Cornea · 1997 · 42 citations · 0 references
MedicineMicrobiologyOphthalmologyMedical MicrobiologyOcular MicrobiologyOcular PharmacologyAntimicrobial PeptidesBacterial Eye InfectionsCorneal InfectionMicrobial KeratitisOcular Antimicrobial TherapyRabbit OphthalmologyAntimicrobial Peptide ActivityBacterial Keratitis TreatmentExperimental Model TestingInfectious KeratopathyInflammatory SignsInoculationMicrobial InoculationPseudomonas Aeruginosa Keratitis
Synthetic peptides, ranging from 12 to 18 residues, containing partial sequences from natural cecropin A and melittin were tested for activity in an experimental pseudomonas keratitis model in rabbits. In separate experiments, two Pseudomonas aeruginosa strains: (a) a clinical isolated strain, and (b) an American Type Culture Collection (ATCC) strain, were inoculated into the stroma of one cornea of each rabbit. Peptides were topically applied at 0.1% in phosphate-buffered saline (PBS) and compared with PBS alone and 0.3% gentamicin eye drops. Clinical evaluation, based on the McDonald-Shadduck scale, was performed during a > 48-h period after the bacterial inoculation. The peptide-treated animals showed significantly lower (p < 0.05) inflammatory signs and lower anterior-segment bacterial damage compared with PBS-treated animals, after the first 6 h. The antiinflammatory/antimicrobial activity was non significantly differnt (p > 0.05) from that in animals treated with gentamicin. We conclude that peptides keeping the sequence KWKLFKK from cecropin A and at least the sequence VLKVL from melittin show promise as novel agents in topical ocular therapy of bacterial keratitis.