Corneal chemical burns (CCBs) frequently result in corneal fibrosis or haze, an opacity of the cornea that obstructs vision and induces corneal blindness. Diverse strategies have been employed to prevent or reduce CCB-related corneal haze. In this study, we evaluated the physicochemical characteristics and biologic effects of a topical pirfenidone (PFD)-loaded liposomal formulation (PL) on a corneal alkali burn mice model. We found that PL was appropriate for ocular application due to its physiologic tear pH, osmolarity and viscosity suitable for topical ophthalmic use. Regarding its therapeutic activity, PL-treated mice had significantly reduced haze size and density, corneal edema, corneal thickness, and corneal inflammatory infiltration, in contrast to PFD in aqueous solution (p < 0.01). Importantly, the antifibrotic activity of PL (reduction of corneal haze) was associated with modulation of transforming growth factor (TGF)-β and Interleukin (IL)-1β genes. PL suppressed TGF-β expression and restored normal IL-1β expression in corneal tissue more efficiently in contrast to PFD in aqueous solution. In conclusion, PFD showed essential anti-inflammatory and anti-fibrotic effects in the treatment of alkali burns. Noteworthy, a new formulation of PFD-loaded liposomes remarkably improved these effects, standing out as a promising treatment for corneal haze.

Agave tequilana Weber var. azul fibers (ATF) are widely used as a reinforcement material despite their polarity makes them incompatible with hydrophobic matrices. Consequently, ATF are commonly modified employing different chemical processes (e.g., mercerization and coupling agents) to change their surface characteristics to improve the interface between the fibers and the polymeric matrix. Nevertheless, these treatments could damage the fibers during the process, negatively affecting their natural properties. The use of nanotechnology to repair this natural material could help to restore its intrinsic properties and give it new ones as antibacterial activity. In this work, chemically treated ATF were used as templates for the biosynthesis of silver nanoparticles (AgNPs) using a natural extract obtained from Agave tequilana Weber var. azul leaves (ATL) as reducing agent. Scanning and transmission electron microscopy images as well as dynamic light scattering results indicate that stable nanometric particles were successfully synthesized on all fibers. X-ray photoelectron spectroscopy and X-ray diffraction results confirm the composition of the nanoparticles. Tensile tests indicate that AgNPs improved the mechanical properties of fibers previously mercerized and treated with maleic anhydride grafted polyethylene as coupling agent. Additionally, an antibacterial effect against S. enterica was conferred to ATF due to the presence of AgNPs.