Abstract

BackgroundTo evaluate the in vivo and in vitro toxicity of a new formulation of liposome-encapsulated sirolimus (LES).MethodsIn vitro experiments were done using ARPE-19 and HRP cells. An MTT assay was used to determine cell metabolic activity and a TUNEL assay for detecting DNA fragmentation. In vivo experiments were conducted on New Zealand albino rabbits that received intravitreal injections of empty liposomes (EL) or different concentrations of LES. Histopathological and immunohistochemical analyses were performed on the rabbit’s eyes following injection.ResultsEighteen eyes of nine rabbits were used. MTT assay cell viability was 95.04% in group 1 (12.5 µL/mL LES). 92.95% in group 2 (25 µL/mL LES), 91.59% in group 3 (50 µL/mL LES), 98.09% in group 4 (12.5 µL/mL EL), 95.20% on group 5 (50 µL/mL EL), 98.53% in group 6 (50 µL/mL EL), and 2.84% on group 8 (50 µL/mL DMSO). There was no statistically significant difference among groups 1 to 7 in cell viability (p = 1.0), but the comparison of all groups with group 8 was significant (p < 0.0001). The TUNEL assay comparing two groups was not statistically significant from groups 1 to 7 (p = 1.0). The difference between groups 1 to 7 and group 8 (p < 0.0001) was significant. Histopathological changes were not found in any group. No activation of Müller cells was detected.ConclusionA novel formulation of LES delivered intravitreally did not cause in vitro toxicity, as evaluated by MTT and TUNEL assays, nor in vivo toxicity as evaluated by histopathology and immunohistochemistry in rabbit eyes.

Highlights

  • To evaluate the in vivo and in vitro toxicity of a new formulation of liposome-encapsulated sirolimus (LES)

  • The result of cells killed by apoptosis was quantified as a percentage

  • MTT assay for ARPE19 cells As mentioned previously, group 7 (BSS) was considered a control group with 100% viable cells for comparison to the other groups

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Summary

Introduction

To evaluate the in vivo and in vitro toxicity of a new formulation of liposome-encapsulated sirolimus (LES). Uveitis is a condition characterized by inflammation of the uveal tract. It is responsible for 5% to 20% of legal blindness cases in the United States and Europe, and up to 25% of cases in developing countries [1]. Uveitis can be infectious or non-infectious (NIU) It comprises several different ocular inflammatory conditions which may differ in presentation, clinical course, and response to therapy [4], but is often caused by autoimmune conditions, with several cases described as idiopathic [5, 6]. In the United States, 79% of NIU cases affect the intermediate, posterior or entire uvea, while 21% of cases are purely anterior and do not cause vitreous opacities [7]. Cellular activation of macrophages and T-lymphocytes is involved in the pathophysiology of non-infectious uveitis, culminating in tissue inflammation [8]

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