Chronopharmaceutical drug delivery systems: Hurdles, hype or hope?

Chronopharmaceutical drug delivery systems: Hurdles, hype or hope?
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年流制药药物输送系统:障碍,炒作还是希望?

DOI:
10.1016/j.addr.2010.04.010
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发表时间:
2010-07-31
影响因子:
16.1
通讯作者:
Youan, Bi-Botti C.
Youan, Bi-Botti C.
中科院分区:
医学1区
文献类型:
--
作者:
Youan, Bi-Botti C.

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目前在时间生物学方面的进展以及从特定疾病的时间疗法中获得的知识强烈表明,至少在某些生物活性剂和疾病治疗或预防方面,“一种方法适合所有时间”的药物递送方法不再得到证实。因此,迫切需要进行时间药物研究(例如,设计和评估健壮的、空间和时间可控的药物输送系统,这些系统将在临床上用于不同给药途径的时间治疗)。这篇综述提供了目前用于时间治疗的输送系统的简要概述。理论上,这样一种理想的“神奇药丸”,最好是价格合理,可以提高新旧药物的安全性、有效性和患者依从性。然而,目前,这种系统从实验室成功过渡到患者床边存在三大障碍。这些挑战包括确定适当的(i)节律生物材料和系统,(ii)节律工程建模,可能使用系统生物学和(iii)监管指导。
The current advances in chronobiology and the knowledge gained from chronotherapy of selected diseases strongly suggest that “the one size fits all at all times” approach to drug delivery is no longer substantiated, at least for selected bioactive agents and disease therapy or prevention. Thus, there is a critical and urgent need for chronopharmaceutical research (e.g., design and evaluation of robust, spatially and temporally controlled drug delivery systems that would be clinically intended for chronotherapy by different routes of administration). This review provides a brief overview of current delivery system intended for chronotherapy. In theory, such an ideal “magic pill” preferably with affordable cost, would improve the safety, efficacy and patient compliance of old and new drugs. However, currently, there are three major hurdles for the successful transition of such system from laboratory to patient bedside. These include the challenges to identify adequate (i) rhythmic biomaterials and systems, (ii) rhythm engineering modeling, perhaps using system biology and (iii) regulatory guidance.
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