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Zhu Q, Chen Z, Paul PK, Lu Y, Wu W, Qi J. Oral delivery of proteins and peptides: Challenges, status quo and future perspectives. Acta Pharm Sin B 2021; 11:2416-2448. [PMID: 34522593 PMCID: PMC8424290 DOI: 10.1016/j.apsb.2021.04.001] [Citation(s) in RCA: 100] [Impact Index Per Article: 33.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2020] [Revised: 01/29/2021] [Accepted: 02/12/2021] [Indexed: 12/24/2022] Open
Abstract
Proteins and peptides (PPs) have gradually become more attractive therapeutic molecules than small molecular drugs due to their high selectivity and efficacy, but fewer side effects. Owing to the poor stability and limited permeability through gastrointestinal (GI) tract and epithelia, the therapeutic PPs are usually administered by parenteral route. Given the big demand for oral administration in clinical use, a variety of researches focused on developing new technologies to overcome GI barriers of PPs, such as enteric coating, enzyme inhibitors, permeation enhancers, nanoparticles, as well as intestinal microdevices. Some new technologies have been developed under clinical trials and even on the market. This review summarizes the history, the physiological barriers and the overcoming approaches, current clinical and preclinical technologies, and future prospects of oral delivery of PPs.
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Key Words
- ASBT, apical sodium-dependent bile acid transporter
- BSA, bovine serum albumin
- CAGR, compound annual growth
- CD, Crohn's disease
- COPD, chronic obstructive pulmonary disease
- CPP, cell penetrating peptide
- CaP, calcium phosphate
- Clinical
- DCs, dendritic cells
- DDVAP, desmopressin acetate
- DTPA, diethylene triamine pentaacetic acid
- EDTA, ethylene diamine tetraacetic acid
- EPD, empirical phase diagrams
- EPR, electron paramagnetic resonance
- Enzyme inhibitor
- FA, folic acid
- FDA, U.S. Food and Drug Administration
- FcRn, Fc receptor
- GALT, gut-associated lymphoid tissue
- GI, gastrointestinal
- GIPET, gastrointestinal permeation enhancement technology
- GLP-1, glucagon-like peptide 1
- GRAS, generally recognized as safe
- HBsAg, hepatitis B surface antigen
- HPMCP, hydroxypropyl methylcellulose phthalate
- IBD, inflammatory bowel disease
- ILs, ionic liquids
- LBNs, lipid-based nanoparticles
- LMWP, low molecular weight protamine
- MCT-1, monocarborxylate transporter 1
- MSNs, mesoporous silica nanoparticles
- NAC, N-acetyl-l-cysteine
- NLCs, nanostructured lipid carriers
- Oral delivery
- PAA, polyacrylic acid
- PBPK, physiologically based pharmacokinetics
- PCA, principal component analysis
- PCL, polycarprolacton
- PGA, poly-γ-glutamic acid
- PLA, poly(latic acid)
- PLGA, poly(lactic-co-glycolic acid)
- PPs, proteins and peptides
- PVA, poly vinyl alcohol
- Peptides
- Permeation enhancer
- Proteins
- RGD, Arg-Gly-Asp
- RTILs, room temperature ionic liquids
- SAR, structure–activity relationship
- SDC, sodium deoxycholate
- SGC, sodium glycocholate
- SGF, simulated gastric fluids
- SIF, simulated intestinal fluids
- SLNs, solid lipid nanoparticles
- SNAC, sodium N-[8-(2-hydroxybenzoyl)amino]caprylate
- SNEDDS, self-nanoemulsifying drug delivery systems
- STC, sodium taurocholate
- Stability
- TAT, trans-activating transcriptional peptide
- TMC, N-trimethyl chitosan
- Tf, transferrin
- TfR, transferrin receptors
- UC, ulcerative colitis
- UEA1, ulex europaeus agglutinin 1
- VB12, vitamin B12
- WGA, wheat germ agglutinin
- pHPMA, N-(2-hydroxypropyl)methacrylamide
- pI, isoelectric point
- sCT, salmon calcitonin
- sc, subcutaneous
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Affiliation(s)
- Quangang Zhu
- Shanghai Skin Disease Hospital, Tongji University School of Medicine, Shanghai 200443, China
| | - Zhongjian Chen
- Shanghai Skin Disease Hospital, Tongji University School of Medicine, Shanghai 200443, China
| | - Pijush Kumar Paul
- Shanghai Skin Disease Hospital, Tongji University School of Medicine, Shanghai 200443, China
- Department of Pharmacy, Gono Bishwabidyalay (University), Mirzanagar Savar, Dhaka 1344, Bangladesh
| | - Yi Lu
- Shanghai Skin Disease Hospital, Tongji University School of Medicine, Shanghai 200443, China
- Key Laboratory of Smart Drug Delivery of MOE, School of Pharmacy, Fudan University, Shanghai 201203, China
| | - Wei Wu
- Shanghai Skin Disease Hospital, Tongji University School of Medicine, Shanghai 200443, China
- Key Laboratory of Smart Drug Delivery of MOE, School of Pharmacy, Fudan University, Shanghai 201203, China
| | - Jianping Qi
- Shanghai Skin Disease Hospital, Tongji University School of Medicine, Shanghai 200443, China
- Key Laboratory of Smart Drug Delivery of MOE, School of Pharmacy, Fudan University, Shanghai 201203, China
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Kroll FSA, Putarov TC, Zaine L, Venturini KS, Aoki CG, Santos JPF, Pedrinelli V, Vendramini THA, Brunetto MA, Carciofi AC. Active fractions of mannoproteins derived from yeast cell wall stimulate innate and acquired immunity of adult and elderly dogs. Anim Feed Sci Technol 2020; 261:114392. [PMID: 32288071 PMCID: PMC7126846 DOI: 10.1016/j.anifeedsci.2020.114392] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2018] [Revised: 01/03/2020] [Accepted: 01/04/2020] [Indexed: 01/15/2023]
Abstract
Aging can promote changes in the immune system in dogs. Nutritional intervention in older dogs aims to increase lifespan. The yeast cell wall comprises β-(1,3)-D-glucan, β-(1,6)-D-glucan and mannoproteins. Elderly dogs when compared to adult dogs had lower absolute T and B lymphocyte counts. Mannoproteins stimulated acquired and innate immune responses in adult and elderly dogs.
Nutritional intervention in older dogs aims to increase lifespan and improve life quality as well as delay the development of diseases related to ageing. It is believed that active fractions of mannoproteins (AFMs) obtained through extraction and fractionation of yeast cell walls (Saccharomyces cerevisiae) may beneficially modulate the immune system. However, studies that have evaluated this component and the effects of ageing on the immune system of dogs are scarce. This study aimed to evaluate the immunological effects of AFMs in adult and elderly dogs. Three extruded iso-nutrient experimental diets were formulated: without addition of AFM (T0); with AFM at 400 mg/kg (T400); and with AFM at 800 mg/kg (T800). Thirty-six beagle dogs were used, and six experimental treatments, resulting in combinations of age (adult and elderly) and diet (T0, T400, and T800), were evaluated. On days zero, 14, and 28, blood samples were obtained for leucocyte phenotyping and phagocytosis assays. On days zero and 28, a lymphoproliferation test, quantification of reactive oxygen (H2O2) and nitrogen (NO) intermediate production, evaluation of faecal immunoglobulin A (IgA) content, and a delayed cutaneous hypersensitivity test (DCHT) were performed. Statistical analyses were performed with SAS software. Repeated measure variance analyses were performed, and means were compared by the Tukey test. Values of P ≤ 0.05 were considered significant, and values of P ≤ 0.10 were considered tendencies. Dogs fed T400 tended to have higher neutrophilic phagocytic activity than dogs fed T800 (P = 0.073). Regarding reactive oxygen intermediates, bacterial lipopolysaccharide (LPS)-stimulated neutrophils from animals that were fed T400 had a tendency to produce more H2O2 than those from animals fed the control diet (P = 0.093). Elderly dogs, when compared to adult dogs, had lower absolute T and B lymphocyte counts, lower auxiliary T lymphocyte counts, and higher cytotoxic T lymphocyte counts (P < 0.05). A significant effect of diet, age, and time with saline inoculation was noted for the DCHT. There was no effect of diet or age on faecal IgA content in dogs. This study suggests beneficial effects of mannoproteins on the specific and nonspecific immune responses in adult and elderly dogs.
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Key Words
- AFM, active fraction of mannoproteins
- ALP, alkaline phosphatase
- ALT, alanine aminotransferase
- Ageing
- CBC, complete blood count
- CD21+, B lymphocyte
- CD4+, auxiliary T lymphocyte
- CD5+, total T lymphocyte
- CD8+, cytotoxic lymphocyte
- CO, cells only
- Canine
- DCHT, delayed cutaneous hypersensitivity test
- FOSs, fructooligosaccharides
- GALT, gut-associated lymphoid tissue
- IL-12, interleukin 12
- IgA, immunoglobulin A
- Immunosenescence
- LPS, bacterial lipopolysaccharide
- MOSs, mannanoligosaccharides
- NADPH, reduced nicotinamide adenine dinucleotide phosphate
- NO, nitrogen monoxide
- NOS, nitric oxide synthase
- OD, optical density
- PMA, phorbol myristate acetate
- Saccharomyces cerevisiae
- Senescence
- TNF-α, tumour necrosis factor alpha
- Th1, helper T lymphocyte
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Affiliation(s)
- F S A Kroll
- Department of Veterinary Clinic and Surgery, Sao Paulo State University, Jaboticabal, Brazil
| | - T C Putarov
- Department of Veterinary Clinic and Surgery, Sao Paulo State University, Jaboticabal, Brazil
| | - L Zaine
- Department of Veterinary Clinic and Surgery, Sao Paulo State University, Jaboticabal, Brazil
| | - K S Venturini
- Department of Veterinary Clinic and Surgery, Sao Paulo State University, Jaboticabal, Brazil
| | - C G Aoki
- Department of Veterinary Clinic and Surgery, Sao Paulo State University, Jaboticabal, Brazil
| | - J P F Santos
- Department of Animal Nutrition and Production, University of Sao Paulo, Pirassununga, Brazil
| | - V Pedrinelli
- Department of Veterinary Clinic, University of Sao Paulo, São Paulo, Brazil
| | - T H A Vendramini
- Department of Animal Nutrition and Production, University of Sao Paulo, Pirassununga, Brazil
| | - M A Brunetto
- Department of Animal Nutrition and Production, University of Sao Paulo, Pirassununga, Brazil
| | - A C Carciofi
- Department of Veterinary Clinic and Surgery, Sao Paulo State University, Jaboticabal, Brazil
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Abstract
The mucosal immune system plays a crucial part in the control of infection. Exposure of humans and animals to potential pathogens generally occurs through mucosal surfaces, thus, strategies that target the mucosa seem rational and efficient vaccination measures. Vaccination through the mucosal immune system can induce effective systemic immune responses simultaneously with mucosal immunity compared with parenteral vaccination. M cells are capable of transporting luminal antigens to the underlying lymphoid tissues and can be exploited by pathogens as an entry portal to invade the host. Therefore, targeting M-cell-specific molecules might enhance antigen entry, initiate the immune response, and induce protection against mucosal pathogens. Here, we outline our understanding of the distribution and function of M cells, and summarize the advances in mucosal vaccine strategies that target M cells.
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Key Words
- ANX, Annexin; BALT, bronchus-associated lymphoid tissue
- C5aR, C5a receptor
- DCs, dendritic cells
- DENV, dengue virus
- EDIII, envelope domain III
- FAE, follicle-associated epithelium
- GALT, gut-associated lymphoid tissue
- GENALT, genital-associated lymphoid tissue
- GP2, Glycoprotein 2
- Hsp60, heat shock protein 60
- LPS, lipopolysaccharide
- M cells
- M cells, microfold cells
- MALT, mucosa-associated lymphoid tissue
- NALT, nasopharynx- or nose-associated lymphoid tissue
- OVA, ovalbumin
- OmpH, outer membrane protein H
- PP, Peyer's patches
- PRRs, pathogen recognition receptors
- PrPC, cellular prion protein
- SELEX, Systematic Evolution of Ligands by EXponential enrichment
- SIgA secretory IgA
- TLR-4, Toll-like receptor-4
- UEA-1,Ulex europaeus agglutinin-1
- antigen
- infection
- mucosal immunity
- pσ1, reovirus surface protein σ1
- vaccine
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Affiliation(s)
- Miao Wang
- a State Key Laboratory of Veterinary Etiological Biology; National Foot-and-Mouse Disease Reference Laboratory; Lanzhou Veterinary Research Institute; CAAS ; Lanzhou , Gansu , China
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