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. 2022 Nov 20;14(11):2533. doi: 10.3390/pharmaceutics14112533

Table 6.

Different types of additives for the formulation of protein and peptide drugs [7,10,231,232].

Excipient Mechanism General Comments
Buffering agents Keeping the pH of protein solutions Usually, the buffers work in the range of 3–10 for proteins. In certain conditions, some buffers may be decomposed, and their by-products destroy the protein structure.
Chelators and antioxidants The roles of antioxidants and chelators are to prevent and/or remove oxidazing factors. Some reducing agents such as glutathione and ascorbic acid in the presence of metals and enhancing oxidation stresses can have a negative/destructive role on protein structure, although these agents are used in the pharmaceutical sector of proteins.
Proteins By interacting with therapeutic peptides, excipient proteins can increase the blood circulation time. Nowadays, chaperones have been given a special look as a preservative for medicinal proteins.
Polymers Maintaining the structure of proteins The main examples of this group include polyvinyl alcohol, dextran and hydroxyethyl starch.
Amino acids Buffering properties, preferential interactions, favored hydration, antioxidant effect and strong binding to protein regions Glycine (buffering agent and bulking agent during lyophilization), arginine (solubilizing agent and works as chaperone) and histidine (antioxidant and buffering agent)
Sugars and carbohydrates Forming a crystal network with preferential interactions Sorbitol in lyophilization and liquid formulation conditions, has a stabilizing role, however, in freezing conditions, due to the formation of sorbitol crystals, it assumes a stabilizing role.
Salts Tonicifying agent, reacting with the charged surfaces of proteins and take two stabilizing or destabilizing paths. Among the cations and anions of the Hofmeister series, the latter has dual protective/destructive effects on proteins.
Antimicrobial preservatives Preventing the growth of bacteria in solution-rich medicinal proteins m-cresol, phenol and benzyl alcohol are among the popular.
Surfactants Reducing the interface area of solution and air during purification (inner wall of purification column and dialysis bags, etc.).
In this group, polysorbate 20 (PS20) and polysorbate 80 (PS80) are the most used in protein drugs and especially antibodies.
Osmolytes Generating favored hydration, preferential interactions, and polar interactions Sorbitol, sucrose, glycine, and trehalose have been able to reach the pharmaceutical sector