Therapeutic Peptide: formulation and delivery Flashcards

1
Q

What is the difference between peptides and proteins?

A

peptides have less than 50 amino acids

proteins have more than 50 amino acids

insulin has 51 amino acids but it classified as a peptide

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2
Q

What are the classes of biopharmaceuticals?

A

recombinant therapeutic proteins
- human growth hormone, traztuzumab (Herceptin)

peptides
- insulin, calcitonin, gosrelin, oxytocin

blood products
- factor VIII, gamma globulin, serum albumin

vaccines
- peptides

nucleic acids
- anti-sense oligonucleotides

polysaccharides
- LMW heparin

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3
Q

What are the challenges associated with peptides/proteins in vitro?

A

very large and unstable molecules
structure is held together by weak non-covalent forces
easily destroyed by relatively mild storage conditions
hard to obtain in large quantities

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4
Q

What are the challenges associated with peptides/proteins in vivo?

A

elimination by B and T cells
proteolysis by end/exo peptidases
small proteins are filtered out by the kidneys rapidly
unwanted allergic reactions may develop
loss due to insolubility/adsorption

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5
Q

What are the formulation strategies for peptides?

A

protein sequence modification (site directed mutagenesis)

PEGylation

micro/nanoparticle encapsulation

formulating with permeation enhancers
- surfactants, bile salts, fatty acids

use of enzyme inhibitors
- trypsin, elastase

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6
Q

How does site directed mutagenesis (protein sequence modification) take place?

A

amino acid substitutions at specific sites takes place in a protein
- e.g. Met to a Lau substitution reduces the likelihood of oxidation

  • strategic placement of cysteines to produce disulphides to increase melting temperature
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7
Q

How does PEGylation take place? What is its purpose?

A

PEG (polyethylene glycol) is a non-toxic, hydrophilic, neutral polymer
- affects the surface characteristics of the particulate system

functions
- increases in vivo circulation half-life
- increases protease resistance
- increases solubility and stability

  • decreases immunogenicity
  • decreases depot loss at injection sites
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8
Q

What is encapsulation? What is its purpose? How can it be done?

A

process involves encapsulating protein or peptide drugs in small polymer or lipid based particles
- for protection from proteolytic enzymes
- to achieve sustained drug release

two types of materials can be used
- non-biodegradable = ethylene co-vinyl acetate, polymethacrylic
- biodegradable = gelatin, polylactic co-glycolic acid (PLGA)

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9
Q

What is complexation?

A

process of shrinking and swelling of pH sensitive microparticles

microparticle system with polymethacrylic acid + PEG
- in the stomach (pH 2) pores in the polymer shrink and prevent protein release
- in the small intestine (neutral pH) the pores swell and release protein

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10
Q

How does polymer types affect drug release profile?

A

hydrophilic
- best for burst release
= gelatin

hydrophobic
- best for sustained release
- tends to denature proteins
= polylactic co-glycolic acid (PLGA)

hybrid (amphiphilic)
- best for sustained release
- retains proteins structure

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11
Q

How can excipients be used to stabilise peptides/proteins?
- permeation enhancers

A

addition of stabilising salts or ions
- zinc for insulin = reduces solubility which increases storage stability

addition of polyols to solubilise
- glycerol or polyethylene glycol

addition of sugars or dextran to displace water or reduce microbial growth

use of surfactants to reduce adsorption and aggregation
- CHAPS

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12
Q

What are peptide micelles?

A

peptides and proteins can be loaded into micelles for release via pH or redox triggers

peptide micelles can be decorated for cell targeting

peptide core composite allows for peptide/protein solubilisation

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13
Q

What are the advantages and disadvantages associated with parenteral delivery?

A

advantages
- allows for rapid and complete absorption
- allows for smaller dose size (less waste)
- avoids first pass metabolism

disadvantages
- problems with overdosing, necrosis
- local tissue reactions/hypersensitivity
- patient compliance issues

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14
Q

How does unigene technology work to allow peptide delivery?

A

tablet formulation has
- enteric coating = prevents dissolution in the stomach and enables the tablet to dissolve in the small intestine

  • protease inhibitors = block break down of peptides/proteins before exerting its effects
  • absorption enhancers = enables peptide absorption across the intestinal wall
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15
Q

How do transdermal patches work?

A

proteins are embedded in a simple matrix with additives
- patch is coated with small needles that penetrate the dermal layer
- proteins diffuse directly into the blood stream via capillaries

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