RT Journal Article T1 Tolerance of high and low amounts of PLGA microspheres loaded with mineralocorticoid receptor antagonist in retinal target site A1 Zhao, Min A1 Rodríguez Villagra, Esther A1 Kowalczuk, Laura A1 Le Normand, Manon A1 Berdugo, Marianne A1 Levy-Boukris, Rinath A1 El Zaoui, Ikram A1 Kaufmann, Béatrice A1 Gurny, Robert A1 Bravo Osuna, Irene A1 Molina Martínez, Irene Teresa A1 Herrero Vanrell, María Del Rocío A1 Behar-Cohen, Francine AB Mineralocorticoid receptor (MR)contributes to retinal/choroidal homeostasis. Excess MR activation has been shown to be involved in pathogenesis of central serous chorioretinopathy (CSCR). Systemic administration of MR antagonist (MRA) reduces subretinal fluid and choroidal vasodilation, and improves the visual acuity in CSCR patients. To achieve long term beneficial effects in the eye while avoiding systemic side-effects, we propose the use ofbiodegradable spironolactone-loaded polylactic-co-glycolic acid (PLGA)microspheres (MSs). In this work we have evaluated the ocular tolerance of MSs containing spironolactone in rats’ eyes. As previous step, we have also studied the tolerance of the commercial solution of canrenoate salt, active metabolite of spironolactone. PLGA MSs allowed in vitro sustained release of spironolactone for 30 days. Rat eyes injected with high intravitreous concentration of PLGA MSs (10 mg/mL) unloaded and loaded with spironolactone maintained intact retinal lamination at 1 month. However enhanced glial fibrillary acidic protein immunostaining and activated microglia/macrophages witness retinal stress were observed. ERG also showed impaired photoreceptor function. Intravitreous PLGA MSs concentration of 2 mg/mL unloaded and loaded with spironolactone resulted well tolerated. We observed reduced microglial/macrophage activation in rat retina compared to high concentration of MSs with normal retinal function according to ERG. Spironolactone released from low concentration of MSs was active in the rat retina. Low concentration of spironolactone-loaded PLGA MSs could be a safe therapeutic choice for chorioretinal disorders in which illicit MR activation could be pathogenic. PB Elsevier SN 0168-3659 YR 2017 FD 2017-11-28 LK https://hdl.handle.net/20.500.14352/18741 UL https://hdl.handle.net/20.500.14352/18741 LA eng NO Ministerio de Economía, Comercio y Empresa (España)/Fondo Europeo de Desarrollo Regional NO Instituto de Salud Carlos III NO Universidad Complutense de Madrid NO Agence Nationale de la Recherche (Francia) NO Fondation de la Recherche Médicale (Francia) DS Docta Complutense RD 9 abr 2025