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玻璃体内可生物降解聚(D,L-丙交酯-乙交酯)酸微球的生物降解及组织反应

Biodegradation and tissue reaction to intravitreous biodegradable poly(D,L-lactic-co-glycolic)acid microspheres.

作者信息

Giordano G G, Chevez-Barrios P, Refojo M F, Garcia C A

机构信息

Department of Ophthalmology, University of Texas Health Science Center, Houston 77027, USA.

出版信息

Curr Eye Res. 1995 Sep;14(9):761-8. doi: 10.3109/02713689508995797.

Abstract

We studied the biodegradation of and the tissue reaction to microspheres of 50:50 poly(D,L-lactic-co-glycolic)acid (PLGA) (viscosity-average MW: 3000 d), injected intravitreous in rabbits. These microspheres are under investigation as injectable devices for intravitreous sustained drug delivery. The rate of intravitreous degradation of PLGA microspheres has not been well documented in the literature. Twenty two pigmented rabbits underwent gas vitrectomy in one eye: 19 eyes received 2.5 mg of PLGA microspheres in 1 ml of balanced salt solution (BSS) and 3 control eyes received 1 ml of BSS only. Slit lamp exam and indirect ophthalmoscopy were performed periodically from day 1 to 6 months after surgery. The eyes were enucleated and studied by light microscopy and immunohistochemistry at various time points. The electroretinogram (ERG) was recorded in a subgroup of rabbits before injection and after 1 and 6 months. The amount of microspheres in the vitreous cavity progressively decreased. At 6 months microspheres were found in 1/4 rabbits at indirect ophthalmoscopy and in 4/4 rabbits histopathologically. A mild localized, non progressive foreign body reaction was observed. The cell reaction was composed mostly of vimentin and glial fibrillary acidic protein positive cells which probably represent glial cells and fibroblasts. The choroid and retina were normal. The ERG showed no abnormalities. No clinical inflammatory signs were observed 4 days postoperatively and thereafter.

摘要

我们研究了50:50聚(D,L-乳酸-共-乙醇酸)(PLGA)(粘均分子量:3000 d)微球在兔眼玻璃体内的生物降解情况及其组织反应。这些微球作为玻璃体内持续给药的可注射装置正在研究中。PLGA微球在玻璃体内的降解速率在文献中尚未有充分记载。22只有色兔的一只眼睛接受了气体玻璃体切除术:19只眼睛在1毫升平衡盐溶液(BSS)中注射了2.5毫克PLGA微球,3只对照眼仅接受了1毫升BSS。术后第1天至6个月定期进行裂隙灯检查和间接检眼镜检查。在不同时间点摘除眼球并进行光学显微镜和免疫组织化学研究。在一组兔子注射前、注射后1个月和6个月记录视网膜电图(ERG)。玻璃体内微球的数量逐渐减少。在6个月时,间接检眼镜检查发现1/4的兔子有微球,组织病理学检查发现4/4的兔子有微球。观察到轻度局限性、非进行性异物反应。细胞反应主要由波形蛋白和胶质纤维酸性蛋白阳性细胞组成,这些细胞可能代表胶质细胞和成纤维细胞。脉络膜和视网膜正常。ERG未显示异常。术后4天及之后未观察到临床炎症迹象。

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