J. Heyrovský Institute of Physical Chemistry, Czech Academy of Sciences, Dolejškova 3, 18223 Prague, Czech Republic; Department of Physical and Macromolecular Chemistry, Faculty of Science, Charles University, Hlavova 8, 12800 Prague, Czech Republic.
J. Heyrovský Institute of Physical Chemistry, Czech Academy of Sciences, Dolejškova 3, 18223 Prague, Czech Republic.
Int J Pharm. 2023 Oct 15;645:123367. doi: 10.1016/j.ijpharm.2023.123367. Epub 2023 Sep 4.
Glaucoma is a leading cause of blindness worldwide, with elevated intraocular pressure being a major risk factor for its development and progression. First-line treatment for glaucoma relies on the administration of prostaglandin analogs, with latanoprost being the most widely used. However, before latanoprost reaches the cornea, it must pass through the tear film and tear film lipid layer (TFLL) on the ocular surface. Given the significant lipophilicity of latanoprost, we hypothesize that TFLL could, to a certain extent, act as a reservoir for latanoprost, releasing it on longer time scales, apart from the fraction being directly delivered to the cornea in a post-instillation mechanism. We investigated this possibility by studying latanoprost behavior in acellular in vitro TFLL models. Furthermore, we employed in silico molecular dynamics simulations to rationalize the experimental results and obtain molecular-level insight into the latanoprost-TFLL interactions. Our experiments demonstrated that latanoprost indeed accumulates in the TFLL models, and our simulations explain the basis of the accumulation mechanism. These results support the hypothesis that TFLL can serve as a reservoir for latanoprost, facilitating its prolonged release. This finding could have significant implications for optimizing glaucoma treatment, especially in the development of new drug delivery systems targeting the TFLL.
青光眼是全球范围内导致失明的主要原因之一,眼内压升高是其发展和进展的主要危险因素。青光眼的一线治疗依赖于前列腺素类似物的给药,其中拉坦前列素应用最广泛。然而,在拉坦前列素到达角膜之前,它必须穿过眼表面的泪膜和泪膜脂质层(TFLL)。鉴于拉坦前列素具有显著的亲脂性,我们假设 TFLL 可以在一定程度上充当拉坦前列素的储库,除了通过滴眼后机制直接递送到角膜的部分之外,在更长的时间尺度上释放它。我们通过研究无细胞体外 TFLL 模型中的拉坦前列素行为来研究这种可能性。此外,我们还采用了基于分子动力学的计算机模拟来合理化实验结果,并从分子水平深入了解拉坦前列素-TFLL 相互作用。我们的实验表明,拉坦前列素确实在 TFLL 模型中积累,而我们的模拟解释了积累机制的基础。这些结果支持了 TFLL 可以作为拉坦前列素的储库的假设,促进其缓慢释放。这一发现可能对优化青光眼治疗具有重要意义,特别是在开发针对 TFLL 的新药物输送系统方面。
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