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Journal of Drug Delivery and Therapeutics
Open Access to Pharmaceutical and Medical Research
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Open Access Full Text Article Review Article
Drugs based on bioactive oligopeptides
O.V. Ledenev 1,2*, O.V. Levitskaya 2, A.V. Syroeshkin 2
1 Department of Biology, Lomonosov Moscow State University, 119234 Moscow, Russia
2 Department of Pharmaceutical and Toxicological Chemistry, Peoples Friendship University of Russia (RUDN University), 6 Miklukho - Maklaya St, Moscow, 117198, Russia
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Article Info: _______________________________________________ Article History: Received 24 March 2025 Reviewed 05 May 2025 Accepted 03 June 2025 Published 15 June 2025 _______________________________________________ Cite this article as: Ledenev OV, Levitskaya OV, ASyroeshkin AV, Drugs based on bioactive oligopeptides, Journal of Drug Delivery and Therapeutics. 2025; 15(6):244-252 DOI: http://dx.doi.org/10.22270/jddt.v15i6.7194 _______________________________________________ *Address for Correspondence: Oleg V. Ledenev, Department of Biology, Lomonosov Moscow State University, 119234 Moscow, Russia |
Abstract _______________________________________________________________________________________________________________ Oligopeptides, i.e. biopolymers containing up to fifty amino acids, are being recognized as first-line treatments for a growing number of disorders. The review encompasses various aspects of the application of these active pharmaceutical ingredients, ranging from methods for obtaining a peptide molecule and formulating a dosage form, including excipients and their key properties, to various information on the pharmacokinetics and pharmacodynamics of peptide drugs supported by scientific experimental data, as well as modern quality control methods. The review considers that the application of peptide therapeutics covers a wide range of diseases. They include cancers of various genesis; bacterial infections; type 2 diabetes, neurological diseases, and eye diseases. The review notes that this is just a small fraction of the nosologies in which peptide bioregulators have demonstrated effective clinical activity. The review considers the role of excipients. A distinctive feature of the review is the consideration of innovative methods for quality control of peptide therapeutics. The methods include: high-performance liquid chromatography with tandem mass spectrometry, ultracentrifugation with flow-through rotors, dynamic laser light scattering, small-angle laser light scattering. The review specifically highlights the analysis of dispersion in turbid and opaque media – two-dimensional dynamic laser light scattering based on the kinetics of diffuse reflection with data analysis using a mathematical topological model. A non-invasive method for detecting intrinsic radiothermal emission of biologically active nanoparticles, which can be easily used for peptide molecules, is also described. The review presents a hypothesis according to which the background level of peptides forms a specific electromagnetic field of cells and tissues. Keywords: peptide drugs, modern drugs, safe drugs, peptide drugs review, peptide synthesis, peptide pharmacokinetics, peptide pharmacodynamics, drug excipients. |
Introduction
The production of peptide therapeutics is a classic example of green chemistry 1. The biological origin and non-toxic degradability of these medicinal substances in combination with the recycling of blisters and paper packaging, as well as various types of "green" synthesis are modern vectors of the development of pharmacy2. Preclinical trials of oligopeptide molecules have shown that, due to their bio-origin, they have a safe action profile in tests on animals in terms of acute-chronic toxicity 3. Peptide compositions daily demonstrate their effectiveness against cancers 4, show increased antibacterial activity in a number of studies 5–7, improve the permeability of cell membranes 8, and improve the pharmacokinetic parameters of medicinal substances 9. Peptide compositions are widely used as a complex therapeutic in the treatment of many diseases 10, they significantly improve cognitive functions in the fight against Alzheimer's disease 11 and improve physiological parameters in ophthalmological therapy 12,13. The following sections will describe the methods of peptide therapeutics production, their dosage forms available on the pharmaceutical market, the composition of finished therapeutics, the targets of the action of oligopeptides, and the pharmacokinetic parameters that contribute to this.
Modern peptide molecules are obtained in two ways: artificial and natural 14,15. The difference between these ways is that the natural method uses extracts from tissues, organs of animals and plants. 16,17, and artificial synthetic methods involve the synthesis of amino acid sequences de novo 18.
The natural production method depends on the biological entity (animal tissue, plant material, cell culture, including recombinant cells 19,20.
The process flow for obtaining a peptide from biomaterials resembles the classical scheme of chemical-toxicological preparative purification and includes the following operations: Obtaining an organ/tissue/cell containing the peptide → Homogenization with the addition of a preservative to extend the shelf life of the homogenates → Purification of the homogenate by any convenient method → Formation of extracts with different pH values. If the final objective is an extract, we shall stop at this step and proceed with purifying the extract by high-performance liquid chromatography. If the final objective is a specific oligo- or polypeptide, we shall move on to the next step → Purification of the extract → Centrifugation or a similar method for separating peptide molecules 21 → Purification of the peptide by any available chromatography 22 → Purity and authenticity analysis using a mass spectrometer 23. Despite chromatographic purification, the resulting oligopeptide therapeutics still carry the threat of toxic impurities for plant extracts 24, HPV impurities (for extracts from cell cultures) 25, and prion impurities (for extracts from animal tissues, especially for brain extracts) 26–28.
The artificial method is quite diverse; a number of studies demonstrate that research teams in many countries are trying to move away from the use of animal-based oligopeptides to synthetic ones. 29.
The most popular method for creating oligo- and polypeptide chains is solid-phase synthesis with the protecting group Fmoc PG (Fluorenylmethyloxycarbonyl protecting group) 30.
The method consists in creating a solid-phase peptide resin (the most popular are: Merrifield resin 31, polyethylene glycol-grafted polystyrene (PEG-PS) 32, acrylamidopropyl polyethylene glycol (PEGA) 33).
The solid-phase synthesis method is used for continuous creation of peptides34, being a process amenable to automation35 when the operator only needs to add Fmoc PG protected amino acids in the desired sequence. The principle of working with Merrifield resin 36is as follows: Treatment of the resin with a Fmoc PG protected amino acid in an alkaline medium → removal of the Fmoc protection → addition of the second amino acid with Fmoc PG as an acylating agent to the first amino acid, which results in the formation of a peptide bond → removal of the protective group and addition of the amino acid with Fmoc PG again → and so on until the required peptide is assembled → cleavage of the resulting peptide from the resin at the end → purification by reversed-phase chromatography 37. The following methods of artificial peptide synthesis are not the most common ones, but used: liquid-phase and recombinant. The most important difference between the liquid-phase and solid-phase peptide synthesis methods is that the growing sequence of amino acids is protected by reagents in the liquid phase 38.
In this section, we will consider a wide range of dosage forms (DF) of peptide therapeutics and their excipients (ES). The dosage forms of peptides available on the pharmaceutical market of the Russian Federation are quite diverse: Injectable form (subcutaneous 39, intramuscular 40, intravenous 41, parabulbar 42); Therapeutics for oral administration (tablets 43); Therapeutics for external use (nasal form 44, ointments and creams 45); Suppositories 46.
The most popular representatives of the injectable form are the oligopeptide semaglutide 47 and liraglutide 48 – an analogue of glucagon-like peptide-1 (GLP-1), and the peptide hormone insulin 49. The finished dosage form is a pre-filled pen: for convenient dosing of the therapeutic and independent administration of the therapeutic. However, this selection of peptide therapeutics is not not exhaustive; the pharmaceutical market often finds a therapeutic of polypeptides obtained from the cerebral cortex of cattle in prescriptions of a neurologist 50, polypeptides from the retina of cattle in prescriptions of an ophthalmologist 51, polypeptides of the pineal gland of cattle in prescriptions of an obstetrician-gynecologist 52, VLP (virus like particles) vaccines in prescriptions of an epidemiologist and therapist 53 – all these therapeutics are lyophilisates, which are subsequently dissolved in water for injection or a 0.9% sodium chloride solution to create a finished dosage form. The main excipients and their properties are described in Table 1.
Table 1: Brief description of excipients of injectable forms of peptide therapeutics.
|
Name |
Characteristics and application |
Dosage form |
|
Glycine |
The simplest amino acid can be used both as an active substance and as an excipient. The literature describes the positive effect of the [oligo/polypeptide + glycine] complex on the pharmacokinetic parameters of the finished dosage form 54 |
Lyophilisate ↓ Solution for injection |
|
Disodium hydrogen phosphate dihydrate |
Inorganic sodium salt used as a pH regulator, as a buffering agent |
Solution for injection in pre-filled pens |
|
Propylene glycol |
Organic molecule used as a stabilizer and solvent when the amino acid sequence consists mainly of hydrophobic amino acids |
Solution for injection in pre-filled pens |
|
Phenol |
The so-called carbolic acid, which serves as a preservative, helps prevent the growth of bacteria and contamination of solutions |
Solution for injection in pre-filled pens |
|
Hydrochloric acid |
Inorganic acid used to correct pH |
Solution for injection in pre-filled pens |
|
Sodium hydroxide |
Inorganic base used to correct pH |
Solution for injection (pre-filled pens, ampoules) |
|
Water for injection |
Water corresponding to the article of the same name of the General Pharmacopoeia Monograph, used as a solvent |
Solution for injection (pre-filled pens, ampoules) |
|
Zinc chloride |
Inorganic zinc salt used as a stabilizer for the hexameric form of the insulin molecule, which prevents its degradation during storage 55 |
Solution for injection in pre-filled pens |
|
Glycerol |
Simple triol compound used as a stabilizer for protein molecules, as a component of a storage buffer, and as a solvent. |
Solution for injection in pre-filled pens |
|
Meta-Cresol (m-Cresol) |
Organic aromatic compound used as a preservative in sterile dosage forms 56 |
Solution for injection in pre-filled pens |
|
Tromethamol (tromethamine) |
Organic amine used as a buffering agent and as an alkalinizer. |
Solution for injection in pre-filled pens |
|
Polysorbate 20 |
Derived from sorbitol, used as a solvent, stabilizer and emulsifier |
Solution for injection in pre-filled pens |
The tablet form of peptide therapeutics is not very common due to the fact that biomolecules undergo hydrolysis when taken orally 57. However, many research teams have addressed this problem, using various techniques to protect against peptidases. Some manufacturers chemically modify the molecule 58,59, others cyclize the peptide 60. Different methods are presented in Section 3, Pharmacokinetics and Pharmacodynamics of Peptide Therapeutic Agents.
An example of tablet forms on the Russian pharmaceutical market is the pentadecapeptide therapeutic used to treat infectious and inflammatory diseases of the mouth and throat – Gramicidin C 61. Another example of a tablet form is glucosaminylmuramyl dipeptide (GMDP) used to treat chronic respiratory tract infections, acute and chronic purulent-inflammatory diseases of skin and soft tissues 62. A brief description of excipients for the creation of peptide tablets that allow action under conditions of oral administration is given in Table 2.
Table 2: Excipients for making tablet dosage forms of peptides
|
Name |
Characteristics and application |
|
Colloidal dioxide |
Anti-adhesive agent, reduces the sticking of mass to equipment in the course of tablet manufacture |
|
Talc |
Anti-adhesive agent and glidant, improves the flow properties of powders and granules |
|
Acesulfame potassium |
Sweetener, used to adjust taste |
|
Mint flavoring |
Organoleptic substance, imparts a pleasant taste and aroma |
|
Sorbitol |
Filler and moisturizer, adds volume, improves consistency |
|
Magnesium stearate |
Lubricant, reduces friction between particles 63, improves the tableting process |
|
Lactose monohydrate |
Filler, provides volume and mass of solid dosage forms |
|
Sucrose |
Filler and binder, provides strength to tablets |
|
Potato starch |
Filler and disintegrant, improves disintegration of tablets |
|
Methylcellulose |
Thickener and stabilizer, forms viscous solutions |
|
Calcium stearate |
Lubricant, reduces friction between particles |
Peptides have found wide application in skin care products 64 as agents stabilizing the condition of the skin 65, in addition, most therapeutics with oligopeptides and polypeptides are available in the form of nasal drops/sprays 66, for example, the heptamerous peptide complex (Met-Glu-His-Phe-Pro-Gly-Pro) is used to treat most pathological conditions caused by brain injuries and neurotic disorders of various origins 67. The nasal form of another heptamerous peptide (Thr-Lys-Pro-Arg-Pro-Gly-Pro (diacetate)) has an anti-anxiety effect with antidepressant and antiasthenic action 68, and therapeutics with interferons of various origins help fight various infections 69.
Suppositories with peptides find their application in anti-infective therapy 70 and as a treatment agent for chronic prostatitis 71. You can see the characteristics of the excipients of all listed dosage forms in Table 3.
Table 3: Excipients for making of nasal drops and suppositories based on peptides
|
Name |
Characteristics and application |
Dosage form |
|
Methyl parahydroxybenzoate (nipagin) |
Antimicrobial preservative, especially effective against bacteria and yeast 72 |
Drops |
|
Purified water |
Universal solvent, does not contain impurities, used as a base for drops |
All dosage forms |
|
Edetate disodium dihydrate |
Complexing agent, stabilizer, antioxidant |
Drops |
|
Sodium hydrogen phosphate dodecahydrate |
pH regulator, buffering agent |
Drops |
|
Potassium dihydrogen phosphate |
pH regulator, buffering agent |
Drops |
|
Povidone |
Stabilizer, binder, solvent |
Suppositories |
|
Macrogol 4000 |
Variant of suppository base |
Suppositories |
|
Cocoa butter |
Suppository base |
Suppositories |
|
Lanolin anhydrous |
Emulsifier, base for suppositories and ointments, improves penetration of active substances |
Suppositories, ointments |
|
Solid fat |
Suppository base |
Suppositories, ointments |
Peptide therapeutic agents have a potential to be used in all areas of evidence-based medicine. The ability to synthesize different amino acid sequences allows for variation in the pharmacokinetics and pharmacodynamics of finished dosage forms 73. This section will use scientific data to demonstrate the positive results that scientists have achieved to date and will also touch upon the future of peptide therapeutics.
In most instructions for peptide injection forms of therapeutics, you can find the phrase: "the therapeutic consists of a balanced and stable peptide mixture with polyfunctional activity, which does not allow the pharmacokinetic analysis of individual components". It corresponds to the logical conclusion about the specificity of administration, however other dosage forms allow measuring pharmacokinetic parameters, for example: the bioavailability of GMDP tablets is 7-13%. This bioavailability indicator allows research teams to propose solutions that are not suitable for most drugs, for example, a research team from China has synthesized a cyclic peptide using the method of through cyclization with disulfide bridges, as a result they managed to increase the stability and antibacterial activity of the molecule, as well as increase its half-life 74. Italian scientists propose several methods for creating cross-linked peptides, which are basically arranged in an -helix, using cross-linking agents (obtained by connecting the side chains of suitable modified amino acids located at the required distance within the peptide chain) to improve a number of properties of the active substance 75. Other researchers propose a physical option to fight against poor pharmacokinetics, such as using a self-orienting swallowable device consisting of a stainless steel core and low-density polycaprolactone that autonomously releases peptide-containing microneedles into the gastric epithelium 76.
A huge area that is gaining momentum every year is the use of peptides in various forms: 1) as an independent nanoparticle (NP); 2) as a complex of peptide + nanoparticle. This step allows improving the biological activity of the molecule – a pharmaceutical agent 77, allows selectively choosing a target for the delivered therapeutic 78 and peptide 79; a variation in the preparation of a peptide-equipped nanoparticle, encapsulation of the peptide in liposomal nanoparticles 80, or in polymeric NPs 81, allows increasing the bioavailability of the peptide agent several times. At the moment, there are studies where insulin is enclosed in liposomal nanoparticles to protect the polypeptide from oral degradation and ensure the ease of drug administration; many studies are aimed at using metal nanoparticles with peptides as antibacterial activity boosters 82 and as contrast agents 83.
The qualitative and quantitative approach to the quality control of peptide therapeutics includes many instrumental methods of analysis:
The diversity of approaches to biomolecule analysis plays a key role in the comprehensive study of its characteristics used in quality control. But all these methods have one big drawback – a destructive approach to the studied object. Thus, creation of a non-invasive quality control method is a priority for pharmacists. For example, researchers from RUDN University, Moscow, have managed to implement a new non-invasive method for detecting inherent radiothermal emission of biologically active nanoparticles 110–114, which is easily applicable to peptide molecules. Analyzing the literature on peptide therapeutics, we can come to the conclusion that the mechanism of action of peptides is not always clear to analysts due to the fast biotransformation of peptide molecules; nevertheless, it is effective and clinical medicine proves it; of course, this does not apply to those peptide therapeutics that are structural analogues of various hormones and other biostructures, for which the mechanism of action has been thoroughly studied, but for most active peptide molecules it is still unknown. It allows a hypothesis that peptide bioregulators are included in a number of physicochemical characteristics of the cell (temperature, pressure, osmotic pressure, pH, dynamism, selective permeability) – electromagnetic fields of the cell. Considering the fact that this emission is possible only for nanoparticles, and most peptides are such, the pieces of the possible puzzle of regulation of the internal environment of the cell by peptides fall into place. Perhaps their property of radiothermal emission allows stabilizing the electromagnetic fields of all cells, because it is not uncommon for a peptide therapeutic to be effective where a classic therapeutic has already stopped working. Perhaps this hypothesis is the answer to the question about the mechanism of action of oligo- and polypeptides. In the future, further study of peptides is planned, both from the pharmaceutical point of view with approaches to quality control of peptide therapeutic agents, and from the biochemical point of view to clarify their mechanism of action.
Conflicts of Interest: The authors declare that they have no conflicts of interest.
Contributors: All authors have read and approved the final manuscript.
Acknowledgment: The authors would like to express their deepest gratitude to the staff of the Department of Pharmaceutical and Toxicological Chemistry RUDN University.
Source of Support: This paper was supported by the RUDN University Strategic Academic Leadership program.
Funding: This publication was supported by the RUDN University Scientific Projects Grant System, project No. 033323-2-000
Data Availability Statement: The data presented in this study are available on request from the corresponding author.
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