PMID- 30829880 OWN - NLM STAT- MEDLINE DCOM- 20200612 LR - 20200612 IS - 1536-5166 (Electronic) IS - 1070-8022 (Print) IS - 1070-8022 (Linking) VI - 39 IP - 2 DP - 2019 Jun TI - Effects of Varying Intranasal Treatment Regimens in ST266-Mediated Retinal Ganglion Cell Neuroprotection. PG - 191-199 LID - 10.1097/WNO.0000000000000760 [doi] AB - INTRODUCTION: Previous studies have shown that intranasally administered ST266, a novel biological secretome of amnion-derived multipotent progenitor cells containing multiple growth factors and anti-inflammatory cytokines, attenuated visual dysfunction and prevented retinal ganglion cell (RGC) loss in experimental optic neuritis. Long-term effects and dose escalation studies examined here have not been reported previously. METHODS: Optic neuritis was induced in the multiple sclerosis model experimental autoimmune encephalomyelitis (EAE). EAE and control mice were treated once or twice daily with intranasal placebo/vehicle or ST266 beginning after onset of optic neuritis for either 15 days or continuously until sacrifice. Visual function was assessed by optokinetic responses (OKRs). RGC survival and optic nerve inflammation and demyelination were measured. RESULTS: Both once and twice daily continuous intranasal ST266 treatment from disease onset to 56 days after EAE induction significantly increased OKR scores, decreased RGC loss, and reduced optic nerve inflammation and demyelination compared with placebo (saline, nonspecific protein solution, or cell culture media)-treated EAE mice. ST266 treatment given for just 15 days after disease onset, then discontinued, only delayed OKR decreases, and had limited effects on RGC survival and optic nerve inflammation 56 days after disease induction. CONCLUSIONS: ST266 is a potential neuroprotective therapy to prevent RGC damage, and intranasal delivery warrants further study as a novel mechanism to deliver protein therapies for optic neuropathies. Results suggest that once daily ST266 treatment is sufficient to sustain maximal benefits and demonstrate that neuroprotective effects promoted by ST266 are specific to the combination of factors present in this complex biologic therapy. FAU - Khan, Reas S AU - Khan RS AD - Scheie Eye Institute (RSK, KD, KSS), FM Kirby Center for Molecular Ophthalmology, University of Pennsylvania, Philadelphia, Pennsylvania; and Noveome Biotherapeutics, Inc. (HW, LB), Pittsburgh, Pennsylvania. FAU - Dine, Kimberly AU - Dine K FAU - Wessel, Howard AU - Wessel H FAU - Brown, Larry AU - Brown L FAU - Shindler, Kenneth S AU - Shindler KS LA - eng GR - R01 EY019014/EY/NEI NIH HHS/United States GR - R43 EY015014/EY/NEI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, U.S. Gov't, Non-P.H.S. PL - United States TA - J Neuroophthalmol JT - Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society JID - 9431308 RN - 0 (Intercellular Signaling Peptides and Proteins) RN - 0 (Neuroprotective Agents) SB - IM MH - Administration, Intranasal MH - Amnion MH - Animals MH - Cell Survival/physiology MH - Disease Models, Animal MH - Encephalomyelitis, Autoimmune, Experimental/physiopathology MH - Female MH - Intercellular Signaling Peptides and Proteins/metabolism/*therapeutic use MH - Mice MH - Mice, Inbred C57BL MH - Multipotent Stem Cells/metabolism MH - Neuroprotection/drug effects MH - Neuroprotective Agents/metabolism/*therapeutic use MH - Nystagmus, Optokinetic/physiology MH - Optic Neuritis/physiopathology/*prevention & control MH - Retinal Diseases/physiopathology/*prevention & control MH - Retinal Ganglion Cells/*drug effects/physiology MH - Visual Acuity/physiology PMC - PMC6522299 MID - NIHMS1517475 EDAT- 2019/03/05 06:00 MHDA- 2020/06/13 06:00 PMCR- 2020/06/01 CRDT- 2019/03/05 06:00 PHST- 2019/03/05 06:00 [pubmed] PHST- 2020/06/13 06:00 [medline] PHST- 2019/03/05 06:00 [entrez] PHST- 2020/06/01 00:00 [pmc-release] AID - 10.1097/WNO.0000000000000760 [doi] PST - ppublish SO - J Neuroophthalmol. 2019 Jun;39(2):191-199. doi: 10.1097/WNO.0000000000000760.