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Patton GN, Lee HJ. Chemical Insights into Topical Agents in Intraocular Pressure Management: From Glaucoma Etiopathology to Therapeutic Approaches. Pharmaceutics 2024; 16:274. [PMID: 38399328 PMCID: PMC10891530 DOI: 10.3390/pharmaceutics16020274] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2024] [Revised: 02/08/2024] [Accepted: 02/12/2024] [Indexed: 02/25/2024] Open
Abstract
Glaucoma encompasses a group of optic neuropathies characterized by complex and often elusive etiopathology, involvihttng neurodegeneration of the optic nerve in conjunction with abnormal intraocular pressure (IOP). Currently, there is no cure for glaucoma, and treatment strategies primarily aim to halt disease progression by managing IOP. This review delves into the etiopathology, diagnostic methods, and treatment approaches for glaucoma, with a special focus on IOP management. We discuss a range of active pharmaceutical ingredients used in glaucoma therapy, emphasizing their chemical structure, pharmacological action, therapeutic effectiveness, and safety/tolerability profiles. Notably, most of these therapeutic agents are administered as topical formulations, a critical aspect considering patient compliance and drug delivery efficiency. The classes of glaucoma therapeutics covered in this review include prostaglandin analogs, beta blockers, alpha agonists, carbonic anhydrase inhibitors, Rho kinase inhibitors, and miotic (cholinergic) agents. This comprehensive overview highlights the importance of topical administration in glaucoma treatment, offering insights into the current state and future directions of pharmacological management in glaucoma.
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Affiliation(s)
| | - Hyuck Jin Lee
- Department of Chemistry Education, Kongju National University, Gongju 32588, Chungcheongnam-do, Republic of Korea;
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Sugibayashi K. Transdermal Drug Delivery Systems: From the Dawn and Early Stage to the Development and Maturity Stage, and the Future. YAKUGAKU ZASSHI 2022; 142:1227-1253. [DOI: 10.1248/yakushi.22-00113] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
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da Silva PHR, Cunha Júnior ADS, Pianetti GA, Fernandes C. Chromatographic bioanalysis of antiglaucoma drugs in ocular tissues. J Chromatogr B Analyt Technol Biomed Life Sci 2021; 1166:122388. [PMID: 33578274 DOI: 10.1016/j.jchromb.2020.122388] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2020] [Revised: 09/11/2020] [Accepted: 09/24/2020] [Indexed: 10/23/2022]
Abstract
Glaucoma is a heterogeneous group of multifactorial optic neuropathies and the leading cause of irreversible blindness and visual impairment. Epidemiological data has estimated that in 2020 there will be more than 80 million individuals affected by the disease worldwide. Nowadays, intraocular pressure (IOP) lowering is carried out mainly by pharmacotherapy, with different drugs. The study of ocular pharmacokinetics of antiglaucoma drugs, crucial for better understanding of ocular distribution, bioavailability, and pharmacodynamic parameters, can benefit the development of antiglaucoma drugs or formulations. Bioanalysis of drugs in ocular matrices is still underestimated, since it is challenging and rarely performed. Therefore, this review summarized the chromatographic methods employed for the quantification of several antiglaucoma drugs in different ocular matrices, discussing bioanalytical steps, such as sample preparation, separation, and detection. Animals and matrices as well as the challenges faced in ocular bioanalysis were also discussed. Ocular bioanalysis has been performed mainly in rabbits, the most adequate animal model for ocular studies. The matrix most used is aqueous humor, because it is cleaner and easier to sample. Sample preparation was carried out primarily employing classic techniques, such as liquid-liquid extraction, protein precipitation, and solid-phase extraction, with conventional solvents and sorbents. Chromatographic separation was achieved predominantly by reversed-phase liquid chromatography. Ultraviolet spectrophotometry and tandem mass spectrometry prevailed for detection, although other techniques, such as fluorimetry, have also been used. It was evidenced that more efforts must be directed towards miniaturized, eco-friendly, and non-terminal sampling for sample preparation. In its turn, ultra high-performance liquid chromatography and mass spectrometry should gain prominence in ocular bioanalysis for separation and detection, respectively, since it combines high separation capacity with selectivity and sensitivity, in addition to being an environmental friendly approach.
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Affiliation(s)
- Pedro Henrique Reis da Silva
- Departamento de Produtos Farmacêuticos, Faculdade de Farmácia, Universidade Federal de Minas Gerais, Av. Pres. Antônio Carlos 6627, 31270-901 Belo Horizonte, MG, Brazil
| | - Armando da Silva Cunha Júnior
- Departamento de Produtos Farmacêuticos, Faculdade de Farmácia, Universidade Federal de Minas Gerais, Av. Pres. Antônio Carlos 6627, 31270-901 Belo Horizonte, MG, Brazil
| | - Gerson Antônio Pianetti
- Departamento de Produtos Farmacêuticos, Faculdade de Farmácia, Universidade Federal de Minas Gerais, Av. Pres. Antônio Carlos 6627, 31270-901 Belo Horizonte, MG, Brazil
| | - Christian Fernandes
- Departamento de Produtos Farmacêuticos, Faculdade de Farmácia, Universidade Federal de Minas Gerais, Av. Pres. Antônio Carlos 6627, 31270-901 Belo Horizonte, MG, Brazil.
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See GL, Arce Jr. F, Itakura S, Todo H, Sugibayashi K. Prolonged Distribution of Tranilast in the Eyes after Topical Application onto Eyelid Skin. Chem Pharm Bull (Tokyo) 2020; 68:779-783. [DOI: 10.1248/cpb.c20-00289] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Affiliation(s)
- Gerard Lee See
- Graduate School of Pharmacy and Pharmaceutical Sciences, Josai University
- Department of Pharmacy, University of San Carlos
| | - Florencio Arce Jr.
- Graduate School of Pharmacy and Pharmaceutical Sciences, Josai University
- Department of Pharmacy, University of San Carlos
| | - Shoko Itakura
- Graduate School of Pharmacy and Pharmaceutical Sciences, Josai University
| | - Hiroaki Todo
- Graduate School of Pharmacy and Pharmaceutical Sciences, Josai University
| | - Kenji Sugibayashi
- Graduate School of Pharmacy and Pharmaceutical Sciences, Josai University
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See GL, Arce F, Dahlizar S, Okada A, Fadli MFBM, Hijikuro I, Itakura S, Katakura M, Todo H, Sugibayashi K. Enhanced nose-to-brain delivery of tranilast using liquid crystal formulations. J Control Release 2020; 325:1-9. [PMID: 32598958 DOI: 10.1016/j.jconrel.2020.06.028] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2020] [Revised: 05/23/2020] [Accepted: 06/23/2020] [Indexed: 10/24/2022]
Abstract
Intranasal administration is poised as a competent method in delivering drugs to the brain, because the nasal route has a direct link with the central nervous system bypassing the formidable blood-brain barrier. C17-monoglycerol ester (MGE) and glyceryl monooleate (GMO) as liquid crystal (LC)-forming lipids possess desirable formulation characteristics as drug carriers for intranasally administered drugs. This study investigated the effect of LC formulations on the pharmacokinetics of tranilast (TL), a lipophilic model drug, and its distribution in the therapeutic target regions of the brain in rats. The anatomical biodistribution of LC formulations was monitored using micro-computed tomography tandem in vivo imaging systems. MGE and GMO effectively formed LC with suitable particle size, zeta potential, and viscosity supporting the delivery of TL to the brain. MGE and GMO LC formulations enhanced brain uptake by 10- to 12-fold and 2- to 2.4- fold, respectively, compared with TL solution. The olfactory bulb had the highest TL concentration and fluorescent signals among all the brain regions, indicating a direct nose-to-brain delivery pathway of LC formulations. LC-forming lipids, MGE and GMO, are potential biomaterials in formulations intended for intranasal administration.
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Affiliation(s)
- Gerard Lee See
- Graduate School of Pharmaceutical Sciences, Josai University, Saitama, Japan; Department of Pharmacy, School of Health Care Professions, University of San Carlos, Cebu, the Philippines
| | - Florencio Arce
- Graduate School of Pharmaceutical Sciences, Josai University, Saitama, Japan; Department of Pharmacy, School of Health Care Professions, University of San Carlos, Cebu, the Philippines
| | - Sabrina Dahlizar
- Graduate School of Pharmaceutical Sciences, Josai University, Saitama, Japan; Department of Pharmacy, Faculty of Health Science, Syarif Hidayatullah State Islamic University Jakarta, Banten, Indonesia
| | - Akie Okada
- Graduate School of Pharmaceutical Sciences, Josai University, Saitama, Japan
| | | | - Ichiro Hijikuro
- Farnex Inc., Tokyo Institute of Technology, Yokohama Venture Plaza, Nagatsuta-cho, Midori-ku, Yokohama, Japan
| | - Shoko Itakura
- Graduate School of Pharmaceutical Sciences, Josai University, Saitama, Japan; School of Pharmacy and Pharmaceutical Sciences, Josai University, Saitama, Japan
| | - Masanori Katakura
- Graduate School of Pharmaceutical Sciences, Josai University, Saitama, Japan; School of Pharmacy and Pharmaceutical Sciences, Josai University, Saitama, Japan
| | - Hiroaki Todo
- Graduate School of Pharmaceutical Sciences, Josai University, Saitama, Japan; School of Pharmacy and Pharmaceutical Sciences, Josai University, Saitama, Japan
| | - Kenji Sugibayashi
- Graduate School of Pharmaceutical Sciences, Josai University, Saitama, Japan; School of Pharmacy and Pharmaceutical Sciences, Josai University, Saitama, Japan.
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The permeability of human eyelid skin to topically applied lidocaine. J Drug Deliv Sci Technol 2020. [DOI: 10.1016/j.jddst.2019.101357] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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