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  2002 Amercan Diabetes Association 62nd Scientific Sessions  
   
  Significant Hypoglycemic Effect of a Perorally-delivered Insulin in the Treatment of Streptozocin-induced Diabetic Rats

Frank K Leung , Jiang Li, Lanqi Huang and Emily Leung

The effectiveness of an oral insulin (Musulin) in streptozocin-treated diabetic rats was evaluated by a single-dose or multiple-doses algorithm method,administered perorally. Experimental and control groups were performed concurrently and matched with comparable weight(230 gm),age(4-5 months) and initial glucose levels (330 mg/ml). The differences in these parameters were statistically insignificant between these two groups. Statistical analysis was performed using SAS 8.0.Experiment 1 (single-dose, 0.4u/gm): Glucose was sampled from the Jugular vein at time: 0, 15, 30, 60, 120, 180, 300, 360, 420, 480 min. Results of normalized glucose - Control group (N=4): 100, 106, 114, 105, 102, 89, 86, 75, 77, 55, 57. Musulin-treated group (N=4): 100, 101, 95, 61, 45, 37, 29, 32, 33, 36. Sustained statistically significant hypoglycemia occurred at 60, 120, 180, 300 min. ( p<0.025, 0.009, 0.004, 0.02 )and glucose was lowered by 44.8 - 57.4%. Experiment 2 (algorithm method): Glucose was sampled from the tails at 9 AM and 4 PM daily for 3 weeks. No insulin was given if the glucose was at or below 150 mg/ml. Musulin was administered perorally at 0.05 unit for each 1 mg/ml glucose rose above 150 mg/ml in week 1, the dose was increased to 0.1 unit in week 2 and then, to 0.2 unit in week 3. Statistical analysis was performed by SAS 8.0, compound symmetry of within covariance matrix and repeated measures of ANOVA. Results of glucose levels - Week 1: AM glucose difference between control (N=8) and Musulin group (N=12) was 100.63 (S.E. 35.33), P<0.01; PM difference was 123.87 (S.E. 37.4), P<0.004. Week 2: AM difference was 107.63 (S.E. 40.94), P<0.01 and PM difference was 135.98 ( S.E. 38.92), P<0.0026. In Week 2, 4 control and 9 Musulin survived. 2 Musulin rats died of hypoglycemia.In Week 3, 2 control and 9 Musulin survived.Conclusion: 1) Musulin is effective in lowering glucose levels, delivered perorally as a single dose or multiple doses by algorithm method in diabetic rats.2) Hypoglycemia occurred within 60 min. 3) More diabetic rats survived when treated with Musulin than control over a 3 weeks period.

 
  Marked Triglyceride-lowering Effect of Intraduodenum-delivered Oral Insulin, Simavastatin and Pravastatin Formulated with Coremed's Drug Delivery System

Frank K Leung , Jiang Li, Lanqi Huang and Emily Leung

In human studies of primary hypercholesterolemia and Type IV hypertriglyceridemia, atrovastatin (A) performs better than simavastatin(S) and pravastatin(P)in its cholesterol- and triglyceride-lowering efficacy. In rats, these drugs also have significant triglyceride-lowering effect which correlates positively with the cholesterol-lowering action in human study. The current study compared the triglyceride-lowering effect of S, P and oral insulin formulated with Coremed’s drug delivery system which is designed for intraduodenal delivery to A with Lipitor (Pfizer) formulation and placebo. After 12 hours fast, a group of 5 rats (250-300 gm) each was given 5 mg of S, or 5 mg of P or oral insulin (Intesulin 0.2 u/gm) intraduodenally with a 30 gauge syringe. Control group consisted of 5 rats each was given placebo intraduodenally or 5 mg of A intragastrically. Jugular vein blood was sampled and pooled for triglyceride measurements hourly for 8 hours. In the oral insulin and placebo groups, blood was also sampled at 24, 36 and 48 hours. Results: The nadir in the oral insulin group occurred at 24 hours. For other groups, the low point occurred at 8th hour. In comparison to the placebo, A lowered triglyceride by -15.3%, S by -44.7%, P by -83.7% and oral insulin by -60% at the lowest point respectively. In conclusion, our preliminary data suggested that intraduodenal-delivered simavastatin and pravastatin formulated with Coremed’s drug delivery system performed much better than atrovastatin delivered intragastrically in lowering triglyceride levels.Coremed’s oral insulin has triglyceride-lowering efficacy comparable to the inhibitors of HMG CoA reductase with sustained action lasting over 24 hours. Back to top

 
 
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