Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1-3
pubmed:dateCreated
2010-11-1
pubmed:abstractText
Linaclotide is a first-in-class, orally administered 14-amino acid peptide that is in development for the treatment of irritable bowel syndrome with constipation and chronic constipation. We have characterized the solution structure of linaclotide, the in vitro binding and agonist activity to guanylate cyclase C receptors, the stability of linaclotide under conditions mimicking the gastric environment, oral bioavailability, and the pharmacodynamic effects in rat models of gastrointestinal transit and intestinal secretion. Nuclear magnetic resonance spectroscopy analysis determined that the molecular structure of linaclotide is stabilized by three intramolecular disulfide bridges. Linaclotide exhibited high affinity and pH-independent binding (K(i): 1.23-1.64 nM) to guanylate cyclase C receptors on human colon carcinoma T84 cells and concomitantly, linaclotide binding resulted in a significant, concentration-dependent accumulation of intracellular cyclic guanosine-3', 5'-monophosphate (cGMP) (EC??:99 nM). Linaclotide was stable after 3 h incubation in simulated gastric fluid (pH 1) and similarly, was completely resistant to hydrolysis by pepsin. Pharmacokinetic analysis of linaclotide showed very low oral bioavailability (0.1%). Orally administered linaclotide elicited a significant, dose-dependent increase in gastrointestinal transit rates in rats at doses of ?5 ?g/kg. Exposure of surgically ligated small intestinal loops to linaclotide induced a significant increase in fluid secretion, accompanied by a significant increase in intraluminal cGMP levels. These results suggest that the guanylate cyclase C agonist linaclotide elicits potent pharmacological responses locally in the gastrointestinal tract, and that orally administered guanylate cyclase C agonists may be capable of improving bowel habits in patients suffering from irritable bowel syndrome with constipation and chronic constipation.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Dec
pubmed:issn
1879-0712
pubmed:author
pubmed:copyrightInfo
Copyright © 2010 Elsevier B.V. All rights reserved.
pubmed:issnType
Electronic
pubmed:day
15
pubmed:volume
649
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
328-35
pubmed:meshHeading
pubmed-meshheading:20863829-Animals, pubmed-meshheading:20863829-Binding, Competitive, pubmed-meshheading:20863829-Biological Availability, pubmed-meshheading:20863829-Cell Line, pubmed-meshheading:20863829-Cells, Cultured, pubmed-meshheading:20863829-Constipation, pubmed-meshheading:20863829-Cyclic GMP, pubmed-meshheading:20863829-Dose-Response Relationship, Drug, pubmed-meshheading:20863829-Enzyme Activation, pubmed-meshheading:20863829-Female, pubmed-meshheading:20863829-Gastrointestinal Transit, pubmed-meshheading:20863829-Humans, pubmed-meshheading:20863829-Intestinal Mucosa, pubmed-meshheading:20863829-Intestinal Secretions, pubmed-meshheading:20863829-Irritable Bowel Syndrome, pubmed-meshheading:20863829-Laxatives, pubmed-meshheading:20863829-Male, pubmed-meshheading:20863829-Peptides, pubmed-meshheading:20863829-Protein Conformation, pubmed-meshheading:20863829-Protein Stability, pubmed-meshheading:20863829-Rats, pubmed-meshheading:20863829-Receptors, Guanylate Cyclase-Coupled, pubmed-meshheading:20863829-Receptors, Peptide
pubmed:year
2010
pubmed:articleTitle
Linaclotide, through activation of guanylate cyclase C, acts locally in the gastrointestinal tract to elicit enhanced intestinal secretion and transit.
pubmed:affiliation
Ironwood Pharmaceuticals Inc., 301 Binney Street, Cambridge, MA, 02142, USA. rbusby@ironwoodpharma.com
pubmed:publicationType
Journal Article