Corneal toxicity induced by vesicating agents and effective treatment options

Dinesh G Goswami1, Neera Tewari-Singh1, Rajesh Agarwal1

  • 1Department of Pharmaceutical Sciences, Skaggs School of Pharmacy and Pharmaceutical Sciences, University of Colorado Anschutz Medical Campus, Aurora, Colorado.

Insights

Sulfur mustard and lewisite cause severe eye injuries. New models using nitrogen mustard help test therapies for these chemical warfare agent-induced corneal damage.

Area of Science:

  • Ophthalmology
  • Toxicology
  • Chemical Warfare Agents

Background:

  • Sulfur mustard (SM) and lewisite (LEW) are chemical warfare agents causing significant ocular damage.
  • Ocular tissue is highly sensitive to vesicants, leading to conditions like photophobia, corneal lesions, and potential vision loss.
  • Limited research exists on lewisite-induced ocular injuries, and effective therapies for vesicant-induced corneal damage are lacking.

Purpose of the Study:

  • To establish in vitro and ex vivo models for evaluating therapeutic agents against vesicant-induced ocular injuries.
  • To investigate potential broad-spectrum therapies for corneal damage caused by chemical warfare agents.

Main Methods:

  • Established primary human corneal epithelial cells and rabbit corneal organ culture models.
  • Utilized nitrogen mustard, an analog of sulfur mustard, to simulate vesicant exposure in these models.
  • Proposed further evaluation of therapeutic agents in vivo using SM- and LEW-induced corneal injury models.

Main Results:

  • Developed functional in vitro and ex vivo models for testing therapeutic efficacy against corneal injury.
  • These models facilitate the screening of potential treatments for vesicant-induced ocular damage.

Conclusions:

  • The established models provide a platform for developing effective therapies against ocular injuries caused by chemical warfare agents like sulfur mustard and lewisite.
  • This research aims to advance the development of broad-spectrum treatments for severe corneal damage.

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