Exploring protein stabilized multiple emulsion with permeation enhancer for oral delivery of insulin

Int J Biol Macromol. 2021 Jan 15:167:491-501. doi: 10.1016/j.ijbiomac.2020.11.190. Epub 2020 Dec 3.

Abstract

In present study, we have developed W/O/W microemulsion (ME) containing piperine (PiP) as a permeation enhancer and albumin (Alb) serving as a stabilizer for oral delivery of insulin (INS). The resultant formulation, ME(INS)-PiP-Alb exhibited droplet size of 3.35 ± 0.25 μm along with polydispersity index (PDI) of 0.30 ± 0.10. The formulation process employed for developing ME(INS)-PiP-Alb showed no effect on INS's chemical and conformational stability. Further, ME(INS)-PiP-Alb was able to maintain desired attributes (size & PDI) along with INS stability in simulated gastrointestinal fluids. Also, ME(INS)-PiP-Alb rendered higher protection to INS in presence of pepsin and trypsin than ME(INS)-PiP. In qualitative Caco-2 cell uptake, INS loaded ME's showed higher uptake in comparison to free INS. Whereas, in permeability studies ME(INS)-PiP-Alb showed ~4 and ~1.5-fold enhanced permeation than free INS and ME(INS) without PiP groups respectively. Also, in ex vivo intestinal permeation studies similar fold increment in permeation were observed. Interestingly, the pharmacodynamic studies revealed ~3.2-fold higher hypoglycemic effect in animals treated with ME(INS)-PiP-Alb in comparison to ME(INS)-PiP. Similarly, the pharmacokinetic studies also revealed ~1.6 fold higher AUC for ME(INS)-PiP-Alb than ME(INS)-PiP. Thus, in vivo results suggested that Alb as a stabilizer can assist in improving the hypoglycemic effect of the developed ME with PiP. Hence, this strategy can also be extrapolated for delivering other bio-macromolecules orally.

Keywords: Insulin and Oral route; Multiple emulsion; Permeation enhancer; Suicidal inhibitor.

MeSH terms

  • Administration, Oral
  • Albumins / chemistry*
  • Alkaloids / chemistry*
  • Animals
  • Benzodioxoles / chemistry*
  • Blood Glucose / drug effects
  • Caco-2 Cells
  • Drug Stability
  • Emulsions
  • Goats
  • Humans
  • Hypoglycemic Agents / administration & dosage*
  • Hypoglycemic Agents / chemistry
  • Hypoglycemic Agents / pharmacokinetics
  • Insulin / administration & dosage*
  • Insulin / chemistry
  • Insulin / pharmacokinetics
  • Male
  • Particle Size
  • Piperidines / chemistry*
  • Polyunsaturated Alkamides / chemistry*
  • Rats

Substances

  • Albumins
  • Alkaloids
  • Benzodioxoles
  • Blood Glucose
  • Emulsions
  • Hypoglycemic Agents
  • Insulin
  • Piperidines
  • Polyunsaturated Alkamides
  • piperine