No abstract

The results of this study indicated that CBD could be successfully delivered through the IN and transdermal routes.

CsA = cyclosporin A; dDAVP = 1-deamino-8-D-arginine vasopressin; DPI = dry-powder inhaler; FSH = follicle-stimulating hormone; hGH = human growth hormone; MDI = metered-dose inhaler; MMAD = mass median aerodynamic diameter; PTH = parathyroid hormone; r-Con-IFN = recombinant-methionyl interferon consensus; r-huG-CSF = recombinant-methionyl human granulocyte colony-stimulating factor; TI = technosphere-insulin formulation; TSH = thyroid-stimulating hormone.Available online http://respiratory-research.com/content/2/4/198 IntroductionThe techniques of recombinant DNA technology have been well refined during the past 20 years such that it is now possible to produce, under good manufacturing practice conditions, commercial quantities of therapeutic peptides and proteins. It is expected that, during the next decade, an even greater number of molecular targets will be identified for treatment of various diseases. These are exciting developments, not only for scientists, but also for patients, because such biotherapeutic agents are very specific in their actions, and thus will greatly improve the quality of life for the majority of patients.Hundreds of bioengineered proteins and peptides are either already on the market or are undergoing clinical investigation; these include growth factors, hormones, monoclonal antibodies, cytokines and anti-infective agents, among others. However, these compounds have unusual characteristics that present considerable challenges to formulation scientists. The combination of their large molecular size, hydrophilicity and lability (both chemical and enzymatic) virtually exclude their formulation in traditional dosage forms such as tablets and capsules. Consequently, most proteins and peptides currently on the market are injectable. AbstractThe large surface area, good vascularization, immense capacity for solute exchange and ultra-thinness of the alveolar epithelium are unique features of the lung that can facilitate systemic delivery via pulmonary administration of peptides and proteins. Physical and biochemical barriers, lack of optimal dosage forms and delivery devices limit the systemic delivery of biotherapeutic agents by inhalation. Current efforts to overcome these difficulties in order to deliver metabolic hormones (insulin, calcitonin, thyroid-stimulating hormone [TSH], follicle-stimulating hormone [FSH] and growth hormones) systemically, to induce systemic responses (immunoglobulins, cyclosporin A [CsA], recombinantmethionyl human granulocyte colony-stimulating factor [r-huG-CSF], pancreatic islet autoantigen) and to modulate other biological processes via the lung are reviewed. Safety aspects of pulmonary peptide and protein administration are also discussed.

Chronic inflammation and infection of the nasal sinuses, also referred to as Chronic Rhinosinusitis (CRS), severely affects patients’ quality of life. Adhesions, ostial stenosis, infection and inflammation relapses complicate chronic sinusitis treatment strategies. Drug-eluting stents, packings or implants have been suggested as reasonable alternatives for addressing these concerns. This article reviewed potential drug candidates for nasal implants, formulation methods/optimization and characterization methods. Clinical applications and important considerations were also addressed. Clinically-approved implants (Propel™ implant, the Relieva stratus™ MicroFlow spacer, and the Sinu-Foam™ spacer) for CRS treatment was an important focus. The advantages and limitations, as well as future considerations, challenges and the need for additional research in the field of nasal drug implant development, were discussed.

ObjectiveChronic sinusitis is a very common yet poorly understood medical condition with significant morbidity. Hence, it remains an entity that is difficult to treat with unsatisfactory outcomes of current management options. This necessitates research into the etiology and pathophysiology of the condition to enhance our knowledge and the therapeutic options. Unfortunately, this kind of research is not always feasible on human subjects due to practical and ethical limitations. Therefore, an alternative model that simulates the disease had to be found in order to overcome these limitations. These models could either be in vivo or in vitro. The aim of our review is to summarize the research findings and key discoveries of both in vivo and in vitro models of chronic sinusitis that have enhanced our understanding of the condition today and have paved the way for the future research of tomorrow. Data Sources: PubMed literature review.MethodsA review of the literature was conducted to identify the main successful in vivo and in vitro models for chronic sinusitis.ResultsCreating a successful model for chronic sinusitis is no easy task. Over the years, both in vivo animal models and in vitro tissue culture models were proposed, with each model having its accolades and pitfalls, with the ideal model remaining elusive to this day. However, advancing three‐dimensional cell culturing techniques seems to be a promising new way to find a more accurate model.ConclusionNone of the current models is perfect for a thorough study of chronic sinusitis. However, three‐dimensional cell cultures have the potential to bridge the gap between in vivo and in vitro studies.Level of EvidenceNA