Ukai Hiroki, Iwasa Kazuki, Deguchi Takamasa, Morishita Masaki, Katsumi Hidemasa, Yamamoto Akira
Department of Biopharmaceutics, Kyoto Pharmaceutical University, Misasagi, Yamashina-Ku, Kyoto 607-8414, Japan.
Pharmaceutics. 2020 May 18;12(5):462. doi: 10.3390/pharmaceutics12050462.
Labrasol is a self-emulsifying excipient that contains saturated polyglycolysed C-C glycerides and this additive is known to improve the intestinal absorption of poorly absorbed drugs after oral administration. However, the effects of formulations similar to Labrasol on the intestinal absorption of poorly absorbed drugs have not been characterized. In this study, we used insulin as a model peptide drug and examined the absorption-enhancing effects of Labrasol and its related formulations for insulin absorption in rats. The co-administration of Labrasol-related formulations with insulin reduced the blood glucose levels. Among these formulations, Capryol 90 was the most effective additive. Notably, the effect of Capryol 90 was greater at pH 3.0 than at pH 7.0. Additionally, almost no mucosal damage was observed in the presence of these formulations, as these formulations did not affect the activity of lactate dehydrogenase (LDH) and the amount of protein released from the small intestine. In mechanistic studies, Capryol 90 improved the stability of insulin and suppressed the association with insulin under acidic conditions. The loosening of the tight junctions (TJs) could be the underlying mechanism by which Capryol 90 improved intestinal insulin absorption via a paracellular route. These findings suggest that Capryol 90 is an effective absorption enhancer for improving the intestinal absorption of insulin, without inducing serious damage to the intestinal epithelium.
Labrasol是一种自乳化辅料,含有饱和聚乙二醇化的C-C甘油酯,已知这种添加剂可改善口服给药后吸收不良药物的肠道吸收。然而,类似Labrasol的制剂对吸收不良药物肠道吸收的影响尚未得到表征。在本研究中,我们使用胰岛素作为模型肽药物,研究了Labrasol及其相关制剂对大鼠胰岛素吸收的吸收增强作用。Labrasol相关制剂与胰岛素共同给药可降低血糖水平。在这些制剂中,Capryol 90是最有效的添加剂。值得注意的是,Capryol 90在pH 3.0时的效果比在pH 7.0时更大。此外,在这些制剂存在的情况下,几乎未观察到粘膜损伤,因为这些制剂不影响乳酸脱氢酶(LDH)的活性和小肠释放的蛋白质量。在机制研究中,Capryol 90提高了胰岛素的稳定性,并在酸性条件下抑制了与胰岛素的结合。紧密连接(TJ)的松动可能是Capryol 90通过细胞旁途径改善肠道胰岛素吸收的潜在机制。这些发现表明,Capryol 90是一种有效的吸收增强剂,可改善胰岛素的肠道吸收,而不会对肠上皮造成严重损伤。
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