Investigative Ophthalmology & Visual Science Cover Image for Volume 60, Issue 9
July 2019
Volume 60, Issue 9
Open Access
ARVO Annual Meeting Abstract  |   July 2019
Glaucoma-on-a-chip: an in vitro model for glaucoma drug discovery based on mimicking mechanical stress of high eye pressure
Author Affiliations & Notes
  • Pascal A.M.M. Vroemen
    University Eye Clinic Maastricht, Maastricht, Netherlands
    MERLN Institute for Technology-Inspired Regenerative Medicine, Maastricht University, Maastricht, Netherlands
  • Ravi Sinha
    MERLN Institute for Technology-Inspired Regenerative Medicine, Maastricht University, Maastricht, Netherlands
  • Jeroen Rouwkema
    Biomechanical Engineering, University of Twente, Enschede, Netherlands
  • Lorenzo Moroni
    MERLN Institute for Technology-Inspired Regenerative Medicine, Maastricht University, Maastricht, Netherlands
  • Jan de Boer
    Biomedical Engineering and Institute for Complex Molecular Structures, Eindhoven University of Technology, Eindhoven, Netherlands
    MERLN Institute for Technology-Inspired Regenerative Medicine, Maastricht University, Maastricht, Netherlands
  • Carroll A.B. Webers
    University Eye Clinic Maastricht, Maastricht, Netherlands
  • Theo G.M.F. Gorgels
    University Eye Clinic Maastricht, Maastricht, Netherlands
  • Footnotes
    Commercial Relationships   Pascal Vroemen, None; Ravi Sinha, None; Jeroen Rouwkema, None; Lorenzo Moroni, None; Jan Boer, None; Carroll Webers, Alcon/Novartis (F), Alcon/Novartis (R), Santen (F), Santen (R), Thea Pharma (F); Theo Gorgels, None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science July 2019, Vol.60, 6170. doi:
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      Pascal A.M.M. Vroemen, Ravi Sinha, Jeroen Rouwkema, Lorenzo Moroni, Jan de Boer, Carroll A.B. Webers, Theo G.M.F. Gorgels; Glaucoma-on-a-chip: an in vitro model for glaucoma drug discovery based on mimicking mechanical stress of high eye pressure. Invest. Ophthalmol. Vis. Sci. 2019;60(9):6170.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose : The pathology of glaucoma is characterized by loss of retinal ganglion cells (RGCs). Since loss of these specialized neurons is irreversible, it is urgent to develop treatments that protect these cells. For development of neuroprotective drugs, an in vitro glaucoma model would be very useful. The purpose of this study is to develop such a model by creating a device in which RGCs can be cultured and exposed to conditions that mimic those of elevated intra-ocular pressure (IOP), the main risk factor of glaucoma.

Methods : Elevated IOP leads to increased hydrostatic pressure and deformation in eye tissues. Moreover, IOP fluctuates considerably in vivo; deformation is therefore dynamic. To mimic these conditions, we developed a cell culture device, based on Sinha et al. (Lab Chip 2015; 15 429-439). The device is made of polydimethylsiloxane (PDMS), contains 100 culture units, and is compatible with standard well plate holders. A culture unit consists of a plateau surrounded by a trench, all covered by an elastic membrane on which the cells are grown. The device can simultaneously apply hydrostatic pressure and strain. Pressure is applied by elevating a reservoir of culture medium, while strain is applied dynamically with a vacuum pump creating a pressure drop in the trench, which leads to stretching of the membrane and the cells. We used the neuronal PC-12 cell line to establish model biocompatibility.

Results : Our device can screen a range of hydrostatic pressures (0-90 mmHg). By designing different shapes of the plateau we created different strain conditions (uni-axial, isotropic) assisted by computational modeling. Actual strains were measured using tracking of beads embedded in the elastic membrane. Strains measured 0 to 20% depending on the magnitude of the applied pressure drop and the dimensions of the trench in the particular culture unit. First experiments with PC-12 cells indicate that cyclic (1 Hz) strain (10%) applied for 48 hours under 70mmHg resulted in a reduced cell density compared to control.

Conclusions : We constructed a medium-throughput cell culture device that can simultaneously apply pressure and strain to cultured cells. This glaucoma-on-a-chip can help to identify the molecular mechanisms of IOP-induced RGC death and design and test neuroprotective drugs. In addition, it can serve to characterize sensitivity of patient cells to mechanical stress.

This abstract was presented at the 2019 ARVO Annual Meeting, held in Vancouver, Canada, April 28 - May 2, 2019.

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