1. Inhibition of post-trabeculectomy fibrosis via topically instilled antisense oligonucleotide complexes co-loaded with fluorouracil
- Author
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Kuan Jiang, Gang Wei, Xishan Chen, Weisan Pan, Lingyu Tai, Junyi Chen, Chang Liu, and Weiyue Lu
- Subjects
PEI, polyethylenimine ,medicine.medical_treatment ,PLGA, poly(lactic-co-glycolic acid) ,EE, encapsulation efficiency ,Pharmacology ,L929, murine fibroblast cells ,PVDF, polyvinylidene difluoride ,chemistry.chemical_compound ,0302 clinical medicine ,Fibrosis ,Hyaluronic acid ,Trabeculectomy ,Gene delivery ,General Pharmacology, Toxicology and Pharmaceutics ,HA, hyaluronic acid ,DLS, dynamic light scattering ,0303 health sciences ,Chemistry ,HRP, horseradish peroxidase ,TEM, transmission electron microscope ,MWCO, molecular weight cut-off ,medicine.anatomical_structure ,GAPDH, glyceraldehyde-3-phosphate dehydrogenase ,Fluorouracil ,030220 oncology & carcinogenesis ,Original Article ,medicine.drug ,Penetratin ,SDS, sodium dodecyl sulfate ,ASO, antisense oligonucleotide ,03 medical and health sciences ,FBS, fetal bovine serum ,In vivo ,TGF-β, transforming growth factor-β ,medicine ,Fibrosis prevention ,Fibroblast ,IBAGS, the Indiana Bleb Appearance Grading Scale ,PAGE, polyacrylamide gel electrophoresis ,Fu, fluorouracil ,030304 developmental biology ,EGF, epidermal growth factor ,PAMAM, poly(amidoamine) ,lcsh:RM1-950 ,PG5, PAMAM G5–NH2 ,medicine.disease ,IOP, intraocular pressure ,lcsh:Therapeutics. Pharmacology ,SDHCEC, human corneal epithelial cells ,Pene, penetratin ,Wound healing ,FAM, 6-carboxyfluorescein ,DAPI, 4′,6-diamidino-2-phenylindole ,FITC, fluorescein 5-isothiocyanate - Abstract
Trabeculectomy is the mainstay of surgical glaucoma treatment, while the success rate was unsatisfying due to postoperative scarring of the filtering blebs. Clinical countermeasures for scar prevention are intraoperative intervention or repeated subconjunctival injections. Herein, we designed a co-delivery system capable of transporting fluorouracil and anti-TGF-β2 oligonucleotide to synergistically inhibit fibroblast proliferation via topical instillation. This co-delivery system was built based on a cationic dendrimer core (PAMAM), which encapsulated fluorouracil within hydrophobic cavity and condensed oligonucleotide with surface amino groups, and was further modified with hyaluronic acid and cell-penetrating peptide penetratin. The co-delivery system was self-assembled into nanoscale complexes with increased cellular uptake and enabled efficient inhibition on proliferation of fibroblast cells. In vivo studies on rabbit trabeculectomy models further confirmed the anti-fibrosis efficiency of the complexes, which prolonged survival time of filtering blebs and maintained their height and extent during wound healing process, exhibiting an equivalent effect on scar prevention compared to intraoperative infiltration with fluorouracil. Qualitative observation by immunohistochemistry staining and quantitative analysis by Western blotting both suggested that TGF-β2 expression was inhibited by the co-delivery complexes. Our study provided a potential approach promising to guarantee success rate of trabeculectomy and prolong survival time of filtering blebs., Graphical abstract A cationic dendrimer poly(amidoamine) (PAMAM) was used for co-loading of fluorouracil and anti-TGF-β2 oligonucleotide, which further self-assembled with hyaluronic acid and cell-penetrating peptide penetratin to form the co-delivery complexes. The complexes could efficiently inhibit fibroblast proliferation via topical instillation, which could improve success rate of trabeculectomy.Image 1
- Published
- 2020