Steroidal anti-inflammatories are a powerful class of drugs for management of inflammation however these have serious side-effects. Steroid-induced glaucoma (SIG) is a secondary, often silent, form of open-angle glaucoma caused by elevated eye pressure (intraocular pressure, or IOP) from prolonged corticosteroid use. Researchers at Georgia Institute of Technology, Emory University, Duke University, and Spelman College, utilized PLA-PCL-PEG-PCL-PLA (AK099, https://akinainc.com/polyscitech/products/polyvivo/index.php?highlight=AK099#h) from PolySciTech : Akina, Inc. (www.PolySciTech.com) to research the pathology of glaucoma by inducing the disease state in a mouse model and exploring the factors contributing to IOP. This research holds promise to provide a better understanding of this often blinding disease. Read more: Wong, Cydney A., A. Thomas Read, Guorong Li, Amia Loveless, Nina Sara Fraticelli Guzman, Andrew J. Feola, Todd Sulchek, W. Daniel Stamer, and C. Ross Ethier. "Segmental outflow and trabecular meshwork stiffness in an ocular hypertensive mouse model." bioRxiv (2026): 2026-02. https://www.biorxiv.org/content/10.64898/2026.02.03.703547.abstract
“Purpose Elevated intraocular pressure (IOP) due to increased outflow resistance through the trabecular meshwork (TM) is a major risk factor for primary open-angle glaucoma. Outflow through the TM is segmental, consisting of high flow (HF) and low flow (LF) regions. Here, we investigate how ocular hypertension impacts segmental outflow using a dexamethasone (DEX) mouse model and compare TM stiffness between HF and LF regions. Methods Nanoparticles containing DEX or vehicle were injected twice weekly in 2–4-month-old C57BL/6J mice (n=14), and IOP was measured weekly. At week 4, mouse eyes were perfused in vivo with fluorescent nanospheres to assess flow patterns and the circumferential percentage of high, intermediate, and low flow regions in each eye. Sagittal sections were collected from HF and LF regions, and atomic force microscopy (AFM) was used to measure tissue stiffness. Immunofluorescent labeling was used to compare fibronectin and α-SMA protein levels. Results DEX treatment significantly elevated IOP by an average of 33.3% and altered tracer distribution but not the percentage of HF and LF regions around the circumference. No significant differences in TM stiffness were detected between DEX-treated and control mice, or between HF and LF regions. Increased fibronectin in LF regions of DEX-treated eyes suggested subtle TM structural changes that were not detected by AFM. Conclusions Dexamethasone alters segmental flow distribution and may impact cell contractility rather than ECM stiffness to cause IOP elevation in young mice. These findings better characterize the nature of segmental outflow and TM mechanics in this model of steroid-induced glaucoma.”
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