Corneal protective effects of a new ophthalmic formulation based on vitamin B12 and sodium hyaluronate

IntroductionCorneal damage can happen due to a variety of insults, including environmental factors and iatrogenic issues. For instance, the corneal epithelium is sensitive to oxidative stress caused by reactive oxygen species (ROS) or by ultraviolet B (UVB) radiation. Moreover, the strictly correlat...

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Main Authors: Francesca Lazzara, Federica Conti, Grazia Maugeri, Velia D’Agata, Ludovica Sotera, Claudio Bucolo
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Pharmacology
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Online Access:https://www.frontiersin.org/articles/10.3389/fphar.2025.1548213/full
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author Francesca Lazzara
Federica Conti
Grazia Maugeri
Velia D’Agata
Velia D’Agata
Ludovica Sotera
Claudio Bucolo
Claudio Bucolo
author_facet Francesca Lazzara
Federica Conti
Grazia Maugeri
Velia D’Agata
Velia D’Agata
Ludovica Sotera
Claudio Bucolo
Claudio Bucolo
author_sort Francesca Lazzara
collection DOAJ
description IntroductionCorneal damage can happen due to a variety of insults, including environmental factors and iatrogenic issues. For instance, the corneal epithelium is sensitive to oxidative stress caused by reactive oxygen species (ROS) or by ultraviolet B (UVB) radiation. Moreover, the strictly correlated oxidative damage and inflammatory processes impair the corneal reparative wound healing mechanism. Corneal protection after damage remains an unmet medical need that requires urgent management. Sodium hyaluronate is known to protect the cornea against oxidative and inflammatory injury. Additionally, vitamin B12 is a good candidate for counteracting corneal damage, helping preserve visual functions.MethodsThe present study aimed to investigate the potential protective effect of an ophthalmic formulation based on 0.01% vitamin B12% and 0.15% sodium hyaluronate (DROPYAL EVO) compared to other ophthalmic formulations containing sodium hyaluronate and trehalose (TRIMIX and THEALOZ DUO). Two different in vitro models of corneal damage were carried out in corneal epithelial cells exposed to hydrogen peroxide (H2O2, 1 mM) or UVB (20 mJ/cm2). Cell viability, cytotoxicity, ROS production, and mRNA expression of pro-inflammatory cytokines (TNF-α and IL-1β) were assessed by MTT, LDH, 2′,7′–dichlorofluorescein diacetate (DCFDA) assays and Real-time PCR, respectively. Additionally, the ability of ophthalmic formulations to affect the wound healing process in corneal epithelial cells was assessed at different time points by scratch wound healing assay.ResultsThe eye drops containing vitamin B12 were able to significantly counteract oxidative and inflammatory damage in corneal epithelial cells exposed to H2O2 stimulus and UVB radiation, in terms of ROS production and pro-inflammatory cytokines expression. Additionally, the eye drops containing vitamin B12 obtained significantly better outcomes in terms of wound closure at 36 h and 48 h after scratching the corneal epithelial cells, compared to the other two formulations containing trehalose.DiscussionVitamin B12 potentially enhances the protective effect of sodium hyaluronate, accelerating the wound healing process and modulating oxidative stress and inflammation. Vitamin B12, in combination with sodium hyaluronate, could represent a promising approach to managing corneal epithelial damage. Further clinical investigations are needed to confirm this data.
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spelling doaj-art-61c58e794975437f909b2a031f8e94fc2025-01-31T08:49:15ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122025-01-011610.3389/fphar.2025.15482131548213Corneal protective effects of a new ophthalmic formulation based on vitamin B12 and sodium hyaluronateFrancesca Lazzara0Federica Conti1Grazia Maugeri2Velia D’Agata3Velia D’Agata4Ludovica Sotera5Claudio Bucolo6Claudio Bucolo7Department of Biomedical and Biotechnological Sciences, School of Medicine, University of Catania, Catania, ItalyDepartment of Biomedical and Biotechnological Sciences, School of Medicine, University of Catania, Catania, ItalyDepartment of Biomedical and Biotechnological Sciences, School of Medicine, University of Catania, Catania, ItalyDepartment of Biomedical and Biotechnological Sciences, School of Medicine, University of Catania, Catania, ItalyCenter for Research in Ocular Pharmacology-CERFO, University of Catania, Catania, ItalyDepartment of Biomedical and Biotechnological Sciences, School of Medicine, University of Catania, Catania, ItalyDepartment of Biomedical and Biotechnological Sciences, School of Medicine, University of Catania, Catania, ItalyCenter for Research in Ocular Pharmacology-CERFO, University of Catania, Catania, ItalyIntroductionCorneal damage can happen due to a variety of insults, including environmental factors and iatrogenic issues. For instance, the corneal epithelium is sensitive to oxidative stress caused by reactive oxygen species (ROS) or by ultraviolet B (UVB) radiation. Moreover, the strictly correlated oxidative damage and inflammatory processes impair the corneal reparative wound healing mechanism. Corneal protection after damage remains an unmet medical need that requires urgent management. Sodium hyaluronate is known to protect the cornea against oxidative and inflammatory injury. Additionally, vitamin B12 is a good candidate for counteracting corneal damage, helping preserve visual functions.MethodsThe present study aimed to investigate the potential protective effect of an ophthalmic formulation based on 0.01% vitamin B12% and 0.15% sodium hyaluronate (DROPYAL EVO) compared to other ophthalmic formulations containing sodium hyaluronate and trehalose (TRIMIX and THEALOZ DUO). Two different in vitro models of corneal damage were carried out in corneal epithelial cells exposed to hydrogen peroxide (H2O2, 1 mM) or UVB (20 mJ/cm2). Cell viability, cytotoxicity, ROS production, and mRNA expression of pro-inflammatory cytokines (TNF-α and IL-1β) were assessed by MTT, LDH, 2′,7′–dichlorofluorescein diacetate (DCFDA) assays and Real-time PCR, respectively. Additionally, the ability of ophthalmic formulations to affect the wound healing process in corneal epithelial cells was assessed at different time points by scratch wound healing assay.ResultsThe eye drops containing vitamin B12 were able to significantly counteract oxidative and inflammatory damage in corneal epithelial cells exposed to H2O2 stimulus and UVB radiation, in terms of ROS production and pro-inflammatory cytokines expression. Additionally, the eye drops containing vitamin B12 obtained significantly better outcomes in terms of wound closure at 36 h and 48 h after scratching the corneal epithelial cells, compared to the other two formulations containing trehalose.DiscussionVitamin B12 potentially enhances the protective effect of sodium hyaluronate, accelerating the wound healing process and modulating oxidative stress and inflammation. Vitamin B12, in combination with sodium hyaluronate, could represent a promising approach to managing corneal epithelial damage. Further clinical investigations are needed to confirm this data.https://www.frontiersin.org/articles/10.3389/fphar.2025.1548213/fullcorneadry eye diseasevitamin B12sodium hyaluronatetrehalose
spellingShingle Francesca Lazzara
Federica Conti
Grazia Maugeri
Velia D’Agata
Velia D’Agata
Ludovica Sotera
Claudio Bucolo
Claudio Bucolo
Corneal protective effects of a new ophthalmic formulation based on vitamin B12 and sodium hyaluronate
Frontiers in Pharmacology
cornea
dry eye disease
vitamin B12
sodium hyaluronate
trehalose
title Corneal protective effects of a new ophthalmic formulation based on vitamin B12 and sodium hyaluronate
title_full Corneal protective effects of a new ophthalmic formulation based on vitamin B12 and sodium hyaluronate
title_fullStr Corneal protective effects of a new ophthalmic formulation based on vitamin B12 and sodium hyaluronate
title_full_unstemmed Corneal protective effects of a new ophthalmic formulation based on vitamin B12 and sodium hyaluronate
title_short Corneal protective effects of a new ophthalmic formulation based on vitamin B12 and sodium hyaluronate
title_sort corneal protective effects of a new ophthalmic formulation based on vitamin b12 and sodium hyaluronate
topic cornea
dry eye disease
vitamin B12
sodium hyaluronate
trehalose
url https://www.frontiersin.org/articles/10.3389/fphar.2025.1548213/full
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