That is real strength and determination to counter the drawback.  Pranam KR
IRS 20326

On Fri, 20 Mar 2026 at 05:56, APS Mani <[email protected]> wrote:

> I am glad that under the 'reference' most are Japanese.  In Japan, they
> have a systematic schedule to get rid of diabetes.  I tried there for four
> decades but did not succeed.  Back in my village for more than a decade
> now, I have been free from insulin injection for the last three months.  A
> humble effort on diet, routine stretching, and simple exercises fitting to
> my present age.  Happy,  Mani
>
> On Thu, Mar 19, 2026 at 1:57 PM Rajaram Krishnamurthy <
> [email protected]> wrote:
>
>> A new peptide-based drug-delivery strategy may bring scientists closer to
>> an oral form of insulin.
>>
>> For more than 100 years, scientists have pursued the idea of delivering
>> insulin as a pill. This goal has remained difficult to achieve because
>> insulin breaks down in the digestive system and the intestine lacks a
>> natural transport pathway that allows the hormone to enter the bloodstream.
>>
>> Because of these biological barriers, many people with diabetes still
>> depend on daily insulin injections, which can place a significant burden on
>> long-term treatment and quality of life.
>>
>> Researchers at Kumamoto University, led by Associate Professor Shingo
>> Ito, have now developed a promising drug delivery strategy designed to
>> overcome these obstacles. Their approach uses a cyclic peptide that can
>> pass through the small intestine. The molecule, called the DNP peptide,
>> helps insulin move across the intestinal barrier and into the body after
>> oral administration.
>>
>> Two Complementary Strategies for Oral Delivery
>>
>> The researchers established two effective approaches to facilitate the
>> intestinal absorption of insulin:
>>
>> Mixing method (interaction-based): In this approach, a modified “D-DNP-V
>> peptide” was mixed with zinc-stabilized insulin hexamers. When given orally
>> in several diabetes models, including chemically induced (STZ mice) and
>> genetic (Kuma mice) models, the treatment quickly lowered blood glucose
>> levels to the normal range. With once-daily dosing, stable glycemic control
>> was maintained for three straight days.
>>
>> Conjugation method (covalent-based): In the second approach, the team
>> used click chemistry to directly attach the DNP peptide to insulin,
>> creating a “DNP–insulin conjugate.” This version produced glucose-lowering
>> effects similar to those seen with the mixing method, supporting the idea
>> that the peptide actively drives intestinal transport of insulin.
>>
>> Overcoming the Dose Barrier
>>
>> One of the biggest challenges in developing oral insulin has been the
>> need for very large doses, often more than ten times the amount used in an
>> injection. In contrast, this platform reached a pharmacological
>> bioavailability of about 33–41% compared with subcutaneous injection.
>>
>> That finding suggests a major reduction in the amount of insulin required
>> for oral use and represents an important step toward real-world clinical
>> application.
>>
>> DNP Peptide Based Delivery Platform May Support Future Oral Insulin
>> Development
>>
>> Engineered DNP peptides—either fused to insulin-binding peptides or
>> covalently linked to insulin using click chemistry—directly enhanced
>> insulin absorption in mice. These findings demonstrate that DNP peptides
>> are versatile carriers for the oral delivery of macromolecular drugs,
>> offering a practical way to convert injectable biopharmaceuticals into
>> patient-friendly oral medicines. Credit: Chikamatsu et al.
>>
>> Perspective
>>
>> “Insulin injections remain a daily burden for many patients,” said
>> Associate Professor Shingo Ito. “Our peptide-based platform offers a new
>> route to deliver insulin orally and may be applicable to long-acting
>> insulin formulations and other injectable biologics.”
>>
>> The findings were published in the international journal Molecular
>> Pharmaceutics.
>>
>> The research team is now moving forward with translational studies.
>> Planned work includes testing the system in large animal models and
>> evaluating its performance in human intestinal systems.
>>
>> Reference: “Small Intestine-Permeable Cyclic Peptide-Based Technology
>> Enables Efficient Oral Delivery and Glycemic Efficacy of Zinc-Stabilized
>> Insulin Hexamer and Its Analogs in Diabetic Mice” by Shoma Chikamatsu,
>> Kosei Sakaguchi, Masataka Michigami, Kimi Araki, Shoen Kume, Midori
>> Tokuyasu, Takeshi Masuda, Ikuo Fujii, Sumio Ohtsuki and Shingo Ito, 24
>> November 2025, Molecular Pharmaceutics.
>>
>> KR IRS  19326
>>
>

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