Executive Summary
Peptides by D Berillo·2021·Cited by 139—This review paper summarizes data, mainly from the past 5 years, devoted to theuse of peptide-based carriers for delivery of various toxic drugs.
Peptide-based drugs represent a dynamic and rapidly advancing frontier in modern medicine, offering unique advantages in targeted treatment for a wide array of diseases. These peptides or polypeptides are essentially short chains of amino acids, acting as messengers within the body. Their inherent characteristics, such as superior biocompatibility and excellent specificity, make them a reliable choice in clinical treatment, often mimicking the actions of naturally occurring hormones and growth factors. The journey of peptides as therapeutics began approximately a century ago, with pioneering examples like bacitracin and gramicidin, among the earliest peptide-based antibiotics commercialized in the mid-20th century, demonstrating their therapeutic potential.
The versatility of peptide-based drugs is remarkable. They can function as hormones, growth factors, ion channel ligands, neurotransmitters, or anti-infective agents. This broad applicability allows them to address conditions ranging from metabolic disorders to cancer and infectious diseases. For instance, oxytocin and teriparatide are recombinant peptide drugs produced via chemical synthesis. In the realm of osteoporosis management, Abaloparatide (Tymlos) and Teriparatide (Forteo) have emerged as significant therapeutic options. Similarly, Carfilzomib (Kyprolis) is used for multiple myeloma, and Degarelix is another notable example in the therapeutic landscape. The market is further enriched by blockbuster peptide drugs like Trulicity, Victoza, Ozempic, Octreotide, Copaxone, and Teriparatide, which collectively represent billions in sales revenue, highlighting their commercial significance. Notably, insulin and its analogs alone account for a substantial portion of the sales revenue within peptide-based pharmaceuticals.
The development of peptide-based drugs is an area of intense research and innovation. The US Food and Drug Administration (FDA)-approved peptide drugs and those in clinical trials underscore the growing importance of this class of therapeutics. Over 80 FDA-approved peptide drugs are now available, positioning peptide-based therapeutics as one of the pharmaceutical industry's most valuable platforms. The field is continuously expanding with emerging peptide drugs such as antimicrobial peptides, peptide vaccines, peptide carriers, and peptide-drug conjugates (PDCs), which are still in various stages of clinical research. PDCs, for example, hold promise as they can deliver cytotoxic agents directly to cancer cells, thereby improving efficacy and minimizing systemic toxicity.
However, the development and application of peptide-based drugs are not without challenges. One significant hurdle is their delivery. Most peptide therapeutics are injectables, and there are only a few oral peptide drugs in existence, with cyclosporine (Neoral™) and desmopressin (Minirin™) being notable examples. This necessitates ongoing research into novel peptide-based drug-delivery systems and peptide-based carriers for delivery of various toxic drugs. The design and characterization of these drug delivery systems are crucial for enhancing patient compliance and expanding the therapeutic reach of peptides.
Despite these challenges, the future of peptide-based drugs looks exceedingly bright. Their unique ability to combine the advantages of antibodies and small molecules makes them highly attractive as drugs. The continuous advances in our understanding of peptides as drugs are of great significance, offering immense planning potentialities in different sections of medicinal science. As researchers delve deeper into the intricate mechanisms and therapeutic applications of peptides, we can anticipate even more targeted, effective, and personalized treatments emerging from this powerful frontier in medicine. Understanding what peptides are, what they can do, and their associated safety profiles is essential for appreciating their transformative potential.
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