Ward M S, Khoobehi A, Lavik E B, Langer R, Young M J
Schepens Eye Research Institute, Harvard Medical School, 20 Staniford Street, Boston, Massachusetts 02114, USA.
J Pharm Sci. 2007 Mar;96(3):558-68. doi: 10.1002/jps.20629.
This study aims to promote long-term retinal ganglion cell (RGC) survival in a spontaneous glaucoma model by injecting slow-release Poly(DL-lactide-co-glycolide) (PLGA) microspheres containing glial cell line-derived neurotrophic factor (GDNF) into the vitreous. Microspheres (1 microL) suspended in PBS were injected in ipsilateral eyes while contralateral eyes served as untreated controls. Mice were injected at 2 months intervals (1-4 injections) depending on the protocol. ELISA assay indicated a cumulative GDNF release of 35.4 ng/mg over 71 days. The release was nonlinear with an initial burst of over 50%. Mice displayed a 30% drop in RGC density by 8 months (p = 0.013) and 80% drop by 10 months (p < 0.01). GDNF delivery increased RGC survival in all groups. Mice receiving early treatment showed up to 3.5 times greater RGC density than untreated mice at 15 months survival (p < 0.05). No significant effect was found in sham or lens injury groups. Microsphere-delivered GDNF significantly increases long-term RGC survival in a spontaneous glaucoma model, although the nonlinear release kinetics suggest that burst release may play a role in this rescue. Neuroprotection with slow-release polymers with improved release kinetics should be further studied as a potential therapy for glaucoma and other diseases involving the loss of central nervous system neurons.
本研究旨在通过向玻璃体注射含有胶质细胞源性神经营养因子(GDNF)的缓释聚(DL-丙交酯-共-乙交酯)(PLGA)微球,促进自发性青光眼模型中视网膜神经节细胞(RGC)的长期存活。将悬浮于磷酸盐缓冲液(PBS)中的微球(1微升)注射到同侧眼,对侧眼作为未治疗对照。根据实验方案,小鼠每隔2个月注射一次(1至4次注射)。酶联免疫吸附测定(ELISA)表明,在71天内GDNF的累积释放量为35.4纳克/毫克。释放是非线性的,初始突释超过50%。到8个月时,小鼠的RGC密度下降了30%(p = 0.013),到10个月时下降了80%(p < 0.01)。GDNF给药增加了所有组中RGC的存活。在15个月存活期时,接受早期治疗的小鼠的RGC密度比未治疗小鼠高3.5倍(p < 0.05)。在假手术或晶状体损伤组中未发现显著影响。微球递送的GDNF显著增加了自发性青光眼模型中RGC的长期存活,尽管非线性释放动力学表明突释可能在这种挽救作用中发挥作用。具有改善释放动力学的缓释聚合物的神经保护作用应作为青光眼和其他涉及中枢神经系统神经元丧失的疾病的潜在治疗方法进一步研究。