PMID- 32441510 OWN - NLM STAT- MEDLINE DCOM- 20210514 LR - 20210624 IS - 1936-086X (Electronic) IS - 1936-0851 (Print) IS - 1936-0851 (Linking) VI - 14 IP - 6 DP - 2020 Jun 23 TI - Targeted Delivery of Notch Inhibitor Attenuates Obesity-Induced Glucose Intolerance and Liver Fibrosis. PG - 6878-6886 LID - 10.1021/acsnano.0c01007 [doi] AB - As the prevalence of obesity-induced type 2 diabetes mellitus (T2DM) and nonalcoholic steatohepatitis (NASH) continue to increase, the need for pharmacologic therapies becomes urgent. However, endeavors to identify and develop novel therapeutic strategies for these chronic conditions are balanced by the need for safety, impeding clinical translation. One shared pathology of these two diseases is a maladaptive reactivation of the Notch signaling pathway in liver. Notch antagonism with gamma-secretase inhibitors effectively suppresses hepatic glucose production and reduces liver fibrosis in NASH, but its extrahepatic side effects, particularly goblet cell metaplasia, limit therapeutic utility. To overcome this barrier, we developed a nanoparticle-mediated delivery system to target gamma-secretase inhibitor to liver (GSI NPs). GSI NP application reduced hepatic glucose production in diet-induced obese mice and reduced hepatic fibrosis and inflammation in mice fed a NASH-provoking diet, without apparent gastrointestinal toxicity. By changing the delivery method, these results provide proof-of-concept for the repurposing of a previously intolerable medication to address unmet needs in the clinical landscape for obesity-induced T2DM and NASH. FAU - Richter, Lauren R AU - Richter LR AUID- ORCID: 0000-0001-7319-0480 FAU - Wan, Qianfen AU - Wan Q FAU - Wen, Di AU - Wen D AD - Department of Bioengineering, University of California, Los Angeles, California 90095, United States. AD - California NanoSystems Institute, Jonsson Comprehensive Cancer Center and Center for Minimally Invasive Therapeutics, University of California, Los Angeles, California 90095, United States. AD - Joint Department of Biomedical Engineering, University of North Carolina at Chapel Hill and North Carolina State University, Raleigh, North Carolina 27695, United States. FAU - Zhang, Yuqi AU - Zhang Y AD - Department of Bioengineering, University of California, Los Angeles, California 90095, United States. AD - Joint Department of Biomedical Engineering, University of North Carolina at Chapel Hill and North Carolina State University, Raleigh, North Carolina 27695, United States. FAU - Yu, Junjie AU - Yu J FAU - Kang, Jin Ku AU - Kang JK FAU - Zhu, Changyu AU - Zhu C AD - Department of Medicine, Columbia University, New York, New York 10032, United States. AD - Department of Cancer Biology and Genetics, Sloan Kettering Institute, Memorial Sloan Kettering Cancer Center, New York, New York 10065, United States. FAU - McKinnon, Elizabeth L AU - McKinnon EL AD - Department of Pathology and Laboratory Medicine, University of British Columbia, Vancouver, British Columbia V6T 2B5, Canada. FAU - Gu, Zhen AU - Gu Z AD - Department of Bioengineering, University of California, Los Angeles, California 90095, United States. AD - California NanoSystems Institute, Jonsson Comprehensive Cancer Center and Center for Minimally Invasive Therapeutics, University of California, Los Angeles, California 90095, United States. AD - Joint Department of Biomedical Engineering, University of North Carolina at Chapel Hill and North Carolina State University, Raleigh, North Carolina 27695, United States. FAU - Qiang, Li AU - Qiang L FAU - Pajvani, Utpal B AU - Pajvani UB AUID- ORCID: 0000-0001-5991-2723 LA - eng GR - R01 DK112943/DK/NIDDK NIH HHS/United States GR - P30 CA008748/CA/NCI NIH HHS/United States GR - T32 DK065522/DK/NIDDK NIH HHS/United States GR - R01 DK103818/DK/NIDDK NIH HHS/United States GR - R01 DK119767/DK/NIDDK NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20200522 PL - United States TA - ACS Nano JT - ACS nano JID - 101313589 SB - IM MH - Animals MH - *Diabetes Mellitus, Type 2/pathology MH - Disease Models, Animal MH - *Glucose Intolerance/drug therapy/pathology MH - Liver/pathology MH - Liver Cirrhosis/drug therapy/pathology MH - Mice MH - Obesity/drug therapy PMC - PMC7444843 MID - NIHMS1612808 OTO - NOTNLM OT - Notch inhibitor OT - drug delivery OT - liver fibrosis OT - nanomedicine OT - nonalcoholic steatohepatitis OT - obesity COIS- The authors declare the following competing financial interest(s): The authors have applied for a patent for GSI NPs. ASSOCIATED CONTENT Supporting Information The Supporting Information is available free of charge at https://pubs.acs.org/doi/10.1021/acsnano.0c01007. Serum lipids, liver lipids, transaminases, and comparison of hair graying between unencapsulated GSI and GSI NPs (Figures S1-S3) (PDF) Complete contact information is available at: https://pubs.acs.org/10.1021/acsnano.0c01007 EDAT- 2020/05/23 06:00 MHDA- 2021/05/15 06:00 PMCR- 2021/06/23 CRDT- 2020/05/23 06:00 PHST- 2020/05/23 06:00 [pubmed] PHST- 2021/05/15 06:00 [medline] PHST- 2020/05/23 06:00 [entrez] PHST- 2021/06/23 00:00 [pmc-release] AID - 10.1021/acsnano.0c01007 [doi] PST - ppublish SO - ACS Nano. 2020 Jun 23;14(6):6878-6886. doi: 10.1021/acsnano.0c01007. Epub 2020 May 22.