Orally administered novel cyclic pentapeptide P-317 alleviates symptoms of diarrhoea-predominant irritable bowel syndrome

J Pharm Pharmacol. 2015 Feb;67(2):244-54. doi: 10.1111/jphp.12335. Epub 2014 Dec 17.

Abstract

Objective: The aim of our study was to characterize the effect of P-317, a novel cyclic derivative of morphiceptin, on gastrointestinal (GI) motility and abdominal pain in mouse models mimicking symptoms of diarrhoea-predominant irritable bowel syndrome (IBS-D).

Methods: The effect of P-317 on mouse intestinal motility was characterized in vitro and in vivo in physiological and pathophysiological conditions. The antinociceptive action of P-317 was characterized in the mustard oil-induced abdominal pain model and the writhing test. Locomotor activity and grip-strength tests were used to evaluate the effect of P-317 in the central nervous system (CNS). To translate our study to clinical conditions, the semi-quantitative expression of μ-opioid receptors (MOP) and κ-opioid receptors (KOP) messenger RNA (mRNA) in human colonic samples from IBS-D patients was quantified.

Key findings: In vitro, P-317 (10(-10) -10(-6) M) inhibited colonic and ileal smooth muscle contractions in a concentration-dependent, β-funaltrexamine and nor-binaltorphimine-reversible manner. In vivo, P-317 (0.1 mg/kg, i.p. and 1 mg/kg, p.o.) inhibited GI transit, displayed a potent antinociceptive action in abdominal pain tests and did not influence the CNS.

Conclusion: P-317 produced a potent analgesic and antidiarrhoeal action in the mouse GI tract after oral administration. Given lower expression of MOP and KOP mRNA in IBS-D patients, P-317 is a promising peptide-based drug candidate for IBS-D therapy.

Keywords: abdominal pain; diarrhoea; irritable bowel syndrome; morphiceptin; oral administration.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Abdominal Pain / chemically induced
  • Abdominal Pain / drug therapy*
  • Administration, Oral
  • Adult
  • Aged
  • Analgesics / pharmacology
  • Analgesics / therapeutic use*
  • Animals
  • Antidiarrheals / pharmacology
  • Antidiarrheals / therapeutic use*
  • Case-Control Studies
  • Colon / drug effects
  • Colon / metabolism
  • Colon / physiopathology
  • Diarrhea / drug therapy*
  • Diarrhea / etiology
  • Disease Models, Animal
  • Endorphins / pharmacology
  • Endorphins / therapeutic use*
  • Gastrointestinal Transit / drug effects*
  • Humans
  • Ileum / drug effects
  • Irritable Bowel Syndrome / drug therapy*
  • Irritable Bowel Syndrome / pathology
  • Male
  • Mice, Inbred BALB C
  • Middle Aged
  • Muscle Contraction / drug effects
  • Muscle, Smooth / drug effects
  • Mustard Plant
  • Plant Oils
  • Receptors, Opioid / genetics
  • Receptors, Opioid / metabolism
  • Young Adult

Substances

  • Analgesics
  • Antidiarrheals
  • Endorphins
  • Plant Oils
  • Receptors, Opioid
  • morphiceptin
  • mustard oil