Actinomycin D for fibrosis management in ophthalmic implant surgery

Implants that feature a drug delivery system loaded with antifibrotic active drugs provide a promising approach to address postoperative complications caused by fibrosis. This study is intended to clarify whether Actinomycin D has an impact specifically on components of the extracellular matrix (ECM...

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Main Authors: Brietzke Andreas, Eickner Thomas, Grabow Niels, Reske Thomas, Matschegewski Claudia, Guthoff Rudolf, Stahnke Thomas
Format: Article
Language:English
Published: De Gruyter 2019-09-01
Series:Current Directions in Biomedical Engineering
Subjects:
Online Access:https://doi.org/10.1515/cdbme-2019-0121
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author Brietzke Andreas
Eickner Thomas
Grabow Niels
Reske Thomas
Matschegewski Claudia
Guthoff Rudolf
Stahnke Thomas
author_facet Brietzke Andreas
Eickner Thomas
Grabow Niels
Reske Thomas
Matschegewski Claudia
Guthoff Rudolf
Stahnke Thomas
author_sort Brietzke Andreas
collection DOAJ
description Implants that feature a drug delivery system loaded with antifibrotic active drugs provide a promising approach to address postoperative complications caused by fibrosis. This study is intended to clarify whether Actinomycin D has an impact specifically on components of the extracellular matrix (ECM) and its formation in human primary fibroblasts of the Tenon capsule (hTF). Furthermore, the suitability of this agent in poly(N-vinylpyrrolidone)- poly(methylmethacrylate)(PVP-co-PMMA) as a drug delivery model is evaluated in drug incorporation and release studies. RT-qPCR revealed a significant downregulation of the fibrotic marker genes ACTA2, COL1A1 and FN1 in cells stimulated with TGF- β1 and additionally treated with Actinomycin D. However, these findings could only be confirmed on α- SMA protein level. collagen I and Fibronectin synthesis stayed unaffected. The diffusion based incorporation of Actinomycin D into the polymer model proved to be very effective. The release of the agent was retarded with a slightly prolonged kinetic. These findings make Actinomycin D a promising antifibrotic agent in ophthalmic implant surgery.
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spelling doaj.art-29101e358640468e8a38fed584264c4f2022-12-22T03:55:41ZengDe GruyterCurrent Directions in Biomedical Engineering2364-55042019-09-015148148310.1515/cdbme-2019-0121cdbme-2019-0121Actinomycin D for fibrosis management in ophthalmic implant surgeryBrietzke Andreas0Eickner Thomas1Grabow Niels2Reske Thomas3Matschegewski Claudia4Guthoff Rudolf5Stahnke Thomas6Institute for Biomedical Engineering, Rostock University Medical Center, Friedrich-Barnewitz-Straße 4, D-18119Rostock, GermanyInstitute for Biomedical Engineering, Rostock University Medical Center, D-18119Rostock, GermanyInstitute for Biomedical Engineering, Rostock University Medical Center, D-18119Rostock, GermanyInstitute for ImplantTechnology and Biomaterials e.V., Friedrich-Barnewitz- Straße 4, D-18119Rostock, GermanyInstitute for ImplantTechnology and Biomaterials e.V., Friedrich-Barnewitz- Straße 4, D-18119Rostock, GermanyDepartment of Ophthalmology, Rostock University Medical Center, Doberaner Straße 140, D-18057Rostock, GermanyDepartment of Ophthalmology, Rostock University Medical Center, Doberaner Straße 140, D-18057Rostock, GermanyImplants that feature a drug delivery system loaded with antifibrotic active drugs provide a promising approach to address postoperative complications caused by fibrosis. This study is intended to clarify whether Actinomycin D has an impact specifically on components of the extracellular matrix (ECM) and its formation in human primary fibroblasts of the Tenon capsule (hTF). Furthermore, the suitability of this agent in poly(N-vinylpyrrolidone)- poly(methylmethacrylate)(PVP-co-PMMA) as a drug delivery model is evaluated in drug incorporation and release studies. RT-qPCR revealed a significant downregulation of the fibrotic marker genes ACTA2, COL1A1 and FN1 in cells stimulated with TGF- β1 and additionally treated with Actinomycin D. However, these findings could only be confirmed on α- SMA protein level. collagen I and Fibronectin synthesis stayed unaffected. The diffusion based incorporation of Actinomycin D into the polymer model proved to be very effective. The release of the agent was retarded with a slightly prolonged kinetic. These findings make Actinomycin D a promising antifibrotic agent in ophthalmic implant surgery.https://doi.org/10.1515/cdbme-2019-0121fibrosisophthalmic implantdrug deliveryactinomycin d
spellingShingle Brietzke Andreas
Eickner Thomas
Grabow Niels
Reske Thomas
Matschegewski Claudia
Guthoff Rudolf
Stahnke Thomas
Actinomycin D for fibrosis management in ophthalmic implant surgery
Current Directions in Biomedical Engineering
fibrosis
ophthalmic implant
drug delivery
actinomycin d
title Actinomycin D for fibrosis management in ophthalmic implant surgery
title_full Actinomycin D for fibrosis management in ophthalmic implant surgery
title_fullStr Actinomycin D for fibrosis management in ophthalmic implant surgery
title_full_unstemmed Actinomycin D for fibrosis management in ophthalmic implant surgery
title_short Actinomycin D for fibrosis management in ophthalmic implant surgery
title_sort actinomycin d for fibrosis management in ophthalmic implant surgery
topic fibrosis
ophthalmic implant
drug delivery
actinomycin d
url https://doi.org/10.1515/cdbme-2019-0121
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AT reskethomas actinomycindforfibrosismanagementinophthalmicimplantsurgery
AT matschegewskiclaudia actinomycindforfibrosismanagementinophthalmicimplantsurgery
AT guthoffrudolf actinomycindforfibrosismanagementinophthalmicimplantsurgery
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