Disulfiram (DSF) is a dimer of diethyldithiocarbamate (DDC) that we previously added to a solution of 2-hydroxypropyl-β-cyclodextrin (DSF solution). We found that the instillation of this DSF solution delayed lens opacification in a hereditary cataractous ICR/f rat. In this study, we attempted to design an ophthalmic formulation containing DSF nanoparticles for use as a lens targeted drug delivery system (nano-DSF suspension), and investigated the changes in drug content in the lens after the instillation of DSF solution or nano-DSF suspension. The nano-DSF suspension was prepared by a bead mill method to yield a mean particle size of nano-DSF of 181 nm. Following the instillation of 1.4% DSF solution or the nano-DSF suspension, DDC was detected only in the aqueous humor and lens; in both, the area under the curve (AUC) and mean residence time (MRT) for the nano-DSF suspension were higher than for the DSF solution. In addition, we found that the DDC residence time in the cortex and nucleus of the lens was higher than in the capsule-epithelium. Although DDC was not detected in the cortex and nucleus of lenses following the instillation of the 1.4% DSF solution, the instillation of a 1.4% nano-DSF suspension led to the accumulation of DDC in both areas. In conclusion, it is possible that the instillation of a nano-DSF suspension can supply more DDC into the aqueous humor and lens than a conventional formulation, and these findings provide information significant for the prevention of cataracts and the design of a lens targeted drug delivery system.
Key words nanoparticle;lens;disulfiram;drugdeliverysystem;cataractCataracts are the leading cause of treatable blindness worldwide, and cataract surgery and intraocular drugs have been used as therapy. However, the availability of cataract surgery andintraoculardrugsisnotsufficientindevelopingcountries, and WHO has reported cataracts as the main cause of low vision in the many developing countries.1) Based on this background, the design and improvement of anti-cataract eye drops is very important.Eye drops comprise the major ophthalmic preparation, and their use is both convenient and safe. However, a high level of transcorneal penetration following the instillation of eye drops is necessary for drug delivery into the lens. Furthermore, the concentration of drugs administered as eye drops is dilutedtoapproximately20%bylacrimalfluids.2) In addition, the drops are lost from the tear film within 0.5-2min, with eye drop components excreted through the nasolacrimal duct into the mouth, 2) with a small amount remaining associated with the conjunctival tissue.2) Therefore, with traditional eye drops, only small amounts of the administered drug actually penetrate the cornea to reach the desired lens tissue due to corneal barriers and dilution caused by lacrimal fluids.
3-5)In an attempt to overcome these problems, several strategies have been devised using microparticles, viscous solutions and hydrogels. 3,[6][7][8][9][10] Recently, it has been reported that drug penetration ac...