Fiorani Lavinia, Maccarone Rita, Fernando Nilisha, Colecchi Linda, Bisti Silvia, Valter Krisztina
Biotechnology and Applied Clinical Sciences Department, University of L'Aquila.
ARC Centre of Excellence in Vision Science; John Curtin School of Medical Research, Australian National University.
J Vis Exp. 2014 Sep 17(91):51563. doi: 10.3791/51563.
Diseases of the retina are difficult to treat as the retina lies deep within the eye. Invasive methods of drug delivery are often needed to treat these diseases. Chronic retinal diseases such as retinal oedema or neovascularization usually require multiple intraocular injections to effectively treat the condition. However, the risks associated with these injections increase with repeated delivery of the drug. Therefore, alternative delivery methods need to be established in order to minimize the risks of reinjection. Several other investigations have developed methods to deliver drugs over extended time, through materials capable of releasing chemicals slowly into the eye. In this investigation, we outline the use of Elvax 40W, a copolymer resin, to act as a vehicle for drug delivery to the adult rat retina. The resin is made and loaded with the drug. The drug-resin complex is then implanted into the vitreous cavity, where it will slowly release the drug over time. This method was tested using 2-amino-4-phosphonobutyrate (APB), a glutamate analogue that blocks the light response of the retina. It was demonstrated that the APB was slowly released from the resin, and was able to block the retinal response by 7 days after implantation. This indicates that slow-release drug delivery using this copolymer resin is effective for treating the retina, and could be used therapeutically with further testing.
视网膜疾病难以治疗,因为视网膜位于眼睛深处。治疗这些疾病通常需要采用侵入性给药方法。诸如视网膜水肿或新生血管形成等慢性视网膜疾病通常需要多次眼内注射才能有效治疗。然而,与这些注射相关的风险会随着药物的反复给药而增加。因此,需要建立替代给药方法以尽量减少再次注射的风险。其他一些研究已经开发出通过能够将化学物质缓慢释放到眼睛中的材料来长时间给药的方法。在本研究中,我们概述了使用乙烯 - 醋酸乙烯共聚物树脂(Elvax 40W)作为向成年大鼠视网膜给药的载体。该树脂被制造出来并装载药物。然后将药物 - 树脂复合物植入玻璃体腔,在那里它会随着时间的推移缓慢释放药物。使用2 - 氨基 - 4 - 膦酰丁酸(APB)对该方法进行了测试,APB是一种谷氨酸类似物,可阻断视网膜的光反应。结果表明,APB从树脂中缓慢释放,并且在植入后7天能够阻断视网膜反应。这表明使用这种共聚物树脂进行缓释给药对视网膜治疗有效,并且经过进一步测试后可用于治疗。