The safety and efficacy of protein therapeutics are limited by three interrelated pharmaceutical issues, in vitro and in vivo instability, immunogenicity and shorter half-lives. Novel drug modifications for overcoming these issues are under investigation and include covalent attachment of poly(ethylene glycol) (PEG), polysialic acid, or glycolic acid, as well as developing new formulations containing nanoparticulate or colloidal systems (e.g. liposomes, polymeric microspheres, polymeric nanoparticles). Such strategies have the potential to develop as next generation protein therapeutics. This review includes a general discussion on these delivery approaches.
KeywordsProtein delivery; PEGylation; Liposomes; hyperglycosylation; Poly(lactic/glycolic) acid
INTRODUCTIONSince the late 20 th century numerous therapeutic proteins and peptides have emerged in the market. PHARMA 2010 reported that biotech products accounted for more than 35% of the 37 new active substances launched in 2001.1 In 2007, global biotech drug sales grew at twice the rate of traditional small molecule drugs (12.5% vs 6.4%) with total revenues of $75 billion US. Biotech drugs accounted for one fifth of all blockbuster drugs in the market as of 2008.2 From a therapeutic perspective, proteins offer the distinct advantage of specific mechanisms of action and are highly potent. Despite these advantages, biotech products must overcome the hurdles posed by high molecular weight, short half-lives, instability, and immunogenicity. Several strategies have been evaluated in an effort to improve the current limitations of therapeutic peptides and proteins in the creation of so called "second generation" protein therapeutics. Most efforts center around one of two approaches-either a change in the agent itself (e.g. mutations in protein structure or covalent attachment of moieties) or by a change in formulation.3 In contrast to modifying the protein structure, covalent chemical attachment of compounds such as poly(ethylene glycol) (PEG) or polysialic acid (PSA) to therapeutic protein represent a relatively new approach. Drug formulation systems, such as liposomes, polymeric microspheres, and polymeric nanoparticles, are another means to help overcome the current limitations of protein therapeutics.4 , 5The intent of this review is to provide a general discussion of approaches being applied to improve safety and efficacy of protein therapeutics. This includes the areas of PEGylation,
PEGYLATIONThe conjugation of polymers to proteins had been in practice since the 1950s, but it was the development of PEGylation that provided the real breakthrough in enhancing the pharmaceutical properties of proteins and peptides in a viable manner 6 PEGylation, the covalent attachment of PEG moieties to a therapeutic agent, was first reported in the 1970s. 7,8 Experiments attempting to improve delivery aspects via PEGylation found not only the intended benefits, but overall enhancement of stability, pharmacokinetics, and therapeutic utility of molecules. [9][10][11][1...