Photoactive intragastric satiety-inducing device using polymeric photosensitizers for minimally invasive weight loss treatment.

ABSTRACT

An intragastric satiety-inducing device (ISD) located in the stomach induce satiety and fullness in the absence of food by continuously pressing on the distal esophagus and cardia of the stomach. To improve the therapeutic function of ISD, Chlorin e6 (Ce6) was embedded in a disk portion of ISD, generating reactive oxygen species and stimulating endocrine cells under the laser irradiation. Since Ce6 has remarkable light efficiency but poor solubility in various solvents, it is essential to use a polymeric photosensitizer and optimize a suitable coating solution composition. Methoxy polyethylene glycol-Ce6 was uniformly coated and the spontaneous release amount of the Ce6 from the device could be reduced, which induced photo-responsive cell death and reduced ghrelin levels in vitro. In mini pigs operated single therapy (PDT or ISD) or combination therapy (Photoreactive ISD), there were differences in body weight (control 28% vs. Photoreactive ISD 4%, P < 0.001), ghrelin (control 4% vs. Photoreactive ISD 35%, P < 0.001), and leptin levels (control 8% vs. Photoreactive PDT 35%, P < 0.001) at 4 weeks.