Release of ranibizumab using a porous poly(dimethylsiloxane) capsule suppressed laser-induced choroidal neovascularization via the transscleral route

Abstract The administration of anti-vascular endothelial growth factor drugs in the posterior eye segment with sustained release through less invasive methods is a challenge in the treatment of age-related macular disease. We developed a flexible capsule device using porous poly(dimethylsiloxane) (P...

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Main Authors: Nobuhiro Nagai, Reiko Daigaku, Remi Motoyama, Hirokazu Kaji, Toshiaki Abe
Format: Article
Language:English
Published: Springer 2022-12-01
Series:Journal of Materials Science: Materials in Medicine
Subjects:
Online Access:https://doi.org/10.1007/s10856-022-06705-z
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author Nobuhiro Nagai
Reiko Daigaku
Remi Motoyama
Hirokazu Kaji
Toshiaki Abe
author_facet Nobuhiro Nagai
Reiko Daigaku
Remi Motoyama
Hirokazu Kaji
Toshiaki Abe
author_sort Nobuhiro Nagai
collection DOAJ
description Abstract The administration of anti-vascular endothelial growth factor drugs in the posterior eye segment with sustained release through less invasive methods is a challenge in the treatment of age-related macular disease. We developed a flexible capsule device using porous poly(dimethylsiloxane) (PDMS) that was able to release ranibizumab. The porous PDMS sheet was fabricated by salt-leaching of a micro-sectioned PDMS sheet containing salt microparticles. Observation with scanning electron microscopy revealed that the pore densities could be adjusted by the concentration of salt. The in vitro release study showed that the release rate of fluorescein isothiocyanate-tagged albumin could be adjusted based on the pore density of the porous PDMS sheet. Ranibizumab could be released in a sustained-release manner for 16 weeks. The device was implanted on the sclera; its efficacy in terms of the suppression of laser-induced choroidal neovascularization (CNV) in rats was compared with that of monthly intravitreal injections of ranibizumab. At 8 and 18 weeks after implantation, the CNV area was significantly reduced in rats that received the ranibizumab-releasing device compared with those that received the placebo device. However, although monthly intravitreal injections of ranibizumab reduced CNV for 8 weeks, this reduction was not sustained for 18 weeks. In conclusion, we demonstrated a novel controlled-release device using a porous PDMS sheet that could suppress CNV via a less invasive transscleral route versus intravitreal injections. This device may also reduce the occurrence of side effects associated with frequent intravitreal injections. Graphical Abstract
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spelling doaj.art-08b22e6ab74d4f33a5c60af497abd7692023-01-01T12:12:08ZengSpringerJournal of Materials Science: Materials in Medicine1573-48382022-12-013411810.1007/s10856-022-06705-zRelease of ranibizumab using a porous poly(dimethylsiloxane) capsule suppressed laser-induced choroidal neovascularization via the transscleral routeNobuhiro Nagai0Reiko Daigaku1Remi Motoyama2Hirokazu Kaji3Toshiaki Abe4Division of Clinical Cell Therapy, United Centers for Advanced Research and Translational Medicine (ART), Tohoku University Graduate School of MedicineDivision of Clinical Cell Therapy, United Centers for Advanced Research and Translational Medicine (ART), Tohoku University Graduate School of MedicineDivision of Clinical Cell Therapy, United Centers for Advanced Research and Translational Medicine (ART), Tohoku University Graduate School of MedicineDepartment of Biomechanics, Institute of Biomaterials and Bioengineering, Tokyo Medical and Dental UniversityDivision of Clinical Cell Therapy, United Centers for Advanced Research and Translational Medicine (ART), Tohoku University Graduate School of MedicineAbstract The administration of anti-vascular endothelial growth factor drugs in the posterior eye segment with sustained release through less invasive methods is a challenge in the treatment of age-related macular disease. We developed a flexible capsule device using porous poly(dimethylsiloxane) (PDMS) that was able to release ranibizumab. The porous PDMS sheet was fabricated by salt-leaching of a micro-sectioned PDMS sheet containing salt microparticles. Observation with scanning electron microscopy revealed that the pore densities could be adjusted by the concentration of salt. The in vitro release study showed that the release rate of fluorescein isothiocyanate-tagged albumin could be adjusted based on the pore density of the porous PDMS sheet. Ranibizumab could be released in a sustained-release manner for 16 weeks. The device was implanted on the sclera; its efficacy in terms of the suppression of laser-induced choroidal neovascularization (CNV) in rats was compared with that of monthly intravitreal injections of ranibizumab. At 8 and 18 weeks after implantation, the CNV area was significantly reduced in rats that received the ranibizumab-releasing device compared with those that received the placebo device. However, although monthly intravitreal injections of ranibizumab reduced CNV for 8 weeks, this reduction was not sustained for 18 weeks. In conclusion, we demonstrated a novel controlled-release device using a porous PDMS sheet that could suppress CNV via a less invasive transscleral route versus intravitreal injections. This device may also reduce the occurrence of side effects associated with frequent intravitreal injections. Graphical Abstracthttps://doi.org/10.1007/s10856-022-06705-zDrug delivery systemPoly(dimethylsiloxane)RetinaTransscleral deliveryAge-related macular diseaseChoroidal neovascularization
spellingShingle Nobuhiro Nagai
Reiko Daigaku
Remi Motoyama
Hirokazu Kaji
Toshiaki Abe
Release of ranibizumab using a porous poly(dimethylsiloxane) capsule suppressed laser-induced choroidal neovascularization via the transscleral route
Journal of Materials Science: Materials in Medicine
Drug delivery system
Poly(dimethylsiloxane)
Retina
Transscleral delivery
Age-related macular disease
Choroidal neovascularization
title Release of ranibizumab using a porous poly(dimethylsiloxane) capsule suppressed laser-induced choroidal neovascularization via the transscleral route
title_full Release of ranibizumab using a porous poly(dimethylsiloxane) capsule suppressed laser-induced choroidal neovascularization via the transscleral route
title_fullStr Release of ranibizumab using a porous poly(dimethylsiloxane) capsule suppressed laser-induced choroidal neovascularization via the transscleral route
title_full_unstemmed Release of ranibizumab using a porous poly(dimethylsiloxane) capsule suppressed laser-induced choroidal neovascularization via the transscleral route
title_short Release of ranibizumab using a porous poly(dimethylsiloxane) capsule suppressed laser-induced choroidal neovascularization via the transscleral route
title_sort release of ranibizumab using a porous poly dimethylsiloxane capsule suppressed laser induced choroidal neovascularization via the transscleral route
topic Drug delivery system
Poly(dimethylsiloxane)
Retina
Transscleral delivery
Age-related macular disease
Choroidal neovascularization
url https://doi.org/10.1007/s10856-022-06705-z
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