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Editorial: Novel ultrasound-based strategies for precision therapeutics and visualization. 编辑:新的基于超声的精确治疗和可视化策略。
IF 17.6 1区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2026-03-01 Epub Date: 2025-12-16 DOI: 10.1016/j.addr.2025.115763
Xinwu Cui, Xiaoyuan Chen
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引用次数: 0
High concentration subcutaneous biological drug products: challenges and advancements 高浓度皮下生物制剂:挑战与进展
IF 16.1 1区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2026-02-06 DOI: 10.1016/j.addr.2026.115793
Guangli Hu, Mikolaj Milewski, Yogita Krishnamachari, Adam Procopio, W. Peter Wuelfing, Lei Zhu, Sachin Mittal, Jason Cheung, Jeffrey Givand, Rubi Burlage, Allen Templeton, Hanmi Xi, Yongchao Su, Nicole Buist
Subcutaneous (SC) administration is often a preferred approach for biologic therapeutics, offering enhanced convenience, improved patient adherence, and reduced healthcare costs compared to traditional intravenous (IV) infusion. The growing demand for high-dose subcutaneous formulations (HiSubQ), particularly for drugs requiring large doses, has driven advancements and innovations in formulation, manufacturing, device development, and analytical characterization. However, HiSubQ development faces challenges such as protein instability, high viscosity, and complex manufacturing processes. Addressing these hurdles requires innovative protein engineering, formulation strategies, advanced drug delivery devices, and high-resolution analytical tools to ensure stability, injectability, and bioperformance. A strong interdisciplinary collaboration across formulation, device, bioperformance, and analytics is required to drive such innovation. This review provides an overview of SC drug development, emphasizing key advancements in formulation design, biopharmaceutic considerations, device integration, and analytical characterization. We propose tactics and high-level roadmaps that can enable the development of patient-centric solutions to meet the rising demand for SC biologics.
皮下(SC)给药通常是生物治疗的首选方法,与传统的静脉(IV)输注相比,它提供了更大的便利性,提高了患者的依从性,并降低了医疗成本。对高剂量皮下制剂(HiSubQ)的需求不断增长,特别是对于需要大剂量的药物,推动了制剂、制造、设备开发和分析表征方面的进步和创新。然而,HiSubQ的开发面临着蛋白质不稳定性、高粘度和复杂制造工艺等挑战。解决这些障碍需要创新的蛋白质工程、配方策略、先进的药物输送设备和高分辨率分析工具,以确保稳定性、可注射性和生物性能。推动这种创新需要在配方、设备、生物性能和分析方面进行强有力的跨学科合作。这篇综述提供了SC药物开发的概述,强调了配方设计、生物制药考虑、设备集成和分析表征方面的关键进展。我们提出了策略和高层次的路线图,可以使以患者为中心的解决方案的发展,以满足对SC生物制剂不断增长的需求。
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引用次数: 0
A strategic guide of techniques for biomedical and tissue engineering applications to measure mechanical properties of soft matter, eye and skin 生物医学和组织工程应用技术的战略指南,以测量软物质,眼睛和皮肤的机械特性
IF 16.1 1区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2026-01-31 DOI: 10.1016/j.addr.2026.115792
Claudia Muñoz Villaescusa, Diana van der Ven, Miguel A. Quetzeri-Santiago, David Fernandez Rivas
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引用次数: 0
Synergies between data science methods and innovative drug delivery technologies 数据科学方法和创新给药技术之间的协同作用
IF 17.6 1区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2026-01-28 DOI: 10.1016/j.addr.2026.115783
David A. Winkler
Most areas of science and technology and beyond are undergoing an almost unprecedented rate of change, driven largely by the rapid growth in automation and robotics, computational power, and AI and machine learning algorithms. Many areas of science and medicine have adopted these technologies or are on a steep learning curve to do so in the short to medium term. Drug delivery systems that are very important for optimising therapeutic efficacy, patient compliance, and amelioration of side-effects are similarly undergoing a quiet revolution in modalities. However, drug delivery systems are arguably lagging many other scientific and biomedical fields in applying informatics, physics-based computational design and simulation approaches, and AI and machine learning to design, optimisation, and simulation of drug delivery systems. Here I review studies in which selected computational methods have been employed for these purposes, aiming to highlight their potential to accelerate the provision of more effective drug delivery systems and to identify modalities in which the benefits of these computational methods have not been achieved at all, or at least sub-optimally. The aim is to focus on less well-addressed existing and emerging drug delivery systems and to provide a perspective on what needs to be done, what could be done better, and where the synergistic partnership between computational/AI methods and contemporary drug delivery system may lead in the future.
大多数科学和技术领域以及其他领域正在经历一场几乎前所未有的变革,这主要是由自动化和机器人技术、计算能力、人工智能和机器学习算法的快速增长所推动的。科学和医学的许多领域已经采用了这些技术,或者在短期到中期正处于陡峭的学习曲线上。对于优化治疗效果、患者依从性和改善副作用非常重要的药物输送系统同样正在经历一场静悄悄的模式革命。然而,药物输送系统在应用信息学、基于物理的计算设计和模拟方法以及人工智能和机器学习来设计、优化和模拟药物输送系统方面,可以说落后于许多其他科学和生物医学领域。在这里,我回顾了一些研究,其中选定的计算方法已被用于这些目的,旨在强调它们加速提供更有效的药物输送系统的潜力,并确定这些计算方法的好处根本没有实现的模式,或者至少是次优的。其目的是将重点放在现有的和新兴的药物输送系统上,并就需要做什么、可以做得更好以及计算/人工智能方法与当代药物输送系统之间的协同伙伴关系在未来可能导致的情况提供一个视角。
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引用次数: 0
The predictive edge: modeling and simulation in drug product development 预测优势:药品开发中的建模和仿真
IF 17.6 1区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2026-01-25 DOI: 10.1016/j.addr.2026.115784
Sanjay Konagurthu , Dineli T.S. Ranathunga , Stephanie Buchanan , Nairuti Milan Mehta , Tom Reynolds
It is well-known that drug development is challenging and a time- and resource-intensive endeavor. Historically, it has relied heavily on trial-and-error, empirical approaches that yield a low probability of success. Despite continuous efforts to improve efficiency across the development stages the overall success rate from clinical trial initiation to market approval remains low. In response to these challenges, in-silico predictive modeling and simulations are becoming indispensable tools for accelerating and de-risking the drug product development process. These computational methods use simulated and real-world data to guide decision-making across the entire development pipeline. Notably, these tools are now gaining widespread acceptance not only in discovery but also across the delivery and formulation stages of drug development. Advances in artificial intelligence (AI) and machine learning (ML) are proving transformative, enabling rapid analysis of large datasets and the development of predictive models that enhance classification, prediction, and optimization capabilities across the drug product development process. This review provides an overview of the various in-silico predictive modeling and simulation techniques for drug product development, emphasizing the use of AI/ML, and their applications in drug delivery. We highlight their role in improving drug performance, manufacturability, stability, safety, and overall success from clinical development through commercialization.
众所周知,药物开发具有挑战性,是一项耗时和资源密集的工作。从历史上看,它严重依赖于试错和经验方法,成功的可能性很低。尽管不断努力提高整个开发阶段的效率,但从临床试验开始到市场批准的总体成功率仍然很低。为了应对这些挑战,计算机预测建模和模拟正在成为加速和降低药物产品开发过程风险的不可或缺的工具。这些计算方法使用模拟和真实世界的数据来指导整个开发管道中的决策。值得注意的是,这些工具现在不仅在发现方面,而且在药物开发的整个交付和配制阶段都得到了广泛的接受。人工智能(AI)和机器学习(ML)的进步正在被证明具有变革性,能够快速分析大型数据集并开发预测模型,从而增强整个药品开发过程中的分类、预测和优化能力。本文综述了用于药物产品开发的各种计算机预测建模和仿真技术,重点介绍了AI/ML的使用及其在药物传递中的应用。我们强调它们在改善药物性能、可制造性、稳定性、安全性以及从临床开发到商业化的整体成功方面的作用。
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引用次数: 0
Medicinal gases for treating central nervous system injuries 用于治疗中枢神经系统损伤的医用气体
IF 17.6 1区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2026-01-22 DOI: 10.1016/j.addr.2026.115782
Rebecca I. Sienel , Nikolaus Plesnila
Central nervous system (CNS) injuries—such as stroke, traumatic brain injury, and perinatal hypoxia—trigger complex secondary cascades involving oxidative stress, inflammation, and apoptosis that limit recovery and therapeutic efficacy. Recent advances in medical gas delivery offer a novel, multifaceted approach to modulate these pathological processes. Gases including hydrogen, nitric oxide, carbon monoxide, xenon, and argon demonstrate potent neuroprotective, anti-inflammatory, and vasomodulatory properties in preclinical models. This review synthesizes current evidence on gas-based interventions across CNS pathologies, elucidates their molecular mechanisms, and evaluates translational challenges related to timing, dosing, and delivery technologies. Gas therapeutics represent a promising frontier in neurocritical care with potential to transform outcomes in otherwise intractable neurological injuries.
中枢神经系统(CNS)损伤,如中风、外伤性脑损伤和围产期缺氧,可触发复杂的次级级联反应,包括氧化应激、炎症和细胞凋亡,从而限制恢复和治疗效果。最近在医疗气体输送提供了一个新的,多方面的方法来调节这些病理过程。包括氢气、一氧化氮、一氧化碳、氙和氩气在内的气体在临床前模型中显示出有效的神经保护、抗炎和血管调节特性。这篇综述综合了目前针对中枢神经系统病理的气体干预的证据,阐明了它们的分子机制,并评估了与时间、剂量和递送技术相关的转化挑战。气体疗法代表了神经危重症护理的一个有前途的前沿,有可能改变其他顽固性神经损伤的结果。
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引用次数: 0
Artificial intelligence and machine learning guided optimization in drug delivery 人工智能和机器学习指导药物给药优化
IF 16.1 1区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2026-01-22 DOI: 10.1016/j.addr.2026.115781
Helena Ros, Natasha Chan, Michael T. Cook, David Shorthouse
The optimisation of drug delivery systems is a complex, multidimensional challenge involving the interplay of formulation composition, process parameters, and biological performance. Traditional empirical and statistical approaches are increasingly limited by the high dimensionality, nonlinearity, and multi-objective nature of modern drug delivery problems. In this review, we explore how artificial intelligence (AI) and machine learning (ML) are transforming formulation science by enabling data-driven, adaptive, and efficient optimisation strategies. We provide a conceptual and practical overview of ML-guided optimisation workflows, including surrogate modelling, Bayesian optimisation, active learning, and multi-objective optimisation. Key challenges such as data scarcity, experimental throughput, and model interpretability are discussed. Applications across diverse delivery modalities, including solid oral dosage forms, lipid nanoparticles, biologics, and long-acting injectables, are critically examined, highlighting how ML can accelerate formulation development, reduce experimental burden, and uncover novel design spaces. We conclude by outlining future directions for integrating AI into pharmaceutical R&D, with a focus on the emergence of self-driving laboratories. This review aims to equip drug delivery scientists with the foundational knowledge and practical tools to harness AI and ML in the rational design and optimisation of advanced drug delivery systems.
药物输送系统的优化是一个复杂的、多方面的挑战,涉及制剂组成、工艺参数和生物性能的相互作用。传统的经验和统计方法越来越受到现代药物输送问题的高维、非线性和多目标性质的限制。在这篇综述中,我们探讨了人工智能(AI)和机器学习(ML)如何通过启用数据驱动、自适应和高效的优化策略来改变配方科学。我们提供了一个概念和实用的ml引导优化工作流概述,包括代理建模,贝叶斯优化,主动学习和多目标优化。讨论了数据稀缺性、实验吞吐量和模型可解释性等关键挑战。本文对包括固体口服剂型、脂质纳米颗粒、生物制剂和长效注射剂在内的各种给药方式的应用进行了严格的研究,强调了ML如何加速配方开发、减轻实验负担和揭示新的设计空间。最后,我们概述了将人工智能整合到制药研发中的未来方向,重点是自动驾驶实验室的出现。本综述旨在为给药科学家提供基础知识和实用工具,以利用人工智能和机器学习合理设计和优化先进的给药系统。
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引用次数: 0
Technology for Nucleic Acid Delivery in the Treatment of Hematological Malignancies 核酸输送技术在血液系统恶性肿瘤治疗中的应用
IF 17.6 1区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2026-01-16 DOI: 10.1016/j.addr.2026.115780
Saba Abbasi Dezfouli , Hasan Uludağ , Mohammad Nasrullah , Amarnath Praphakar Rajendran , Remant K.C.
Blood (hematological) cancers display a wide spectrum of etiologies that can be attributed to specific molecular and chromosomal changes. While the uncontrolled proliferation of blood cells could be controlled to some degree by conventional anti-neoplastic agents, advanced therapies are needed to enhance the chances of survival. Nucleic acid therapeutics offer a great promise in combating blood cancers; they could be tailored to address the root cause of the diseases and can be deployed on their own or in combination with clinical drugs to achieve superior outcomes. In this review, we summarize the technology of delivering nucleic acids for the treatment of blood cancers. We start with the review of common types of hematological malignancies, highlighting the molecular pathology behind the malignancies. We then articulate the spectrum of nucleic acids promising for therapy as well as their critical features for delivery and securing efficacious outcomes. Since it is well recognized that the critical challenge is deploying nucleic acids safely in a clinical setting, we focus on the more-predictable, leading synthetic carriers promising for delivery of nucleic acids in clinics. We emphasize synthetic carriers that form supramolecular complexes with nucleic acids, resulting in nanoparticulate formulations, as well as approaches to derivatize the nucleic acids to make them suitable for cellular uptake and targeted delivery. We then summarize highly promising attempts to tackle blood cancers using new approaches, emphasizing microRNA-mediated gene regulation and the CRISPR-based gene editing approaches. These new approaches are interrogated especially from the perspective of delivery technology, with the purpose of designing improved delivery systems. We conclude with the authors' perspective on the future of nucleic acid therapeutics for the treatment of blood cancers, providing authors' perspectives for significant advances in the field.
血液(血液学)癌症表现出广泛的病因,可归因于特定的分子和染色体变化。虽然传统的抗肿瘤药物可以在一定程度上控制血细胞的不受控制的增殖,但需要先进的治疗方法来提高生存的机会。核酸疗法为对抗血癌提供了巨大的希望;它们可以针对疾病的根本原因进行定制,可以单独使用或与临床药物联合使用,以取得更好的效果。本文就核酸输送技术在血癌治疗中的应用作一综述。我们首先回顾常见类型的恶性血液病,强调恶性肿瘤背后的分子病理学。然后,我们阐明了有望用于治疗的核酸谱,以及它们的关键特征,以提供和确保有效的结果。众所周知,关键的挑战是在临床环境中安全地部署核酸,因此我们将重点放在更可预测的、有希望在临床中递送核酸的领先合成载体上。我们强调与核酸形成超分子复合物的合成载体,从而产生纳米颗粒配方,以及使核酸衍生化以使其适合细胞摄取和靶向递送的方法。然后,我们总结了使用新方法治疗血癌的极有希望的尝试,强调了微rna介导的基因调控和基于crispr的基因编辑方法。这些新方法特别从交付技术的角度进行了探讨,目的是设计改进的交付系统。我们总结了作者对核酸疗法治疗血癌的未来的看法,为该领域的重大进展提供了作者的观点。
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引用次数: 0
Bioconjugates for improved delivery of oligonucleotide therapeutics to the central nervous system 用于改善向中枢神经系统递送寡核苷酸疗法的生物偶联物
IF 16.1 1区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2026-01-15 DOI: 10.1016/j.addr.2026.115778
Hye Jin Lee, Yunxuan Xie, Colin F. Greineder, Peter M. Tessier
Oligonucleotide therapeutics, including antisense oligonucleotides (ASOs) and small interfering RNAs (siRNAs), have gained increasing attention as a novel modality for gene-targeted interventions for central nervous system (CNS) disorders, particularly in the context of rare and inherited neurological conditions. By correcting pathogenic abnormalities in gene splicing or expression, oligonucleotide therapeutics offer a combination of extreme specificity and disease-modifying or even curative effects. However, achieving robust delivery to the CNS after systemic administration remains a significant challenge due to the presence of the blood-brain barrier and the intrinsic physicochemical limitations of oligonucleotide therapeutics, such as their large molecular size, high charge, and susceptibility to enzymatic degradation. Peptide-, antibody-, and lipid-based conjugates have emerged as versatile strategies for CNS oligonucleotide delivery, offering distinct advantages in molecular recognition, tunability, biocompatibility, and structural uniformity. Here, we review emerging design principles for engineering peptide, antibody, and lipid conjugates to enhance binding affinity, target selectivity, pharmacokinetics, and pharmacodynamics of oligonucleotide therapeutics for CNS applications. We also discuss how engineered delivery platforms have the potential to improve therapeutic efficacy across a spectrum of neurological disorders, from rare hereditary syndromes to highly prevalent neurodegenerative diseases.
寡核苷酸疗法,包括反义寡核苷酸(ASOs)和小干扰rna (sirna),作为基因靶向干预中枢神经系统(CNS)疾病的一种新方式,特别是在罕见和遗传性神经系统疾病的背景下,已经受到越来越多的关注。通过纠正基因剪接或表达中的致病性异常,寡核苷酸疗法提供了极端特异性和疾病修饰甚至治愈效果的组合。然而,由于血脑屏障的存在和寡核苷酸疗法固有的物理化学限制(如大分子大小、高电荷和对酶降解的敏感性),在全身给药后实现对中枢神经系统的强大递送仍然是一个重大挑战。多肽、抗体和脂质偶联物已成为中枢神经系统寡核苷酸递送的通用策略,在分子识别、可调性、生物相容性和结构均匀性方面具有明显优势。在这里,我们回顾了工程肽,抗体和脂质偶联物的新兴设计原则,以提高结合亲和力,靶标选择性,药代动力学和药效学的寡核苷酸治疗中枢神经系统的应用。我们还讨论了工程递送平台如何有潜力提高一系列神经系统疾病的治疗效果,从罕见的遗传性综合征到高度流行的神经退行性疾病。
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引用次数: 0
Optical imaging and spectroscopic characterization of subvisible particles in protein therapeutics 蛋白质治疗中亚可见粒子的光学成像和光谱表征。
IF 17.6 1区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2026-01-14 DOI: 10.1016/j.addr.2026.115779
Brian S. Wong , Jing Ling , Yongchao Su , Dan Fu
The presence of subvisible particles in protein-based pharmaceutics is a critical quality attribute that is highly regulated due to potential risks to product stability, quality, bioavailability, and patient safety. While numerous analytical technologies have been developed to measure and analyze these particles, optical characterization methods are widely used for their simplicity, robustness, and versatility. Selecting the appropriate technique from a vast array of optical spectroscopy and imaging methods can be overwhelming, but it is crucial for successful characterization. For example, compendial methods such as light obscuration are most commonly used but can underestimate particle counts and are unable to provide chemical identification. This review article aims to provide a comprehensive comparison of optical particle characterization techniques, detailing their physical principles, applications, strengths, and weaknesses. We evaluate methods based on elastic light scattering, flow-based imaging, particle tracking, and vibrational spectroscopy. We highlight the inherent trade-off between analytical throughput and information content, aiming to guide the rational selection of analytical tools for the comprehensive characterization of subvisible particles in protein therapeutics.
蛋白类药物中不可见颗粒的存在是一个关键的质量属性,由于对产品稳定性、质量、生物利用度和患者安全存在潜在风险,因此受到高度监管。虽然已经开发了许多分析技术来测量和分析这些颗粒,但光学表征方法因其简单,稳健性和通用性而被广泛使用。从大量的光谱学和成像方法中选择合适的技术可能是压倒性的,但它对于成功表征至关重要。例如,最常用的药典方法是光遮挡,但可能低估颗粒计数,无法提供化学鉴定。本文旨在对光学粒子表征技术进行全面比较,详细介绍其物理原理、应用、优缺点。我们评估了基于弹性光散射、流成像、粒子跟踪和振动光谱的方法。我们强调分析吞吐量和信息内容之间的内在权衡,旨在指导合理选择分析工具,以全面表征蛋白质治疗中不可见颗粒的特征。
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引用次数: 0
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Advanced drug delivery reviews
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