Rusalatide Acetate (TP508) Mitigation Effect on Radiation Induced Keratopathy

醋酸鲁沙来肽 (TP508) 对放射诱发的角膜病变的缓解作用

• 批准号: 10605739
• 负责人: USHA P ANDLEY
• 金额: $ 34.13万
• 依托单位: AFFIRMED PHARMA, LLC
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-30 至 2024-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10605739
• 关键词: Acetates; Acids; Affect; American; Animal Model; Animals; Apoptosis; Arginine; Aspartate; Autoantigens; Binding; Binding Sites; Blinded; Blindness; Cells; Chronic; Clinical Management; Cornea; Corneal Diseases; Data; Degenerative Disorder; Diagnosis; Dose; Drug Delivery Systems; Epithelial Cells; Etiology; Eye; Eyedrops; Fluorescein; Formulation; Functional disorder; Glycine; Grouping; Head and neck structure; Histocytochemistry; Homeostasis; Hour; Immune; Immunofluorescence Immunologic; Immunohistochemistry; Immunologic Markers; Inbred BALB C Mice; Inflammatory; Inflammatory Response; Injections; Integrins; Intraperitoneal Injections; Investigation; Keratopathy; Lacrimal gland structure; Lesion; Leukocytes; Ligands; Malignant Neoplasms; Molecular; Mus; Nerve; Neurons; Organ; Pathologic; Pathology; Pathway interactions; Patients; Peptides; Persons; Pharmaceutical Preparations; Quality of life; Radiation; Radiation Dose Unit; Radiation Protection; Radiation Toxicity; Radiation induced damage; Radiation therapy; Random Allocation; Recovery; Refractory; Role; Route; Saline; Secretory Cell; Stains; Surface; T cell response; Testing; Thrombin; Time; Transmission Electron Microscopy; Whole-Body Irradiation; aqueous; cell injury; corneal epithelium; corneal repair; density; design; effective therapy; experimental study; intraperitoneal; irradiation; laboratory experience; lacrimal; local drug delivery; meter; mouse model; nerve damage; ocular surface disease; protective effect; protein aminoacid sequence; radiation mitigation; radioprotected; receptor; regenerative; repaired; response; side effect; stem cells; wound healing

Abstract Radiation induced keratopathy results in significant ocular surface disease, stem cell deficiency, vision loss, discomfort, and subsequent poor quality of life, affecting up to 23% of patients receiving radiation therapy for head and neck malignancies [1]. Studies have pointed out functional roles of corneal neurons and secretory cells of the lacrimal gland in the etiology of radiation induced keratopathy. This study is aimed to investigate the effect of a known radio-mitigating drug, rusalatide acetate (TP508), to protect or repair corneal epithelial cells, corneal neurons and lacrimal cells in an irradated mouse model. Studies in a murine model of keratopathy indicate that the breakdown of immune homeostasis can be attributed to corneal nerve damage which may be a key pathologic mechanism of radiation keratopathy [2]. One study demonstrated significant nerve loss and increase in leukocyte influx and activation within months of irradiation and implicated the effects of chronic nerve loss on corneal immune homeostasis [2]. Studies have also shown that the lacrimal gland is directly affected by radiation with decreased aqueous secretion occurring within 3 days of irradiation and persisting beyond 30 days [3]. A persistent ocular inflammatory response often leads to a self-perpetuating adaptive immune T-cell response to self-antigens that further perpetuates the pathology. TP508, through its Arginine, Glycine, and Aspartate (RGD) binding site is a ligand for integrin receptors and has been previously shown through this mechanism to down regulate proinflammatory pathways and upregulate regenerative mechanisms for apoptosis mitigation and stem cell activation. The hypothesis for this study is that the known molecular activity of TP508 demonstrated in previous radioprotection studies across a wide range of cells will have a similar effect in reversing corneal and lacrimal gland radiation damage. Studies will include systemic and topical routes of drug delivery. Balb/ c mice will receive a metered radiation dose of 11 Gy, previously shown to be sublethal to Balb/c mice and to cause keratopathy [2]. Aim 1 will investigate an intraperitoneal injection of TP508 administered one day (24 hours) post irradiation for effects in protecting corneal epithelial cells, corneal neurons and lacrimal gland structure. Effects from TP508 doses of 200 µg/ml (5mg/kg) and 500 µg/ml (12.5mg/kg), will be evaluated. Analysis will include fluorescein corneal staining for presence or absence of lesions at 1 month and 2 months and immunohistochemistry for immune markers for corneal neurons and lacrimal cells with ultrastrucural analysis of lacrimal gland structure at 2 months. Aim 2 will investigate a topical eye drop delivery of the same 2 doses, administered one day (24 hours) and biweekly for two weeks post irradiation with the same data points collected at the 1- and 2-month time points. Investigations are expected to suggest potential effects of TP508 in mitigation of radiation keratopathy and optimal routes of delivery.

摘要