視力低下を遅らせる目薬を動物で開発(NIH researchers develop eye drops that slow vision loss in animals)

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2025-03-21 アメリカ国立衛生研究所 (NIH)

米国国立衛生研究所(NIH)の研究チームは、進行性視力喪失を引き起こす遺伝性眼疾患(特に網膜色素変性症)に対し、視力の低下を遅らせる点眼薬を動物実験で開発した。この点眼薬は、網膜に存在する自然タンパク質「PEDF(色素上皮由来因子)」由来の短いペプチドを含み、網膜細胞のストレスを軽減し、細胞死を防ぐ効果を示した。PEDF全体はサイズが大きく眼内への到達が難しかったが、短鎖ペプチドは通過性に優れ、網膜受容体に結合して効果を発揮する。今後は臨床試験に進む予定で、加齢黄斑変性症(AMD)など他の網膜疾患への応用も期待されている。

<関連情報>

H105Aペプチド点眼薬がマウスおよびヒトの網膜変性モデルにおいて光受容体の生存を促進する H105A peptide eye drops promote photoreceptor survival in murine and human models of retinal degeneration

Alexandra Bernardo-Colón,Andrea Bighinati,Shama Parween,Subrata Debnath,Ilaria Piano,Elisa Adani,Francesca Corsi,Claudia Gargini,Natalia Vergara,Valeria Marigo & S. Patricia Becerra
Communications medicine  Published:21 March 2025
DOI:https://doi.org/10.1038/s43856-025-00789-8

視力低下を遅らせる目薬を動物で開発(NIH researchers develop eye drops that slow vision loss in animals)

Abstract

Background
Photoreceptor death leads to inherited blinding retinal diseases, such as retinitis pigmentosa (RP). As disease progression often outpaces therapeutic advances, developing effective treatments is urgent. This study evaluates the efficacy of small peptides derived from pigment epithelium-derived factor (PEDF), which are known to restrict common cell death pathways associated with retinal diseases.

Methods
We tested chemically synthesized peptides (17-mer and H105A) with affinity for the PEDF receptor, PEDF-R, delivered as eye drops to two RP mouse models: rd10 (phosphodiesterase 6b mutation) and RhoP23H/+ (rhodopsin P23H mutation). Additionally, we engineered AAV-H105A vectors for intravitreal delivery in RhoP23H/+ mice. To assess peptide effects in human tissue, we used retinal organoids exposed to cigarette smoke extract, a model of oxidative stress. Photoreceptor survival, morphology and function were evaluated.

Results
Here we show that peptides 17-mer and H105A delivered via eye drops successfully reach the retina, promote photoreceptor survival, and improve retinal function in both RP mouse models. Intravitreal delivery of a AAV-H105A vector delays photoreceptor degeneration in RhoP23H/+ mice up to six months. In human retinal organoids, peptide H105A specifically prevents photoreceptor death induced by oxidative stress, a contributing factor to RP progression.

Conclusions
PEDF peptide-based eye drops offer a promising, minimally invasive therapy to prevent photoreceptor degeneration in retinal disorders, with a favorable safety profile.

Plain language summary

Retinitis pigmentosa (RP) is a rare inherited condition that causes the gradual death of photoreceptors (light-sensing cells) in the eye, leading to vision loss. There is currently no cure. This study tested a potential treatment using small protein fragments (peptides) from PEDF, a protective protein naturally found in the eye. Researchers delivered these peptides through eye drops or gene therapy in mouse models of RP and to human retinal organoids (lab-grown retina tissue). Mice treated early maintained healthy vision cells, while untreated mice experienced rapid cell loss and vision decline. These results suggest that peptide-based eye drops could be a simple, safe, and effective way to slow vision loss in patients with RP.

有機化学・薬学
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