Abstract
During their development and administration, protein-based drugs routinely display suboptimal therapeutic efficacies due to their poor physicochemical and pharmacological properties. These innate liabilities have driven the development of molecular strategies to improve the therapeutic behavior of protein drugs. Among the currently developed approaches, glycoengineering is one of the most promising, because it has been shown to simultaneously afford improvements in most of the parameters necessary for optimization of in vivo efficacy while allowing for targeting to the desired site of action. These include increased in vitro and in vivo molecular stability (due to reduced oxidation, cross-linking, pH-, chemical-, heating-, and freezing-induced unfolding/denaturation, precipitation, kinetic inactivation, and aggregation), as well as modulated pharmacodynamic responses (due to altered potencies from diminished in vitro enzymatic activities and altered receptor binding affinities) and improved pharmacokinetic profiles (due to altered absorption and distribution behaviors, longer circulation lifetimes, and decreased clearance rates). This article provides an account of the effects that glycosylation has on the therapeutic efficacy of protein drugs and describes the current understanding of the mechanisms by which glycosylation leads to such effects.
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Acknowledgments
This review was made possible by a grant to K.G. (SC1 GM086240) from the National Institute of General Medical Sciences (NIGMS) at the National Institutes of Health (NIH) through the SCORE (Support of Competitive Research) program. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of NIGMS. The authors have no conflicts of interest that are directly relevant to the contents of this review.
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Solá, R.J., Griebenow, K. Glycosylation of Therapeutic Proteins. BioDrugs 24, 9–21 (2010). https://doi.org/10.2165/11530550-000000000-00000
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DOI: https://doi.org/10.2165/11530550-000000000-00000