Evidence map›Paper›PMID 36559248›Full record

ArticlePharmaceutics2022

Recombinant Alpha-1 Antitrypsin as Dry Powder for Pulmonary Administration: A Formulative Proof of Concept.

Annalisa Bianchera, Esraa'a Alomari, Annalisa Michielon, Gianluca Bazzoli, Nicoletta Ronda, Giovanni Pighini, Ilaria Zanotti, Carmine Giorgio, Andrea Mozzarelli, Ruggero Bettini and 1 more

Open access · goldAbstract read
In one paragraph

Article in Pharmaceutics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Nebulizers effectiveness on pulmonary delivery of alpha-1 antitrypsin.Drug delivery and translational research · 2023
    Article
  2. Article
  3. Article
  4. Basic, translational and clinical aspects of bronchiectasis in adults.European respiratory review : an official journal of the European Respiratory Society · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 1 institution in 1 country.

Annalisa BiancheraDepartment of Food and Drug, University of Parma, 43124 Parma, Italy.ORCID 0000-0002-3160-9586
Esraa'a AlomariDepartment of Food and Drug, University of Parma, 43124 Parma, Italy.ORCID 0000-0002-2130-9336
Annalisa MichielonDepartment of Food and Drug, University of Parma, 43124 Parma, Italy.
Gianluca BazzoliDepartment of Food and Drug, University of Parma, 43124 Parma, Italy.ORCID 0000-0003-3603-9006
Nicoletta RondaDepartment of Food and Drug, University of Parma, 43124 Parma, Italy.
Giovanni PighiniDepartment of Food and Drug, University of Parma, 43124 Parma, Italy.
Ilaria ZanottiDepartment of Food and Drug, University of Parma, 43124 Parma, Italy.ORCID 0000-0003-2701-6021
Carmine GiorgioDepartment of Food and Drug, University of Parma, 43124 Parma, Italy.ORCID 0000-0001-6414-8221
Andrea MozzarelliDepartment of Food and Drug, University of Parma, 43124 Parma, Italy.ORCID 0000-0003-3762-0062
Ruggero BettiniDepartment of Food and Drug, University of Parma, 43124 Parma, Italy.ORCID 0000-0002-3857-7476
Stefano BrunoDepartment of Food and Drug, University of Parma, 43124 Parma, Italy.
University of Parma · IT

Funding

Regione Emilia Romagna POR-FESR grant (PG/2015/731196)
6 · The paper itself

Abstract

Alpha-1 antitrypsin (AAT) deficiency is a genetic disorder associated with pulmonary emphysema and bronchiectasis. Its management currently consists of weekly infusions of plasma-purified human AAT, which poses several issues regarding plasma supplies, possible pathogen transmission, purification costs, and parenteral administration. Here, we investigated an alternative administration strategy for augmentation therapy by combining recombinant expression of AAT in bacteria and the production of a respirable powder by spray drying. The same formulation approach was then applied to plasma-derived AAT for comparison. Purified, active, and endotoxin-free recombinant AAT was produced at high yields and formulated using L-leucine and mannitol as excipients after identifying compromise conditions for protein activity and good aerodynamic performances. An oxygen-free atmosphere, both during formulation and powder storage, slowed down methionine-specific oxidation and AAT inactivation. This work is the first peer-reviewed report of AAT formulated as a dry powder, which could represent an alternative to current treatments.

Indexed as

alpha-1 antitrypsininhalable dry powderpulmonary drug deliveryrecombinant protein

Identifiers

PMID36559248
PMCPMC9784676
OpenAlexW4311955635

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.