Reis Catarina P, Veiga Francisco J, Ribeiro António J, Neufeld Ronald J, Damgé Christiane
Laboratory of Pharmaceutical Technology, Faculty of Pharmacy, University of Coimbra, 3000-295 Coimbra, Portugal.
J Pharm Sci. 2008 Dec;97(12):5290-305. doi: 10.1002/jps.21347.
The aim of this study was to characterize and evaluate a novel oral insulin nanoparticulate system based on alginate-dextran sulfate core, complexed with a chitosan-polyethylene glycol-albumin shell. Insulin-loaded nanospheres (25, 50, 100 IU/kg) administered orally to diabetic rats reduced glycemia in a dose dependent manner. This effect lasted over 24 h with a maximal effect after 14 h. Nanospheres increased insulin plasma level and improved glycemic response to an oral glucose overload. After 4 days oral administration (50 IU/kg/day), the metabolic status of diabetic rats improved with a reduction in water intake, urine excretion and proteinuria. FITC-insulin-loaded nanospheres administered to an isolated intestinal loop were taken up by the intestinal mucosa. They strongly adhered to villus apical enterocytes and markedly labeled Peyer's patches. It is concluded that nanospheres preserve insulin and exert an antidiabetic effect after oral administration. This is explained by a protective effect against proteolytic enzymes by the albumin coating, by the mucoadhesive properties of chitosan-polyethylene glycol, and by the possibility of chitosan reversibly altering tight junctions leading to an improved absorption of insulin. This formulation demonstrates beneficial effects on diabetic symptoms and will be of interest in the treatment of diabetes with oral insulin.
本研究的目的是对一种新型口服胰岛素纳米颗粒系统进行表征和评估,该系统以藻酸盐-硫酸葡聚糖为核心,并与壳聚糖-聚乙二醇-白蛋白外壳复合。给糖尿病大鼠口服负载胰岛素的纳米球(25、50、100 IU/kg),血糖以剂量依赖方式降低。这种作用持续超过24小时,14小时后达到最大效果。纳米球提高了胰岛素血浆水平,并改善了对口服葡萄糖负荷的血糖反应。口服给药4天(50 IU/kg/天)后,糖尿病大鼠的代谢状态得到改善,饮水量、尿量和蛋白尿减少。将负载异硫氰酸荧光素标记胰岛素的纳米球给予离体肠袢,被肠黏膜摄取。它们强烈粘附于绒毛顶端肠上皮细胞,并显著标记派尔集合淋巴结。得出的结论是,纳米球在口服给药后能保护胰岛素并发挥抗糖尿病作用。这可以通过白蛋白包衣对蛋白水解酶的保护作用、壳聚糖-聚乙二醇的粘膜粘附特性以及壳聚糖可逆改变紧密连接从而改善胰岛素吸收的可能性来解释。这种制剂对糖尿病症状显示出有益作用,将在口服胰岛素治疗糖尿病方面具有重要意义。