Salmon calcitonin (sCT) is a therapeutic polypeptide hormone consisting of 32 amino acids (3432 daltons). It is currently marketed either as a solution for intramuscular or subcutaneous injection, or as a nasal spray in the treatment of postmenopausal osteoporosis, symptomatic Paget's disease of the bone, and hypercalcemia due to malignancy. Like other peptide therapeutics, sCT is easily degraded by proteolytic enzymes and exhibits a short elimination half-life and low bioavailability in humans. [1][2][3] The absolute bioavailability of sCT after subcutaneous injection has been reported as 11.2-23.1% in rats. 4,5) Administration of sCT via the nasal route results in a low bioavailability but is shown to be effective, decreasing the osteoclastic bone resorption in humans. [6][7][8] The presence of tryptic endopeptidase activities appears to be crucial for sCT cleavage in the nasal mucosa. 9,10) We previously reported a chemical modification of sCT by covalent linkage with polyethylene glycol (PEG).11-13) PEG may bind to sCT at lysine 11, lysine 18, and N-terminus (cysteine 1) positions, yielding mono-, di-, and tri-PEGylated sCTs depending on the number of attached PEG molecules per molecule of sCT. Therefore, PEG modification results in a heterogeneous mixture of mono-, di-, and tri-PEG-sCTs. Formation of mono-PEG-sCT appears to be favored over that of di-PEG-sCT, while the formation of tri-PEG-sCT is minimal. Mono-and di-PEGylated sCTs exhibit substantially improved stability in rat liver and kidney homogenates over unmodified sCT 11) while retaining the biological activity similar to that of unmodified sCT as examined by the adenosine cyclic 3Ј,5Ј-phosphate (cAMP) assay.
12)Unlike other previous studies [11][12][13][14] utilizing high molecular weight PEGs (MW 5000 and 12000) for chemical modification, this study used a lower molecular size succinimidylpropionated monomethoxy-propylene glycol (SP-mPEG, MW 2000). The nasal absorption of synthesized mono-PEG 2k -sCT was further examined in rats compared with that of unmodified sCT. The chemical modification of sCT with low MW PEG was anticipated to increase the nasal absorption due to improved metabolic stability in the nasal mucosa. Our findings showed that the nasal absorption kinetics of mono-PEG 2K -sCT was altered, exhibiting increased AUC, C max , t max , and t 1/2 as compared with those of unmodified sCT.
ExperimentalChemicals Salmon calcitonin (synthetic cyclic sCT) and Na 125 I were purchased from BACHEM (Torrance, CA, U.S.A.) and NEN (Boston, MA, U.S.A.), respectively. Succinimidyl-propionated monomethoxy-poly(ethylene glycol) (SP-mPEG, MW 2000) was purchased from Shearwater Polymers (Huntsville, AL, U.S.A). IODO-GEN was purchased from PIERCE (Rockford, IL, U.S.A.), and ketamine and xylazine from Sigma (St. Louis, MO, U.S.A). Acetonitrile and trifluoroacetic acid (HPLC grades) were purchased from J.T. Baker (Phillipsberg, NJ, U.S.A.) and Acros Organics (Springfield, NJ, U.S.A.), respectively. Other chemicals used in the study were of analytical grade.P...