Periocular injection of microspheres containing PKC412 inhibits choroidal neovascularization in a porcine model

Yoshitsugu Saishin1, Raquel Lima Silva, Yumiko Saishin

  • 1Department of Ophthalmology, The Johns Hopkins University School of Medicine, Baltimore, Maryland 21287-9277, USA.

Abstract

Insights

Sustained local delivery of PKC412 microspheres significantly reduced choroidal neovascularization (CNV) in a large-animal model. This approach shows promise for treating CNV by inhibiting abnormal blood vessel growth in the eye.

Area of Science:

  • Ophthalmology
  • Pharmacology
  • Biomedical Engineering

Background:

  • Ocular neovascularization, including choroidal neovascularization (CNV), is a major cause of vision loss.
  • Protein kinase C (PKC) inhibitors, such as PKC412, have shown potential in preclinical models.
  • Developing effective and sustained delivery methods for ocular drugs is crucial for treating neovascular eye diseases.

Purpose of the Study:

  • To evaluate the efficacy of sustained local delivery of PKC412 via microspheres in inhibiting choroidal neovascularization (CNV) in a human-sized eye model.
  • To assess the drug distribution and persistence in ocular tissues following periocular injection.

Main Methods:

  • A laser-induced rupture of Bruch's membrane model was used in young domestic pigs.
  • Periocular injections of control or PKC412-loaded microspheres (25% or 50% concentration) were administered.
  • Choroidal neovascularization area was quantified by image analysis, and drug levels in ocular tissues were measured over time.

Main Results:

  • Periocular injection of PKC412 microspheres significantly reduced CNV areas compared to controls (P<0.005).
  • PKC412 was detected in choroid, retina, and vitreous, with sustained levels observed up to 20 days post-injection.
  • Higher concentrations of PKC412 led to greater drug presence in ocular tissues.

Conclusions:

  • Sustained local delivery of PKC412 using microspheres is an effective strategy for inhibiting CNV.
  • This localized delivery approach offers a promising therapeutic option for managing neovascular eye conditions.
  • Further research into optimizing PKC412 delivery for clinical application in CNV is warranted.

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