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{"title":"The Efficacy of Melanin Precursor QIAPI 1© Against Age-related Macular Degeneration (AMD): A Case Report.","authors":"Arturo S Herrera, Narasimha M Beeraka, Luis Fernando T Solis, Liudmila M Mikhaleva, Siva G Somasundaram, Cecil E Kirkland, Gjumrakch Aliev","doi":"10.2174/1871524920666201109152951","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>AMD is becoming one of the leading causes of blindness in older adults. The prevalence rate of the wet form of AMD has been increasing due to the lack of selective therapeutic modalities. Current therapeutic interventions such as drugs targeting VEGF, and VEGF receptors, laser coagulants delivered unsuccessful clinical outcomes in AMD patients. Hence, the cost-effective anti-oxidant therapeutic interventions like molecular hydrogen to protect retinal pigment epithelium (RPE) by mitigating oxidative stress may deliver effective clinical outcomes in AMD patients.</p><p><strong>Methods: </strong>Female patients with late-stage AMD of age above 70 years were chosen for this case report. The patients were administered QIAPI1©, a melanin precursor via sublingual route and the photographs were obtained for left and right eye to depict the efficacy of QIAPI1© against the wet form of AMD.</p><p><strong>Results: </strong>The administration of QIAPI1© extensively mitigated yellow-colored drusen accumulations in the retina, retinal edema, exudates, and hemorrhages in the right eye, but the effect was minimal in the case of left eye; the overall drusen accumulation was lesser than the first consultation.</p><p><strong>Conclusion: </strong>Current case report has concluded the intrinsic effect of melanin in producing the molecular hydrogen and chemical energy across the retinal tissues by dissociating water molecules and dissipating the drusen accumulations, retinal edema, and hemorrhages in AMD patients. Our preliminary study reported the usage of QIAPI1© as a prospective therapeutic modality to mitigate the oxidative stress-mediated pathophysiology of the wet form of AMD.</p>","PeriodicalId":9799,"journal":{"name":"Central nervous system agents in medicinal chemistry","volume":"20 3","pages":"218-225"},"PeriodicalIF":0.0000,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Central nervous system agents in medicinal chemistry","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.2174/1871524920666201109152951","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Psychology","Score":null,"Total":0}
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Abstract
Background: AMD is becoming one of the leading causes of blindness in older adults. The prevalence rate of the wet form of AMD has been increasing due to the lack of selective therapeutic modalities. Current therapeutic interventions such as drugs targeting VEGF, and VEGF receptors, laser coagulants delivered unsuccessful clinical outcomes in AMD patients. Hence, the cost-effective anti-oxidant therapeutic interventions like molecular hydrogen to protect retinal pigment epithelium (RPE) by mitigating oxidative stress may deliver effective clinical outcomes in AMD patients.
Methods: Female patients with late-stage AMD of age above 70 years were chosen for this case report. The patients were administered QIAPI1©, a melanin precursor via sublingual route and the photographs were obtained for left and right eye to depict the efficacy of QIAPI1© against the wet form of AMD.
Results: The administration of QIAPI1© extensively mitigated yellow-colored drusen accumulations in the retina, retinal edema, exudates, and hemorrhages in the right eye, but the effect was minimal in the case of left eye; the overall drusen accumulation was lesser than the first consultation.
Conclusion: Current case report has concluded the intrinsic effect of melanin in producing the molecular hydrogen and chemical energy across the retinal tissues by dissociating water molecules and dissipating the drusen accumulations, retinal edema, and hemorrhages in AMD patients. Our preliminary study reported the usage of QIAPI1© as a prospective therapeutic modality to mitigate the oxidative stress-mediated pathophysiology of the wet form of AMD.
黑色素前体QIAPI 1©抗老年性黄斑变性(AMD) 1例
背景:AMD正在成为老年人失明的主要原因之一。由于缺乏选择性的治疗方式,湿型AMD的患病率一直在增加。目前针对血管内皮生长因子的药物、血管内皮生长因子受体、激光凝血剂等治疗干预措施在AMD患者中的临床效果不佳。因此,具有成本效益的抗氧化治疗干预措施,如分子氢,通过减轻氧化应激来保护视网膜色素上皮(RPE),可能为AMD患者提供有效的临床结果。方法:选择年龄在70岁以上的女性晚期AMD患者为研究对象。患者经舌下途径给予黑色素前体QIAPI1©,并获得左眼和右眼照片,以描述QIAPI1©对湿型AMD的疗效。结果:QIAPI1©可广泛减轻右眼视网膜黄斑积水、水肿、渗出及出血,但左眼效果不明显;总体肾小球积累量低于第一次就诊。结论:本病例报告总结了黑色素在视网膜组织中产生分子氢和化学能的内在作用,通过解离水分子,消散黄斑变性患者的积水、视网膜水肿和出血。我们的初步研究报告了使用QIAPI1©作为一种前瞻性治疗方式来减轻湿型AMD的氧化应激介导的病理生理。
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