An Engineered Nanosugar Enables Rapid and Sustained Glucose-Responsive Insulin Delivery in Diabetic Mice.

Rong Xu; Sukhvir Kaur Bhangu; Karly C Sourris; Domitilla Vanni; Marc-Antoine Sani; John A Karas; Karen Alt; Be'eri Niego; Anukreity Ale; Quinn A Besford; Brendan Dyett; Joshua Patrick; Irena Carmichael; Jonathan E Shaw; Frank Caruso; Mark E Cooper; Christoph E Hagemeyer; Francesca Cavalieri
Abstract
Glucose-responsive insulin-delivery platforms that are sensitive to dynamic glucose concentration fluctuations and provide both rapid and prolonged insulin release have great potential to control hyperglycemia and avoid hypoglycemia diabetes. Here, biodegradable and charge-switchable phytoglycogen nanoparticles capable of glucose-stimulated insulin release are engineered. The nanoparticles are "nanosugars" bearing glucose-sensitive phenylboronic acid groups and amine moieties that allow effective complexation with insulin (≈95% loading capacity) to form nanocomplexes. A single subcutaneous injection of nanocomplexes shows a rapid and efficient response to a glucose challenge in two distinct diabetic mouse models, resulting in optimal blood glucose levels (below 200 mg dL ) for up to 13 h. The morphology of the nanocomplexes is found to be key to controlling rapid and extended glucose-regulated insulin delivery in vivo. These studies reveal that the injected nanocomplexes enabled efficient insulin release in the mouse, with optimal bioavailability, pharmacokinetics, and safety profiles. These results highlight a promising strategy for the development of a glucose-responsive insulin delivery system based on a natural and biodegradable nanosugar.-1
Journal
ISSN 1521-4095
Published 12 Mar 2023
Volume
Issue
Pages e2210392 e2210392
DOI 10.1002/adma.202210392
Type Journal Article
Sponsorship NHMRC: 1173952