Drug delivery to the posterior eye segment is an important challenge in ophthalmology, because many diseases affect the retina and choroid leading to impaired vision or blindness. Currently, intravitreal injections are the method of choice to administer drugs to the retina, but this approach is applicable only in selected cases (e.g. anti-VEGF antibodies and soluble receptors). There are two basic approaches that can be adopted to improve retinal drug delivery: prolonged and/or retina targeted delivery of intravitreal drugs and use of other routes of drug administration, such as periocular, suprachoroidal, sub-retinal, systemic, or topical. Properties of the administration route, drug and delivery system determine the efficacy and safety of these approaches. Pharmacokinetic and pharmacodynamic factors determine the required dosing rates and doses that are needed for drug action. In addition, tolerability factors limit the use of many materials in ocular drug delivery. This review article provides a critical discussion of retinal drug delivery, particularly from the pharmacokinetic point of view. This article does not include an extensive review of drug delivery technologies, because they have already been reviewed several times recently. Instead, we aim to provide a systematic and quantitative view on the pharmacokinetic factors in drug delivery to the posterior eye segment. This review is based on the literature and unpublished data from the authors' laboratory.
Quality control defects of mitochondrial nascent chain synthesis trigger a sequential stress response characterized by OMA1 activation and ribosome decay, determining mitochondrial form and function.
The
vitreous humor is the first barrier encountered by intravitreally
injected nanoparticles. Lipid-based nanoparticles in the vitreous
are studied by evaluating their diffusion with single-particle tracking
technology and by characterizing their protein coronae with surface
plasmon resonance and high-resolution proteomics. Single-particle
tracking results indicate that the vitreal mobility of the formulations
is dependent on their charge. Anionic and neutral formulations are
mobile, whereas larger (>200 nm) neutral particles have restricted
diffusion, and cationic particles are immobilized in the vitreous.
PEGylation increases the mobility of cationic and larger neutral formulations
but does not affect anionic and smaller neutral particles. Convection
has a significant role in the pharmacokinetics of nanoparticles, whereas
diffusion drives the transport of antibodies. Surface plasmon resonance
studies determine that the vitreal corona of anionic formulations
is sparse. Proteomics data reveals 76 differentially abundant proteins,
whose enrichment is specific to either the hard or the soft corona.
PEGylation does not affect protein enrichment. This suggests that
protein-specific rather than formulation-specific factors are drivers
of protein adsorption on nanoparticles in the vitreous. In summary,
our findings contribute to understanding the pharmacokinetics of nanoparticles
in the vitreous and help advance the development of nanoparticle-based
treatments for eye diseases.
A method for biological monitoring of urinary 2-(thiocyanomethylthio)benzothiazole (TCMTB), a wood preservative and an industrial chemical, was developed. Three different doses of TCMTB in olive oil were given to male rats by gavage for 3 weeks. Urine was collected daily and the metabolites were analysed as thioethers by derivatization with pentafluorobenzyl-bromide by gas chromatography-mass spectrometry. The parent chemical was not detected in urine samples, but two metabolites of TCMTB were identified. 2-Mercaptobenzothiazole (2-MBT) was the main metabolite, and its excretion varied according to the dose. The second metabolite was 2-(mercaptomethylthio)benzothiazole. The amount of 2-MBT excreted in rat urine was 66 +/- 12% (SD), 51 +/- 20% and 44 +/- 9% for TCMTB doses of 15, 75 and 150 mg/kg, respectively. Two doses, 75 and 150 mg/kg, caused diuresis in rats during the 1 week of dosing. During the 3-week TCMTB treatment, rat liver microsomal CYP enzyme profile was not significantly changed. Urine samples of sawmill workers exposed to TCMTB were collected after their work shifts for exposure assessment. TCMTB could not be detected in the urine samples of exposed workers. Most concentrations of 2-MBT were below the limit of the detection, 0.12 mumol/l, the concentrations were 0.12-0.15 mumol/l only in few cases. The determination of 2-MBT in urine, when a sample is taken immediately after a work shift, is a suitable indicator of workers' exposure to TCMTB.
Different methods based on MALDI-TOF-MS and double injection capillary zone electrophoresis (DICZE) were used for the identification and purity determination of somatropin in illegally distributed products.
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