356096
Abstract

Protein and peptide-based drugs have greater therapeutic efficacy and potential application and lower toxicity compared to chemical entities in long-term use within optimum concentration as they are easily biodegradable due to biological origin. While oral administration is preferable, most of these substances are currently administered intravenously or subcutaneously. This is primarily due to the breakdown and poor absorption in the GI tract. Hence, ongoing research is focused on investigating absorption enhancers, enzyme inhibitors, carrier systems, and stability enhancers as potential strategies to facilitate the oral administration of proteins and peptides. Investigations have been directed towards advancing novel technologies to address gastrointestinal (GI) barriers associated with protein and peptide medications. The current review intensifies formulation and stability approaches for oral protein & peptide drug delivery systems with all significant parameters intended for patient safety. Notably, certain innovative technologies have been patented and are currently undergoing clinical trials or have already been introduced into the market. All the approaches stated for the administration of protein and peptide drugs are critically discussed, having their current status, future directions, and recent patents published in the last decades.

摘要

与化学实体药物相比,蛋白质和肽类药物在最佳浓度下长期使用具有更高的治疗效果和潜在应用,且毒性更低,因为它们具有生物起源,因此很容易生物降解。虽然口服给药是首选,但目前这些物质主要通过静脉注射或皮下注射给药。这主要是由于在胃肠道(GI)中分解和吸收不良。因此,目前的研究重点是研究吸收增强剂、酶抑制剂、载体系统和稳定性增强剂,作为促进蛋白质和肽类口服给药的潜在策略。研究旨在开发新的技术,以解决与蛋白质和肽类药物相关的胃肠道(GI)障碍。本综述加强了口服蛋白和肽类药物传递系统的制剂和稳定性方法,所有旨在保障患者安全的重要参数都包括在内。值得注意的是,某些创新技术已经获得专利,目前正在进行临床试验或已经进入市场。所有用于管理蛋白质和肽类药物的方法都进行了批判性讨论,包括它们的现状、未来方向和最近几十年来发布的专利。

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Molecules. 2023 Oct 19;28(20):7165. doi: 10.3390/molecules28207165.
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Dissolving microneedles: Applications and growing therapeutic potential.溶解微针:应用和不断增长的治疗潜力。
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Therapeutic peptides: current applications and future directions.治疗性肽:当前的应用及未来方向。
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Oral delivery of therapeutic peptides and proteins: Technology landscape of lipid-based nanocarriers.口服递呈治疗性肽和蛋白质:基于脂质的纳米载体技术全景。
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Oral delivery of proteins and peptides: Challenges, status quo and future perspectives.蛋白质和肽的口服递送:挑战、现状与未来展望。
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Challenges of peptide and protein drug delivery by oral route: Current strategies to improve the bioavailability.经口服途径递呈肽和蛋白质类药物所面临的挑战:提高生物利用度的当前策略。
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A robotic pill for oral delivery of biotherapeutics: safety, tolerability, and performance in healthy subjects.用于生物治疗剂口服递送的机器人药丸:在健康受试者中的安全性、耐受性和性能。
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Engineered albumin-functionalized nanoparticles for improved FcRn binding enhance oral delivery of insulin.工程化白蛋白功能化纳米颗粒增强 FcRn 结合,提高胰岛素口服递送效率。
J Control Release. 2020 Nov 10;327:161-173. doi: 10.1016/j.jconrel.2020.08.005. Epub 2020 Aug 7.
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