Abstract
Background: Corneal neovascularization is a sight-threatening disease. It can be treated using antiangiogenic and anti-inflammatory compounds. Therefore, atorvastatin (ATV) constitutes a suitable candidate to be administered topically. To attain suitable efficacy, ATV can be encapsulated into custom-developed nanocarriers such as peptide amphiphiles. Methods: Three peptide amphiphiles bearing one, two or four C16-alkyl groups (mC16-Tat47-57, dC16-Tat47-57 and qC16-Tat47-57) were synthesized, characterized and loaded with ATV. Drug release and ocular tolerance were assessed as well as anti-inflammatory and antiangiogenic properties. Results: ATV-qC16-Tat47-57 showed higher encapsulation efficiency than mC16-Tat47-57 and dC16-Tat47-57 and more defined nanostructures. ATV-qC16-Tat47-57 showed ATV prolonged release with suitable ocular tolerance. Moreover, ATV-qC16-Tat47-57 was antiangiogenic and prevented ocular inflammation. Conclusion: ATV-qC16-Tat47-57 constitutes a promising topical medication against corneal neovascularization.
Plain language summary
Corneal neovascularization is an eye disease that affects over 1 million people every year and can lead to blindness. It is caused by inflammation and the unwanted formation of blood vessels in the eye. Current treatments for this disease are not fully effective. Atorvastatin (ATV) is one drug that has been partially successful at treating corneal neovascularization, but it does not stay in the eye long enough and does not mix well with the water-based environment of the eye. To overcome this, ATV was combined with three specially designed nanocarriers. These nanocarriers were peptides, short stretches of protein. They were designed to be amphiphilic, meaning that one section is hydrophilic (literally meaning ‘water loving’) and one section is hydrophobic (‘water hating’). These peptide nanocarriers allowed ATV to stay in the water-based environment of the eye longer. The peptide with the most hydrophobic chains (qC16-Tat47-57) was able to carry more ATV than the other peptides and produced particles of a desired shape. ATV-qC16-Tat47-57 nanocarriers were found to release slowly. These nanocarriers were also found to prevent the development of new blood vessels on a membrane in a hen's egg used to mimic the eye. There was also no sign of irritation on this membrane or in the eyes of New Zealand rabbits. These results show ATV-qC16-Tat47-57 has a prolonged therapeutic effect, prevents the formation of new blood vessels and is tolerated in the eye. ATV-qC16-Tat47-57 is therefore potentially a more effective alternative to ATV treatment alone.
Tweetable abstract
A new peptide able to self-assemble encapsulating atorvastatin has been custom synthesized. It was demonstrated to deliver atorvastatin in a prolonged manner and to be therapeutically effective against corneal neovascularization.
Papers of special note have been highlighted as: • of interest; •• of considerable interest
References
- 1. . Corneal neovascularization. Exp. Eye Res. 202, 108363 (2021).
- 2. . Ocular angiogenesis: the role of growth factors. Acta Ophthalmol. Scand. 84(3), 282–288 (2006).
- 3. Customized cationic nanoemulsions loading triamcinolone acetonide for corneal neovascularization secondary to inflammatory processes. Int. J. Pharm. 623, 121938 (2022).
- 4. . Angiogenesis in health and disease. Nat. Med. 35(5), 225–226 (2000).
- 5. . Ocular angiogenesis: mechanisms and recent advances in therapy. In: Advances in Clinical Chemistry (Volume 50, 1st Edition). Makowski SG (Ed.). Elsevier, Inc., London, UK, 103–121 (2010).
- 6. . Corneal neovascularization. Exp. Eye Res. 202, 242–249 (2021).
- 7. Topical versus subconjunctival anti-vascular endothelial growth factor therapy (bevacizumab, ranibizumab and aflibercept) for treatment of corneal neovascularization. Saudi J. Ophthalmol. 31(2), 99–105 (2017).
- 8. Differential suppression of vascular permeability and corneal angiogenesis by nonsteroidal anti-inflammatory drugs. Investig. Ophthalmol. Vis. Sci. 49(9), 3909–3913 (2008).
- 9. . Amniotic membrane transplantation for corneal surface reconstruction in patients with limbal stem cell deficiency. Chinese Ophthalmic Res. 19(3), 232–235 (2001).
- 10. Subconjunctival bevacizumab and argon laser photocoagulation for preexisting neovascularization following deep lamellar anterior keratoplasty. BMC Ophthalmol. 17(1), 1 (2017).
- 11. . Photodynamic therapy with verteporfin for corneal neovascularization. Middle East Afr. J. Ophthalmol. 19(2), 185–189 (2012).
- 12. . Therapeutic approaches for corneal neovascularization. Eye Vis. 4(1), 1–10 (2017).
- 13. Statins have biphasic effects on angiogenesis. Circulation 105(6), 739–745 (2002). • Study describing the effect of statins on angiogenesis.
- 14. . Statins: mechanism of action and effects. J. Cell. Mol. Med. 5(4), 378–387 (2001).
- 15. Statins in ophthalmology. Surv. Ophthalmol. 64(3), 401–432 (2019).
- 16. . The discovery and development of atorvastatin, a potent novel hypolipidemic agent. Prog. Med. Chem. 40, 1–22 (2002).
- 17. Atorvastatin in PLGA-PEG nanoparticles derivatized with the HIV-TAT peptide protects neuronal cultures in an oxygen-glucose deprivation (OGD) model. Am. J. Nanotechnol. Nanomed. 1(2), 55–63 (2018).
- 18. . Solubility enhancement of atorvastatin calcium by solid dispersion using skimmed milk powder. J. Pharm. Sci. Res. 13(6), 365–368 (2021).
- 19. Lipid nanoparticles (SLN, NLC): overcoming the anatomical and physiological barriers of the eye – part I – barriers and determining factors in ocular delivery. Eur. J. Pharm. Biopharm. 110, 70–75 (2017).
- 20. Self-assembled Tat nanofibers as effective drug carrier and transporter. ACS Nano 7(7), 5965–5977 (2013). •• Excellent study characterizing self assembly of Tat nanostructures loading a hydrophobic drug.
- 21. . Self-assembled peptide nanostructures for biomedical applications: advantages and challenges. In: Biomaterials Science and Engineering. Pignatello R (Ed.). IntechOpen, Italy, 115–138 (2011).
- 22. Amphiphilic peptides as novel nanomaterials: design, self-assembly and application. Int. J. Nanomed. 13, 5003–5022 (2018). • Review of amphiphilic peptides as potential nanomaterials for nanomedicine.
- 23. Recent advances in self-assembled peptides: implications for targeted drug delivery and vaccine engineering. Adv. Drug Deliv. Rev. 110-111, 169–187 (2017).
- 24. . Internalization mechanisms of cell-penetrating peptides. Beilstein J. Nanotechnol. 11, 101–123 (2020).
- 25. Ocular penetration of fluorometholone-loaded PEG-PLGA nanoparticles functionalized with cell-penetrating peptides. Nanomedicine 14(23), 3089–3104 (2019).
- 26. Conjugation of cell-penetrating peptides with poly(lactic-co-glycolic acid)-polyethylene glycol nanoparticles improves ocular drug delivery. Int. J. Nanomed. 10, 609–631 (2015). • Synthesis of Tat peptide for nanoparticles targeting for ocular drug delivery.
- 27. Enhanced mucosal penetration and efficient inhibition efficacy against cervical cancer of PEGylated docetaxel nanocrystals by TAT modification. J. Control. Rel. 336, 572–582 (2021).
- 28. Enhanced cytotoxic effect of Tat-PLGA-embedded doxo carried by biomimetic magnetic nanoparticles upon combination with magnetic hyperthermia and photothermia. Pharmaceutics 13(8), 1168 (2021).
- 29. . A truncated HIV-1 Tat protein basic domain rapidly translocates through the plasma membrane and accumulates in the cell nucleus. J. Biol. Chem. 272(25), 16010–16017 (1997).
- 30. Antitumor activity of peptide amphiphile nanofiber-encapsulated camptothecin. ACS Nano 5(11), 9113–9121 (2011). •• Highly interesting study of characterization and pharmacological activity of self-assembled peptide amphiphiles encapsulating an antitumoral drug.
- 31. Inhibition of VEGF mediated corneal neovascularization by anti-angiogenic peptide nanofibers. Biomaterials 107, 124–132 (2016). •• Study of peptide nanofibers with pharmacological activity against corneal neovascularitzation.
- 32. Peptide amphiphilic-based supramolecular structures with anti-HIV-1 activity. Bioconjug. Chem. 32(9), 1999–2013 (2021). •• Study showing self-assembled peptides with pharmacological activity.
- 33. . Development and validation of rapid resolution RP-HPLC method for simultaneous determination of atorvastatin and related compounds by use of chemometrics development and validation of rapid resolution. Anal. Lett. 41(6), 992–1009 (2008).
- 34. Development of peptide targeted PLGA-PEGylated nanoparticles loading licochalcone-A for ocular inflammation. Pharmaceutics 14, 285 (2022).
- 35. Development of topical eye-drops of lactoferrin-loaded biodegradable nanoparticles for the treatment of anterior segment inflammatory processes. Int. J. Pharm. 609, 121188 (2021).
- 36. Calcium hydroxide-loaded PLGA biodegradable nanoparticles as an intracanal medicament. Int. Endod. J. 54(11), 2086–2098 (2021).
- 37. Memantine-loaded PEGylated biodegradable nanoparticles for the treatment of glaucoma. Small 14(2), 1701808 (2017).
- 38. Dexibuprofen biodegradable nanoparticles: one step closer towards a better ocular interaction study. Nanomaterials 10(4), 1–24 (2020).
- 39. Customized cationic nanoemulsions loading triamcinolone acetonide for corneal neovascularization secondary to inflammatory processes. Int. J. Pharm. 623, 121938 (2022).
- 40. In vitro quantitative determination of ophthalmic irritancy by the chorioallantoic membrane test with trypan blue staining as alternative to eye irritation test. Toxicol. Vitr. 20(5), 699–702 (2006).
- 41. PEGylated PLGA nanospheres optimized by design of experiments for ocular administration of dexibuprofen – in vitro, ex vivo and in vivo characterization. Colloids Surfaces B Biointerfaces 145, 241–250 (2016).
- 42. Evaluation of curcumin-loaded polymeric nanocapsules with different coatings in chick embryo model: influence on angiogenesis, teratogenesis and oxidative stress. Pharmacol. Rep. 73(2), 563–573 (2021).
- 43. . Application of in vitro methods to evaluate the safety of baby care products. Toxicol. Vitr. 75, 105194 (2021).
- 44. Optimization and physicochemical characterization of a triamcinolone acetonide-loaded NLC for ocular antiangiogenic applications. Int. J. Pharm. 393(1–2), 168–176 (2010).
- 45. . Signal processing methods for quantitative power Doppler microvascular angiography. Electron. Thesis Diss. Repos. 3106, 1–63 (2015).
- 46. In-situ forming gels containing fluorometholone-loaded polymeric nanoparticles for ocular inflammatory conditions. Colloids Surfaces B Biointerfaces 175, 365–374 (2019).
- 47. Development and optimization of riluzole-loaded biodegradable nanoparticles incorporated in a mucoadhesive in situ gel for the posterior eye segment. Int. J. Pharm. 612, 121379 (2021).
- 48. Further evaluation of the quantitative chorioallantoic membrane test using trypan blue stain to predict the eye irritancy of chemicals. Toxicol. Vitr. 7(1), 35–39 (1993).
- 49. . A comprehensive review of the advanced nano-biomaterials in regenerative medicine and drug delivery. Adv. Biol. Earth Sci. 8(1), 5–18 (2023).
- 50. Peptide amphiphiles for pharmaceutical applications. Curr. Med. Chem.
doi:10.2174/0929867330666230408203820 (2023) (Epub ahead of print). - 51. . Therapeutic applications of the cell-penetrating HIV-1 Tat peptide. Drug Discov. Today 20(1), 76–85 (2015).
- 52. Progress in research and application of HIV-1 TAT-derived cell-penetrating peptide. J. Membr. Biol. 250(2), 115–122 (2017).
- 53. Design of temozolomide-loaded proliposomes and lipid crystal nanoparticles with industrial feasible approaches: comparative assessment of drug loading, entrapment efficiency, and stability at plasma pH. J. Liposome Res. 31(2), 158–168 (2021).
- 54. Nanofiber scaffolds based on extracellular matrix for articular cartilage engineering: a perspective. Nanotheranostics 7(1), 61–69 (2023).
- 55. Anti-inflammatory and immunomodulatory mechanisms of atorvastatin in a murine model of traumatic brain injury. J. Neuroinflamm. 14(1), 1–15 (2017).
- 56. Anti-inflammatory and analgesic effects of atorvastatin in a rat model of adjuvant-induced arthritis. Eur. J. Pharmacol. 516(3), 282–289 (2005).