PMID- 32334065 OWN - NLM STAT- MEDLINE DCOM- 20210210 LR - 20210616 IS - 1873-3476 (Electronic) IS - 0378-5173 (Print) IS - 0378-5173 (Linking) VI - 583 DP - 2020 Jun 15 TI - Treatment of insulin resistance in obesity-associated type 2 diabetes mellitus through adiponectin gene therapy. PG - 119357 LID - S0378-5173(20)30341-0 [pii] LID - 10.1016/j.ijpharm.2020.119357 [doi] AB - Global rise in obesity-associated type 2 diabetes mellitus (T2DM) has led to a major healthcare crisis. Development of efficient treatments to treat the underlying chronic inflammation in obesity-associated T2DM, is an unmet medical need. To this end, we have developed a plasmid adiponectin (pADN) based nanomedicine for the treatment of insulin resistance in type 2 diabetes mellitus. Adiponectin is a potent anti-inflammatory/anti-diabetic adipokine, which is downregulated in obesity. In this study, nanomicelles comprising chitosan conjugated to oleic acid and adipose homing peptide (AHP) were developed to deliver pADN to adipocytes. Cationic chitosan-oleic-AHP micelles were 112 nm in size, encapsulated 93% of pADN and protected gene cargo from DNase I mediated enzymatic degradation. In vitro, the nanomicellar formulation significantly increased adiponectin production compared to free plasmid as well as standard transfecting agent FuGENE(R)HD. Single dose subcutaneous administration of pADN-chitosan-oleic-AHP to obese-diabetic rats, resulted in improved insulin sensitivity for up to 6 weeks, which matched the glucose disposal ability of healthy rats. Serum adiponectin level in pADN-chitosan-oleic-AHP treated rats was comparable to healthy rats for up to 3 weeks post treatment. Overall, the results indicate that pADN-chitosan-oleic-AHP based therapy is a promising treatment approach for obesity-associated T2DM. CI - Published by Elsevier B.V. FAU - Banerjee, Amrita AU - Banerjee A AD - Department of Pharmaceutical Sciences, School of Pharmacy, College of Health Professions, North Dakota State University, Fargo 58105, ND, USA. Electronic address: amrita.banerjee@ndsu.edu. FAU - Sharma, Divya AU - Sharma D AD - Department of Pharmaceutical Sciences, School of Pharmacy, College of Health Professions, North Dakota State University, Fargo 58105, ND, USA. FAU - Trivedi, Riddhi AU - Trivedi R AD - Department of Pharmaceutical Sciences, School of Pharmacy, College of Health Professions, North Dakota State University, Fargo 58105, ND, USA. FAU - Singh, Jagdish AU - Singh J AD - Department of Pharmaceutical Sciences, School of Pharmacy, College of Health Professions, North Dakota State University, Fargo 58105, ND, USA. Electronic address: jagdish.singh@ndsu.edu. LA - eng GR - R15 GM114701/GM/NIGMS NIH HHS/United States PT - Journal Article DEP - 20200422 PL - Netherlands TA - Int J Pharm JT - International journal of pharmaceutics JID - 7804127 RN - 0 (Adiponectin) RN - 0 (Peptides) RN - 2UMI9U37CP (Oleic Acid) RN - 9012-76-4 (Chitosan) SB - IM MH - 3T3-L1 Cells MH - Adiponectin/blood/*genetics MH - Animals MH - Chitosan/*administration & dosage MH - Diabetes Mellitus, Experimental/etiology/*therapy MH - Diabetes Mellitus, Type 2/etiology/*therapy MH - Genetic Therapy MH - *Insulin Resistance MH - Male MH - Mice MH - Nanoparticles/*administration & dosage MH - Obesity/complications/therapy MH - Oleic Acid/*administration & dosage MH - Peptides/*administration & dosage MH - Plasmids MH - Rats, Wistar PMC - PMC7261390 MID - NIHMS1588605 OTO - NOTNLM OT - Adiponectin OT - Chitosan nanoparticles OT - Gene therapy OT - Insulin resistance OT - Type 2 diabetes mellitus COIS- Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2020/04/26 06:00 MHDA- 2021/02/11 06:00 PMCR- 2021/06/15 CRDT- 2020/04/26 06:00 PHST- 2020/01/09 00:00 [received] PHST- 2020/04/13 00:00 [revised] PHST- 2020/04/19 00:00 [accepted] PHST- 2020/04/26 06:00 [pubmed] PHST- 2021/02/11 06:00 [medline] PHST- 2020/04/26 06:00 [entrez] PHST- 2021/06/15 00:00 [pmc-release] AID - S0378-5173(20)30341-0 [pii] AID - 10.1016/j.ijpharm.2020.119357 [doi] PST - ppublish SO - Int J Pharm. 2020 Jun 15;583:119357. doi: 10.1016/j.ijpharm.2020.119357. Epub 2020 Apr 22.