School of Medicine, University of California Irvine, 843 Health Sciences Road, Irvine, CA, 92697, USA.
Gavin Herbert Eye Institute, Department of Ophthalmology, University of California Irvine, 843 Health Sciences Road, Irvine, CA, 92697, USA.
Exp Eye Res. 2023 Oct;235:109626. doi: 10.1016/j.exer.2023.109626. Epub 2023 Aug 29.
In this review, the designs and recent developments of polymer-based drug delivery of Poly(lactic-co-glycolic acid) (PLGA) will be discussed for the possible treatment of age-related macular degeneration (AMD). PLGA is a versatile co-polymer that consists of synthetic lactic acid and glycolic acid monomers that are constructed to produce nanoparticles, microparticles, and scaffolds for the intraocular delivery of various drugs. As an FDA-approved polymer, PLGA has historically been well-suited for systemic slow-sustained release therapies due to its performance in biodegradability and biocompatibility. This review will examine recent in vitro and in vivo studies that provide evidence for PLGA-based particles as a therapeutic drug carrier for the treatment of AMD. Anti-angiogenic and antiproliferative effects of small peptides, small molecules, RNA molecules, and proteins within PLGA particles are briefly discussed. AMD is a leading cause of central vision loss in people over 55 years and the number of those afflicted will rise as the aging population increases. AMD has two forms that are often sequential. Dry AMD and wet AMD account for 85-90% and 10-15% of cases, respectively. The distinct categories of PLGA-based drug delivery vehicles are important for dispensing novel small molecules, RNA molecules, peptides, and proteins as a long-term effective treatment of AMD.
在这篇综述中,将讨论用于治疗年龄相关性黄斑变性(AMD)的基于聚乳酸-共-羟基乙酸(PLGA)的聚合物药物传递系统的设计和最新进展。PLGA 是一种多功能共聚物,由合成的乳酸和羟基乙酸单体组成,可用于制备各种药物的纳米粒、微粒和支架,用于眼内传递。作为一种 FDA 批准的聚合物,PLGA 由于其在生物降解性和生物相容性方面的性能,历来非常适合用于全身缓慢持续释放疗法。本综述将研究最近的体外和体内研究,为基于 PLGA 的粒子作为治疗 AMD 的治疗药物载体提供证据。简要讨论了 PLGA 粒子中小肽、小分子、RNA 分子和蛋白质的抗血管生成和抗增殖作用。AMD 是 55 岁以上人群中心视力丧失的主要原因,随着人口老龄化的增加,受影响的人数将会增加。AMD 有两种形式,通常是顺序发生的。干性 AMD 和湿性 AMD 分别占 85-90%和 10-15%的病例。基于 PLGA 的药物传递系统的不同类别对于分配新型小分子、RNA 分子、肽和蛋白质作为 AMD 的长期有效治疗非常重要。