A new painkiller nanomedicine to bypass the blood-brain barrier and the use of morphine

Sci Adv. 2019 Feb 13;5(2):eaau5148. doi: 10.1126/sciadv.aau5148. eCollection 2019 Feb.

Abstract

The clinical use of endogenous neuropeptides has historically been limited due to pharmacokinetic issues, including plasma stability and blood-brain barrier permeability. In this study, we show that the rapidly metabolized Leu-enkephalin (LENK) neuropeptide may become pharmacologically efficient owing to a simple conjugation with the lipid squalene (SQ). The corresponding LENK-SQ bioconjugates were synthesized using different chemical linkers in order to modulate the LENK release after their formulation into nanoparticles. This new SQ-based nanoformulation prevented rapid plasma degradation of LENK and conferred on the released neuropeptide a notable antihyperalgesic effect that lasted longer than after treatment with morphine in a rat model of inflammation (Hargreaves test). The biodistribution study as well as the use of brain-permeant and -impermeant opioid receptor antagonists indicated that LENK-SQ NPs act through peripherally located opioid receptors. This study represents a novel nanomedicine approach, allowing the specific delivery of LENK neuropeptide into inflamed tissues for pain control.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Analgesics, Opioid / administration & dosage
  • Analgesics, Opioid / chemistry
  • Analgesics, Opioid / pharmacokinetics*
  • Animals
  • Blood-Brain Barrier / drug effects
  • Blood-Brain Barrier / metabolism*
  • Enkephalin, Leucine / chemistry
  • Enkephalin, Leucine / pharmacokinetics
  • Hyperalgesia / drug therapy
  • Male
  • Mice
  • Molecular Structure
  • Morphine / administration & dosage
  • Morphine / chemistry
  • Morphine / pharmacokinetics*
  • Nanoparticles / chemistry
  • Nanoparticles / ultrastructure
  • Rats
  • Squalene / chemistry
  • Theranostic Nanomedicine*
  • Tissue Distribution

Substances

  • Analgesics, Opioid
  • Enkephalin, Leucine
  • Morphine
  • Squalene