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Supramolecular approaches for insulin stabilization without prolonged duration of action

摘要Aggregation represents a significant challenge for the long-term formulation stability of in-sulin therapeutics.The supramolecular PEGylation of insulin with conjugates of cucurbit[7]uril and poly-ethylene glycol(CB[7]-PEG)has been shown to stabilize insulin formulations by reducing aggregation propensity.Yet prolonged in vivo duration of action,arising from sustained complex formation in the sub-cutaneous depot,limits the application scope for meal-time insulin uses and could increase hypoglycemic risk several hours after a meal.Supramolecular affinity of CB[7]in binding the B1-Phe residue on insulin is central to supramolecular PEGylation using this approach.Accordingly,here we synthesized N-termi-nal acid-modified insulin analogs to reduce CB[7]interaction affinity at physiological pH and reduce the duration of action by decreasing the subcutaneous depot effect of the formulation.These insulin analogs show weak to no interaction with CB[7]-PEG at physiological pH but demonstrate high formulation sta-bility at reduced pH.Accordingly,N-terminal modified analogs have in vitro and in vivo bioactivity com-parable to native insulin.Furthermore,in a rat model of diabetes,the acid-modified insulin formulated with CB[7]-PEG offers a reduced duration of action compared to native insulin formulated with CB[7]-PEG.This work extends the application of supramolecular PEGylation of insulin to achieve enhanced stability while reducing the risks arising from a subcutaneous depot effect prolonging in vivo duration of action.

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作者 Rolande Meudom [1] Yanxian Zhang [2] Michael A.VandenBerg [3] Lei Zou [3] Yi Wolf Zhang [1] Matthew J.Webber [3] Danny Hung-Chieh Chou [2] 学术成果认领
作者单位 Division of Endocrinology and Diabetes,Department of Pediatrics,School of Medicine,Stanford University,Palo Alto,CA 94305,USA;Department of Biochemistry,School of Medicine,University of Utah,Salt Lake City,UT 84112,USA [1] Division of Endocrinology and Diabetes,Department of Pediatrics,School of Medicine,Stanford University,Palo Alto,CA 94305,USA [2] Department of Chemical Engineering,University of Notre Dame,Notre Dame,IN 46556,USA [3]
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发布时间 2023-06-16
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