Review Article

Polymer-Based Delivery of Glucagon-Like Peptide-1 for the Treatment of Diabetes

Table 3

Classification of GLP-1 or GLP-1-related mimetic peptides modified with polymers via chemical conjugation.

Delivery carriersTherapeutic materialModified peptideCharacterizationsApplicationsIn vivo injection routeGlycemic effect periodDiabetes typeRef

ReGelGLP-1ZnGLP-1 in ReGelSustained release of zinc-complexed GLP-1 formulated in ReGel (triblocopolymers)In vitro and in vivo (ZDF rats)s.c. (1x)2 weeksT2D[42]
VAP and alginateGLP-1VAPGRat islets and VAPG macroencapsulated in alginateIn vitroInsulinotropic effect[43]
PLGAExendin-4Palmityl-acylated exendin-4palmityl-acylated exendin-4 adsorbed onto porous PLGA microparticleIn vitro and in vivo (db/db mice)Pulmonary (1x)5 daysT2D[44]

PEGGLP-1mPEG-Lys-GLP-1 PEGylated GLP-1 peptide with 2 k mPEG at free amine function groups in C-terminal (Lys26 and Lys34)In vitro and in vivo (SD rats)i.v. or s.c. (1x)Pharmaco-kinetics (2 h)T2D[45]
Exendin-4 and glucagon agonistDual-acting hybrid peptide with several mutations PEGylated either GLP-1 or exendin-4 and a glucagon receptor antagonist peptide with 22 or 43 kDa PEGIn vitro and in vivo (Wistar rats)s.c. (1x)17 h (IPTGT)T2D[46]
AlbuminGLP-1CJC-1131GLP-1 with a short covalent reactive chemical linker that interacts with a specific cysteine residue in the albumin moleculeIn vitro and in vivo (db/db mice)i.p. or s.c. (2x daily for 4 weeks)6 weeksT2D[47]
Albumin-PEGExendin-4HAS-PEG-exendin-4Exendin-4-conjugated with human serum albumin via heterobifunctional PEGIn vitro and in vivo (db/db mice)i.p. (1x)120 hT2D[48]

GLP-1GLP-1 containing disulfide bondCysteine residue mutated at position of 10, 23, and 30 in wild-type GLP-1In vivo (SD or ZDF rats)s.c. (7x)35 daysT2D[49]
GLP-1 or Exexdin-4GLP-1 or exendin-4 containing additional disulfide bond and glycine residuesSeveral cysteine residues mutations in native GLP-1 and insertion of one or more glycine residues at C-terminalIn vitro and in vivo (SD or ZDF rats)s.c. (7x)35 daysT2D[50]

CJC-1131: drug affinity complex drug affinity complex (DAC).
VAPG: poly(N-vinylpyrrolidone-co-acrylic acid-g-PEG) (VAP)-GLP-1.
i.v., s.c., or i.p.: intravenous, subcutaneous, or intraperitoneal injection.
IPGTT: intraperitoneal glucose tolerance test.
T2D: type 2 diabetes.