增加连接链长度和肠道稳定性可增强模拟免疫调节剂霉酚酸模型药物的甘油三酯类似物前药的淋巴转运和淋巴结暴露。

Increasing Linker Chain Length and Intestinal Stability Enhances Lymphatic Transport and Lymph Node Exposure of Triglyceride Mimetic Prodrugs of a Model Immunomodulator Mycophenolic Acid.

机构信息

PureTech Health, 6 Tide Street, Boston, Massachusetts 02210, United States.

出版信息

Mol Pharm. 2023 May 1;20(5):2675-2685. doi: 10.1021/acs.molpharmaceut.3c00099. Epub 2023 Mar 30.

Abstract

Targeted delivery of immunomodulators to the lymphatic system has the potential to enhance therapeutic efficacy by increasing colocalization of drugs with immune targets such as lymphocytes. A triglyceride (TG)-mimetic prodrug strategy has been recently shown to enhance the lymphatic delivery of a model immunomodulator, mycophenolic acid (MPA), via incorporation into the intestinal TG deacylation-reacylation and lymph lipoprotein transport pathways. In the current study, a series of structurally related TG prodrugs of MPA were examined to optimize structure-lymphatic transport relationships for lymph-directing lipid-mimetic prodrugs. MPA was conjugated to the -2 position of the glyceride backbone of the prodrugs using linkers of different chain length (5-21 carbons) and the effect of methyl substitutions at the alpha and/or beta carbons to the glyceride end of the linker was examined. Lymphatic transport was assessed in mesenteric lymph duct cannulated rats, and drug exposure in lymph nodes was examined following oral administration to mice. Prodrug stability in simulated intestinal digestive fluid was also evaluated. Prodrugs with straight chain linkers were relatively unstable in simulated intestinal fluid; however, co-administration of lipase inhibitors (JZL184 and orlistat) was able to reduce instability and increase lymphatic transport (2-fold for a prodrug with a 6-carbon spacer, i.e., MPA-C6-TG). Methyl substitutions to the chain resulted in similar trends in improving intestinal stability and lymphatic transport. Medium- to long-chain spacers (C12, C15) between MPA and the glyceride backbone were most effective in promoting lymphatic transport, consistent with increases in lipophilicity. In contrast, short-chain (C6-C10) linkers appeared to be too unstable in the intestine and insufficiently lipophilic to associate with lymph lipid transport pathways, while very long-chain (C18, C21) linkers were also not preferred, likely as a result of increases in molecular weight reducing solubility or permeability. In addition to more effectively promoting drug transport into mesenteric lymph, TG-mimetic prodrugs based on a C12 linker resulted in marked increases (>40 fold) in the exposure of MPA in the mesenteric lymph nodes in mice when compared to administration of MPA alone, suggesting that optimizing prodrug design has the potential to provide benefit in targeting and modulating immune cells.

摘要

靶向递送至淋巴系统有可能通过增加药物与免疫靶标(如淋巴细胞)的共定位来增强治疗效果。最近已经证明,三酰甘油(TG)类似物前药策略通过掺入肠 TG 去酰化-再酰化和淋巴脂蛋白转运途径,增强了模型免疫调节剂霉酚酸(MPA)的淋巴递药。在本研究中,我们考察了一系列结构相关的 MPA TG 前药,以优化用于引导脂质类似物前药的结构-淋巴转运关系。MPA 通过不同链长(5-21 个碳)的接头连接到前药甘油酯主链的-2 位,并且还考察了接头甘油酯端的α和/或β碳上甲基取代的效果。通过肠系膜淋巴导管灌流大鼠评估了淋巴转运,并且通过口服给予小鼠后在淋巴结中检测药物暴露。还评估了模拟肠内消化液中的前药稳定性。具有直链接头的前药在模拟肠液中相对不稳定;然而,联合给予脂肪酶抑制剂(JZL184 和奥利司他)能够降低不稳定性并增加淋巴转运(6 碳间隔物的前药增加 2 倍,即 MPA-C6-TG)。对链进行甲基取代会改善肠道稳定性和淋巴转运的类似趋势。MPA 和甘油酯主链之间的中链至长链间隔物(C12、C15)最有效地促进淋巴转运,这与亲脂性增加一致。相比之下,短链(C6-C10)接头在肠道中似乎过于不稳定,与淋巴脂质转运途径的亲合力不足,而非常长链(C18、C21)接头也不受青睐,可能是由于分子量增加而降低了溶解度或渗透性。除了更有效地促进药物进入肠系膜淋巴外,基于 C12 接头的 TG 类似物前药还导致 MPA 在小鼠肠系膜淋巴结中的暴露显著增加(>40 倍),与单独给予 MPA 相比,这表明优化前药设计有可能在靶向和调节免疫细胞方面带来益处。

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