Intravitreal delivery of ganciclovir in rabbits by transscleral iontophoresis.

T T Lam, J Fu, R Chu, K Stojack, E Siew, M O Tso
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引用次数: 33

Abstract

To avoid the side effects of systemic administration of ganciclovir (GCV) for the treatment of cytomegalovirus (CMV) retinitis, we studied transscleral iontophoresis of GCV into rabbit eyes. After a single application with 20% (w/w) aqueous solution of GCV at 1.0 mA for 15 min gave a vitreal/retinal level of GCV at 74 +/- 17 micrograms/ml at 2 hours as determined by HPLC. At 24 hours after iontophoresis the vitreal/retinal level was above therapeutic level at 4.2 +/- 0.6 micrograms/ml. At 72 hours, there was still detectable level in the vitreous/retina. Hence, transscleral iontophoresis is able to deliver effective dose of GCV into the vitreous. Multiple applications of iontophoresis should be examined as a possible means of CMV treatment.

更昔洛韦经巩膜离子导入兔玻璃体内给药。
为了避免更昔洛韦(GCV)治疗巨细胞病毒(CMV)视网膜炎的副作用,我们研究了更昔洛韦经巩膜离子导入兔眼。用20% (w/w)的GCV水溶液在1.0 mA下单次应用15分钟后,通过高效液相色谱测定GCV在2小时的玻璃体/视网膜水平为74 +/- 17微克/ml。离子导入后24小时,玻璃体/视网膜水平高于治疗水平,为4.2 +/- 0.6微克/ml。72h时,玻璃体/视网膜仍有可检测水平。因此,经巩膜离子导入能够将有效剂量的GCV输送到玻璃体中。离子透入的多种应用应作为CMV治疗的可能手段进行研究。
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