PMID- 34121838 OWN - NLM STAT- MEDLINE DCOM- 20211207 LR - 20220423 IS - 1177-8881 (Electronic) IS - 1177-8881 (Linking) VI - 15 DP - 2021 TI - Topical Delivery of Levocarnitine to the Cornea and Anterior Eye by Thermosensitive in-situ Gel for Dry Eye Disease. PG - 2357-2373 LID - 10.2147/DDDT.S309648 [doi] AB - PURPOSE: To prepare the levocarnitine thermosensitive in situ gel (LCTG) and evaluate its effect on dry eye disease (DED). METHODS: Draize eye irritation test and other examinations were used to evaluate the eye irritation after multiple administration of LCTG. The Schirmer test, fluorescein sodium staining, HE staining and TUNEL staining were used to detect the tear secretion, corneal injury, histopathological changes of the cornea and lacrimal gland, and the apoptosis rate of cornea epithelial cells after 3 days of the administration. The conjunctival goblet cell density was detected by PAS staining, and the expression levels of matrix metalloproteinase-3 (MMP-3) and matrix metalloproteinase-9 (MMP-9) of corneal epithelial cells were detected by immunofluorescence staining after 7 days of the administration. RESULTS: LCTG is non-irritating to rabbit eyes and has good biocompatibility. LCTG administration for 3 days can significantly increase the amount of tear secretion in mice with DED, promote corneal epithelial integrity and central corneal epithelium thickness recovery, and improve the pathological morphology and structure of corneal and lacrimal gland tissues, and reduce the apoptosis rate of the corneal epithelial cells. After 7 days of the administration, the preparation can promote the proliferation of conjunctival goblet cells and down-regulate the cornea expression levels of MMP-3 and MMP-9 in epithelial cells. CONCLUSION: The LCTG has a good curative effect on mice with DED, and the overall curative effect is better than that of levocarnitine solution. CI - (c) 2021 Ma et al. FAU - Ma, Baorui AU - Ma B AD - School of Chinese Materia Medica, Beijing University of Chinese Medicine, Beijing, People's Republic of China. FAU - Pang, Linnuo AU - Pang L AD - School of Chinese Materia Medica, Beijing University of Chinese Medicine, Beijing, People's Republic of China. FAU - Huang, Pingqing AU - Huang P AD - School of Chinese Materia Medica, Beijing University of Chinese Medicine, Beijing, People's Republic of China. FAU - Bai, Jie AU - Bai J AD - School of Chinese Materia Medica, Beijing University of Chinese Medicine, Beijing, People's Republic of China. FAU - Zhang, Zhiqin AU - Zhang Z AD - School of Chinese Materia Medica, Beijing University of Chinese Medicine, Beijing, People's Republic of China. FAU - Wu, Huimin AU - Wu H AD - School of Chinese Materia Medica, Beijing University of Chinese Medicine, Beijing, People's Republic of China. FAU - Cai, Mengru AU - Cai M AD - School of Chinese Materia Medica, Beijing University of Chinese Medicine, Beijing, People's Republic of China. FAU - Yang, Jin AU - Yang J AD - School of Chinese Materia Medica, Beijing University of Chinese Medicine, Beijing, People's Republic of China. FAU - Xu, Yuchen AU - Xu Y AD - School of Chinese Materia Medica, Beijing University of Chinese Medicine, Beijing, People's Republic of China. FAU - Yin, Xingbin AU - Yin X AUID- ORCID: 0000-0003-3077-1626 AD - School of Chinese Materia Medica, Beijing University of Chinese Medicine, Beijing, People's Republic of China. FAU - Qu, Changhai AU - Qu C AD - School of Chinese Materia Medica, Beijing University of Chinese Medicine, Beijing, People's Republic of China. FAU - Ni, Jian AU - Ni J AD - School of Chinese Materia Medica, Beijing University of Chinese Medicine, Beijing, People's Republic of China. LA - eng PT - Journal Article DEP - 20210602 PL - New Zealand TA - Drug Des Devel Ther JT - Drug design, development and therapy JID - 101475745 RN - EC 3.4.24.17 (Matrix Metalloproteinase 3) RN - EC 3.4.24.17 (Mmp3 protein, mouse) RN - EC 3.4.24.35 (Matrix Metalloproteinase 9) RN - EC 3.4.24.35 (Mmp9 protein, mouse) RN - S7UI8SM58A (Carnitine) SB - IM MH - Administration, Ophthalmic MH - Animals MH - Carnitine/*administration & dosage/pharmacology/toxicity MH - Cornea/*metabolism MH - Disease Models, Animal MH - *Drug Delivery Systems MH - Dry Eye Syndromes/*drug therapy MH - Epithelium, Corneal/drug effects/metabolism MH - Female MH - Gene Expression Regulation/drug effects MH - Goblet Cells/drug effects/metabolism MH - Matrix Metalloproteinase 3/genetics MH - Matrix Metalloproteinase 9/genetics MH - Mice MH - Mice, Inbred BALB C MH - Rabbits MH - Temperature MH - Treatment Outcome PMC - PMC8188229 OTO - NOTNLM OT - cornea OT - delivery OT - dry eye disease OT - in situ gel OT - levocarnitine COIS- The authors declare no potential conflicts of interest for this work. EDAT- 2021/06/15 06:00 MHDA- 2021/12/15 06:00 PMCR- 2021/06/02 CRDT- 2021/06/14 09:32 PHST- 2021/03/05 00:00 [received] PHST- 2021/05/13 00:00 [accepted] PHST- 2021/06/14 09:32 [entrez] PHST- 2021/06/15 06:00 [pubmed] PHST- 2021/12/15 06:00 [medline] PHST- 2021/06/02 00:00 [pmc-release] AID - 309648 [pii] AID - 10.2147/DDDT.S309648 [doi] PST - epublish SO - Drug Des Devel Ther. 2021 Jun 2;15:2357-2373. doi: 10.2147/DDDT.S309648. eCollection 2021.