Orally Delivered Stimulus‐Sensitive Nanomedicine to Harness Teduglutide Efficacy in Inflammatory Bowel Disease

Author:

Barros Andreia S.12,Pinto Soraia12,Viegas Juliana1,Martins Claúdia1,Almeida Helena12,Alves Inês1,Pinho Salomé123,Nunes Rute14,Harris Alan5,Sarmento Bruno14ORCID

Affiliation:

1. i3S‐Instituto de Investigação e Inovação em Saúde Universidade do Porto Porto 4200‐135 Portugal

2. ICBAS‐ Instituto Ciências Biomédicas Abel Salazar Universidade do Porto Porto 4050–313 Portugal

3. FMUP‐ Faculty of Medicine University of Porto Porto 4200–319 Portugal

4. IUCS‐CESPU‐Instituto Universitário de Ciências das Saúde Porto 4585‐116 Portugal

5. Ferring Pharmaceuticals 1162‐Saint‐Prex SA Chemin de la Vergognausaz 50 Switzerland

Abstract

AbstractInflammatory Bowel Disease (IBD) is a chronic inflammatory condition affecting the gastrointestinal tract (GIT). Glucagon‐like peptide‐2 (GLP‐2) analogs possess high potential in the treatment of IBD by enhancing intestinal repair and attenuating inflammation. Due to the enzymatic degradation and poor intestinal absorption, GLP‐2 analogs are administered parenterally, which leads to poor patient compliance. This work aims to develop IBD‐targeted nanoparticles (NPs) for the oral delivery of the GLP‐2 analog, Teduglutide (TED). Leveraging the overproduction of Reactive Oxygen Species (ROS) in the IBD environment, ROS‐sensitive NPs are developed to target the intestinal epithelium, bypassing the mucus barrier. PEGylation of NPs facilitates mucus transposition, but subsequent PEG removal is crucial for cellular internalization. This de‐PEGylation is possible by including a ROS‐sensitive thioketal linker within the system. ROS‐sensitive NPs are established, with the ability to fully de‐PEGylate via ROS‐mediated cleavage. Encapsulation of TED into NPs resulted in the absence of absorption in 3D in vitro models, potentially promoting a localized action, and avoiding adverse effects due to systemic absorption. Upon oral administration to colitis‐induced mice, ROS‐sensitive NPs are located in the colon, displaying healing capacity and reducing inflammation. Cleavable PEGylated NPs demonstrate effective potential in managing IBD symptoms and modulating the disease's progression.

Publisher

Wiley

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