Bhavsar Janhavi, Kasture Kaustubh, Salvi Bhagyashree V, Shende Pravin
Shobhaben Pratapbhai Patel School of Pharmacy & Technology Management, SVKM'S NMIMS, V. L. Mehta Road, Vile Parle (W), Mumbai, India.
Ther Deliv. 2025 Jan;16(1):63-86. doi: 10.1080/20415990.2024.2411943. Epub 2024 Oct 16.
An established view in genetic engineering dictates an increase in the discovery of therapeutic peptides to enable the treatment of multiple diseases. The use of hypodermic needle for delivery of proteins and peptides occurs due to the hydrophilic nature, sensitivity toward proteolytic enzymes and high molecular weight. The non-invasive nature of the transdermal delivery technique offers multiple advantages over the invasive route to release drugs directly into the systemic circulation to enhance bioavailability, better patient compliance, reduced toxicity and local irritability. The transdermal route seems highly desirable from the pharmaco-therapeutic and patient compliance point of view, however, the lipophilic barrier of skin restricts the application. The use of several techniques like electrical methods (iontophoresis, sonophoresis etc.), chemical penetration enhancers (e.g. protease inhibitors, penetration enhancers, etc.) and nanocarriers (dendrimers, lipid nanocapsules, etc.) are utilized to improve the passage of drug molecules across the biomembranes. Additionally, such clinical interventions facilitate the physicochemical characteristics of peptides, to enable effective preservation, conveyance and release of therapeutic agents. Moreover, strategies ensure the attainment of the intended targets and enhance treatment outcomes for multiple diseases. This review article focuses on the techniques of peptide transportation across the skin to advance the delivery approaches and therapeutic efficiency.
基因工程领域的一个既定观点认为,需要增加治疗性肽的发现,以实现对多种疾病的治疗。由于蛋白质和肽具有亲水性、对蛋白水解酶敏感且分子量较大,因此需要使用皮下注射针来递送它们。与侵入性给药途径相比,经皮给药技术的非侵入性具有多种优势,它可以直接将药物释放到体循环中,从而提高生物利用度、增强患者顺应性、降低毒性和局部刺激性。从药物治疗和患者顺应性的角度来看,经皮给药途径似乎非常理想,然而,皮肤的亲脂性屏障限制了其应用。人们使用了多种技术,如电方法(离子电渗法、超声透入法等)、化学渗透促进剂(如蛋白酶抑制剂、渗透促进剂等)和纳米载体(树枝状聚合物、脂质纳米胶囊等)来改善药物分子穿过生物膜的过程。此外,这些临床干预措施有助于改善肽的物理化学特性,从而实现治疗剂的有效保存、运输和释放。此外,这些策略可确保实现预期目标,并提高对多种疾病的治疗效果。本文综述聚焦于肽经皮肤转运的技术,以推进给药方法和治疗效率。