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Larazotide is a peptide zonulin antagonist.1 It inhibits human zonulin- or V. cholerae zonula occludens toxin-induced decreases in intestinal permeability in rhesus monkey ileal sheets at 1 µg/ml. Larazotide decreases inflammatory cytokine-induced tight junction dysfunction in isolated rat intestinal epithelial cells and inhibits the apical-to-basolateral translocation of a fragment of gliadin, a protein implicated in celiac disease, in Caco-2 intestinal epithelial cells.2,3 It increases intestinal epithelial cell bridging and decreases intestinal damage but does not reduce liver damage in a rat model of acute liver failure.4 Larazotide is also an antagonist of α3β4 nicotinic acetylcholine receptors (nAChRs; IC50 = 91 nM) and is selective for α3β4 nAChRs over α4β2 nAChRs (IC50 = 276 nM).5 It inhibits nicotine self-administration and varenicline-induced reinstatement of nicotine-seeking behavior in rats at 0.3, 3, and 30 µg/kg.
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1. Human zonulin, a potential modulator of intestinal tight junctions. J. Cell Sci. 113(Pt 24), 4435-4440 (2000).
2. The potential utility of tight junction regulation in celiac disease: focus on larazotide acetate. Therap. Adv. Gastroenterol. 9(1), 37-49 (2016).
3. Larazotide acetate regulates epithelial tight junctions in vitro and in vivo. Peptides 35(1), 86-94 (2012).
4. Effects of larazotide acetate, a tight junction regulator, on the liver and intestinal damage in acute liver failure in rats. Hum. Exp. Toxicol. 40 (12 suppl), S693-S701 (2021).
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