Formation & Delivery Issues of Therapeutic Proteins

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    Formation & DeliveryFormation & DeliveryIssues of TherapeuticIssues of Therapeutic

    ProteinsProteinsMahvash AnsariMahvash Ansari

    M-Phil (Pharmaceutics)M-Phil (Pharmaceutics)

    Roll # 02Roll # 02Session 2008-2010Session 2008-2010

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    IntroductionIntroduction

    Pharmaceuticals based on natural and recombinant proteins have provenPharmaceuticals based on natural and recombinant proteins have proven

    their therapeutic value. Whether for hormone or enzyme replacementtheir therapeutic value. Whether for hormone or enzyme replacement

    therapies or to block or inhibit other protein signals, pharmaceuticaltherapies or to block or inhibit other protein signals, pharmaceutical

    proteins exhibit exquisite selectivity and specificity in their targets. Overproteins exhibit exquisite selectivity and specificity in their targets. Over

    100 proteins have been approved by U.S. Food and Drug Administration100 proteins have been approved by U.S. Food and Drug Administration

    since their inception and many more are currently in various phases ofsince their inception and many more are currently in various phases of

    development. Despite their potency, many issues hinder the widespreaddevelopment. Despite their potency, many issues hinder the widespreaduse of protein pharmaceuticals. Proteins require special (expensive)use of protein pharmaceuticals. Proteins require special (expensive)

    preparation techniques, usually recombinant engineering and expressing inpreparation techniques, usually recombinant engineering and expressing in

    cell culture followed by lengthy and costly purifications. They must becell culture followed by lengthy and costly purifications. They must be

    stored and shipped under special conditions as they are susceptible tostored and shipped under special conditions as they are susceptible to

    denaturation and degradation by proteolysis. The barriers to easy oraldenaturation and degradation by proteolysis. The barriers to easy oral

    administration and bioavailability are formidable, as the body has manyadministration and bioavailability are formidable, as the body has many

    natural defenses to exogenous proteins. Nevertheless, although there arenatural defenses to exogenous proteins. Nevertheless, although there are

    many hurdles to be overcome, protein biopharmaceuticals are certain tomany hurdles to be overcome, protein biopharmaceuticals are certain to

    see continued rapid development and growth because their potential forsee continued rapid development and growth because their potential for

    providing a more specific and potent therapeutic approach is unparalleled.providing a more specific and potent therapeutic approach is unparalleled.

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    IntroductionIntroduction

    o Recombinant DNA TechnologyRecombinant DNA Technology

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    IntroductionIntroduction

    o Specificity and PotencySpecificity and Potency

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    IntroductionIntroduction

    o Molecular MedicineMolecular Medicine

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    IntroductionIntroduction

    o Therapeutic, Subunit VacinesTherapeutic, Subunit Vacines

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    Stability of TherapeuticStability of Therapeutic

    ProteinsProteins

    o Chemical InstabilityChemical InstabilityDeamidationDeamidation

    OxidationOxidation

    Beta EliminationBeta Elimination

    Incorrect Disulfide FormationIncorrect Disulfide Formation

    RacemizationRacemization

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    Chemical InstabilityChemical Instability

    Chemical Instability Physical Instability

    Hydrolysis

    Deamidation (Gin & Asn)

    Oxidation (His, Met, Cys, Trp &Tyr)

    Proteolysis

    Incorrect disulfide formation(Cysteine)

    Racemization

    Beta climination

    Denaturation

    Adsorption to surface

    Aggregation

    Precipitation

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    Stability of TherapeuticStability of Therapeutic

    ProteinsProteins

    o Physical InstabilityPhysical Instability

    DenaturationDenaturationAggregationAggregation

    PrecipitationPrecipitation

    Surface AdsorptionSurface Adsorption

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    Stability of TherapeuticStability of Therapeutic

    ProteinsProteins

    o Formulation & DeliveryFormulation & Delivery

    Approaches to OvercomeApproaches to Overcome

    InstabilityInstability

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    Immunological Properties ofImmunological Properties of

    Protein TherapeuticsProtein Therapeutics

    o

    Immunogenicity of ProteinsImmunogenicity of Proteins

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    Immunogenicity of ProteinsImmunogenicity of ProteinsTherapeutic Protein Detected Incidence of

    Anti-product AntibodyOKT3

    Remicade

    Roferon

    Proleukin (interleukin-2)

    Betaferon

    Advate

    Bone morphogenic protein-7

    Enbrel (TNF receptor/anti-TNF

    IgG)Thrombopoietin

    PEGylated-MGDF

    -80%

    10-57%

    20-50%

    47-74%

    44%

    15-30%

    13-38%

    16%

    10%

    0.5-1.6%

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    Immunological Properties ofImmunological Properties of

    Protein TherapeuticsProtein Therapeutics

    o Formulation & DeliveryFormulation & Delivery

    Considerations to ReduceConsiderations to Reduce

    ImmunogenicityImmunogenicity

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    Pharmacokinetics andPharmacokinetics and

    PharmacodynamicsPharmacodynamics

    o Formulation and Delivery Approaches toFormulation and Delivery Approaches to

    Overcome PK IssuesOvercome PK Issues

    PEGylationPEGylationLipid Structures as Drug DeliveryLipid Structures as Drug Delivery

    VehiclesVehicles

    PLGA Micro SpheresPLGA Micro Spheres