Huang Weiman, Wang Yujing, Wang Xidi, Li Kun
Department of Maxillofacial Surgery, Xiangya Hospital of Stomatology, Central South University, Changsha 410013, China.
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2025 May 28;50(5):907-912. doi: 10.11817/j.issn.1672-7347.2025.240585.
Peptide-based drugs possess several advantages, including high specificity, low immunogenicity, minimal accumulation, and fewer drug-drug interactions, making them a novel and efficient therapeutic class for various diseases. In recent years, peptide-based drugs have shown great potential and broad application prospects in the treatment of oral infectious diseases, tissue injury and repair, tumors, and complex oral mucosal disorders, acting either through direct mechanisms or indirect modulation. Oral administration remains the preferred route due to its non-invasive, painless nature and ease of management; however, gastrointestinal pH can inactivate or even degrade peptide drugs. In the treatment of oral diseases, local administration is commonly employed, avoiding gastrointestinal degradation and first-pass metabolism. Nevertheless, limitations in current theoretical research and the high cost of peptide synthesis hinder their clinical application. Future efforts should focus on advancing related studies to promote the practical application of peptide-based drugs in the field of oral medicine.
基于肽的药物具有多种优势,包括高特异性、低免疫原性、最小积累量和较少的药物相互作用,使其成为治疗各种疾病的新型高效治疗类别。近年来,基于肽的药物在口腔传染病、组织损伤与修复、肿瘤以及复杂的口腔黏膜疾病治疗中显示出巨大潜力和广阔应用前景,其作用机制包括直接作用或间接调节。口服给药因其无创、无痛且易于管理,仍然是首选途径;然而,胃肠道的pH值会使肽药物失活甚至降解。在口腔疾病治疗中,通常采用局部给药,以避免胃肠道降解和首过代谢。尽管如此,当前理论研究的局限性以及肽合成的高成本阻碍了它们的临床应用。未来的努力应集中在推进相关研究,以促进基于肽的药物在口腔医学领域的实际应用。