ESCRS - PO0645 - Novel Cpp Conjugated Natamycin For Fungal Keratitis: An In Vitro & In Vivo Study

Novel Cpp Conjugated Natamycin For Fungal Keratitis: An In Vitro & In Vivo Study

Published 2023 - 41st Congress of the ESCRS

Reference: PO0645 | Type: Free paper | DOI: 10.82333/1vee-2z52

Authors: Sushmita Gaurav Shah* 1 , Archana Chugh 2 , Harsha Rohira 2 , Sujithra Shankar 2 , Shikha Yadav 3

1Cornea, Ocular Surface, Refractive surgery,Eye Life,Mumbai,India, 2IIT Delhi,New Delhi,India, 3NIB, Noida,Noida,India

Purpose

To describe in-vitro & in-vivo characteristics of novel CPP - conjugated Natamycin for the managment of Fungal Keratitis

Setting

Institutional Collaborative Research 

Methods

Natamycin, considered the drug of choice for fungal keratitis caused by filamentous fungi, has multiple limitations including, inability to penetrate across normal epithelium, poor bioavailability, poor solubility in water etc. In an attempt to overcome these limitations, Natamycin was successfully conjugated with cell penetrating peptide(CPP) to create a novel CPP-Natamycin conjugate. 

Results

This conjugate demonstrated excellent penetration into human corneal epithelial cell lines along with comparable efficacy against isolates of Fusarium solani, in vitro. Better antifungal efficacy was also noted in comparison to Natamycin alone, in a murine model of Fusarium spp. keratitis. Increased penetration into the cornea as well as anterior chamber was noted in vivo in rabbit eyes which was found to be statistically significant.

Conclusions

To summarize, CPP conjugated Natamycin was found to have better antifungal efficacy as well as  increased penetration across corneal epithelium in vivo in animal eyes.