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Published in: Graefe's Archive for Clinical and Experimental Ophthalmology 8/2015

01-08-2015 | Basic Science

Biodegradable chitosan and polylactic acid-based intraocular micro-implant for sustained release of methotrexate into vitreous: analysis of pharmacokinetics and toxicity in rabbit eyes

Authors: Soumyarwit Manna, Rupak K. Banerjee, James J. Augsburger, Marwan F. Al-Rjoub, Anna Donnell, Zelia M. Correa

Published in: Graefe's Archive for Clinical and Experimental Ophthalmology | Issue 8/2015

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Abstract

Purpose

The purpose of this study was to evaluate the pharmacokinetics and toxicity of a chitosan (CS) and polylactic acid (PLA) based methotrexate (MTX) intravitreal micro-implant in an animal model using rabbit eyes.

Methods

CS- and PLA-based micro-implants containing 400 μg of MTX were fabricated using lyophilization and dip-coating techniques. The micro-implants were surgically implanted in the vitreous of eight New Zealand rabbits employing minimally invasive technique. The PLA-coated CS-MTX micro-implant was inserted in the right eye and the placebo micro-implant in the left eye of each rabbit. Two rabbits were euthanized at each pre-determined time point post-implantation (days 5, 12, 19, and 33) for pharmacokinetics and histopathology evaluation.

Results

A therapeutic concentration of MTX (0.1–1.0 μM) in the vitreous was detected in the rabbit eyes studied for 33 days. The MTX release from the coated micro-implants followed a first order kinetics (R 2 ~ 0.88), implying that MTX release depends on the concentration of MTX in the micro-implant. Histopathological analysis of the enucleated eyes failed to show any signs of infection or tissue toxicity in any of the specimens.

Conclusion

The PLA-coated CS-MTX micro-implants were able to deliver therapeutic release of MTX for a period of more than 1 month without detectable toxicity in a rabbit model. The micro-implants can be further investigated as a prospective alternative to current treatment protocols of repeated intravitreal MTX injections in intraocular disorders such as primary intraocular lymphoma, and selected cases of non-microbial intraocular inflammation.
Literature
2.
go back to reference Hardwig PW, Pulido JS, Erie JC, Baratz KH, Buettner H (2006) Intraocular methotrexate in ocular diseases other than primary central nervous system lymphoma. Am J Ophthalmol 142(5):883–885PubMedCrossRef Hardwig PW, Pulido JS, Erie JC, Baratz KH, Buettner H (2006) Intraocular methotrexate in ocular diseases other than primary central nervous system lymphoma. Am J Ophthalmol 142(5):883–885PubMedCrossRef
3.
go back to reference Grimm SA, Pulido JS, Jahnke K, Schiff D, Hall AJ, Shenkier TN, Siegal T, Doolittle ND, Batchelor T, Herrlinger U, Neuwelt EA, Laperriere N, Chamberlain MC, Blay JY, Ferreri AJ, Omuro AM, Thiel E, Abrey LE (2007) Primary intraocular lymphoma: an International Primary Central Nervous System Lymphoma Collaborative Group Report. Ann Oncol 18(11):1851–1855PubMedCrossRef Grimm SA, Pulido JS, Jahnke K, Schiff D, Hall AJ, Shenkier TN, Siegal T, Doolittle ND, Batchelor T, Herrlinger U, Neuwelt EA, Laperriere N, Chamberlain MC, Blay JY, Ferreri AJ, Omuro AM, Thiel E, Abrey LE (2007) Primary intraocular lymphoma: an International Primary Central Nervous System Lymphoma Collaborative Group Report. Ann Oncol 18(11):1851–1855PubMedCrossRef
4.
go back to reference Nakauchi Y, Takase H, Sugita S, Mochizuki M, Shibata S, Ishiwata Y, Shibuya Y, Yasuhara M, Miura O, Arai A (2010) Concurrent administration of intravenous systemic and intravitreal methotrexate for intraocular lymphoma with central nervous system involvement. Int J Hematol 92(1):179–185PubMedCrossRef Nakauchi Y, Takase H, Sugita S, Mochizuki M, Shibata S, Ishiwata Y, Shibuya Y, Yasuhara M, Miura O, Arai A (2010) Concurrent administration of intravenous systemic and intravitreal methotrexate for intraocular lymphoma with central nervous system involvement. Int J Hematol 92(1):179–185PubMedCrossRef
5.
go back to reference Frenkel S, Hendler K, Siegal T, Shalom E, Pe’er J (2008) Intravitreal methotrexate for treating vitreoretinal lymphoma: 10 years of experience. Br J Ophthalmol 92(3):383–388PubMedCrossRef Frenkel S, Hendler K, Siegal T, Shalom E, Pe’er J (2008) Intravitreal methotrexate for treating vitreoretinal lymphoma: 10 years of experience. Br J Ophthalmol 92(3):383–388PubMedCrossRef
6.
go back to reference Sampat KM, Garg SJ (2010) Complications of intravitreal injections. Curr Opin Ophthalmol 21(3):178–183PubMedCrossRef Sampat KM, Garg SJ (2010) Complications of intravitreal injections. Curr Opin Ophthalmol 21(3):178–183PubMedCrossRef
7.
go back to reference Ozkan EB, Ozcan AA, Sekeroglu HT, Kuyucu Y, Ozgun H, Polat S (2013) Intravitreal injection of methotrexate in an experimental rabbit model: determination of ultrastructural changes. Indian J Ophthalmol 61(7):329–333PubMedCentralPubMedCrossRef Ozkan EB, Ozcan AA, Sekeroglu HT, Kuyucu Y, Ozgun H, Polat S (2013) Intravitreal injection of methotrexate in an experimental rabbit model: determination of ultrastructural changes. Indian J Ophthalmol 61(7):329–333PubMedCentralPubMedCrossRef
8.
go back to reference Gorovoy I, Prechanond T, Abia M, Afshar AR, Stewart JM (2013) Toxic corneal epitheliopathy after intravitreal methotrexate and its treatment with oral folic acid. Cornea 32(8):1171–1173PubMedCrossRef Gorovoy I, Prechanond T, Abia M, Afshar AR, Stewart JM (2013) Toxic corneal epitheliopathy after intravitreal methotrexate and its treatment with oral folic acid. Cornea 32(8):1171–1173PubMedCrossRef
9.
go back to reference Kuroiwa N, Abematsu N, Matsuo Y, Nakao K, Sakamoto T (2011) A case of intraocular lymphoma having retinal adverse events associated with intravitreal methotrexate. Nihon Ganka Gakkai Zasshi 115(7):611–616PubMed Kuroiwa N, Abematsu N, Matsuo Y, Nakao K, Sakamoto T (2011) A case of intraocular lymphoma having retinal adverse events associated with intravitreal methotrexate. Nihon Ganka Gakkai Zasshi 115(7):611–616PubMed
10.
go back to reference Palakurthi NK, Krishnamoorthy M, Augsburger JJ, Correa ZM, Banerjee RK (2010) Investigation of kinetics of methotrexate for therapeutic treatment of intraocular lymphoma. Curr Eye Res 35(12):1105–1115PubMedCrossRef Palakurthi NK, Krishnamoorthy M, Augsburger JJ, Correa ZM, Banerjee RK (2010) Investigation of kinetics of methotrexate for therapeutic treatment of intraocular lymphoma. Curr Eye Res 35(12):1105–1115PubMedCrossRef
11.
go back to reference Velez G, Yuan P, Sung C, Tansey G, Reed GF, Chan CC, Nussenblatt RB, Robinson MR (2001) Pharmacokinetics and toxicity of intravitreal chemotherapy for primary intraocular lymphoma. Arch Ophthalmol 119(10):1518–1524PubMedCrossRef Velez G, Yuan P, Sung C, Tansey G, Reed GF, Chan CC, Nussenblatt RB, Robinson MR (2001) Pharmacokinetics and toxicity of intravitreal chemotherapy for primary intraocular lymphoma. Arch Ophthalmol 119(10):1518–1524PubMedCrossRef
12.
go back to reference Manna S, Augsburger JJ, Correa ZM, Landero JA, Banerjee RK (2014) Development of chitosan and polylactic acid based methotrexate intravitreal micro-implants to treat primary intraocular lymphoma: an in vitro study. J Biomech Eng 136(2):021018 Manna S, Augsburger JJ, Correa ZM, Landero JA, Banerjee RK (2014) Development of chitosan and polylactic acid based methotrexate intravitreal micro-implants to treat primary intraocular lymphoma: an in vitro study. J Biomech Eng 136(2):021018
14.
go back to reference de Smet MD, Vancs VS, Kohler D, Solomon D, Chan CC (1999) Intravitreal chemotherapy for the treatment of recurrent intraocular lymphoma. Br J Ophthalmol 83(4):448–451PubMedCentralPubMedCrossRef de Smet MD, Vancs VS, Kohler D, Solomon D, Chan CC (1999) Intravitreal chemotherapy for the treatment of recurrent intraocular lymphoma. Br J Ophthalmol 83(4):448–451PubMedCentralPubMedCrossRef
15.
go back to reference Lee S, Hughes P, Ross A, Robinson M (2010) Biodegradable implants for sustained drug release in the eye. Pharm Res 27(10):2043–2053PubMedCrossRef Lee S, Hughes P, Ross A, Robinson M (2010) Biodegradable implants for sustained drug release in the eye. Pharm Res 27(10):2043–2053PubMedCrossRef
16.
go back to reference Palakurthi NK, Correa ZM, Augsburger JJ, Banerjee RK (2011) Toxicity of a biodegradable microneedle implant loaded with methotrexate as a sustained release device in normal rabbit eye: a pilot study. J Ocul Pharmacol Ther 27(2):151–156PubMedCrossRef Palakurthi NK, Correa ZM, Augsburger JJ, Banerjee RK (2011) Toxicity of a biodegradable microneedle implant loaded with methotrexate as a sustained release device in normal rabbit eye: a pilot study. J Ocul Pharmacol Ther 27(2):151–156PubMedCrossRef
17.
go back to reference Stainer GA, Peyman GA, Berkowitz R, Tessler HH (1976) Intraocular lysozyme in experimental uveitis in rabbits: aqueous and vitreous assay. Invest Ophthalmol Vis Sci 15(4):312–315 Stainer GA, Peyman GA, Berkowitz R, Tessler HH (1976) Intraocular lysozyme in experimental uveitis in rabbits: aqueous and vitreous assay. Invest Ophthalmol Vis Sci 15(4):312–315
18.
go back to reference Pe’er J, Hochberg FH, Foster CS (2009) Clinical review: treatment of vitreoretinal lymphoma. Ocul Immunol Inflamm 17(5):299–306PubMedCrossRef Pe’er J, Hochberg FH, Foster CS (2009) Clinical review: treatment of vitreoretinal lymphoma. Ocul Immunol Inflamm 17(5):299–306PubMedCrossRef
19.
go back to reference Chan CC, Wallace DJ (2004) Intraocular lymphoma: update on diagnosis and management. Cancer Control : J Moffitt Cancer Cent 11(5):285–295 Chan CC, Wallace DJ (2004) Intraocular lymphoma: update on diagnosis and management. Cancer Control : J Moffitt Cancer Cent 11(5):285–295
20.
go back to reference de la Fuente M, Ravina M, Paolicelli P, Sanchez A, Seijo B, Alonso MJ (2010) Chitosan-based nanostructures: a delivery platform for ocular therapeutics. Adv Drug Deliv Rev 62(1):100–117PubMedCrossRef de la Fuente M, Ravina M, Paolicelli P, Sanchez A, Seijo B, Alonso MJ (2010) Chitosan-based nanostructures: a delivery platform for ocular therapeutics. Adv Drug Deliv Rev 62(1):100–117PubMedCrossRef
21.
go back to reference Kunou N, Ogura Y, Hashizoe M, Honda Y, Hyon S-H, Ikada Y (1995) Controlled intraocular delivery of ganciclovir with use of biodegradable scleral implant in rabbits. J Control Release 37(1-2):143–150CrossRef Kunou N, Ogura Y, Hashizoe M, Honda Y, Hyon S-H, Ikada Y (1995) Controlled intraocular delivery of ganciclovir with use of biodegradable scleral implant in rabbits. J Control Release 37(1-2):143–150CrossRef
22.
go back to reference Yasukawa T, Kimura H, Tabata Y, Ogura Y (2001) Biodegradable scleral plugs for vitreoretinal drug delivery. Adv Drug Deliv Rev 52(1):25–36PubMedCrossRef Yasukawa T, Kimura H, Tabata Y, Ogura Y (2001) Biodegradable scleral plugs for vitreoretinal drug delivery. Adv Drug Deliv Rev 52(1):25–36PubMedCrossRef
23.
go back to reference Fialho SL, Rêgo MB, Siqueira RC, Jorge R, Haddad A, Rodrigues AL, Maia-Filho A, Silva-Cunha A (2006) Safety and pharmacokinetics of an intravitreal biodegradable implant of dexamethasone acetate in rabbit ryes. Curr Eye Res 31(6):525–534PubMedCrossRef Fialho SL, Rêgo MB, Siqueira RC, Jorge R, Haddad A, Rodrigues AL, Maia-Filho A, Silva-Cunha A (2006) Safety and pharmacokinetics of an intravitreal biodegradable implant of dexamethasone acetate in rabbit ryes. Curr Eye Res 31(6):525–534PubMedCrossRef
Metadata
Title
Biodegradable chitosan and polylactic acid-based intraocular micro-implant for sustained release of methotrexate into vitreous: analysis of pharmacokinetics and toxicity in rabbit eyes
Authors
Soumyarwit Manna
Rupak K. Banerjee
James J. Augsburger
Marwan F. Al-Rjoub
Anna Donnell
Zelia M. Correa
Publication date
01-08-2015
Publisher
Springer Berlin Heidelberg
Published in
Graefe's Archive for Clinical and Experimental Ophthalmology / Issue 8/2015
Print ISSN: 0721-832X
Electronic ISSN: 1435-702X
DOI
https://doi.org/10.1007/s00417-015-3007-1

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