Mol Pharm. 2018 Jul 2;15(7):2857-2869. doi: 10.1021/acs.molpharmaceut.8b00344. Epub 2018 May 24.
Glucagon-like peptide 1 (GLP-1) has recently received significant attention as an efficacious way to treat diabetes mellitus. However, the short half-life of the peptide limits its clinical application in diabetes. In our previous study, a novel GLP-1 analog (PGLP-1) with a longer half-life was synthesized and evaluated. Herein, we prepared the PGLP-1-loaded poly(d,l-lactide- co-glycolide) microspheres to achieve long-term effects on blood glucose control. The incorporation of zinc ion into the formulation can effectively decrease the initial burst release, and a uniform drug distribution was obtained, in contrast to native PGLP-1 encapsulated microspheres. We demonstrated that the solubility of the drug encapsulated in microspheres played an important role in in vitro release behavior and drug distribution inside the microspheres. The Zn-PGLP-1 microspheres had a prominent acute glucose reduction effect in the healthy mice. A hypoglycemic effect was observed in the streptozotocin (STZ) induced diabetic mice through a 6-week treatment of Zn-PGLP-1-loaded microspheres. Meanwhile, the administration of Zn-PGLP-1 microspheres led to the β-cell protection and stimulation of insulin secretion. The novel GLP-1 analog-loaded sustained microspheres may greatly improve patient compliance along with a desirable safety feature.
胰高血糖素样肽 1(GLP-1)作为治疗糖尿病的有效方法最近受到了广泛关注。然而,该肽的半衰期较短限制了其在糖尿病中的临床应用。在我们之前的研究中,合成并评价了一种新型半衰期更长的 GLP-1 类似物(PGLP-1)。在此,我们制备了载 PGLP-1 的聚(丙交酯-共-乙交酯)微球,以实现对血糖控制的长期作用。在制剂中加入锌离子可以有效减少初始突释,并且与包封有天然 PGLP-1 的微球相比,得到了均匀的药物分布。我们证明了药物在微球中的溶解度在体外释放行为和药物在微球内的分布中起着重要作用。锌-载 PGLP-1 微球在健康小鼠中具有显著的急性降血糖作用。通过 6 周的 Zn-PGLP-1 载药微球治疗,链脲佐菌素(STZ)诱导的糖尿病小鼠出现了低血糖效应。同时,锌-PGLP-1 微球的给药导致了β细胞的保护和胰岛素分泌的刺激。新型 GLP-1 类似物载药持续微球可能会极大地提高患者的顺应性,并具有良好的安全性特征。