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Editorial: Super-resolution imaging of sub-cellular dynamics of drug molecules. 药物分子亚细胞动态超分辨率成像。
IF 15.2 1区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-09-14 DOI: 10.1016/j.addr.2024.115455
Qixin Chen, Jiajie Diao
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引用次数: 0
Application of MIDD to accelerate the development of anti-infectives: Current status and future perspectives 应用 MIDD 加速抗感染药物的开发:现状与未来展望
IF 15.2 1区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-09-12 DOI: 10.1016/j.addr.2024.115447

This review examines the role of model-informed drug development (MIDD) in advancing antibacterial and antiviral drug development, with an emphasis on the inclusion of host system dynamics into modeling efforts. Amidst the growing challenges of multidrug resistance and diminishing market returns, innovative methodologies are crucial for continuous drug discovery and development. The MIDD approach, with its robust capacity to integrate diverse data types, offers a promising solution. In particular, the utilization of appropriate modeling and simulation techniques for better characterization and early assessment of drug resistance are discussed. The evolution of MIDD practices across different infectious disease fields is also summarized, and compared to advancements achieved in oncology. Moving forward, the application of MIDD should expand into host system dynamics as these considerations are critical for the development of “live drugs” (e.g. chimeric antigen receptor T cells or bacteriophages) to address issues like antibiotic resistance or latent viral infections.

这篇综述探讨了模型信息药物开发(MIDD)在推进抗菌和抗病毒药物开发中的作用,重点是将宿主系统动力学纳入建模工作。在多重耐药性和市场回报日益减少的挑战下,创新方法对持续的药物发现和开发至关重要。MIDD 方法具有整合各种数据类型的强大能力,是一种很有前景的解决方案。本文特别讨论了如何利用适当的建模和模拟技术来更好地表征和早期评估耐药性。此外,还总结了 MIDD 在不同传染病领域的实践演变,并与肿瘤学领域取得的进展进行了比较。展望未来,MIDD 的应用应扩展到宿主系统动力学,因为这些考虑因素对于开发 "活药物"(如嵌合抗原受体 T 细胞或噬菌体)以解决抗生素耐药性或潜伏病毒感染等问题至关重要。
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引用次数: 0
Effects of nanoparticle deformability on multiscale biotransport 纳米粒子变形性对多尺度生物传输的影响
IF 15.2 1区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-08-31 DOI: 10.1016/j.addr.2024.115445

Deformability is one of the critical attributes of nanoparticle (NP) drug carriers, along with size, shape, and surface properties. It affects various aspects of NP biotransport, ranging from circulation and biodistribution to interactions with biological barriers and target cells. Recent studies report additional roles of NP deformability in biotransport processes, including protein corona formation, intracellular trafficking, and organelle distribution. This review focuses on the literature published in the past five years to update our understanding of NP deformability and its effect on NP biotransport. We introduce different methods of modulating and evaluating NP deformability and showcase recent studies that compare a series of NPs in their performance in biotransport events at all levels, highlighting the consensus and disagreement of the findings. It concludes with a perspective on the intricacy of systematic investigation of NP deformability and future opportunities to advance its control toward optimal drug delivery.

与尺寸、形状和表面特性一样,可变形性也是纳米粒子药物载体的关键属性之一。它影响着 NP 生物转运的各个方面,从循环和生物分布到与生物屏障和靶细胞的相互作用。最近的研究报告指出了 NP 变形性在生物转运过程中的其他作用,包括蛋白质日冕的形成、细胞内转运和细胞器分布。本综述侧重于过去五年中发表的文献,以更新我们对NP变形性及其对NP生物转运影响的认识。我们介绍了调节和评估 NP 变形性的不同方法,并展示了最近的一些研究,这些研究比较了一系列 NP 在各级生物转运事件中的表现,强调了研究结果的共识和分歧。最后,本研究透视了对 NP 变形性进行系统研究的复杂性,以及推进其控制以实现最佳药物输送的未来机遇。
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引用次数: 0
Model-informed precision dosing: State of the art and future perspectives 基于模型的精确配料:技术现状与未来展望。
IF 15.2 1区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-08-17 DOI: 10.1016/j.addr.2024.115421
Model-informed precision dosing (MIPD) stands as a significant development in personalized medicine to tailor drug dosing to individual patient characteristics. MIPD moves beyond traditional therapeutic drug monitoring (TDM) by integrating mathematical predictions of dosing, and considering patient-specific factors (patient characteristics, drug measurements) as well as different sources of variability. For this purpose, rigorous model qualification is required for the application of MIPD in patients. This review delves into new methods in model selection and validation, also highlighting the role of machine learning in improving MIPD, the utilization of biosensors for real-time monitoring, as well as the potential of models integrating biomarkers for efficacy or toxicity for precision dosing. The clinical evidence of TDM and MIPD is discussed for various medical fields including infection medicine, oncology, transplant medicine, and inflammatory bowel diseases, thereby underscoring the role of pharmacokinetics/pharmacodynamics and specific biomarkers. Further research, particularly randomized clinical trials, is warranted to corroborate the value of MIPD in enhancing patient outcomes and advancing personalized medicine.
模型信息精准给药(MIPD)是个性化医疗领域的一项重大发展,可根据患者的个体特征调整药物剂量。MIPD 超越了传统的治疗药物监测 (TDM),它整合了剂量的数学预测,并考虑了患者的特定因素(患者特征、药物测量)以及不同的变异性来源。为此,在患者中应用 MIPD 需要严格的模型鉴定。本综述深入探讨了模型选择和验证的新方法,还强调了机器学习在改进 MIPD 方面的作用、生物传感器在实时监测方面的应用,以及整合疗效或毒性生物标志物的模型在精准用药方面的潜力。讨论了 TDM 和 MIPD 在各个医学领域的临床证据,包括感染医学、肿瘤学、移植医学和炎症性肠病,从而强调了药代动力学/药效学和特定生物标记物的作用。有必要开展进一步的研究,特别是随机临床试验,以证实 MIPD 在提高患者疗效和推进个性化医疗方面的价值。
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引用次数: 0
Drug delivery strategies for local immunomodulation in transplantation: Bridging the translational gap 移植中局部免疫调节的给药策略:缩小转化差距。
IF 15.2 1区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-08-13 DOI: 10.1016/j.addr.2024.115429

Drug delivery strategies for local immunomodulation hold tremendous promise compared to current clinical gold-standard systemic immunosuppression as they could improve the benefit to risk ratio of life-saving or life-enhancing transplants. Such strategies have facilitated prolonged graft survival in animal models at lower drug doses while minimizing off-target effects. Despite the promising outcomes in preclinical animal studies, progression of these strategies to clinical trials has faced challenges. A comprehensive understanding of the translational barriers is a critical first step towards clinical validation of effective immunomodulatory drug delivery protocols proven for safety and tolerability in pre-clinical animal models. This review overviews the current state-of-the-art in local immunomodulatory strategies for transplantation and outlines the key challenges hindering their clinical translation.

与目前临床上的金标准全身免疫抑制相比,局部免疫调节的给药策略大有可为,因为它们可以提高挽救生命或增强生命的移植手术的获益风险比。这种策略有助于在动物模型中以较低的药物剂量延长移植物的存活时间,同时最大限度地减少脱靶效应。尽管临床前动物研究取得了可喜的成果,但将这些策略推向临床试验仍面临挑战。全面了解转化障碍是临床验证临床前动物模型安全性和耐受性的有效免疫调节给药方案的关键第一步。本综述概述了目前用于移植的局部免疫调节策略的最新进展,并概述了阻碍其临床转化的主要挑战。
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引用次数: 0
Advances in the design and delivery of RNA vaccines for infectious diseases 设计和提供治疗传染病的 RNA 疫苗的进展。
IF 15.2 1区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-08-05 DOI: 10.1016/j.addr.2024.115419

RNA medicines represent a paradigm shift in treatment and prevention of critical diseases of global significance, e.g., infectious diseases. The highly successful messenger RNA (mRNA) vaccines against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) were developed at record speed during the coronavirus disease 2019 pandemic. A consequence of this is exceptionally shortened vaccine development times, which in combination with adaptability makes the RNA vaccine technology highly attractive against infectious diseases and for pandemic preparedness. Here, we review state of the art in the design and delivery of RNA vaccines for infectious diseases based on different RNA modalities, including linear mRNA, self-amplifying RNA, trans-amplifying RNA, and circular RNA. We provide an overview of the clinical pipeline of RNA vaccines for infectious diseases, and present analytical procedures, which are paramount for characterizing quality attributes and guaranteeing their quality, and we discuss future perspectives for using RNA vaccines to combat pathogens beyond SARS-CoV-2.

RNA 药物代表了全球重大疾病(如传染病)治疗和预防的范式转变。在 2019 年冠状病毒疾病大流行期间,针对严重急性呼吸系统综合征冠状病毒 2(SARS-CoV-2)的信使核糖核酸(mRNA)疫苗以创纪录的速度研制成功。其结果是疫苗开发时间大大缩短,再加上适应性强,使得 RNA 疫苗技术在预防传染病和大流行病方面具有很强的吸引力。在此,我们回顾了基于不同 RNA 模式(包括线性 mRNA、自扩增 RNA、反式扩增 RNA 和环状 RNA)的 RNA 疫苗设计和递送技术的最新进展。我们概述了用于传染病的 RNA 疫苗的临床应用,介绍了对表征质量属性和保证质量至关重要的分析程序,并讨论了使用 RNA 疫苗抗击 SARS-CoV-2 以外病原体的未来前景。
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引用次数: 0
Light in evaluation of molecular diffusion in tissues: Discrimination of pathologies 评估组织中分子扩散的光:病理鉴别
IF 15.2 1区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-08-02 DOI: 10.1016/j.addr.2024.115420

The evaluation of the diffusion properties of different molecules in tissues is a subject of great interest in various fields, such as dermatology/cosmetology, clinical medicine, implantology and food preservation. In this review, a discussion of recent studies that used kinetic spectroscopy measurements to evaluate such diffusion properties in various tissues is made. By immersing ex vivo tissues in agents or by topical application of those agents in vivo, their diffusion properties can be evaluated by kinetic collimated transmittance or diffuse reflectance spectroscopy. Using this method, recent studies were able to discriminate the diffusion properties of agents between healthy and diseased tissues, especially in the cases of cancer and diabetes mellitus. In the case of cancer, it was also possible to evaluate an increase of 5% in the mobile water content from the healthy to the cancerous colorectal and kidney tissues. Considering the application of some agents to living organisms or food products to protect them from deterioration during low temperature preservation (cryopreservation), and knowing that such agent inclusion may be reversed, some studies in these fields are also discussed. Considering the broadband application of the optical spectroscopy evaluation of the diffusion properties of agents in tissues and the physiological diagnostic data that such method can acquire, further studies concerning the optimization of fruit sweetness or evaluation of poison diffusion in tissues or antidote application for treatment optimization purposes are indicated as future perspectives.

评估不同分子在组织中的扩散特性是皮肤病学/美容学、临床医学、植入学和食品保鲜等各个领域都非常感兴趣的课题。在这篇综述中,将讨论近期利用动力学光谱测量来评估不同组织中此类扩散特性的研究。将体内外组织浸泡在药剂中或在体内局部使用这些药剂,可以通过动力学准直透射光谱或漫反射光谱评估其扩散特性。利用这种方法,最近的研究能够区分健康组织和病变组织的药剂扩散特性,特别是在癌症和糖尿病的情况下。在癌症病例中,还可以评估出从健康组织到癌症大肠和肾组织的流动水含量增加了 5%。考虑到在生物体或食品中应用某些药剂以保护其在低温保存(冷冻保存)过程中不变质,并了解到这种药剂的加入可能会逆转,因此还讨论了这些领域的一些研究。考虑到光学光谱法评估药剂在组织中扩散特性的应用范围很广,而且这种方法可以获得生理诊断数据,因此,有关优化水果甜度或评估毒物在组织中的扩散或应用解毒剂优化治疗的进一步研究将是未来的发展方向。
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引用次数: 0
Programmability and biomedical utility of intrinsically-disordered protein polymers 内在有序蛋白质聚合物的可编程性和生物医学用途。
IF 15.2 1区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-07-31 DOI: 10.1016/j.addr.2024.115418

Intrinsically disordered proteins (IDPs) exhibit molecular-level conformational dynamics that are functionally harnessed across a wide range of fascinating biological phenomena. The low sequence complexity of IDPs has led to the design and development of intrinsically-disordered protein polymers (IDPPs), a class of engineered repeat IDPs with stimuli-responsive properties. The perfect repetitive architecture of IDPPs allows for repeat-level encoding of tunable protein functionality. Designer IDPPs can be modeled on endogenous IDPs or engineered de novo as protein polymers with dual biophysical and biological functionality. Their properties can be rationally tailored to access enigmatic IDP biology and to create programmable smart biomaterials. With the goal of inspiring the bioengineering of multifunctional IDP-based materials, here we synthesize recent multidisciplinary progress in programming and exploiting the bio-functionality of IDPPs and IDPP-containing proteins. Collectively, expanding beyond the traditional sequence space of extracellular IDPs, emergent sequence-level control of IDPP functionality is fueling the bioengineering of self-assembling biomaterials, advanced drug delivery systems, tissue scaffolds, and biomolecular condensates —genetically encoded organelle-like structures. Looking forward, we emphasize open challenges and emerging opportunities, arguing that the intracellular behaviors of IDPPs represent a rich space for biomedical discovery and innovation. Combined with the intense focus on IDP biology, the growing landscape of IDPPs and their biomedical applications set the stage for the accelerated engineering of high-value biotechnologies and biomaterials.

本征无序蛋白(IDPs)表现出分子水平的构象动态,可在各种奇妙的生物现象中发挥功能。IDPs 的低序列复杂性促使人们设计和开发了本征无序蛋白聚合物 (IDPPs),这是一类具有刺激响应特性的工程化重复 IDPs。IDPPs 完美的重复结构允许对可调蛋白质功能进行重复级编码。设计的 IDPPs 可以以内源性 IDPs 为模型,也可以重新设计为具有生物物理和生物学双重功能的蛋白质聚合物。可以对它们的特性进行合理定制,从而获得神秘的 IDP 生物学特性,并创造出可编程的智能生物材料。为了启发基于 IDP 的多功能材料的生物工程,我们在此综述了最近在编程和利用 IDPPs 和含 IDPP 蛋白质的生物功能方面取得的多学科进展。总之,IDPP 功能的序列级控制超越了细胞外 IDPs 的传统序列空间,正在推动自组装生物材料、高级药物输送系统、组织支架和生物分子凝聚体(基因编码细胞器样结构)的生物工程。展望未来,我们强调开放的挑战和新兴的机遇,认为 IDPPs 的细胞内行为代表着生物医学发现和创新的丰富空间。IDPPs 及其生物医学应用的不断发展为加速高价值生物技术和生物材料的工程化奠定了基础。
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引用次数: 0
Drug delivery technologies for autoimmunity therapies 用于自身免疫疗法的给药技术。
IF 15.2 1区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-07-27 DOI: 10.1016/j.addr.2024.115412
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引用次数: 0
Precise subcellular targeting approaches for organelle-related disorders 针对细胞器相关疾病的精确亚细胞靶向方法。
IF 15.2 1区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-07-19 DOI: 10.1016/j.addr.2024.115411

Pharmacological research has expanded to the nanoscale level with advanced imaging technologies, enabling the analysis of drug distribution at the cellular organelle level. These advances in research techniques have contributed to the targeting of cellular organelles to address the fundamental causes of diseases. Beyond navigating the hurdles of reaching lesion tissues upon administration and identifying target cells within these tissues, controlling drug accumulation at the organelle level is the most refined method of disease management. This approach opens new avenues for the development of more potent therapeutic strategies by delving into the intricate roles and interplay of cellular organelles. Thus, organelle-targeted approaches help overcome the limitations of conventional therapies by precisely regulating functionally compartmentalized spaces based on their environment. This review discusses the basic concepts of organelle targeting research and proposes strategies to target diseases arising from organelle dysfunction. We also address the current challenges faced by organelle targeting and explore future research directions.

借助先进的成像技术,药理学研究已扩展到纳米级水平,从而能够分析药物在细胞器水平的分布情况。这些研究技术的进步有助于以细胞器为靶点来解决疾病的根本原因。除了克服给药后到达病变组织和识别这些组织内靶细胞的障碍外,在细胞器水平控制药物蓄积是最精细的疾病管理方法。这种方法通过深入研究细胞器错综复杂的作用和相互作用,为开发更有效的治疗策略开辟了新途径。因此,细胞器靶向疗法有助于克服传统疗法的局限性,根据环境精确调节功能分区空间。本综述讨论了细胞器靶向研究的基本概念,并提出了针对细胞器功能障碍引起的疾病的策略。我们还讨论了细胞器靶向目前面临的挑战,并探讨了未来的研究方向。
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引用次数: 0
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Advanced drug delivery reviews
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