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Mol Pharm. 2016 Mar 07;13(3):863-72. doi: 10.1021/acs.molpharmaceut.5b00794. Epub 2016 Feb 16.

A New Class of Safe Oligosaccharide Polymer Therapy To Modify the Mucus Barrier of Chronic Respiratory Disease.

Molecular pharmaceutics

Manon F Pritchard, Lydia C Powell, Georgina E Menzies, Paul D Lewis, Karl Hawkins, Chris Wright, Iolo Doull, Timothy R Walsh, Edvar Onsøyen, Arne Dessen, Rolf Myrvold, Philip D Rye, Astrid H Myrset, Howard N E Stevens, Lee A Hodges, Gordon MacGregor, James B Neilly, Katja E Hill, David W Thomas

Affiliations

  1. Advanced Therapies Group, School of Dentistry, Cardiff University , Cardiff CF14 4XY, U.K.
  2. Respiratory/Cystic Fibrosis Unit, Children's Hospital for Wales , Cardiff CF14 4XW, U.K.
  3. Medical Microbiology, School of Medicine, College of Biomedical and Life Sciences, Cardiff University , Cardiff CF14 4EP, U.K.
  4. AlgiPharma AS, Sandvika 1337, Norway.
  5. Bio-Images Drug Delivery Ltd., Glasgow G4 0SF, U.K.
  6. Gartnavel Hospital, Glasgow G12 0YN, U.K.
  7. Glasgow Royal Infirmary, Glasgow G4 0ET, U.K.

PMID: 26833139 DOI: 10.1021/acs.molpharmaceut.5b00794

Abstract

The host- and bacteria-derived extracellular polysaccharide coating of the lung is a considerable challenge in chronic respiratory disease and is a powerful barrier to effective drug delivery. A low molecular weight 12-15-mer alginate oligosaccharide (OligoG CF-5/20), derived from plant biopolymers, was shown to modulate the polyanionic components of this coating. Molecular modeling and Fourier transform infrared spectroscopy demonstrated binding between OligoG CF-5/20 and respiratory mucins. Ex vivo studies showed binding induced alterations in mucin surface charge and porosity of the three-dimensional mucin networks in cystic fibrosis (CF) sputum. Human studies showed that OligoG CF-5/20 is safe for inhalation in CF patients with effective lung deposition and modifies the viscoelasticity of CF-sputum. OligoG CF-5/20 is the first inhaled polymer therapy, represents a novel mechanism of action and therapeutic approach for the treatment of chronic respiratory disease, and is currently in Phase IIb clinical trials for the treatment of CF.

Keywords: alginate; cystic fibrosis; mucin; polymer therapy; safety; sputum; viscoelasticity

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