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1.
Mol Pharm ; 18(11): 4224-4230, 2021 11 01.
Article in English | MEDLINE | ID: mdl-34623822

ABSTRACT

p-Boronophenylmethoxycarbonyl (BPmoc) is a protecting group for amines that is removable by treatment with hydrogen peroxide (H2O2). We prepared BPmoc-modified insulin (BPmoc-Ins) and subcutaneously injected the formulation into diabetic rats. The results demonstrated that BPmoc effectively sealed the blood glucose (Glc)-lowering effects of Ins. Conversely, coinjection of BPmoc-Ins and Glc oxidase (GOx) resulted in reduced blood Glc levels, indicating that Ins was generated from BPmoc-Ins through the following reactions: oxidation of endogenous Glc by GOx; production of H2O2 accompanied by Glc oxidation; removal of BPmoc residues by H2O2. These results show the potential of BPmoc-Ins for a Glc-responsive Ins release system.


Subject(s)
Blood Glucose/drug effects , Diabetes Mellitus, Type 2/drug therapy , Hydrogen Peroxide/chemistry , Insulin, Regular, Human/administration & dosage , Animals , Blood Glucose/analysis , Blood Glucose/chemistry , Boronic Acids/chemistry , Delayed-Action Preparations/administration & dosage , Delayed-Action Preparations/chemistry , Delayed-Action Preparations/pharmacokinetics , Diabetes Mellitus, Type 2/blood , Disease Models, Animal , Drug Liberation , Glucose Oxidase/metabolism , Humans , Hydrogen Peroxide/metabolism , Injections, Subcutaneous , Insulin, Regular, Human/chemistry , Insulin, Regular, Human/pharmacokinetics , Oxidation-Reduction , Rats
2.
Mol Pharm ; 18(4): 1593-1603, 2021 04 05.
Article in English | MEDLINE | ID: mdl-33617269

ABSTRACT

Oral delivery of insulin remains a challenge owing to its poor permeability across the small intestine and enzymatic digestion in the gastrointestinal tract. In a previous study, we identified a small intestine-permeable cyclic peptide, C-DNPGNET-C (C-C disulfide bond, cyclic DNP peptide), which facilitated the permeation of macromolecules. Here, we showed that intraintestinal and oral coadministration of insulin with the cyclic DNP derivative significantly reduced blood glucose levels by increasing the portal plasma insulin concentration following permeation across the small intestine of mice. We also found that protecting the cyclic DNP derivative from enzymatic digestion in the small intestine of mice using d-amino acids and by the cyclization of DNP peptide was essential to enhance cyclic DNP derivative-induced insulin absorption across the small intestine. Furthermore, intraintestinal and oral coadministration of insulin hexamer stabilized by zinc ions (Zn-insulin) with cyclic D-DNP derivative was more effective in facilitating insulin absorption and inducing hypoglycemic effects in mice than the coadministration of insulin with the cyclic D-DNP derivative. Moreover, Zn-insulin was more resistant to degradation in the small intestine of mice compared to insulin. Intraintestinal and oral coadministration of Zn-insulin with cyclic DNP derivative also reduced blood glucose levels in a streptozotocin-induced diabetes mellitus mouse model. A single intraintestinal administration of the cyclic D-DNP derivative did not induce any cytotoxicity, either locally in the small intestine or systemically. In summary, we demonstrated that coadministration of Zn-insulin with cyclic D-DNP derivative could enhance oral insulin absorption across the small intestine in mice.


Subject(s)
Diabetes Mellitus, Experimental/drug therapy , Hypoglycemic Agents/administration & dosage , Insulin, Regular, Human/administration & dosage , Peptides, Cyclic/administration & dosage , Zinc/chemistry , Administration, Oral , Animals , Blood Glucose/analysis , Blood Glucose/drug effects , Diabetes Mellitus, Experimental/blood , Diabetes Mellitus, Experimental/chemically induced , Humans , Hypoglycemic Agents/chemistry , Hypoglycemic Agents/pharmacokinetics , Insulin, Regular, Human/chemistry , Insulin, Regular, Human/metabolism , Insulin, Regular, Human/pharmacokinetics , Intestinal Absorption , Intestine, Small/metabolism , Male , Mice , Peptides, Cyclic/pharmacokinetics , Permeability , Proteolysis , Streptozocin/administration & dosage , Streptozocin/toxicity
3.
Acta Crystallogr D Struct Biol ; 76(Pt 11): 1065-1079, 2020 Nov 01.
Article in English | MEDLINE | ID: mdl-33135678

ABSTRACT

This study focuses on the polymorphism of human insulin (HI) upon the binding of the phenolic derivatives p-coumaric acid or trans-resveratrol over a wide pH range. The determination of the structural behaviour of HI via X-ray powder diffraction (XRPD) and single-crystal X-ray diffraction (SCXRD) is reported. Four distinct polymorphs were identified, two of which have not been reported previously. The intermediate phase transitions are discussed. One of the novel monoclinic polymorphs displays the highest molecular packing among insulin polymorphs of the same space group to date; its structure was elucidated by SCXRD. XRPD data collection was performed using a variety of instrumental setups and a systematic comparison of the acquired data is presented. A laboratory diffractometer was used for screening prior to high-resolution XRPD data collection on the ID22 beamline at the European Synchrotron Radiation Facility. Additional measurements for the most representative samples were performed on the X04SA beamline at the Swiss Light Source (SLS) using the MYTHEN II detector, which allowed the detection of minor previously untraceable impurities and dramatically improved the d-spacing resolution even for poorly diffracting samples.


Subject(s)
Coumaric Acids , Insulin, Regular, Human , Models, Molecular , Resveratrol , Coumaric Acids/chemistry , Crystallization , Humans , Insulin, Regular, Human/chemistry , Macromolecular Substances , Powder Diffraction , Protein Binding , Resveratrol/chemistry , X-Ray Diffraction
4.
Diabetes Technol Ther ; 22(4): 326-329, 2020 04.
Article in English | MEDLINE | ID: mdl-32031881

ABSTRACT

Adequacy of insulin concentration in commercially available insulin formulations has recently been challenged. We therefore repeatedly evaluated insulin content and stability of 58 insulin vials containing 5 different insulin formulations (human insulin, standard/faster-acting insulin aspart, insulin lispro, and insulin glargine) over a period of 85 days. High-resolution mass spectrometry was used to quantify intact monomeric insulin in glass vials and plastic pump cartridges exposed to three different temperatures (4°C, 22°C, 37°C), simulating real-life conditions. In all cases, measured insulin concentration was in accordance with FDA and European Medicines Agency (EMA) requirements without evidence of chemical instability.


Subject(s)
Drug Compounding , Hypoglycemic Agents/chemistry , Insulin/analysis , Insulins/chemistry , Mass Spectrometry , Humans , Insulin Aspart/chemistry , Insulin Glargine/chemistry , Insulin Lispro/chemistry , Insulin, Regular, Human/chemistry
6.
ACS Sens ; 4(7): 1806-1815, 2019 07 26.
Article in English | MEDLINE | ID: mdl-31204472

ABSTRACT

Presented is a novel flow sensor based on electrochemical sensing of the ionic concentration-polarization (CP) layer developed within a microchannel-ion permselective membrane device. To demonstrate the working principle of the electrochemical flow sensor, the effect of advection on the transient and steady-state ionic concentration-polarization (CP) phenomenon in microchannel-Nafion membrane systems is studied. In particular, we focused on the local impedance, measured using an array of electrode pairs embedded at the bottom of the microchannel, as well as the total current across the permselective medium, as two approaches for estimating the flow. We examined both a stepwise application of CP under steady-state flow and a stepwise application of flow under steady-state CP.


Subject(s)
Electrochemical Techniques/methods , Microfluidic Analytical Techniques/methods , Movement , Convection , Diffusion , Electric Conductivity , Electrochemical Techniques/instrumentation , Electrodes , Equipment Design , Humans , Insulin, Regular, Human/chemistry , Lab-On-A-Chip Devices , Microfluidic Analytical Techniques/instrumentation , Potassium Chloride/chemistry
7.
Mol Pharm ; 16(7): 2922-2928, 2019 07 01.
Article in English | MEDLINE | ID: mdl-31117739

ABSTRACT

We have previously described the photoactivated depot (PAD) approach for the light-stimulated release of therapeutic proteins such as insulin. The aim of this method is to release insulin from a shallow dermal depot in response to blood glucose information, using transcutaneous irradiation. Our first approach utilized a photocleavable group that linked insulin to an insoluble but injectable polymer bead. The bead conferred insolubility, ensuring that the injected material stayed at the site of injection, until light cleaved the link, and allowed insulin to be absorbed systemically. While this proved to be effective, the use of a polymer to ensure insolubility introduces two major design problems: (1) low concentration of insulin, as a majority of the material is composed of polymer, and (2) upon release of the insulin, the polymer has to be cleared from the system. To address these two problems, in this work, we have pursued "hydrophobic tags", photocleavable small nonpolar molecules that confer insolubility to the modified insulin prior to irradiation without the bulk or need for biodegradation required of polymers. We developed a combined solid- and solution-phase synthetic approach that allowed us to incorporate a range of small nonpolar moieties, including peptides, into the final depot materials. The resulting materials are >90% w/w insulin and have sharply decreased solubilities relative to unmodified insulin (≤1000 × lower). We demonstrated that they can be milled into low micron-sized particles that can be readily injected through a 31G needle. These suspensions can be prepared at an effective concentration of 20 mM insulin, a concentration at which 120 µL contains 7 days of insulin for a typical adult. Finally, upon photolysis, the insoluble particles release soluble, native insulin in a predictable fashion. These combined properties make these new modified insulins nearly ideal as candidates for PAD materials.


Subject(s)
Drug Liberation/radiation effects , Hydrophobic and Hydrophilic Interactions/radiation effects , Insulin, Regular, Human/chemistry , Insulin, Regular, Human/radiation effects , Luminescence , Adult , Humans , Injections , Kinetics , Osmolar Concentration , Particle Size , Photolysis/radiation effects , Polymers/administration & dosage , Polymers/chemistry , Recombinant Proteins/chemistry , Solubility , Suspensions/chemistry
8.
Diabetes Metab Res Rev ; 35(4): e3132, 2019 05.
Article in English | MEDLINE | ID: mdl-30693639

ABSTRACT

BACKGROUND: Antibodies to posttranslationally modified insulin (oxPTM-INS-Ab) are a novel biomarker of type 1 diabetes (T1D). Here, we evaluated whether oxPTM-INS-Ab can improve T1D prediction in children with positive standard islet autoantibodies (AAB). METHODS: We evaluated sensitivity, specificity, accuracy, and risk for progression to T1D associated with oxPTM-INS-Ab and the standard islet AAB that include insulin (IAA), GAD (GADA), and tyrosine phosphatase 2 (IA-2A) in a cohort of islet AAB-positive (AAB+ ) children from the general population (median follow-up 8.8 years). RESULTS: oxPTM-INS-Ab was the most sensitive and specific autoantibody biomarker (74% sensitivity, 91% specificity), followed by IA-2A (71% sensitivity, 91% specificity). GADA and IAA showed lower sensitivity (65% and 50%, respectively) and specificity (66% and 68%, respectively). Accuracy (AUC of ROC) of oxPTM-INS-Ab was higher than GADA and IAA (P = 0.003 and P = 0.017, respectively), and similar to IA-2A (P = 0.896). oxPTM-INS-Ab and IA-2A were more effective than IAA for detecting progr-T1D when used as second-line biomarker in GADA+ children. Risk for diabetes was higher (P = 0.03) among multiple AAB+ who were also oxPTM-INS-Ab+ compared with those who were oxPTM-INS-Ab- . Importantly, when replacing IAA with oxPTM-INS-Ab, diabetes risk increased to 100% in children with oxPTM-INS-Ab+ in combination with GADA+ and IA-2A+ , compared with 84.37% in those with IAA+ , GADA+ , and IA-2A+ (P = 0.04). CONCLUSIONS: Antibodies to oxidized insulin (oxPTM-INS-Ab), compared with IAA which measure autoantibodies to native insulin, improve T1D risk assessment and prediction accuracy in AAB+ children.


Subject(s)
Autoantibodies/blood , Biomarkers/blood , Diabetes Mellitus, Type 1/diagnosis , Insulin Antibodies/immunology , Insulin, Regular, Human/chemistry , Insulin, Regular, Human/immunology , Islets of Langerhans/immunology , Autoantibodies/immunology , Blood Glucose/analysis , Child , Child, Preschool , Diabetes Mellitus, Type 1/blood , Diabetes Mellitus, Type 1/immunology , Female , Follow-Up Studies , Humans , Longitudinal Studies , Male , Oxidation-Reduction , Prognosis , Prospective Studies , Protein Processing, Post-Translational
9.
PLoS One ; 13(8): e0201623, 2018.
Article in English | MEDLINE | ID: mdl-30114258

ABSTRACT

Insulin is a frequently prescribed drug in hospitals and is usually administered by syringe pumps with an extension line which can be made of various materials. Two insulin solutions were studied: an insulin analogue, Novorapid® which contains insulin aspart and two phenolic preservatives (e.g. phenol and metacresol) and Umuline rapide® with human insulin and metacresol as preservative. Some studies have indicated interactions between insulin, polyvinyl chloride (PVC) and polyethylene (PE). The aim of this work was to study such interactions between Novorapid® or Umuline rapide® and infusion extension line materials (PVC, PE and coextruded (PE/PVC)). Insulin solution at 1 IU/mL was infused at 2 mL/h over 24 hours with 16 different extension lines (8 in PVC, 3 in PE and 5 in PE/PVC). Ultra-Fast Liquid Chromatography with diode array detection (UFLC-DAD) was performed to quantify insulin (human and aspart) and preservatives (metacresol and phenol). Limited human insulin sorption was observed thirty minutes after the onset of infusion: 24.3 ± 12.9%, 3.1 ± 1.6% and 18.6 ± 10.0% for PVC, PE and PE/PVC respectively. With insulin aspart, sorption of about 5% was observed at the onset of infusion for all materials. However, there were interactions between phenol and especially metacresol with PVC, but no interactions with PE and PE/PVC. This study shows that insulin interacts with PVC, PE and PE/PVC at the onset of infusion. It also demonstrates that insulin preservatives interact with PVC, which may result in problems of insulin conservation and conformation. Some more studies are required to understand the clinical impact of the latter during infusion.


Subject(s)
Drug Delivery Systems/instrumentation , Insulin Aspart/chemistry , Insulin, Regular, Human/chemistry , Administration, Intravenous , Chromatography, Liquid , Humans , In Vitro Techniques , Insulin Aspart/administration & dosage , Polyethylene/chemistry , Polyvinyl Chloride/chemistry , Syringes
10.
Diabetes Obes Metab ; 20(7): 1563-1577, 2018 07.
Article in English | MEDLINE | ID: mdl-29508509

ABSTRACT

AIMS: To conduct a review in order to assess the safety of intranasal human insulin in clinical studies as well as the temporal stability of nasal insulin sprays. MATERIAL AND METHODS: An electronic search was performed using MEDLINE. We selected original research on intranasal human insulin without further additives in humans. The studies included could be of any design as long as they used human intranasal insulin as their study product. All outcomes and adverse side effects were extracted. RESULTS: A total of 38 studies in 1092 individuals receiving acute human intranasal insulin treatment and 18 studies in 832 individuals receiving human intranasal insulin treatment lasting between 21 days and 9.7 years were identified. No cases of symptomatic hypoglycaemia or severe adverse events (AEs) were reported. Transient local side effects in the nasal area were frequently experienced after intranasal insulin and placebo spray, while other AEs were less commonly reported. There were no reports of participants being excluded as a result of AEs. No instances of temporal stability of nasal insulin were reported in the literature. Tests on insulin that had been repacked into spray flasks showed that it had a chemical stability of up to 57 days. CONCLUSIONS: Our retrospective review of published studies on intranasal insulin did not reveal any safety concerns; however, there were insufficient data to ensure the long-term safety of this method of chronic insulin administration. Improved insulin preparations that cause less nasal irritation would be desirable for future treatment.


Subject(s)
Diabetes Mellitus, Type 1/drug therapy , Diabetes Mellitus, Type 2/drug therapy , Hypoglycemic Agents/administration & dosage , Insulin, Regular, Human/administration & dosage , Recombinant Proteins/administration & dosage , Administration, Intranasal , Aerosols , Diabetes Mellitus, Type 1/blood , Diabetes Mellitus, Type 2/blood , Drug Compounding , Drug Stability , Humans , Hyperglycemia/prevention & control , Hypoglycemia/chemically induced , Hypoglycemia/prevention & control , Hypoglycemic Agents/adverse effects , Hypoglycemic Agents/chemistry , Hypoglycemic Agents/therapeutic use , Insulin, Regular, Human/adverse effects , Insulin, Regular, Human/chemistry , Insulin, Regular, Human/therapeutic use , Protein Stability , Recombinant Proteins/adverse effects , Recombinant Proteins/chemistry , Recombinant Proteins/therapeutic use
11.
AAPS PharmSciTech ; 19(3): 1011-1019, 2018 Apr.
Article in English | MEDLINE | ID: mdl-29110294

ABSTRACT

NMR spectroscopy is an emerging analytical tool for measuring complex drug product qualities, e.g., protein higher order structure (HOS) or heparin chemical composition. Most drug NMR spectra have been visually analyzed; however, NMR spectra are inherently quantitative and multivariate and thus suitable for chemometric analysis. Therefore, quantitative measurements derived from chemometric comparisons between spectra could be a key step in establishing acceptance criteria for a new generic drug or a new batch after manufacture change. To measure the capability of chemometric methods to differentiate comparator NMR spectra, we calculated inter-spectra difference metrics on 1D/2D spectra of two insulin drugs, Humulin R® and Novolin R®, from different manufacturers. Both insulin drugs have an identical drug substance but differ in formulation. Chemometric methods (i.e., principal component analysis (PCA), 3-way Tucker3 or graph invariant (GI)) were performed to calculate Mahalanobis distance (D M) between the two brands (inter-brand) and distance ratio (D R) among the different lots (intra-brand). The PCA on 1D inter-brand spectral comparison yielded a D M value of 213. In comparing 2D spectra, the Tucker3 analysis yielded the highest differentiability value (D M = 305) in the comparisons made followed by PCA (D M = 255) then the GI method (D M = 40). In conclusion, drug quality comparisons among different lots might benefit from PCA on 1D spectra for rapidly comparing many samples, while higher resolution but more time-consuming 2D-NMR-data-based comparisons using Tucker3 analysis or PCA provide a greater level of assurance for drug structural similarity evaluation between drug brands.


Subject(s)
Insulin/chemistry , Magnetic Resonance Spectroscopy/methods , Insulin, Regular, Human/chemistry , Principal Component Analysis , Proteins
12.
Pharm Res ; 34(11): 2270-2286, 2017 Nov.
Article in English | MEDLINE | ID: mdl-28762200

ABSTRACT

PURPOSE: Comparison of the dissociation kinetics of rapid-acting insulins lispro, aspart, glulisine and human insulin under physiologically relevant conditions. METHODS: Dissociation kinetics after dilution were monitored directly in terms of the average molecular mass using combined static and dynamic light scattering. Changes in tertiary structure were detected by near-UV circular dichroism. RESULTS: Glulisine forms compact hexamers in formulation even in the absence of Zn2+. Upon severe dilution, these rapidly dissociate into monomers in less than 10 s. In contrast, in formulations of lispro and aspart, the presence of Zn2+ and phenolic compounds is essential for formation of compact R6 hexamers. These slowly dissociate in times ranging from seconds to one hour depending on the concentration of phenolic additives. The disadvantage of the long dissociation times of lispro and aspart can be diminished by a rapid depletion of the concentration of phenolic additives independent of the insulin dilution. This is especially important in conditions similar to those after subcutaneous injection, where only minor dilution of the insulins occurs. CONCLUSION: Knowledge of the diverging dissociation mechanisms of lispro and aspart compared to glulisine will be helpful for optimizing formulation conditions of rapid-acting insulins.


Subject(s)
Hypoglycemic Agents/chemistry , Insulin, Regular, Human/chemistry , Humans , Injections, Subcutaneous , Insulin/analogs & derivatives , Insulin/chemistry , Insulin Aspart/chemistry , Insulin Lispro/chemistry , Insulin, Short-Acting , Kinetics , Molecular Weight , Phenols/chemistry , Protein Aggregates , Protein Stability , Structure-Activity Relationship , Zinc/chemistry
13.
J Pept Sci ; 21(11): 797-806, 2015 Nov.
Article in English | MEDLINE | ID: mdl-26382042

ABSTRACT

Insulin, a small peptide hormone, is crucial in maintaining blood glucose homeostasis. The stability and activity of the protein is directed by an intricate system involving disulfide bonds to stabilize the active monomeric species and by their non-covalent oligomerization. All known insulin variants in vertebrates consist of two peptide chains and have six cysteine residues, which form three disulfide bonds, two of them link the two chains and a third is an intra-chain bond in the A-chain. This classical insulin fold appears to have been conserved over half a billion years of evolution. We addressed the question whether a human insulin variant with four disulfide bonds could exist and be fully functional. In this review, we give an overview of the road to engineering four-disulfide bonded insulin analogs. During our journey, we discovered several active four disulfide bonded insulin analogs with markedly improved stability and gained insights into the instability of analogs with seven cysteine residues, importance of dimerization for stability, insulin fibril formation process, and the conformation of insulin binding to its receptor. Our results also open the way for new strategies in the development of insulin biopharmaceuticals.


Subject(s)
Cystine/chemistry , Diabetes Mellitus, Type 1/drug therapy , Hypoglycemic Agents/therapeutic use , Insulin, Regular, Human/analogs & derivatives , Models, Molecular , Receptor, Insulin/agonists , Amino Acid Substitution , Animals , Antigens, CD/chemistry , Antigens, CD/metabolism , Diabetes Mellitus, Type 1/metabolism , Dimerization , Drug Design , Drug Stability , Humans , Hypoglycemic Agents/chemistry , Insulin, Regular, Human/chemistry , Insulin, Regular, Human/genetics , Insulin, Regular, Human/therapeutic use , Mutation , Protein Conformation , Protein Engineering , Protein Stability , Receptor, Insulin/chemistry , Receptor, Insulin/metabolism , Recombinant Proteins/chemistry , Recombinant Proteins/therapeutic use
14.
Clin Sci (Lond) ; 129(12): 1115-29, 2015 Dec.
Article in English | MEDLINE | ID: mdl-26310669

ABSTRACT

Burn wound healing involves a complex set of overlapping processes in an environment conducive to ischaemia, inflammation and infection costing $7.5 billion/year in the U.S.A. alone, in addition to the morbidity and mortality that occur when the burns are extensive. We previously showed that insulin, when topically applied to skin excision wounds, accelerates re-epithelialization and stimulates angiogenesis. More recently, we developed an alginate sponge dressing (ASD) containing insulin encapsulated in PLGA [poly(D,L-lactic-co-glycolic acid)] microparticles that provides a sustained release of bioactive insulin for >20 days in a moist and protective environment. We hypothesized that insulin-containing ASD accelerates burn healing and stimulates a more regenerative, less scarring healing. Using heat-induced burn injury in rats, we show that burns treated with dressings containing 0.04 mg insulin/cm(2) every 3 days for 9 days have faster closure, a higher rate of disintegration of dead tissue and decreased oxidative stress. In addition, in insulin-treated wounds, the pattern of neutrophil inflammatory response suggests faster clearing of the burned dead tissue. We also observe faster resolution of the pro-inflammatory macrophages. We also found that insulin stimulates collagen deposition and maturation with the fibres organized more like a basket weave (normal skin) than aligned and cross-linked (scar tissue). In summary, application of ASD-containing insulin-loaded PLGA particles on burns every 3 days stimulates faster and more regenerative healing. These results suggest insulin as a potential therapeutic agent in burn healing and, because of its long history of safe use in humans, insulin could become one of the treatments of choice when repair and regeneration are critical for proper tissue function.


Subject(s)
Alginates/chemistry , Bandages , Burns/drug therapy , Drug Carriers , Insulin, Regular, Human/administration & dosage , Lactic Acid/chemistry , Polyglycolic Acid/chemistry , Skin/drug effects , Wound Healing/drug effects , Administration, Cutaneous , Animals , Burns/metabolism , Burns/pathology , Burns/physiopathology , Chemistry, Pharmaceutical , Cicatrix/metabolism , Cicatrix/pathology , Cicatrix/prevention & control , Collagen/metabolism , Cytokines/metabolism , Disease Models, Animal , Female , Humans , Inflammation/metabolism , Inflammation/pathology , Inflammation/prevention & control , Inflammation Mediators/metabolism , Insulin, Regular, Human/chemistry , Neovascularization, Physiologic/drug effects , Neutrophil Infiltration/drug effects , Oxidative Stress/drug effects , Polylactic Acid-Polyglycolic Acid Copolymer , Rats, Sprague-Dawley , Reactive Oxygen Species/metabolism , Skin/blood supply , Skin/metabolism , Skin/pathology , Solubility , Time Factors
15.
Pak J Pharm Sci ; 28(3): 875-9, 2015 May.
Article in English | MEDLINE | ID: mdl-26004720

ABSTRACT

A simple and expeditious analytical method for determination of zinc in human insulin isophane suspension by flame atomic absorption spectrophotometer (FAAS) was validated. The method was carried out on atomic absorption spectrometer with 0.4 nm bandwidth, 1.0 filter factor on deuterium (D2) background correction. The integration time was set at 3.0 second with 5.0 mA lamp current. The parameters of method validation showed adequate linearity, efficiency and relative standard deviation values were between 0.64%-1.69% (n=7), 1.31%-1.58% (n=10) for repeatability and intermediate precision respectively. The limit of detection 0.0032 µg/mL, 0.0173 µg/mL, 0.0231 µg/mL and limit of quantitation 0.0107µg/mL, 0.0578 µg/mL, 0.0694 µg/mL based on signal to noise (SN), calibration curve method (CCM) and fortification of blank (FB) were obtained respectively. The percentages of recovery for low, medium and high spiked concentration levels of zinc in human insulin were 99.38 ± 0.04 to 100.3 ± 0.03, 98.45 ± 0.38 to 100.3 ± 0.07 and 99.42 ± 0.03 to 99.42 ± 0.08 respectively. With the use of this method, five samples from each vial of human insulin isophane suspension were analyzed and the zinc content was determined. The zinc content were 22.1 ± 0.025 µg/mL and 24.3 ± 0.028 µg/mL which compliance the British Pharmacopoeia standard.


Subject(s)
Insulin, Isophane/chemistry , Insulin, Regular, Human/chemistry , Limit of Detection , Spectrophotometry, Atomic/methods , Zinc/analysis , Humans , Isophane Insulin, Human , Reproducibility of Results
16.
Pharm Res ; 32(6): 2072-85, 2015 Jun.
Article in English | MEDLINE | ID: mdl-25583030

ABSTRACT

PURPOSE: To identify High Molecular Weight Products (HMWP) formed in human insulin formulation during storage. METHODS: Commercial formulation of human insulin was stored at 37°C for 1 year and HMWP was isolated using preparative size exclusion chromatography (SEC) and reverse phase (RP) chromatography. The primary structure of the isolated species was analysed using liquid chromatography mass spectrometry (LC-MS) and tandem mass spectrometry (MS/MS). To test the hypothesis that amino groups of insulin are involved in HMWP formation, the HMWP content of various formulations spiked with amine compounds or formulations of insulin with modified amino groups was measured. RESULTS: More than 20 species of HMWP were observed and 16 species were identified using LC-MS. All identified species were covalent dimers of human insulin linked via A21Asn and B29Lys, formed via the formation of an anhydride intermediate at A21Asn. Two types of HMWP were identified, with the covalent link in the open or closed (succinimidyl) form. Some species also contained single deamidation at B3 or the desPhe(B1)-N-oxalyl-Val(B2) modification. Reduced rate of HMWP formation was observed after addition of L-lysine, L-arginine or piperazine or when insulin analogues with methylated N-terminals and side chain amines and A21Gly mutation were used. Formulations of human insulin without zinc and m-cresol were found to contain a different pool of HMWP. CONCLUSIONS: HMWP formed in formulation of human insulin at pH 7.4 with zinc and m-cresol consists primarily of covalent dimers linked via A21Asn and B29Lys. Insulin formulation properties determine the amount and identity of formed HMWP.


Subject(s)
Drug Contamination , Hypoglycemic Agents/chemistry , Insulin, Regular, Human/chemistry , Insulin, Regular, Pork/chemistry , Amines/chemistry , Amino Acid Sequence , Chemistry, Pharmaceutical , Chromatography, Gel , Chromatography, Reverse-Phase , Cresols/chemistry , Drug Stability , Drug Storage , Humans , Molecular Weight , Protein Multimerization , Protein Stability , Tandem Mass Spectrometry , Temperature , Time Factors , Zinc/chemistry
17.
Int J Pharm ; 473(1-2): 627-35, 2014 Oct 01.
Article in English | MEDLINE | ID: mdl-25089510

ABSTRACT

The present study reports the production and characterization of PEG-coated silica nanoparticles (SiNP-PEG) containing insulin for oral administration. High (PEG 20,000) and low (PEG 6000) PEG molecular weights were used in the preparations. SiNP were produced by sol-gel technology followed by PEG adsorption and characterized for in vitro release by Franz diffusion cells. In vitro permeation profile was assessed using everted rat intestine. HPLC method has been validated for the determination of insulin released and permeated. Insulin secondary structure was performed by circular dichroism (CD). Uncoated SiNP allowed slower insulin release in comparison to SiNP-PEG. The coating with high molecular weight PEG did not significantly (p> 0.05) alter insulin release. The slow insulin release is attributed to the affinity of insulin for silanol groups at silica surface. Drug release followed second order kinetics for uncoated and SiNP-PEG at pH 2.0. On the other hand, at pH 6.8, the best fitting was first-order for SiNP-PEG, except for SiNP which showed a Boltzmann behavior. Comparing the values of half-live, SiNP-PEG 20,000 showed a faster diffusion followed by Si-PEG 6000 and SiNP. CD studies showed no conformational changes occurring after protein release from the nanoparticles under gastrointestinal simulated conditions.


Subject(s)
Drug Carriers/chemistry , Insulin, Regular, Human/chemistry , Nanoparticles/chemistry , Polyethylene Glycols/chemistry , Silicon Dioxide/chemistry , Administration, Oral , Animals , Chromatography, High Pressure Liquid , Circular Dichroism , Drug Carriers/administration & dosage , Drug Compounding , In Vitro Techniques , Insulin, Regular, Human/administration & dosage , Intestinal Absorption , Intestine, Small/metabolism , Male , Nanoparticles/administration & dosage , Polyethylene Glycols/administration & dosage , Rats, Wistar , Silicon Dioxide/administration & dosage
18.
Int J Pharm ; 465(1-2): 464-78, 2014 Apr 25.
Article in English | MEDLINE | ID: mdl-24560646

ABSTRACT

The aim of this study was to produce microparticles with optimal aerodynamic diameter for deep lung delivery (i.e., 1-3µm) of a protein drug intended for systemic absorption, using a combination of generally regarded as safe (GRAS) excipients. Based on the preliminary experiments, mannitol, l-alanine, sodium alginate, chitosan and dipalmitoylphosphatidilcholine (DPPC) were chosen as excipients and human insulin as a model protein drug. Dry powders were prepared by spray-drying. Powders with varying yields (29-80%) and low tapped densities (0.22-0.38 g/cm(3)) were obtained. Scanning electron microscopy (SEM) revealed distinctive particle morphologies among formulations from isolated spherical to highly folded particles. Aerodynamic properties were assessed by next generation impactor (NGI). Mass median aerodynamic diameter (MMAD) and fine particle fraction (FPF) ranged from 2.1 to 4.6 µm and 46 to 81%, respectively. A comparative study of protein release from microparticles was conducted in vitro using an open membrane system with more than 50% cumulative release in all formulations which followed different kinetic models. Insulin's integrity was investigated by spectrofluorimetry and electrophoresis, and no tangible changes were observed in the structure of insulin. Of the formulations studied, the third, containing mannitol/sodium alginate/insulin/sodium citrate showed promising characteristics, optimal for systemic delivery of proteins via deep lung deposition.


Subject(s)
Desiccation , Excipients/chemistry , Hypoglycemic Agents/chemistry , Insulin, Regular, Human/chemistry , Technology, Pharmaceutical/methods , Administration, Inhalation , Aerosols , Alginates/chemistry , Calorimetry, Differential Scanning , Chemistry, Pharmaceutical , Citrates/chemistry , Excipients/administration & dosage , Glucuronic Acid/chemistry , Hexuronic Acids/chemistry , Humans , Hypoglycemic Agents/administration & dosage , Insulin, Regular, Human/administration & dosage , Kinetics , Mannitol/chemistry , Microscopy, Electron, Scanning , Molecular Structure , Particle Size , Powders , Recombinant Proteins/chemistry , Sodium Citrate , Solubility , Water/chemistry
19.
Diabetes Metab Res Rev ; 30(2): 104-19, 2014 Feb.
Article in English | MEDLINE | ID: mdl-24026961

ABSTRACT

Insulin remains the most effective and consistent means of controlling blood glucose levels in diabetes. Since 1946, neutral protamine Hagedorn (NPH) has been the predominant basal insulin in clinical use. However, absorption is variable due to the need for resuspension and the time-action profile (peak activity 4-6 h after subcutaneous administration) confers an increased propensity for between-meal and nocturnal hypoglycaemia. In the 1980s, recombinant DNA technology enabled modifications to the insulin molecule resulting in the soluble long-acting insulin analogues, glargine and detemir. Both exhibit a lower risk of hypoglycaemia compared with neutral protamine Hagedorn due to improved time-action profiles and reduced day-to-day glucose variability. Glargine is indicated for administration once daily and detemir once or twice daily. Degludec is the latest prolonged-acting insulin which forms long subcutaneous multi-hexamers that delay absorption. Recent phase III trials in type 1 and type 2 diabetes show that degludec was non-inferior to comparators (predominantly glargine) with a minimal although inconsistent reduction in overall hypoglycaemia and a small absolute difference in nocturnal hypoglycaemia. Newer developmental agents include LY2605541 and glargine U300. LY2605541 comprises insulin lispro combined with polyethylene glycol, thereby increasing its hydrodynamic size and retarding absorption from the subcutaneous tissue. Glargine U300 is a new formulation of glargine resulting in a flatter and more prolonged time-action profile than its predecessor. This article reviews recent advances in basal insulin analogues, including a critical appraisal of the degludec trials.


Subject(s)
Diabetes Mellitus, Type 1/drug therapy , Diabetes Mellitus, Type 2/drug therapy , Drugs, Investigational/therapeutic use , Hypoglycemic Agents/therapeutic use , Insulin, Long-Acting/therapeutic use , Insulin, Regular, Human/analogs & derivatives , Animals , Chemistry, Pharmaceutical/trends , Clinical Trials as Topic , Drugs, Investigational/adverse effects , Drugs, Investigational/chemistry , Humans , Hypoglycemic Agents/adverse effects , Hypoglycemic Agents/chemistry , Insulin, Long-Acting/adverse effects , Insulin, Long-Acting/chemistry , Insulin, Long-Acting/genetics , Insulin, Regular, Human/chemistry , Insulin, Regular, Human/genetics , Insulin, Regular, Human/therapeutic use , Recombinant Proteins/adverse effects , Recombinant Proteins/chemistry , Recombinant Proteins/therapeutic use
20.
Bioorg Khim ; 40(1): 31-41, 2014.
Article in Russian | MEDLINE | ID: mdl-25898721

ABSTRACT

The reaction of high temperature solid state catalytic isotope exchange in peptides and proteins under the action of catalyst-activated spillover hydrogen was studied. The reaction of human gene-engineered insulin with deuterium and tritium was conducted at 120-140° C to produce insulin samples containing 2-6 hydrogen isotope atoms. To determine the distribution of the isotope label over tritium-labeled insulin's amino acid residues, oxidation of the S-S bonds of insulin by performic acid was performed and polypeptide chains isolated; then their acid hydrolysis, amino acid analysis and liquid scintillation counts of tritium in the amino acids were conducted. The isotope label was shown to be incorporated in all amino acids of the protein, with the peptide fragment FVNQHLCGSHLVE of the insulin ß-chain showing the largest incorporation. About 45% of the total protein isotope label was incorporated in His5 and His10 of this fragment. For the analysis of isotope label distribution in labeled insulin's peptide fragments, the recovery of the S-S bonds by mercaptoethanol, the enzymatic hydrolysis by glutamyl endopeptidase from Bacillus intermedius and HPLC division of the resulting peptides were carried out. Attribution of the peptide fragments formed due to hydrolysis at the Glu-X bond in the ß-chain was accomplished by mass spectrometry. Mass spectrometry analysis data of the deuterium-labeled insulin samples' isotopomeric composition showed that the studied solid state isotope exchange reaction equally involved all the protein molecules. Biological studying of tritium-labeled insulin showed its physiological activity to be completely retained.


Subject(s)
Deuterium , Insulin, Regular, Human/chemistry , Tritium , Amino Acid Sequence , Catalysis , Deuterium Exchange Measurement , Histidine/chemistry , Hydrolysis , Insulin, Regular, Human/genetics , Isotope Labeling/methods , Molecular Sequence Data , Peptide Fragments/chemistry , Recombinant Proteins/chemistry , Recombinant Proteins/genetics , Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization
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