Purified PEGylated human glucagon-like peptide-2 reduces the severity of irradiation-induced acute radiation enteritis in rats

J Radiat Res. 2019 Jan 1;60(1):7-16. doi: 10.1093/jrr/rry076.

Abstract

Radiation-induced acute intestinal injury after abdominal and pelvic irradiation is a common and serious problem in the clinical setting. Glucagon-like peptide-2 (GLP-2), a 33-amino acid peptide, exerts diverse effects related to the regulation of gastrointestinal growth and function. However, GLP-2 is relatively unstable in vivo. The aim of the present study was to improve GLP-2 stability in vivo and to evaluate its therapeutic effect on acute radiation enteritis. We generated long-lasting intestinal protection peptides by conjugating human GLP-2 (hGLP-2) peptides to polyethyleneglycol (PEG) to produce mPEGylation hGLP-2 (Mono-PEG-hGLP-2) through an enzymatic site-specific transglutamination reaction. Mono-PEG-hGLP-2 synthesized under optimal reaction conditions and separated by one-step ion-exchange chromatography was found to be resistant to degradation in vitro. Pretreatment with Mono-PEG-hGLP-2 reduced the severity of radiation-induced intestinal injury, oxidative stress, and the expression of NF-κB in rats with irradiation-induced acute radiation enteritis. The enhanced biological potency of Mono-PEG-hGLP-2 highlights its potential as a therapeutic agent for intestinal diseases.

MeSH terms

  • Animals
  • Antioxidants / metabolism
  • Enteritis / drug therapy*
  • Enteritis / etiology*
  • Glucagon-Like Peptide 2 / isolation & purification*
  • Glucagon-Like Peptide 2 / therapeutic use*
  • Humans
  • Inflammation Mediators / metabolism
  • Interleukin-2 / metabolism
  • Intestine, Small / enzymology
  • Intestine, Small / pathology
  • Male
  • Malondialdehyde / metabolism
  • Polyethylene Glycols / chemistry*
  • Radiation Injuries / complications*
  • Rats, Sprague-Dawley
  • Temperature
  • Time Factors
  • Tumor Necrosis Factor-alpha / metabolism

Substances

  • Antioxidants
  • Glucagon-Like Peptide 2
  • Inflammation Mediators
  • Interleukin-2
  • Tumor Necrosis Factor-alpha
  • Polyethylene Glycols
  • Malondialdehyde