PMID- 37521855 OWN - NLM STAT- Publisher LR - 20230801 IS - 2211-3835 (Print) IS - 2211-3843 (Electronic) IS - 2211-3835 (Linking) VI - 13 IP - 7 DP - 2023 Jul TI - Oral nano-formulation improves pancreatic islets dysfunction via lymphatic transport for antidiabetic treatment. PG - 3137-3152 LID - 10.1016/j.apsb.2022.12.014 [doi] AB - Type 2 diabetes mellitus (T2DM) therapy is facing the challenges of long-term medication and gradual destruction of pancreatic islet beta-cells. Therefore, it is timely to develop oral prolonged action formulations to improve compliance, while restoring beta-cells survival and function. Herein, we designed a simple nanoparticle with enhanced oral absorption and pancreas accumulation property, which combined apical sodium-dependent bile acid transporter-mediated intestinal uptake and lymphatic transportation. In this system, taurocholic acid (TCA) modified poly(lactic-co-glycolic acid) (PLGA) was employed to achieve pancreas location, hydroxychloroquine (HCQ) was loaded to execute therapeutic efficacy, and 1,2-dilauroyl-sn-glycero-3-phosphocholine (DLPC) was introduced as stabilizer together with synergist (PLGA-TCA/DLPC/HCQ). In vitro and in vivo results have proven that PLGA-TCA/DLPC/HCQ reversed the pancreatic islets damage and dysfunction, thus impeding hyperglycemia progression and restoring systemic glucose homeostasis via only once administration every day. In terms of mechanism PLGA-TCA/DLPC/HCQ ameliorated oxidative stress, remodeled the inflammatory pancreas microenvironment, and activated PI3K/AKT signaling pathway without obvious toxicity. This strategy not only provides an oral delivery platform for increasing absorption and pancreas targetability but also opens a new avenue for thorough T2DM treatment. CI - (c) 2023 Chinese Pharmaceutical Association and Institute of Materia Medica, Chinese Academy of Medical Sciences. Production and hosting by Elsevier B.V. FAU - Hou, Lin AU - Hou L AD - School of Pharmaceutical Sciences, Zhengzhou University, Zhengzhou 450001, China. AD - Key Laboratory of Targeting Therapy and Diagnosis for Critical Diseases, Zhengzhou University, Zhengzhou 450001, China. AD - Collaborative Innovation Center of New Drug Research and Safety Evaluation, Zhengzhou University, Zhengzhou 450001, China. FAU - Peng, Xueyuan AU - Peng X AD - School of Pharmaceutical Sciences, Zhengzhou University, Zhengzhou 450001, China. AD - Key Laboratory of Targeting Therapy and Diagnosis for Critical Diseases, Zhengzhou University, Zhengzhou 450001, China. FAU - Wang, Ruiting AU - Wang R AD - School of Pharmaceutical Sciences, Zhengzhou University, Zhengzhou 450001, China. AD - Key Laboratory of Targeting Therapy and Diagnosis for Critical Diseases, Zhengzhou University, Zhengzhou 450001, China. FAU - Wang, Yifei AU - Wang Y AD - School of Pharmaceutical Sciences, Zhengzhou University, Zhengzhou 450001, China. AD - Key Laboratory of Targeting Therapy and Diagnosis for Critical Diseases, Zhengzhou University, Zhengzhou 450001, China. FAU - Li, Hong AU - Li H AD - School of Pharmaceutical Sciences, Zhengzhou University, Zhengzhou 450001, China. AD - Key Laboratory of Targeting Therapy and Diagnosis for Critical Diseases, Zhengzhou University, Zhengzhou 450001, China. FAU - Zhang, Huijuan AU - Zhang H AD - School of Pharmaceutical Sciences, Zhengzhou University, Zhengzhou 450001, China. AD - Key Laboratory of Targeting Therapy and Diagnosis for Critical Diseases, Zhengzhou University, Zhengzhou 450001, China. AD - Collaborative Innovation Center of New Drug Research and Safety Evaluation, Zhengzhou University, Zhengzhou 450001, China. FAU - Zhang, Yun AU - Zhang Y AD - School of Pharmaceutical Sciences, Zhengzhou University, Zhengzhou 450001, China. AD - Key Laboratory of Targeting Therapy and Diagnosis for Critical Diseases, Zhengzhou University, Zhengzhou 450001, China. AD - Collaborative Innovation Center of New Drug Research and Safety Evaluation, Zhengzhou University, Zhengzhou 450001, China. FAU - Zhang, Zhenzhong AU - Zhang Z AD - School of Pharmaceutical Sciences, Zhengzhou University, Zhengzhou 450001, China. AD - Key Laboratory of Targeting Therapy and Diagnosis for Critical Diseases, Zhengzhou University, Zhengzhou 450001, China. AD - Collaborative Innovation Center of New Drug Research and Safety Evaluation, Zhengzhou University, Zhengzhou 450001, China. LA - eng PT - Journal Article DEP - 20221222 PL - Netherlands TA - Acta Pharm Sin B JT - Acta pharmaceutica Sinica. B JID - 101600560 PMC - PMC10373096 OTO - NOTNLM OT - Hydroxychloroquine OT - Lymphatic transportation OT - Oral drug delivery OT - PLGA nanoparticles OT - Pancreas microenvironment OT - Pancreatic islet beta-cells OT - Taurocholic acid OT - Type 2 diabetes mellitus EDAT- 2023/07/31 06:42 MHDA- 2023/07/31 06:42 PMCR- 2022/12/22 CRDT- 2023/07/31 05:14 PHST- 2022/08/15 00:00 [received] PHST- 2022/10/20 00:00 [revised] PHST- 2022/11/08 00:00 [accepted] PHST- 2023/07/31 06:42 [medline] PHST- 2023/07/31 06:42 [pubmed] PHST- 2023/07/31 05:14 [entrez] PHST- 2022/12/22 00:00 [pmc-release] AID - S2211-3835(22)00523-8 [pii] AID - 10.1016/j.apsb.2022.12.014 [doi] PST - ppublish SO - Acta Pharm Sin B. 2023 Jul;13(7):3137-3152. doi: 10.1016/j.apsb.2022.12.014. Epub 2022 Dec 22.