Advancing the realization of oral insulin using novel peptide technology

For more than a century, oral insulin has been considered a "dream" therapy for diabetes, hindered by enzymatic degradation in the digestive tract and the absence of a dedicated intestinal transport mechanism. Consequently, many patients must rely on daily insulin injections, which can significantly reduce their quality of life.

A research team at Kumamoto University, led by Associate Professor Shingo Ito, has developed a breakthrough drug-delivery platform using a small-intestine-permeable cyclic peptide known as the DNP peptide, enabling efficient oral delivery of insulin.

The study is published in Molecular Pharmaceutics.

Two complementary strategies for oral delivery

The researchers established two effective approaches to facilitate the intestinal absorption of insulin:

  1. Mixing method (interaction-based): A modified “D-DNP-V peptide” was simply mixed with zinc-stabilized insulin hexamers. Oral administration to multiple diabetes models—including chemically induced (STZ mice) and genetic (Kuma mice) models—rapidly reduced blood glucose levels to the normal range. Consistent glycemic control was maintained with once-daily dosing for three consecutive days.
  2. Conjugation method (covalent-based): Using click chemistry, the DNP peptide was directly conjugated to insulin to form a “DNP–insulin conjugate.” This produced glucose-lowering effects comparable to the mixing method, confirming active peptide-mediated intestinal transport.

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