Inhibition of proliferative vitreoretinopathy by a newly developed methotrexate loaded drug carrier in vitro

Purpose: Repeated intravitreal injections of methotrexate for proliferative vitreoretinopathy, a rare ocular condition that can cause vision loss, have shown beneficial effects in recent clinical studies. The purpose of this study was to develop a slow-release, long-term drug carrier composed of the...

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Main Authors: Sebastian S. Arrow, Simone C. Felis, Anna Hillenmayer, Laura D. Strehle, Susanna F. Koenig, Efstathios Vounotrypidis, Armin Wolf, Christian M. Wertheimer
Format: Article
Language:English
Published: Elsevier 2023-02-01
Series:Biomedicine & Pharmacotherapy
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0753332222014779
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author Sebastian S. Arrow
Simone C. Felis
Anna Hillenmayer
Laura D. Strehle
Susanna F. Koenig
Efstathios Vounotrypidis
Armin Wolf
Christian M. Wertheimer
author_facet Sebastian S. Arrow
Simone C. Felis
Anna Hillenmayer
Laura D. Strehle
Susanna F. Koenig
Efstathios Vounotrypidis
Armin Wolf
Christian M. Wertheimer
author_sort Sebastian S. Arrow
collection DOAJ
description Purpose: Repeated intravitreal injections of methotrexate for proliferative vitreoretinopathy, a rare ocular condition that can cause vision loss, have shown beneficial effects in recent clinical studies. The purpose of this study was to develop a slow-release, long-term drug carrier composed of the polymer polylactide-co-glycolide and methotrexate that can be injected intravitreally. Methods: The required composition of the drug carrier was modeled using pharmacokinetic parameters based on current literature. Release kinetics were determined using an ocular pharmacokinetic model. Epiretinal PVR-membranes were harvested during pars plana vitrectomy and subsequently transferred to cell culture. The effect of the drug carrier on cell migration was investigated using time-lapse microscopy and a scratch-induced migration assay. The colorimetric WST-1-assay and a live-dead-assay were performed to determine viability, and the BrdU-assay was applied for proliferation. Results: The release profile showed an initial and a final burst of methotrexate with an intervening steady state that lasted 9–11 weeks. It showed inhibitory effects on pathobiological processes in human PVR-cells in vitro. Cell velocity in the time-lapse assay, migration in the scratch assay (p = 0.001), and proliferation in the BrdU assay (p = 0.027) were reduced after addition of the drug carrier. These effects occurred without causing a reduction in viability in the WST-1 assay (p > 0.99) and the live-dead assay. Conclusion: The methotrexate-loaded drug carrier can maintain a stable concentration for 9–11 weeks and influence the pathobiological process of PVR cells in vitro. Therefore, it represents a potential therapeutic orphan drug for PVR.
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spelling doaj.art-026263395ee64c48b42991d15a06f44a2023-01-14T04:25:41ZengElsevierBiomedicine & Pharmacotherapy0753-33222023-02-01158114088Inhibition of proliferative vitreoretinopathy by a newly developed methotrexate loaded drug carrier in vitroSebastian S. Arrow0Simone C. Felis1Anna Hillenmayer2Laura D. Strehle3Susanna F. Koenig4Efstathios Vounotrypidis5Armin Wolf6Christian M. Wertheimer7Correspondence to: Augenklinik der Universität Ulm, Prittwitzstr. 43, 89075 Ulm, Deutschland, Germany.; Department of Ophthalmology, University Hospital Ulm, Prittwitzstraße 43, 89075 Ulm, GermanyDepartment of Ophthalmology, University Hospital Ulm, Prittwitzstraße 43, 89075 Ulm, GermanyDepartment of Ophthalmology, University Hospital Ulm, Prittwitzstraße 43, 89075 Ulm, GermanyDepartment of Ophthalmology, University Hospital Ulm, Prittwitzstraße 43, 89075 Ulm, GermanyDepartment of Ophthalmology, University Hospital Ulm, Prittwitzstraße 43, 89075 Ulm, GermanyDepartment of Ophthalmology, University Hospital Ulm, Prittwitzstraße 43, 89075 Ulm, GermanyDepartment of Ophthalmology, University Hospital Ulm, Prittwitzstraße 43, 89075 Ulm, GermanyDepartment of Ophthalmology, University Hospital Ulm, Prittwitzstraße 43, 89075 Ulm, GermanyPurpose: Repeated intravitreal injections of methotrexate for proliferative vitreoretinopathy, a rare ocular condition that can cause vision loss, have shown beneficial effects in recent clinical studies. The purpose of this study was to develop a slow-release, long-term drug carrier composed of the polymer polylactide-co-glycolide and methotrexate that can be injected intravitreally. Methods: The required composition of the drug carrier was modeled using pharmacokinetic parameters based on current literature. Release kinetics were determined using an ocular pharmacokinetic model. Epiretinal PVR-membranes were harvested during pars plana vitrectomy and subsequently transferred to cell culture. The effect of the drug carrier on cell migration was investigated using time-lapse microscopy and a scratch-induced migration assay. The colorimetric WST-1-assay and a live-dead-assay were performed to determine viability, and the BrdU-assay was applied for proliferation. Results: The release profile showed an initial and a final burst of methotrexate with an intervening steady state that lasted 9–11 weeks. It showed inhibitory effects on pathobiological processes in human PVR-cells in vitro. Cell velocity in the time-lapse assay, migration in the scratch assay (p = 0.001), and proliferation in the BrdU assay (p = 0.027) were reduced after addition of the drug carrier. These effects occurred without causing a reduction in viability in the WST-1 assay (p > 0.99) and the live-dead assay. Conclusion: The methotrexate-loaded drug carrier can maintain a stable concentration for 9–11 weeks and influence the pathobiological process of PVR cells in vitro. Therefore, it represents a potential therapeutic orphan drug for PVR.http://www.sciencedirect.com/science/article/pii/S0753332222014779Proliferative vitreretinopathyRetinal detachmentSlow-release drug carrierMethotrexatePolylactide-co-glycolideOrphan drug
spellingShingle Sebastian S. Arrow
Simone C. Felis
Anna Hillenmayer
Laura D. Strehle
Susanna F. Koenig
Efstathios Vounotrypidis
Armin Wolf
Christian M. Wertheimer
Inhibition of proliferative vitreoretinopathy by a newly developed methotrexate loaded drug carrier in vitro
Biomedicine & Pharmacotherapy
Proliferative vitreretinopathy
Retinal detachment
Slow-release drug carrier
Methotrexate
Polylactide-co-glycolide
Orphan drug
title Inhibition of proliferative vitreoretinopathy by a newly developed methotrexate loaded drug carrier in vitro
title_full Inhibition of proliferative vitreoretinopathy by a newly developed methotrexate loaded drug carrier in vitro
title_fullStr Inhibition of proliferative vitreoretinopathy by a newly developed methotrexate loaded drug carrier in vitro
title_full_unstemmed Inhibition of proliferative vitreoretinopathy by a newly developed methotrexate loaded drug carrier in vitro
title_short Inhibition of proliferative vitreoretinopathy by a newly developed methotrexate loaded drug carrier in vitro
title_sort inhibition of proliferative vitreoretinopathy by a newly developed methotrexate loaded drug carrier in vitro
topic Proliferative vitreretinopathy
Retinal detachment
Slow-release drug carrier
Methotrexate
Polylactide-co-glycolide
Orphan drug
url http://www.sciencedirect.com/science/article/pii/S0753332222014779
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