A sustained zero-order release carrier for long-acting, peakless basal insulin therapy

J Mater Chem B. 2020 Mar 4;8(9):1952-1959. doi: 10.1039/c9tb02728a.

Abstract

Basal insulin therapy plays a key role in diabetes management. An ideal therapy should mimic the steady physiologic basal insulin secretion, and provide a peak-free, prolonged and steady insulin supply. Herein, a new drug carrier was designed by first PEGylating insulin and then incorporating the conjugate into layer-by-layer assembled films with tannic acid (TA). Because PEG-insulin and TA in the films were linked with reversible, dynamic hydrogen bonds, the films disintegrate gradually when soaked in aqueous solutions, and thus release PEG-insulin into the media. In vitro release tests revealed that the release of PEG-insulin follows a zero-order kinetics. Theoretical analysis based on the unique release mechanism also supports a zero-order kinetics. In vivo tests using a streptozotocin-induced diabetic rat model demonstrated that subcutaneous implantation of the film could maintain a steady plasma drug level and hence maintain a fasting blood glucose level (BGL) close to normal. The duration of action depends on the thickness of the film. Using a 50-bilayer film, fasting BGL was kept within the normoglycemic range for ∼16 days. Initial burst release, a severe problem for other release systems, was successfully avoided.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Blood Glucose / analysis
  • Diabetes Mellitus, Experimental / chemically induced
  • Diabetes Mellitus, Experimental / drug therapy*
  • Disease Models, Animal
  • Drug Liberation
  • Humans
  • Hydrogen Bonding
  • Hypoglycemic Agents / administration & dosage
  • Hypoglycemic Agents / chemistry
  • Hypoglycemic Agents / therapeutic use*
  • Injections, Subcutaneous
  • Insulin / administration & dosage
  • Insulin / analogs & derivatives*
  • Insulin / chemistry
  • Insulin / therapeutic use
  • Insulin, Long-Acting / administration & dosage
  • Insulin, Long-Acting / chemistry
  • Insulin, Long-Acting / therapeutic use*
  • Kinetics
  • Male
  • Molecular Structure
  • Polyethylene Glycols / administration & dosage
  • Polyethylene Glycols / chemistry
  • Polyethylene Glycols / therapeutic use
  • Rats
  • Rats, Sprague-Dawley
  • Streptozocin / administration & dosage
  • Tannins / chemical synthesis
  • Tannins / chemistry
  • Tannins / therapeutic use*

Substances

  • Blood Glucose
  • Hypoglycemic Agents
  • Insulin
  • Insulin, Long-Acting
  • Tannins
  • insulin, polyethylene glycol(B1)-
  • Polyethylene Glycols
  • Streptozocin