PMID- 29847652 OWN - NLM STAT- MEDLINE DCOM- 20190220 LR - 20190320 IS - 1552-5783 (Electronic) IS - 0146-0404 (Print) IS - 0146-0404 (Linking) VI - 59 IP - 6 DP - 2018 May 1 TI - RGC Neuroprotection Following Optic Nerve Trauma Mediated By Intranasal Delivery of Amnion Cell Secretome. PG - 2470-2477 LID - 10.1167/iovs.18-24096 [doi] AB - PURPOSE: Intranasally delivered ST266, the biological, proteinaceous secretome of amnion-derived multipotent progenitor cells, reduces retinal ganglion cell (RGC) loss, optic nerve inflammation, and demyelination in experimental optic neuritis. This unique therapy and novel administration route delivers numerous cytokines and growth factors to the eye and optic nerve, suggesting a potential to also treat other optic neuropathies. Thus, ST266-mediated neuroprotection was examined following traumatic optic nerve injury. METHODS: Optic nerve crush injury was surgically induced in C57BL/6J mice. Mice were treated daily with intranasal PBS or ST266. RGC function was assessed by optokinetic responses (OKRs), RGCs were counted, and optic nerve sections were stained with luxol fast blue and anti-neurofilament antibodies to assess myelin and RGC axon damage. RESULTS: Intranasal ST266 administered daily for 5 days, beginning at the time that a 1-second optic nerve crush was performed, significantly attenuated OKR decreases. Furthermore, ST266 treatment reduced damage to RGC axons and myelin within optic nerves, and blocked RGC loss. Following a 4-second optic nerve crush, intranasal ST266 increased RGC survival and showed a trend toward reduced RGC axon and myelin damage. Ten days following optic nerve crush, ST266 prevented myelin damage, while also inducing a trend toward increased RGC survival and visual function. CONCLUSIONS: ST266 significantly attenuates traumatic optic neuropathy. Neuroprotective effects of this unique combination of biologic molecules observed here and previously in optic neuritis suggest potential broad application for preventing neuronal damage in multiple optic nerve disorders. Furthermore, results support intranasal delivery as a novel, noninvasive therapeutic modality for eyes and optic nerves. FAU - Grinblat, Gabriela A AU - Grinblat GA AD - Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, United States. FAU - Khan, Reas S AU - Khan RS AD - Scheie Eye Institute and F.M. Kirby Center for Molecular Ophthalmology, University of Pennsylvania, Philadelphia, Pennsylvania, United States. FAU - Dine, Kimberly AU - Dine K AD - Scheie Eye Institute and F.M. Kirby Center for Molecular Ophthalmology, University of Pennsylvania, Philadelphia, Pennsylvania, United States. FAU - Wessel, Howard AU - Wessel H AD - Noveome Biotherapeutics, Inc., Pittsburgh, Pennsylvania, United States. FAU - Brown, Larry AU - Brown L AD - Noveome Biotherapeutics, Inc., Pittsburgh, Pennsylvania, United States. FAU - Shindler, Kenneth S AU - Shindler KS AD - Scheie Eye Institute and F.M. Kirby Center for Molecular Ophthalmology, University of Pennsylvania, Philadelphia, Pennsylvania, United States. LA - eng GR - R01 EY019014/EY/NEI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. PL - United States TA - Invest Ophthalmol Vis Sci JT - Investigative ophthalmology & visual science JID - 7703701 RN - 0 (Cytokines) RN - 0 (Neuroprotective Agents) SB - IM MH - Administration, Intranasal MH - Amnion/*metabolism MH - Animals MH - Axons/drug effects MH - Cell Survival/drug effects MH - Cytokines/*administration & dosage MH - Disease Models, Animal MH - Mice MH - Mice, Inbred C57BL MH - Myelin Sheath/metabolism MH - Nerve Crush MH - Neuroprotection/*drug effects MH - Neuroprotective Agents/*administration & dosage MH - Nystagmus, Optokinetic/physiology MH - Optic Nerve Injuries/*drug therapy/physiopathology MH - Retinal Ganglion Cells/*drug effects PMC - PMC5959511 EDAT- 2018/05/31 06:00 MHDA- 2019/03/21 06:00 PMCR- 2018/05/01 CRDT- 2018/05/31 06:00 PHST- 2018/05/31 06:00 [entrez] PHST- 2018/05/31 06:00 [pubmed] PHST- 2019/03/21 06:00 [medline] PHST- 2018/05/01 00:00 [pmc-release] AID - 2681860 [pii] AID - IOVS-18-24096R1 [pii] AID - 10.1167/iovs.18-24096 [doi] PST - ppublish SO - Invest Ophthalmol Vis Sci. 2018 May 1;59(6):2470-2477. doi: 10.1167/iovs.18-24096.