Vaneev Alexander N, Kost Olga A, Eremeev Nikolay L, Beznos Olga V, Alova Anna V, Gorelkin Peter V, Erofeev Alexander S, Chesnokova Natalia B, Kabanov Alexander V, Klyachko Natalia L
School of Chemistry, Lomonosov Moscow State University, 119991 Moscow, Russia.
Research Laboratory of Biophysics, National University of Science and Technology "MISIS", 119991 Moscow, Russia.
Biomedicines. 2021 Apr 7;9(4):396. doi: 10.3390/biomedicines9040396.
Inflammatory eye diseases remain the most common clinical problem in ophthalmology. The secondary processes associated with inflammation, such as overproduction of reactive oxygen species (ROS) and exhaustion of the endogenous antioxidant system, frequently lead to tissue degeneration, vision blurring, and even blindness. Antioxidant enzymes, such as copper-zinc superoxide dismutase (SOD1), could serve as potent scavengers of ROS. However, their delivery into the eye compartments represents a major challenge due to the limited ocular penetration. This work presents a new therapeutic modality specifically formulated for the eye on the basis of multilayer polyion complex nanoparticles of SOD1 (Nano-SOD1), which is characterized by appropriate storage stability and pronounced therapeutic effect without side reactions such as eye irritation; acute, chronic, and reproductive toxicity; allergenicity; immunogenicity; mutagenicity even at high doses. The ability of Nano-SOD1 to reduce inflammatory processes in the eye was examined in vivo in rabbits with a model immunogenic uveitis-the inflammation of the inner vascular tract of the eye. It was shown during preclinical studies that topical instillations of Nano-SOD1 were much more effective compared to the free enzyme in decreasing uveitis manifestations. In particular, we noted statistically significant differences in such inflammatory signs in the eye as corneal and conjunctival edema, iris hyperemia, and fibrin clots. Moreover, Nano-SOD1 penetrates into interior eye structures more effectively than SOD itself and retains enzyme activity in the eye for a much longer period of time, decreasing inflammation and restoring antioxidant activity in the eye. Thus, the presented Nano-SOD1 can be considered as a potentially useful therapeutic agent for the treatment of ocular inflammatory disorders.
炎症性眼病仍然是眼科最常见的临床问题。与炎症相关的继发性过程,如活性氧(ROS)的过度产生和内源性抗氧化系统的耗尽,常常导致组织退化、视力模糊甚至失明。抗氧化酶,如铜锌超氧化物歧化酶(SOD1),可以作为ROS的有效清除剂。然而,由于眼部穿透性有限,将它们递送至眼内各腔室是一项重大挑战。这项工作基于SOD1多层聚离子复合纳米颗粒(Nano-SOD1)提出了一种专门为眼睛设计的新治疗方式,其特点是具有适当的储存稳定性和显著的治疗效果,且无眼部刺激、急慢性和生殖毒性、致敏性、免疫原性、诱变性等副作用,即使在高剂量下也是如此。在患有免疫原性葡萄膜炎(眼内血管系统炎症)的兔子体内研究了Nano-SOD1减轻眼部炎症过程的能力。临床前研究表明,与游离酶相比,局部滴注Nano-SOD1在减轻葡萄膜炎表现方面更有效。特别是,我们注意到眼部的角膜和结膜水肿、虹膜充血和纤维蛋白凝块等炎症体征存在统计学上的显著差异。此外,Nano-SOD1比SOD本身更有效地穿透到眼内结构中,并在眼内保持酶活性的时间长得多,从而减轻炎症并恢复眼内的抗氧化活性。因此,所提出的Nano-SOD1可被视为治疗眼部炎症性疾病的潜在有用治疗剂。