5-FU is a pyrimidine analogue commonly used to treat many epithelial cancers. It acts by interacting with S phase cells (those actively synthesizing DNA). Therefore, it is suitable to treat squamous cell carcinoma because squamous tumours are composed of rapidly proliferating abnormal epithelial cells. It has limited side effects on the normal ocular surface epithelium.1) 5-FU is an inexpensive drug, easily handled by medical personnel and patients, and is stable in aqueous solution for at least 3 weeks. It does not need to be stored in a refrigerator. Topical solution of this drug is always prepared extemporaneously. The acute and chronic side effects of mitomycin C (MMC) are definitely much more frequent and serious than those induced by 5-FU, as referred to by clinicians using MMC for pigmented conjunctival lesions.
1)Currently 1% of 5-FU solution is used by the ophthalmologist which is a high concentration for ophthalmic application. Bioavailability at anterior segment of eye is obtained less than 5% of applied eye dose because of drainage and lacrimation and low retention exposure to the absorption surface.Non ophthalmic nanoparticles of 5-FU using polymers such as poly(butylcyanoacrylate), 2) poly(lactic acid), poly-(lactide-co-glycolide)3) and chitosan [4][5][6] have been reported, but investigators have not explored the application of 5-FU loaded nanoparticles (DNPs) for the treatment of ocular application.Ocular therapy by 5-FU can be improved and its toxicity diminished by facilitating the specific accumulation in the tumor infected regions with prolonged exposure of the cells to this agent. In this sense, the association of anticancer drugs to delivery systems has been an interesting approach for selectively delivering these agents and, at the same time, reducing their toxicity. Another benefit of 5-FU loaded nanoparticles in the targeted tissues could be an improvement in its pharmacokinetics profile.Polymeric nanoparticulate systems have been evaluated as ocular drug delivery to enhance the absorption of therapeutic drugs to improve bioavailability, reduce side effects, and sustain intraocular drug levels.7) In addition, chitosan (CH) is suitable for fabrication of nanogel/nanoparticles of 5-FU because it is positively charged, making it able to adhere to the negatively charged ocular surface and is soluble in diverse acids and able to interact with polyanions to form complex and nanogel. The cornea and conjunctiva have negative charge so the mucoadhesive polymer might interact intimately with these structures and increase the concentration and residence time of the associated drug at the disease site. Among the mucoadhesive polymers, chitosan exhibits several favourable properties, such as biodegradability, nontoxicity, biocompatibility, and mucoadhesiveness. In fact, an ionic interaction between the positively charged amino groups of CH and negatively charged sialic acid residues in mucus has been proposed as the mucoadhesion mechanism. This unique combination of properties makes it a novel versat...