ReviewPEGylation, successful approach to drug delivery
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
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