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Larazotide is a peptide antagonist of α3β4 subunit-containing nicotinic acetylcholine receptors (nAChRs).1 It selectively inhibits epibatidine-induced calcium mobilization in HEK293 cells expressing human α3β4 subunit-containing nAChRs over HEK293 cells expressing α4β2 subunit-containing nAChRs (IC50s = 91 and 276 nM, respectively). Larazotide (100 µM) decreases inflammatory cytokine-induced tight junction dysfunction in isolated rat intestinal epithelial cells.2 In vivo, larazotide (0.3, 3, and 30 µg/kg) inhibits nicotine self-administration and varenicline-induced reinstatement of nicotine-seeking behavior in rats. It also increases intestinal epithelial cell bridging and decreases intestinal damage without reducing liver damage in a rat model of thioacetamide-induced acute liver failure.3
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2. The potential utility of tight junction regulation in celiac disease: focus on larazotide acetate. Therap. Adv. Gastroenterol. 9(1), 37-49 (2016).
3. 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).