Copyright: ©Author(s) 2026.
World J Transl Med. Nov 28, 2026; 12(4): 124866
Published online Nov 28, 2026. doi: 10.5528/wjtm.124866
Published online Nov 28, 2026. doi: 10.5528/wjtm.124866
Table 2 Comparison between therapeutic peptides, small molecules and biologics
| Therapeutic peptides | Small molecule drugs | Biologics | |
| Advantages | High affinity binding | High oral bioavailability | High affinity binding |
| High specificity | High membrane permeability | High specificity | |
| Modulate protein-protein interactions without well-defined binding pocket | High gastric stability | Minimal off-target effects | |
| Wide range of targets | Lower manufacturing costs | ||
| Predictable degradation products | Low immunogenicity | ||
| Minimal off-target toxicities | |||
| Low immunogenicity | |||
| Weaknesses | Low oral bioavailability | Risk of off-target effects | Requires parenteral administration |
| Require a well-defined binding pocket | |||
| Short half-life & rapid serum clearance | High immunogenicity-risk of anti-drug antibody formation | ||
| Low membrane permeability | Low membrane permeability | ||
| Low gastric stability | High manufacturing costs |
- Citation: Karunadasa H, Vasudevan A. Therapeutic peptides in inflammatory bowel disease: From mechanistic rationale to clinical translation. World J Transl Med 2026; 12(4): 124866
- URL: https://www.wjgnet.com/2220-6132/full/v12/i4/124866.htm
- DOI: https://dx.doi.org/10.5528/wjtm.124866