Abstract

Inflammatory eye diseases remain the most common clinical problem in ophthalmology. The secondary processes associated with inflammation, such as overproduction of reactive oxygen species (ROS) and exhaustion of the endogenous antioxidant system, frequently lead to tissue degeneration, vision blurring, and even blindness. Antioxidant enzymes, such as copper–zinc superoxide dismutase (SOD1), could serve as potent scavengers of ROS. However, their delivery into the eye compartments represents a major challenge due to the limited ocular penetration. This work presents a new therapeutic modality specifically formulated for the eye on the basis of multilayer polyion complex nanoparticles of SOD1 (Nano-SOD1), which is characterized by appropriate storage stability and pronounced therapeutic effect without side reactions such as eye irritation; acute, chronic, and reproductive toxicity; allergenicity; immunogenicity; mutagenicity even at high doses. The ability of Nano-SOD1 to reduce inflammatory processes in the eye was examined in vivo in rabbits with a model immunogenic uveitis—the inflammation of the inner vascular tract of the eye. It was shown during preclinical studies that topical instillations of Nano-SOD1 were much more effective compared to the free enzyme in decreasing uveitis manifestations. In particular, we noted statistically significant differences in such inflammatory signs in the eye as corneal and conjunctival edema, iris hyperemia, and fibrin clots. Moreover, Nano-SOD1 penetrates into interior eye structures more effectively than SOD itself and retains enzyme activity in the eye for a much longer period of time, decreasing inflammation and restoring antioxidant activity in the eye. Thus, the presented Nano-SOD1 can be considered as a potentially useful therapeutic agent for the treatment of ocular inflammatory disorders.

Highlights

  • Reactive oxygen species (ROS) are excessively produced in many disease states and contribute to cell death and tissue degeneration due to the damage of multiple components of cells including cell membranes, DNA, proteins, carbohydrates, and proteinase inhibitors

  • The cross-linker was added to complexes that resulted in covalent stabilization

  • The main results of the study are as follows: (i) A new formulation based on multilayer polyion superoxide dismutase 1 (SOD1) nanoparticles, Nano-SOD1, was manufactured for local topical use in ophthalmology

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Summary

Introduction

Reactive oxygen species (ROS) are excessively produced in many disease states and contribute to cell death and tissue degeneration due to the damage of multiple components of cells including cell membranes, DNA, proteins (including various enzymes), carbohydrates, and proteinase inhibitors. Biomedicines 2021, 9, 396 antioxidants that offers protection against damage caused by ROS. Because of the nonspecific nature of ROS-induced tissue injury, excessive release of these agents can cause substantial damage to the tissue in an inflamed state and to the surrounding normal tissue. This is very important for the eye, as the transparency of the cornea and lens, as well as the functioning of photoreceptor apparatus, relies on their highly ordered structures, and excessive tissue damage will compromise visual function [3]

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