Mimicking chronic glaucoma over 6 months with a single intracameral injection of dexamethasone/fibronectin-loaded PLGA microspheres

Drug Deliv. 2022 Dec;29(1):2357-2374. doi: 10.1080/10717544.2022.2096712.

Abstract

To create a chronic glaucoma animal model by a single intracameral injection of biodegradable poly lactic-co-glycolic acid (PLGA) microspheres (Ms) co-loaded with dexamethasone and fibronectin (MsDexaFibro). MsDexaFibro were prepared by a water-in-oil-in-water emulsion method including dexamethasone in the organic phase and fibronectin in the inner aqueous phase. To create the chronic glaucoma model, an interventionist and longitudinal animal study was performed using forty-five Long Evans rats (4-week-old). Rats received a single intracameral injection of MsDexafibro suspension (10%w/v) in the right eye. Ophthalmological parameters such as clinical signs, intraocular pressure (IOP), neuro-retinal functionality by electroretinography (ERG), retinal structural analysis by optical coherence tomography (OCT), and histology were evaluated up to six months. According to the results obtained, the model proposed was able to induce IOP increasing in both eyes over the study, higher in the injected eyes up to 6 weeks (p < 0.05), while preserving the ocular surface. OCT quantified progressive neuro-retinal degeneration (mainly in the retinal nerve fiber layer) in both eyes but higher in the injected eye. Ganglion cell functionality decreased in injected eyes, thus smaller amplitudes in PhNR were detected by ERG. In conclusion, a new chronic glaucoma animal model was created by a single injection of MsDexaFibro very similar to open-angle glaucoma occurring in humans. This model would impact in different fields such as ophthalmology, allowing long period of study of this pathology; pharmacology, evaluating the neuroprotective activity of active compounds; and pharmaceutical technology, allowing the correct evaluation of the efficacy of long-term sustained ocular drug delivery systems.

Keywords: Glaucoma animal model; PLGA microspheres; intraocular pressure; multiloaded; neurodegeneration.

MeSH terms

  • Animals
  • Dexamethasone
  • Disease Models, Animal*
  • Fibronectins
  • Glaucoma* / chemically induced
  • Glaucoma, Open-Angle* / chemically induced
  • Glycols
  • Humans
  • Intraocular Pressure
  • Microspheres
  • Rats
  • Rats, Long-Evans
  • Water

Substances

  • Fibronectins
  • Glycols
  • Water
  • Dexamethasone

Grants and funding

This work was supported by Rio Hortega Research Grant M17/00213, PI17/01726, PI17/01946 (Instituto de Salud Carlos III), Grants MAT2017-83858-C2-2 and MAT2017-83858-C2-1 funded by MCIN/AEI/10.13039/501100011033 and by ‘ERDF A way of making Europe’, Grants PID2020-113281RB-C21 and PID2020-113281RB-C22 funded by MCIN/AEI/10.13039/501100011033. A.A.N thanks for the grant PRE2018-083951 funded by MCIN/AEI/10.13039/501100011033 and by ‘ESF Investing in your future’. D.G.H. acknowledges to UCM-Santander fellowship (CT17/17-CT17-18). The sponsor or funding organization had no role in the design or conduct of this research. This work was funded by Spanish Ministry of Science and Innovation.