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聚乙二醇单甲醚-聚己内酯修饰的咖啡酸滴眼液用于内毒素诱导的葡萄膜炎治疗。

mPEG-PCL modified Caffeic acid eye drops for endotoxin-induced uveitis treatment.

作者信息

Wu Yiping, Wang Lixu, Hu Chengda, Tian Ruikang

机构信息

Eye Hospital of Shandong First Medical University, Jinan, Shandong, China.

State Key Laboratory of Ophthalmology, Optometry and Vision Science, Eye Hospital, Wenzhou Medical University, Wenzhou, Zhejiang, People's Republic of China, 325000.

出版信息

Sci Rep. 2025 Mar 15;15(1):9018. doi: 10.1038/s41598-025-94296-4.

Abstract

The modulation of inflammatory mediators has emerged as a critical therapeutic strategy in uveitis management. Current nonsteroidal anti-inflammatory therapies face limitations due to systemic side effects. Caffeic acid (CA), a natural polyphenol with anti-inflammatory properties, holds therapeutic potential but suffers from poor solubility and ocular irritation. This study aimed to develop mPEG-PCL-modified CA-loaded nanoparticles (NanoCA) as a non-invasive eye drop formulation to enhance CA's solubility, bioavailability, and efficacy in treating endotoxin-induced uveitis (EIU). NanoCA was synthesized via the thin-film hydration method, characterized for size, zeta potential, drug loading, and release profile. Cytotoxicity was assessed in human corneal epithelial and RAW264.7 cells. Ocular tolerance was tested via slit-lamp and histopathological examinations. In vivo efficacy was evaluated in an EIU rat model using clinical scoring, histopathology, and immunofluorescence. NanoCA formed uniform nanospheres (42.40 ± 0.22 nm, -0.97 mV) with high encapsulation efficiency (99.17%). It exhibited sustained release over 12 h and reduced cytotoxicity compared to free CA. In EIU rats, NanoCA significantly suppressed inflammation, downregulated CD68 expression, and preserved aqueous barrier integrity. Histopathology confirmed minimal inflammatory infiltrates in NanoCA-treated eyes. The formulation demonstrated excellent ocular biocompatibility without corneal damage. NanoCA eye drops offer a safe, non-invasive therapeutic strategy for EIU, combining enhanced anti-inflammatory efficacy with high ocular tolerance. This nanoformulation presents a promising alternative to conventional CA delivery methods.

摘要

炎症介质的调节已成为葡萄膜炎治疗中的关键治疗策略。目前的非甾体抗炎疗法由于全身副作用而面临局限性。咖啡酸(CA)是一种具有抗炎特性的天然多酚,具有治疗潜力,但存在溶解度差和眼部刺激性的问题。本研究旨在开发mPEG-PCL修饰的载CA纳米颗粒(NanoCA)作为一种非侵入性滴眼剂配方,以提高CA在治疗内毒素诱导的葡萄膜炎(EIU)中的溶解度、生物利用度和疗效。通过薄膜水化法合成NanoCA,对其粒径、zeta电位、载药量和释放曲线进行表征。在人角膜上皮细胞和RAW264.7细胞中评估细胞毒性。通过裂隙灯和组织病理学检查测试眼部耐受性。在EIU大鼠模型中,使用临床评分、组织病理学和免疫荧光评估体内疗效。NanoCA形成均匀的纳米球(42.40±0.22nm,-0.97mV),包封率高(99.17%)。与游离CA相比,它在12小时内表现出持续释放并降低了细胞毒性。在EIU大鼠中,NanoCA显著抑制炎症,下调CD68表达,并保持房水屏障完整性。组织病理学证实NanoCA治疗的眼睛中炎症浸润最少。该配方表现出优异的眼部生物相容性,无角膜损伤。NanoCA滴眼液为EIU提供了一种安全、非侵入性的治疗策略,将增强的抗炎疗效与高眼部耐受性相结合。这种纳米制剂是传统CA递送方法的一种有前途的替代方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/71b5/11910657/fb62b9793498/41598_2025_94296_Fig1_HTML.jpg

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