Ocular kinetics and safety of intravitreally injected angiotensin converting enzyme inhibitor lisinopril

• Main Authors: Madhu Nath, Nabanita Halder, Parijat Chandra, Sundararajan Baskar Singh, Ashok Kumar Deorari, Atul Kumar, Thirumurthy Velpandian
• Format: Article
• Language: English
• Published: BMC 2018-11-01
• Series: International Journal of Retina and Vitreous
• Subjects: Lisinopril; Intravitreal injection; Ocular safety; Electroretinography; Pharmacokinetics
• Online Access: http://link.springer.com/article/10.1186/s40942-018-0146-7

Abstract Background and objectives The study investigated the intravitreal safety and vitreous disposition of lisinopril, an angiotensin converting enzyme inhibitor in rabbits for its projected use in retinopathy. Methods For the safety study, following the baseline ERG recording and fundus photography, 40 µg/50 µl of lisinopril sterile injection was injected unilaterally in the rabbit eyes (n = 4), where other eye served as a control. The electroretinogram and fundus images were obtained at 24, 48, 72 and 168 h following the intravitreal injection. For pharmacokinetics evaluation of the lisinopril, one eye of each rabbit (n = 4) received an intravitreal injection of lisinopril (40 µg/50 µl). The concentration of lisinopril in the ocular tissues, humours, plasma, lung, kidney and liver were measured through ESI-LC-MS/MS. Results Upon the electroretinography studies, no significant difference was observed in the ERG pattern in the lisinopril injected eye when compared to the baseline of the respective animals till the 7th day of the study. In the fundus imaging, no morphological changes were observed in the retina of the animal. The concentration of the lisinopril was found to be above to the IC50 in the retina-choroid till 36 h. The concentration found in the plasma and body tissues were many folds less than the IC50 of the lisinopril. Conclusions Intravitreal injection of 40 µg/50 µl of lisinopril found to be safe in the rabbit eye as evidenced by the electroretinography and fundus imaging studies. The average half-life of lisinopril is 12.6 h and the above-mentioned dose able to sustain its IC50 value till the 36 h.