Elsevier

Drug Discovery Today

Volume 10, Issue 21, 1 November 2005, Pages 1451-1458
Drug Discovery Today

Review
PEGylation, successful approach to drug delivery

https://doi.org/10.1016/S1359-6446(05)03575-0Get rights and content

PEGylation defines the modification of a protein, peptide or non-peptide molecule by the linking of one or more polyethylene glycol (PEG) chains. This polymer is non-toxic, non-immunogenic, non-antigenic, highly soluble in water and FDA approved. The PEG-drug conjugates have several advantages: a prolonged residence in body, a decreased degradation by metabolic enzymes and a reduction or elimination of protein immunogenicity. Thanks to these favorable properties, PEGylation now plays an important role in drug delivery, enhancing the potentials of peptides and proteins as therapeutic agents.

Section snippets

Amino group modification

In the early days of PEGylation, researchers directed their attention towards the amino groups as suitable conjugation site, because they are the most represented groups in proteins, generally exposed to the solvent and can be modified with a wide selection of chemical strategies.

Several conjugation strategies are now available, such as alkylation, which maintains the positive charge of the starting amino group because a secondary amine is formed, or acylation, accompanied by loss of charge.

Thiol modification

PEGylation at thiol groups of cysteines not involved in disulphide bridges is one of the most specific methods because cysteines are rarely present in proteins or peptides. Some selective thiol PEGylating agents are reported in Table 3. Unfortunately, as a result of its hydrophobicity, cysteine is often buried inside the protein structure and therefore only partially accessible to reagents.

Thiol modification by PEGylation is expanding its potential, thanks to genetic engineering, which allows

Specific PEGylation by enzymes or by reversible protection

The specific conjugation of PEG to the amide group of glutamines or to the hydroxyl group of serines and threonines is only possible under mild conditions using enzymes. There are several naturally occurring enzymes that recognize glutamine as substrate, namely specific or non-specific transglutaminases. Recently, Sato [20] discovered that glutamine in proteins can be the substrate of the transglutaminase enzymes, if an amino PEG is used as the nucleophilic donor. Through a transglutamination

Limitations in the use of PEG

PEG is obtained by chemical synthesis and, like all synthetic polymers, it is polydisperse, which means that the polymer's batch is composed of molecules having different number of monomers, yielding a Gaussian distribution of the molecular weights. This leads to a population of drug conjugates, which might have different biological properties, mainly in body-residence time and immunogenicity. Nowadays, because of the development of synthetic and purification procedures, PEGs on the market are

Improved protein drugs by PEGylation

Several classes of protein drugs, such as enzymes, cytokines and antibodies, are significantly improved by PEGylation [8]. Table 4 compiles the most important examples of protein conjugates, exploiting the advantages of PEGylation and leading to derivatives that are useful for therapy. In general, the improvements are an increased retention time in the body, a reduction of immunogenicity and increased stability towards metabolic enzymes.

Unfortunately, the PEGylation of proteins is often

Small-drug PEGylation

Common problems encountered in the use of small drugs, especially the antitumor ones, are their low solubility, rapid excretion and untargeted biodistribution. All these factors could be addressed by PEGylation. Generally, the properties of PEG are conveyed to the conjugated drugs and their body fate reflects that of the polymer. Increased solubility, modification of pharmacokinetics and targeting have been described, after PEGylation, for important drugs such as taxol, camptothecin, cis

PEG as a diagnostic carrier

In vivo non invasive diagnosis is done by using tracers detected through magnetic resonance or radioactivity. Usually they are administered in a chelated form using compounds that can give specific biodistribution, stability or targeting. Among the chelators used, the macromolecular ones (e.g. polymers, antibodies and recognition proteins) are receiving increase interest. The properties of PEG have also been exploited in diagnostics. In fact, PEGylation increases the body-residence time of

PEG oligonucleotides

Oligonucleotides, mainly antisense oligonucleotides and aptamers, are now under active investigation as new potential drugs because of their extremely high selectivity in target recognition. All of them, however, share the problems of short half-life in vivo because of either low stability towards the eso- and endo-nucleases (present in plasma and inside the cells) or their rapid excretion caused by their small size. Furthermore, their negative charge prevents an easy penetration into the cells.

Conclusions

Many studies and years of PEGylation development have given important theoretical and commercially useful results (Table 4), but many more applications can still be exploited. The products already approved by the FDA are a clear demonstration of the usefulness of PEGylation in the improvement of therapeutic value of drugs. The most relevant advantages are the prolonged body-residence time, which allows less frequent administrations, the increase in stability towards proteases or nucleases and

References (50)

  • HiranoT.

    Synthesis of the conjugate of superoxide dismutase with the copolymer of divinyl ether and maleic anhydride retaining enzymatic activity

    J. Control. Release

    (1994)
  • FrimanS.

    Hepatic excretion and metabolism of polyethylene glycols and mannitol in the cat

    J. Hepatol.

    (1993)
  • GuiottoA.

    Anchimeric assistance effect on regioselective hydrolysis of branched PEGs: a mechanistic investigation

    Bioorg. Med. Chem.

    (2004)
  • YoshiokaY.

    Optimal site-specific PEGylation of mutant TNF-alpha improves its antitumor potency

    Biochem. Biophys. Res. Commun.

    (2004)
  • MaedaH.

    Tumor vascular permeability and the EPR effect in macromolecular therapeutics: a review

    J. Control. Release

    (2000)
  • ChoeY.H.

    Anticancer drug delivery systems: multi-loaded N4-acyl poly(ethylene glycol) prodrugs of ara-C.: II. Efficacy in ascites and solid tumors

    J. Control. Release

    (2002)
  • JaschkeA.

    Automated incorporation of polyethylene glycol into synthetic oligonucleotides

    Tetrahedron Lett.

    (1993)
  • MuradK.L.

    Structural and functional consequences of antigenic modulation of red cells with methoxypoly(ethylene glycol)

    Blood

    (1999)
  • ScottM.D. et al.

    Beyond the red cell: pegylation of other blood cells and tissues

    Transfus. Clin. Biol.

    (2004)
  • PasutG.

    Protein, peptide and non-peptide drug PEGylation for therapeutic application: a review

    Exp. Op. Ther. Patents

    (2004)
  • GrahamL.M.

    PEGASPARAGINASE: a review of clinical studies

    Adv. Drug Deliv. Rev.

    (2003)
  • BailonP.

    Rational design of a potent, long lasting form of interferon: a 40kDa branched poly-ethylene glycol-conjugated interferon alpha-2a for the treatment of hepatitis C

    Bioconjug. Chem.

    (2001)
  • KinstlerO.B.

    Characterization and stability of N-terminally pegylated rhG-CSF

    Pharm. Res.

    (1996)
  • WongS.S.

    Reactive groups of proteins and their modifying agents

  • Cited by (1997)

    View all citing articles on Scopus
    View full text