Ultrasound and Microbubbles for the Treatment of Ocular Diseases: From Preclinical Research towards Clinical Application

The unique anatomy of the eye and the presence of various biological barriers make efficacious ocular drug delivery challenging, particularly in the treatment of posterior eye diseases. This review focuses on the combination of ultrasound and microbubbles (USMB) as a minimally invasive method to imp...

Full description

Bibliographic Details
Main Authors: Charis Rousou, Carl C. L. Schuurmans, Arto Urtti, Enrico Mastrobattista, Gert Storm, Chrit Moonen, Kai Kaarniranta, Roel Deckers
Format: Article
Language:English
Published: MDPI AG 2021-10-01
Series:Pharmaceutics
Subjects:
Online Access:https://www.mdpi.com/1999-4923/13/11/1782
_version_ 1797508780696535040
author Charis Rousou
Carl C. L. Schuurmans
Arto Urtti
Enrico Mastrobattista
Gert Storm
Chrit Moonen
Kai Kaarniranta
Roel Deckers
author_facet Charis Rousou
Carl C. L. Schuurmans
Arto Urtti
Enrico Mastrobattista
Gert Storm
Chrit Moonen
Kai Kaarniranta
Roel Deckers
author_sort Charis Rousou
collection DOAJ
description The unique anatomy of the eye and the presence of various biological barriers make efficacious ocular drug delivery challenging, particularly in the treatment of posterior eye diseases. This review focuses on the combination of ultrasound and microbubbles (USMB) as a minimally invasive method to improve the efficacy and targeting of ocular drug delivery. An extensive overview is given of the in vitro and in vivo studies investigating the mechanical effects of ultrasound-driven microbubbles aiming to: (i) temporarily disrupt the blood–retina barrier in order to enhance the delivery of systemically administered drugs into the eye, (ii) induce intracellular uptake of anticancer drugs and macromolecules and (iii) achieve targeted delivery of genes, for the treatment of ocular malignancies and degenerative diseases. Finally, the safety and tolerability aspects of USMB, essential for the translation of USMB to the clinic, are discussed.
first_indexed 2024-03-10T05:08:45Z
format Article
id doaj.art-34378b0abe5948f2ad711c4b85d6fe61
institution Directory Open Access Journal
issn 1999-4923
language English
last_indexed 2024-03-10T05:08:45Z
publishDate 2021-10-01
publisher MDPI AG
record_format Article
series Pharmaceutics
spelling doaj.art-34378b0abe5948f2ad711c4b85d6fe612023-11-23T00:57:32ZengMDPI AGPharmaceutics1999-49232021-10-011311178210.3390/pharmaceutics13111782Ultrasound and Microbubbles for the Treatment of Ocular Diseases: From Preclinical Research towards Clinical ApplicationCharis Rousou0Carl C. L. Schuurmans1Arto Urtti2Enrico Mastrobattista3Gert Storm4Chrit Moonen5Kai Kaarniranta6Roel Deckers7Departments of Pharmaceutics, Utrecht Institute for Pharmaceutical Sciences, Utrecht University, Heidelberglaan 8, 3584 CS Utrecht, The NetherlandsDepartments of Pharmaceutics, Utrecht Institute for Pharmaceutical Sciences, Utrecht University, Heidelberglaan 8, 3584 CS Utrecht, The NetherlandsSchool of Pharmacy, Faculty of Health Sciences, University of Eastern Finland, 70210 Kuopio, FinlandDepartments of Pharmaceutics, Utrecht Institute for Pharmaceutical Sciences, Utrecht University, Heidelberglaan 8, 3584 CS Utrecht, The NetherlandsDepartments of Pharmaceutics, Utrecht Institute for Pharmaceutical Sciences, Utrecht University, Heidelberglaan 8, 3584 CS Utrecht, The NetherlandsDivision of Imaging and Oncology, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX Utrecht, The NetherlandsDepartment of Ophthalmology, Kuopio University Hospital, P.O. Box 100, 70029 Kuopio, FinlandDivision of Imaging and Oncology, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX Utrecht, The NetherlandsThe unique anatomy of the eye and the presence of various biological barriers make efficacious ocular drug delivery challenging, particularly in the treatment of posterior eye diseases. This review focuses on the combination of ultrasound and microbubbles (USMB) as a minimally invasive method to improve the efficacy and targeting of ocular drug delivery. An extensive overview is given of the in vitro and in vivo studies investigating the mechanical effects of ultrasound-driven microbubbles aiming to: (i) temporarily disrupt the blood–retina barrier in order to enhance the delivery of systemically administered drugs into the eye, (ii) induce intracellular uptake of anticancer drugs and macromolecules and (iii) achieve targeted delivery of genes, for the treatment of ocular malignancies and degenerative diseases. Finally, the safety and tolerability aspects of USMB, essential for the translation of USMB to the clinic, are discussed.https://www.mdpi.com/1999-4923/13/11/1782ultrasoundmicrobubbledrug deliveryblood–retina barrierocular drug deliveryUSMB
spellingShingle Charis Rousou
Carl C. L. Schuurmans
Arto Urtti
Enrico Mastrobattista
Gert Storm
Chrit Moonen
Kai Kaarniranta
Roel Deckers
Ultrasound and Microbubbles for the Treatment of Ocular Diseases: From Preclinical Research towards Clinical Application
Pharmaceutics
ultrasound
microbubble
drug delivery
blood–retina barrier
ocular drug delivery
USMB
title Ultrasound and Microbubbles for the Treatment of Ocular Diseases: From Preclinical Research towards Clinical Application
title_full Ultrasound and Microbubbles for the Treatment of Ocular Diseases: From Preclinical Research towards Clinical Application
title_fullStr Ultrasound and Microbubbles for the Treatment of Ocular Diseases: From Preclinical Research towards Clinical Application
title_full_unstemmed Ultrasound and Microbubbles for the Treatment of Ocular Diseases: From Preclinical Research towards Clinical Application
title_short Ultrasound and Microbubbles for the Treatment of Ocular Diseases: From Preclinical Research towards Clinical Application
title_sort ultrasound and microbubbles for the treatment of ocular diseases from preclinical research towards clinical application
topic ultrasound
microbubble
drug delivery
blood–retina barrier
ocular drug delivery
USMB
url https://www.mdpi.com/1999-4923/13/11/1782
work_keys_str_mv AT charisrousou ultrasoundandmicrobubblesforthetreatmentofoculardiseasesfrompreclinicalresearchtowardsclinicalapplication
AT carlclschuurmans ultrasoundandmicrobubblesforthetreatmentofoculardiseasesfrompreclinicalresearchtowardsclinicalapplication
AT artourtti ultrasoundandmicrobubblesforthetreatmentofoculardiseasesfrompreclinicalresearchtowardsclinicalapplication
AT enricomastrobattista ultrasoundandmicrobubblesforthetreatmentofoculardiseasesfrompreclinicalresearchtowardsclinicalapplication
AT gertstorm ultrasoundandmicrobubblesforthetreatmentofoculardiseasesfrompreclinicalresearchtowardsclinicalapplication
AT chritmoonen ultrasoundandmicrobubblesforthetreatmentofoculardiseasesfrompreclinicalresearchtowardsclinicalapplication
AT kaikaarniranta ultrasoundandmicrobubblesforthetreatmentofoculardiseasesfrompreclinicalresearchtowardsclinicalapplication
AT roeldeckers ultrasoundandmicrobubblesforthetreatmentofoculardiseasesfrompreclinicalresearchtowardsclinicalapplication