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New eyedrop offers hope for AMD treatment without injections

Scientists have developed a new eyedrop that can ferry protective compounds all the way to the retina, paving the way for a less-invasive injection-free method of managing sight-stealing diseases such as age-related macular degeneration (AMD).

Researchers at the Royal Melbourne Institute of Technology (RMIT), along with scientists from the Centre for Eye Research Australia (CERA), used a nano-carrier formula to deliver lutein – a macular pigment found in leafy greens and eggs – to the back of the eye, a target usually reachable only by injection. In mice, the formulation reached retinal tissue and stayed shelf-stable at room temperature for months, setting it up as an easier, preventive therapy that could offset the need for injections.

The team developed a patented nanotech “cubosome” delivery system – like tiny lipid boxes that shield fragile cargo – then loaded it with lutein extracted from Gac fruit. Gac fruit (Momordica cochinchinensis) is a bright orange-red melon native to Southeast Asia (gấc in Vietnam). Its soft, red pulp is extremely high in carotenoids (especially lycopene and beta-carotene) and lutein and zeaxanthin. In the lab, the eyedrops protected retinal cells from stress linked to vision loss – and, importantly, they reached the target, the retina, in the animal model.

“Our cubosome carriers act like tiny shields, keeping the compound safe and releasing it in a controlled way once it’s inside the eye,” said co-lead researcher Charlotte Conn, from RMIT’s School of Science.

The RMIT research team developing new eyedrop treatments (front row, left to right): Dr Dao Nguyen, Associate Professor Tien Huynh and Dr Thilini Thrimawithana; (back row, left to right) Professor Charlotte Conn, Dr Sampa Sarkar and Christopher Olowosoke

Will Wright/RMIT University

While in the early stages, it’s cleared one of the big hurdles with this sort of treatment – getting enough of a delicate molecule through the cornea and on to the posterior eye in a controlled and targeted way. And because the researchers have developed a blueprint of a delivery system, it opens up the possibility to transport different kinds of drugs to the retina.

“Frequent eye injections are uncomfortable and can be distressing for patients,” said Dao Nguyen, who co-led the research at RMIT, and is now at Deakin University’s School of Medicine. “People could use the eyedrop as a preventative measure that could reduce the risk of developing late-stage diseases and the need for injections.”

Lutein concentrates in the macula, where it helps filter high-energy blue light and dial down oxidative stress – two contributors to retinal damage. Plant-derived compounds (not just carotenoids like lutein and zeaxanthin but also polyphenols) that act on inflammatory and oxidative pathways have the potential to help preserve eye health and protect against age-related degeneration. However, supplements and diet are less effective ways of getting these beneficial compounds to where they need to go; many molecules are unstable and have poor bioavailability, so a smart system of delivery straight to the retina – which is also safe to use – would be a game-changer.

“This is a technology with broad potential,” said team leader Tien Huynh, an associate professor at RMIT’s School of Science. “We’ve shown it can protect fragile ingredients and carry them safely to the back of the eye, which has long been a barrier for treatments.”

Nguyen preparing treatments to test in the RMIT lab
Nguyen preparing treatments to test in the RMIT lab

Will Wright/RMIT University

The team is particularly focused on treating retinal diseases, especially AMD, which damages the macula and can cause blindness. While the eyedrops are yet to be tested on a disease model, that’s the next step in preclinical trials. Earlier research has also shown promise in this mode of drug delivery, while other methods, such as drug-releasing contact lenses, are also advancing.

“This kind of approach could transform how we manage age-related macular degeneration,” said Chi Luu, an associate professor at CERA and the University of Melbourne. “If future trials confirm the safety and effectiveness of the delivery platform, eyedrops could one day be used for treating early stages of AMD and other serious retinal diseases.”

While the researchers stress this wouldn’t necessarily replace injections, if successful it could delay or prevent the need to move onto more invasive treatments for AMD and other degenerative retinal conditions.

The research was published in the journal Pharmacological Reports.

Source: RMIT

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