Targeting enteral endocrinal L-cells with dietary carbohydrates, by increasing the availability of miglitol in the intestinal lumen, leads to multi-fold enhancement of plasma glucagon-like peptide-1 levels in non-diabetic canines

Drug Dev Ind Pharm. 2011 May;37(5):506-17. doi: 10.3109/03639045.2010.526123. Epub 2010 Dec 3.

Abstract

The principle aim of this study was to design a controlled release (CR), bioadhesive formulation of miglitol (in form of pellets) which would regulate the post-prandial glucose levels via reversible inhibition of α-glucosidase enzyme as well as by modulating the glucagon-like peptide-1 (GLP-1) pathway in non-diabetic canines. A multilayered pellet formulation which was both bioadhesive (because of hydroxy propyl methyl cellulose polymer) and CR (because of the ethyl cellulose layer) was formulated. We report a novel finding that the CR formulation of miglitol (S3) induced a 2.2-fold elevation in the C(max) as well as the overall AUC(0-24) of GLP-1 values in comparison to the non-CR (immediate release (IR) formulation). The S3 formulation also resulted in better, steady, and prolonged control of glucose levels over a time period of 7 h in comparison to the IR formulation possibly due to combination of both, prolonged inhibition of the α-glucosidase enzyme and enhanced plasma GLP-1 levels. The S3 formulation was stable with no changes in the dissolution profiles at both of the stability conditions tested, 25°C/60% RH and 40°C/75% RH. Aqueous polymeric coating of the pellets (in contrast to coating using organic solvents) resulted morphologically in a uniform polymeric film and also releases profiles with lower burst effect. Curing played a significant role in determining release profile of the pellets, prepared by aqueous polymeric coating method.

MeSH terms

  • 1-Deoxynojirimycin / administration & dosage
  • 1-Deoxynojirimycin / analogs & derivatives*
  • 1-Deoxynojirimycin / chemistry
  • 1-Deoxynojirimycin / pharmacokinetics
  • Animals
  • Biological Availability
  • Blood Glucose / drug effects
  • Blood Glucose / metabolism
  • Cellulose / analogs & derivatives
  • Cellulose / chemistry
  • Delayed-Action Preparations
  • Diabetes Mellitus, Type 2 / drug therapy
  • Dietary Carbohydrates / pharmacology*
  • Dogs
  • Drug Implants
  • Enteroendocrine Cells / drug effects
  • Enteroendocrine Cells / metabolism*
  • Glucagon-Like Peptide 1 / blood*
  • Glucagon-Like Peptide 1 / metabolism*
  • Glycoside Hydrolase Inhibitors
  • Intestine, Small / drug effects
  • Intestine, Small / metabolism*
  • Male
  • Methylcellulose / chemistry
  • Polymers / chemistry
  • Postprandial Period
  • Rats
  • Rats, Sprague-Dawley
  • alpha-Glucosidases / metabolism

Substances

  • Blood Glucose
  • Delayed-Action Preparations
  • Dietary Carbohydrates
  • Drug Implants
  • Glycoside Hydrolase Inhibitors
  • Polymers
  • miglitol
  • 1-Deoxynojirimycin
  • ethyl cellulose
  • Glucagon-Like Peptide 1
  • Cellulose
  • Methylcellulose
  • alpha-Glucosidases