Polymeric micelles as potent islet amyloid inhibitors: Current advances and future perspectives

Drug Discov Today. 2023 May;28(5):103571. doi: 10.1016/j.drudis.2023.103571. Epub 2023 Mar 27.

Abstract

Diabetes mellitus (DM) has become one of the most prevalent diseases across the globe, mainly because of the inability of existing treatment strategies to target its root cause (i.e., pancreatic β cell damage). Polymeric micelles (PMs) have gained attention as a treatment option for DM by targeting misfolded islet amyloid polypeptide protein (IAPP), which is common in more than 90% of DM patients. Such misfolding could result from either oxidative stress or mutation in the gene encoding IAPP. In this review, we discuss progress in the designing of PMs to halt islet amyloidosis along with their mechanism and dynamics of interactions with IAPP. We also discuss the clinical challenges associated with the translation of PMs as anti-islet amyloidogenic agents.

Keywords: diabetes; functional chemistry; islet amyloidosis; micelles; therapeutics.

Publication types

  • Review

MeSH terms

  • Amyloid / genetics
  • Diabetes Mellitus, Type 2* / metabolism
  • Humans
  • Islet Amyloid Polypeptide / genetics
  • Islet Amyloid Polypeptide / metabolism
  • Islets of Langerhans* / metabolism
  • Micelles

Substances

  • Micelles
  • Amyloid
  • Islet Amyloid Polypeptide