乳铁蛋白及其衍生肽的潜在健康益处——如何获得医疗器械的资格?

IF 6 2区 生物学 Q1 MICROBIOLOGY
Carlo Brouwer, Mick M Welling, Saleh Alwasel, Teun Boekhout
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引用次数: 0

摘要

乳铁蛋白(LF)是一种糖蛋白,是转铁蛋白家族的一员,存在于多种分泌液中,包括牛奶、唾液、眼泪和粘膜分泌物。铁结合、免疫调节、抗菌作用和肠道营养吸收只是其重要生物学作用的一小部分。尽管对人类乳铁蛋白(hLF)进行了大量研究,但来自不同动物的乳铁蛋白对生理和健康同样重要。根据预期的应用和作用机制,含有LF及其肽衍生物的商品可能被归类为FDA规则或欧盟指令下的医疗器械。对于欧盟和FDA法规,如果产品主要提供抗菌或健康优势,则可能被归类为医疗设备。但是,如果作为食品添加剂或补充剂使用而没有特别的药用声明,则不被视为医疗器械。安全性和有效性数据经过审查,以获得监管部门的批准,以保证其在临床环境中的适当使用和有用性。当用于各种医疗应用时,包括伤口愈合,胃肠道问题和免疫系统刺激,LFs及其衍生物的复杂性和潜在的健康优势将与它们作为II类医疗器械的分类一致。本文讨论了几种物种(特别是骆驼属)的LFs作为具有特定生物活性和预期医疗应用的生物制品的作用,其中LF满足被归类为II类医疗器械的要求。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Potential health benefits of lactoferrin and derived peptides - how to qualify as a medical device?

ABSTRACTsLactoferrin (LF) is a glycoprotein, a member of the transferrin family, and is present in a variety of secretory fluids, including milk, saliva, tears, and mucosal secretions. Iron binding, immunological regulation, antibacterial action, and intestinal nutrition absorption are only a few of its important biological roles. Although much research has been done on human lactoferrin (hLF), LF derived from different animals is equally essential for physiology and health. Depending on the intended application and mechanism of action, goods containing LF and its peptide derivatives may be classified as medical devices under FDA rules or EU Directives. For EU and FDA regulations, a product may be categorized as a medical device if it primarily provides antimicrobial or health advantages. However, LFs are not considered as medical device when used as a food addition or supplement without particular medicinal claims. Safety and efficacy data are examined for regulatory approval in this category to guarantee its appropriate usage and usefulness in clinical settings. When utilized in various medicinal applications, including wound healing, gastrointestinal problems, and immune system stimulation, the complex nature and potential health advantages of LFs and their derivatives would be consistent with their categorization as a class II medical device. The role of LFs of several species (especially cameloids) is discussed in this paper as biological products with particular biological activities and intended medical applications, where LF satisfies the requirements to be classified as a class II medical device.

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来源期刊
Critical Reviews in Microbiology
Critical Reviews in Microbiology 生物-微生物学
CiteScore
14.70
自引率
0.00%
发文量
99
期刊介绍: Critical Reviews in Microbiology is an international, peer-reviewed journal that publishes comprehensive reviews covering all areas of microbiology relevant to humans and animals, including medical and veterinary microbiology, public health and environmental microbiology. These may include subjects related to microbial molecular biology, immunopathogenicity, physiology, biochemistry, structure, and epidemiology. Of particular interest are reviews covering clinical aspects of bacterial, virological, fungal and parasitic diseases. All reviews must be analytical, comprehensive, and balanced in nature. Editors welcome uninvited submissions, as well as suggested topics for reviews accompanied by an abstract.
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