journal article·2023-02-09Open access

Design of chimeric GLP-1A using oligomeric bile acids to utilize transporter-mediated endocytosis for oral delivery

Seho Kweon, Jun-Hyuck Lee, Seong-Bin Yang, Seong Jin Park, Laxman Subedi, Jung-Hyun Shim, Seung-Sik Cho, Jeong Uk Choi, Youngro Byun, Jooho Park, Jin Woo Park

Biomaterials Research· Volume 27· Issue 1

Abstract

Abstract Background Despite the effectiveness of glucagon-like peptide-1 agonist (GLP-1A) in the treatment of diabetes, its large molecular weight and high hydrophilicity result in poor cellular permeability, thus limiting its oral bioavailability. To address this, we developed a chimeric GLP-1A that targets transporter-mediated endocytosis to enhance cellular permeability to GLP-1A by utilizing the transporters available in the intestine, particularly the apical sodium-dependent bile acid transporter (ASBT). Methods In silico molecular docking and molecular dynamics simulations were used to investigate the binding interactions of mono -, bis -, and tetra -deoxycholic acid (DOCA) ( mono DOCA, bis DOCA, and tetra DOCA) with ASBT. After synthesizing the chimeric GLP-1A-conjugated oligomeric DOCAs ( m D-G1A, b D-G1A, and t D-G1A) using a maleimide reaction, in vitro cellular permeability and insulinotropic effects were assessed. Furthermore, in vivo oral absorption in rats and hypoglycemic effect on diabetic db/db mice model were evaluated. Results In silico results showed that tetra DOCA had the lowest interaction energy, indicating high binding affinity to ASBT. Insulinotropic effects of GLP-1A-conjugated oligomeric DOCAs were not different from those of GLP-1A-Cys or exenatide. Moreover, b D-G1A and t D-G1A exhibited improved in vitro Caco-2 cellular permeability and showed higher in vivo bioavailability (7.58% and 8.63%) after oral administration. Regarding hypoglycemic effects on db/db mice, t D-G1A (50 μg/kg) lowered the glucose level more than b D-G1A (50 μg/kg) compared with the control (35.5% vs. 26.4%). Conclusion GLP-1A was conjugated with oligomeric DOCAs, and the resulting chimeric compound showed the potential not only for glucagon-like peptide-1 receptor agonist activity but also for oral delivery. These findings suggest that oligomeric DOCAs can be used as effective carriers for oral delivery of GLP-1A, offering a promising solution for enhancing its oral bioavailability and improving diabetes treatment. Graphical Abstract
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Research context

OpenAlex topics: Advanced Drug Delivery Systems · Diabetes Treatment and Management · Drug Transport and Resistance Mechanisms

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

Department of Molecular Medicine and Biopharmaceutical Science, Graduate School of Convergence Science and Technology, Seoul National University, Seoul 08826, Republic of Korea.

Biomedicine Cutting Edge Formulation Technology Center, Mokpo National University, Jeonnam 58554, Republic of Korea.

Department of Applied Life Science, Graduate School, BK21 Program, Konkuk University, Chungju 27478, Republic of Korea.

College of Pharmacy, Seoul National University, Seoul 08826, Republic of Korea.

Department of Biomedicine, Health & Life Convergence Sciences, BK21 Four, Biomedical and Healthcare Research Institute, Mokpo National University, Jeonnam 58554, Republic of Korea.

College of Pharmacy and Natural Medicine Research Institute, Mokpo National University, Jeonnam 58554, Republic of Korea.

College of Pharmacy, Research Institute of Pharmaceutical Sciences, Chonnam National University, Gwangju 61186, Republic of Korea.

Funding

Ministry of Science and ICT, South Korea · Ministry of Education

References (57)

Show source-provided references
1. Heller SR, Peyrot M, Oates SK, Taylor AD. Hypoglycemia in patient with type 2 diabetes treated with insulin: it can happen. BMJ Open Diabetes Res Care. 2020;810.1136/bmjdrc-2020-001194 ↗
2. Marathe PH, Gao HX, Close KL. American Diabetes Association Standards of Medical Care in Diabetes 2017. J Diabetes. 2017;9:320–324.10.1111/1753-0407.12524 ↗
3. 10.1056/NEJMoa160382710.1056/NEJMoa1603827 ↗
4. 10.1056/NEJMoa160714110.1056/NEJMoa1607141 ↗
5. 10.1056/NEJMoa161291710.1056/NEJMoa1612917 ↗
6. Vilsbøll T, Agersø H, Krarup T, Holst JJ. Similar elimination rates of glucagon-like peptide-1 in obese type 2 diabetic patients and healthy subjects. J Clin Endocrinol Metab. 2003;88:220–224.10.1210/jc.2002-021053 ↗
7. Kieffer TJ, McIntosh CH, Pederson RA. Degradation of glucose-dependent insulinotropic polypeptide and truncated glucagon-like peptide 1 in vitro and in vivo by dipeptidyl peptidase IV. Endocrinology. 1995;136:3585–3596. 1:CAS:528:DyaK2MXntFKntLc%3D10.1210/endo.136.8.7628397 ↗
8. Yu M, Benjamin MM, Srinivasan S, Morin EE, Shishatskaya EI, Schwendeman SP, et al. Battle of GLP-1 delivery technologies. Adv Drug Deliv Rev. 2018;130:113–130. 1:CAS:528:DC%2BC1cXhtlKmtbjM10.1016/j.addr.2018.07.009 ↗
9. 10.1016/j.cmet.2016.06.02110.1016/j.cmet.2016.06.021 ↗
10. Scheen AJ, Paquot N. A new paradigm for treating obesity and diabetes mellitus. Nat Rev Endocrinol. 2015;11:196–198. 1:CAS:528:DC%2BC2MXhvVWjsb4%3D10.1038/nrendo.2015.3 ↗
11. Aroda VR, Blonde L, Pratley RE. A new era for oral peptides: SNAC and the development of oral semaglutide for the treatment of type 2 diabetes. Rev Endocr Metab Disord. 2022;23:979–994. 1:CAS:528:DC%2BB38XitFWmtLzP10.1007/s11154-022-09735-8 ↗
12. 10.1007/s40262-021-01025-x10.1007/s40262-021-01025-x ↗
13. Buckley ST Bækdal TA Vegge A Maarbjerg SJ Pyke C Ahnfelt-Rønne J et al. Transcellular stomach absorption of a derivatized glucagon-like peptide-1 receptor agonist. Sci Transl Med. 2018;10:eaar7047.10.1126/scitranslmed.aar7047 ↗
14. Boye K, Ross M, Mody R, Konig M, Gelhorn H. Patients’ preferences for once-daily oral versus once-weekly injectable diabetes medications: The REVISE study. Diabetes Obes Metab. 2021;23:508–519. 1:CAS:528:DC%2BB3MXhslKis7o%3D10.1111/dom.14244 ↗
15. Igarashi A, Bekker Hansen B, Langer J, Tavella F, Collings H, Davies N, et al. Preference for oral and injectable GLP-1 RA therapy profiles in japanese patients with type 2 diabetes: a discrete choice experiment. Adv Ther. 2021;38:721–738. 1:CAS:528:DC%2BB3cXisFOrsbbO10.1007/s12325-020-01561-1 ↗
16. 10.1038/nrgastro.2016.16910.1038/nrgastro.2016.169 ↗
17. Tyagi P, Pechenov S, Anand SJ. Oral peptide delivery: Translational challenges due to physiological effects. J Controlled Release. 2018;287:167–176. 1:CAS:528:DC%2BC1cXhs1Wktb3E10.1016/j.jconrel.2018.08.032 ↗
18. 10.1038/s41467-019-08793-y10.1038/s41467-019-08793-y ↗
19. Bech EM, Pedersen SL, Jensen KJ. Chemical strategies for half-life extension of biopharmaceuticals: lipidation and its alternatives. ACS Med Chem Lett. 2018;9:577–580. 1:CAS:528:DC%2BC1cXhtFarurnN10.1021/acsmedchemlett.8b00226 ↗
20. Bai X, Niu Y, Zhu J, Yang A-Q, Wu Y-F, Ye X-S. A new GLP-1 analogue with prolonged glucose-lowering activity in vivo via backbone-based modification at the N-terminus. Bioorg Med Chem. 2016;24:1163–1170. 1:CAS:528:DC%2BC28Xis1Cqt7c%3D10.1016/j.bmc.2016.01.036 ↗
21. Pechenov S, Revell J, Will S, Naylor J, Tyagi P, Patel C, et al. Development of an orally delivered GLP-1 receptor agonist through peptide engineering and drug delivery to treat chronic disease. Sci Rep. 2021;11:22521. 1:CAS:528:DC%2BB3MXisFagt7%2FN10.1038/s41598-021-01750-0 ↗
22. Subedi L, Pandey P, Kang SH, Kim K-T, Cho S-S, Chang K-Y, et al. Enhanced oral absorption of teriparatide with therapeutic potential for management of osteoporosis. J Controlled Release. 2022;349:502–519. 1:CAS:528:DC%2BB38XhvV2isbbM10.1016/j.jconrel.2022.07.012 ↗
23. Noh G, Keum T, Bashyal S, Seo J-E, Shrawani L, Kim JH, et al. Recent progress in hydrophobic ion-pairing and lipid-based drug delivery systems for enhanced oral delivery of biopharmaceuticals. J Pharm Investig. 2022;52:75–93. 1:CAS:528:DC%2BB38XlvVKhtLg%3D10.1007/s40005-021-00549-5 ↗
24. 10.1002/adma.20210493210.1002/adma.202104932 ↗
25. 10.1126/science.aau227710.1126/science.aau2277 ↗
26. 10.1038/s41591-019-0598-910.1038/s41591-019-0598-9 ↗
27. 10.3390/pharmaceutics1102007810.3390/pharmaceutics11020078 ↗
28. Kim D, Jin L, Park EJ, Na DH. Peptide permeation enhancers for improving oral bioavailability of macromolecules. J Pharm Investig. 2023;53:59–72. 1:CAS:528:DC%2BB3sXhtFCmug%3D%3D10.1007/s40005-022-00609-4 ↗
29. 10.1016/j.addr.2016.06.00510.1016/j.addr.2016.06.005 ↗
30. 10.3390/molecules2803115110.3390/molecules28031151 ↗
31. 10.1186/s40824-022-00309-y10.1186/s40824-022-00309-y ↗
32. Bashyal S, Seo J-E, Choi YW, Lee S. Bile acid transporter-mediated oral absorption of insulin via hydrophobic ion-pairing approach. J Controlled Release. 2021;338:644–661. 1:CAS:528:DC%2BB3MXitVSqs7zM10.1016/j.jconrel.2021.08.060 ↗
33. 10.1007/s40005-021-00515-110.1007/s40005-021-00515-1 ↗
34. El-Sayed NS, Shirazi AN, El-Meligy MG, El-Ziaty AK, Nagieb ZA, Parang K, et al. Design, synthesis, and evaluation of chitosan conjugated GGRGDSK peptides as a cancer cell-targeting molecular transporter. Int J Biol Macromol. 2016;87:611–622. 1:CAS:528:DC%2BC28XkvFGjs7s%3D10.1016/j.ijbiomac.2016.03.020 ↗
35. 10.1186/s40824-022-00331-010.1186/s40824-022-00331-0 ↗
36. 10.1186/s40824-022-00328-910.1186/s40824-022-00328-9 ↗
37. 10.1186/s40824-021-00246-210.1186/s40824-021-00246-2 ↗
38. 10.1186/s40824-021-00236-410.1186/s40824-021-00236-4 ↗
39. Wang G, Zhao L, Jiang Q, Sun Y, Zhao D, Sun M, et al. Intestinal OCTN2- and MCT1-targeted drug delivery to improve oral bioavailability. Asian J Pharm Sci. 2020;15:158–172.10.1016/j.ajps.2020.02.002 ↗
40. Sun Y, Gan W, Lei M, Jiang W, Cheng M, He J, et al. PEPT1-mediated prodrug strategy for oral delivery of peramivir. Asian J Pharm Sci. 2018;13:555–565.10.1016/j.ajps.2018.05.008 ↗
41. Tamai I. Oral drug delivery utilizing intestinal OATP transporters. Adv Drug Deliv Rev. 2012;64:508–514. 1:CAS:528:DC%2BC38Xls1elt7w%3D10.1016/j.addr.2011.07.007 ↗
42. Subedi L, Pandey P, Khadka B, Shim J-H, Cho S-S, Kweon S, et al. Enhancement of the anticancer effect of atorvastatin-loaded nanoemulsions by improving oral absorption via multivalent intestinal transporter-targeting lipids. Drug Deliv. 2022;29:3397–3413. 1:CAS:528:DC%2BB38XivFCltL3K10.1080/10717544.2022.2149896 ↗
43. Al-Hilal TA, Park J, Alam F, Chung SW, Park JW, Kim K, et al. Oligomeric bile acid-mediated oral delivery of low molecular weight heparin. J Controlled Release. 2014;175:17–24. 1:CAS:528:DC%2BC2cXht1yjsLs%3D10.1016/j.jconrel.2013.12.001 ↗
44. 10.1016/j.biomaterials.2017.09.02210.1016/j.biomaterials.2017.09.022 ↗
45. Al-Hilal TA, Chung SW, Alam F, Park J, Lee KE, Jeon H, et al. Functional transformations of bile acid transporters induced by high-affinity macromolecules. Sci Rep. 2015;4:4163.10.1038/srep04163 ↗
46. 10.1038/s41580-018-0053-710.1038/s41580-018-0053-7 ↗
47. 10.1016/j.biomaterials.2017.10.02210.1016/j.biomaterials.2017.10.022 ↗
48. Deng F Kim KS Moon J Bae YH. Bile acid conjugation on solid nanoparticles enhances ASBT‐mediated endocytosis and chylomicron pathway but weakens the transcytosis by inducing transport flow in a cellular negative feedback loop. Adv Sci. 2022;9(21):2201414. https://onlinelibrary.wiley.com/doi/10.1002/advs.202201414.10.1002/advs.202201414 ↗
49. Deng F, Han BY. Lipid raft-mediated and upregulated coordination pathways assist transport of glycocholic acid-modified nanoparticle in a human breast cancer cell line of SK-BR-3. Int J Pharm. 2022;617. 1:CAS:528:DC%2BB38XkvFenu78%3D10.1016/j.ijpharm.2022.121589 ↗
50. 10.1016/j.jconrel.2020.07.03410.1016/j.jconrel.2020.07.034 ↗
51. Mahmud F, Jeon O-C, Al-Hilal TA, Kweon S, Yang VC, Lee DS, et al. Absorption mechanism of a physical complex of monomeric insulin and deoxycholyl-l-lysyl-methylester in the small intestine. Mol Pharm. 2015;12:1911–1920. 1:CAS:528:DC%2BC2MXms1Ogt78%3D10.1021/mp500626a ↗
52. 10.1016/j.cmet.2018.03.00110.1016/j.cmet.2018.03.001 ↗
53. 10.1016/S0021-9258(19)36565-210.1016/S0021-9258(19)36565-2 ↗
54. 10.1021/acs.jmedchem.5b0072610.1021/acs.jmedchem.5b00726 ↗
55. Gong N, Ma A, Zhang L, Luo X, Zhang Y, Xu M, et al. Site-specific PEGylation of exenatide analogues markedly improved their glucoregulatory activity. Br J Pharmacol. 2011;163:399–412. 1:CAS:528:DC%2BC3MXls1GitLs%3D10.1111/j.1476-5381.2011.01227.x ↗
56. Park J, Jeon OC, Yun J, Nam H, Hwang J, Al-Hilal TA, et al. End-site-specific conjugation of enoxaparin and tetradeoxycholic acid using nonenzymatic glycosylation for oral delivery. J Med Chem. 2016;59:10520–10529. 1:CAS:528:DC%2BC28XhvVaiurjJ10.1021/acs.jmedchem.6b00936 ↗
57. Meloni AR, DeYoung MB, Lowe C, Parkes DG. GLP-1 receptor activated insulin secretion from pancreatic β-cells: mechanism and glucose dependence. Diabetes Obes Metab. 2013;15:15–27. 1:CAS:528:DC%2BC38XhvVCksLvP10.1111/j.1463-1326.2012.01663.x ↗