Colon-targeted complement C5a receptor inhibition using pH-sensitive nanoparticles ameliorates experimental colitis.

BACKGROUND AND PURPOSE

The complement system is associated with inflammatory bowel disease (IBD) pathology. Complement activation induces C5a production, which signals through the C5a receptor (C5aR1) to drive inflammatory responses that may underlie IBD.

EXPERIMENTAL APPROACH

We examined mucosal biopsies from ulcerative colitis patients and identified C5a receptor up-regulated in active lesions, supporting the C5a receptor as a target for therapeutic intervention. Cyclic peptide C5a receptor antagonists such as PMX205 are orally efficacious in preclinical colitis models; however, their clinical application may be limited by rapid metabolism. We therefore encapsulated PMX205 within pH-sensitive polymers to target drug for colon delivery following oral administration.

KEY RESULTS

PMX205 nanoparticles were non-toxic and released bioactive PMX205 in simulated colon fluid. In vivo imaging of Cy5-labelled nanoparticles demonstrated rapid entry and persistence in the mouse colon for up to 48 h. Next, we utilised the dextran sodium sulphate-induced colitis model to examine efficacy of the C5a receptor-antagonist formulation. We show that oral administration of PMX205 nanoparticles every 2 days from symptom onset significantly mitigated weight loss, clinical illness, colon length reduction and epithelial damage to a similar degree as C5a receptor mice. Notably, unformulated PMX205 was markedly less effective in this dosing regimen.

CONCLUSION AND IMPLICATIONS

This novel colon-targeted formulation therefore offers a potent therapeutic strategy for translating C5a receptor antagonists for IBD conditions such as ulcerative colitis.