Impact of Intrinsic and Extrinsic Factors on the Pharmacokinetics of Peptides: When Is the Assessment of Certain Factors Warranted?

Peptides are short chains of 2 to 50 amino acids (molecular weight of less than 10 kDa) linked together by peptide bonds. As therapeutic agents, peptides are of interest because the body naturally produces many different peptides. Short-chain peptides have many advantages as compared with long-chain...

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Main Authors: Iftekhar Mahmood, Mark Pettinato
Format: Article
Language:English
Published: MDPI AG 2021-12-01
Series:Antibodies
Subjects:
Online Access:https://www.mdpi.com/2073-4468/11/1/1
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author Iftekhar Mahmood
Mark Pettinato
author_facet Iftekhar Mahmood
Mark Pettinato
author_sort Iftekhar Mahmood
collection DOAJ
description Peptides are short chains of 2 to 50 amino acids (molecular weight of less than 10 kDa) linked together by peptide bonds. As therapeutic agents, peptides are of interest because the body naturally produces many different peptides. Short-chain peptides have many advantages as compared with long-chain peptides (e.g., low toxicity). The first peptide corticotropin was approved in 1952 for multiple inflammatory diseases and West syndrome. Since then, more than 60 peptides have been approved by the FDA. Pharmacokinetics (PK) is widely used in modern-day drug development for designing a safe and efficacious dose to treat a wide variety of diseases. There are, however, several factors termed as “intrinsic” or “extrinsic” which can influence the PK of a drug, and as a result, one has to adjust the dose in a patient population. These intrinsic and extrinsic factors can be described as age, gender, disease states such as renal and hepatic impairment, drug–drug interaction, food, smoking, and alcohol consumption. It is well known that these intrinsic and extrinsic factors can have a substantial impact on the PK of small molecules, but for macromolecules, the impact of these factors is not well established. This review summarizes the impact of intrinsic and extrinsic factors on the PK of peptides.
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spelling doaj.art-3815021c61084e0da53411e8f23bb65b2022-12-22T04:26:27ZengMDPI AGAntibodies2073-44682021-12-01111110.3390/antib11010001Impact of Intrinsic and Extrinsic Factors on the Pharmacokinetics of Peptides: When Is the Assessment of Certain Factors Warranted?Iftekhar Mahmood0Mark Pettinato1Mahmood Clinical Pharmacology Consultancy, LLC, Rockville, MD 20850, USAMahmood Clinical Pharmacology Consultancy, LLC, Rockville, MD 20850, USAPeptides are short chains of 2 to 50 amino acids (molecular weight of less than 10 kDa) linked together by peptide bonds. As therapeutic agents, peptides are of interest because the body naturally produces many different peptides. Short-chain peptides have many advantages as compared with long-chain peptides (e.g., low toxicity). The first peptide corticotropin was approved in 1952 for multiple inflammatory diseases and West syndrome. Since then, more than 60 peptides have been approved by the FDA. Pharmacokinetics (PK) is widely used in modern-day drug development for designing a safe and efficacious dose to treat a wide variety of diseases. There are, however, several factors termed as “intrinsic” or “extrinsic” which can influence the PK of a drug, and as a result, one has to adjust the dose in a patient population. These intrinsic and extrinsic factors can be described as age, gender, disease states such as renal and hepatic impairment, drug–drug interaction, food, smoking, and alcohol consumption. It is well known that these intrinsic and extrinsic factors can have a substantial impact on the PK of small molecules, but for macromolecules, the impact of these factors is not well established. This review summarizes the impact of intrinsic and extrinsic factors on the PK of peptides.https://www.mdpi.com/2073-4468/11/1/1peptidespharmacokineticsintrinsic and extrinsic factorssmall molecule
spellingShingle Iftekhar Mahmood
Mark Pettinato
Impact of Intrinsic and Extrinsic Factors on the Pharmacokinetics of Peptides: When Is the Assessment of Certain Factors Warranted?
Antibodies
peptides
pharmacokinetics
intrinsic and extrinsic factors
small molecule
title Impact of Intrinsic and Extrinsic Factors on the Pharmacokinetics of Peptides: When Is the Assessment of Certain Factors Warranted?
title_full Impact of Intrinsic and Extrinsic Factors on the Pharmacokinetics of Peptides: When Is the Assessment of Certain Factors Warranted?
title_fullStr Impact of Intrinsic and Extrinsic Factors on the Pharmacokinetics of Peptides: When Is the Assessment of Certain Factors Warranted?
title_full_unstemmed Impact of Intrinsic and Extrinsic Factors on the Pharmacokinetics of Peptides: When Is the Assessment of Certain Factors Warranted?
title_short Impact of Intrinsic and Extrinsic Factors on the Pharmacokinetics of Peptides: When Is the Assessment of Certain Factors Warranted?
title_sort impact of intrinsic and extrinsic factors on the pharmacokinetics of peptides when is the assessment of certain factors warranted
topic peptides
pharmacokinetics
intrinsic and extrinsic factors
small molecule
url https://www.mdpi.com/2073-4468/11/1/1
work_keys_str_mv AT iftekharmahmood impactofintrinsicandextrinsicfactorsonthepharmacokineticsofpeptideswhenistheassessmentofcertainfactorswarranted
AT markpettinato impactofintrinsicandextrinsicfactorsonthepharmacokineticsofpeptideswhenistheassessmentofcertainfactorswarranted