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Eye Health research

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RPEP-01064 · 2005

BPC-157 Heals Corneal Defects: Eye Wound Healing From a Gut Peptide

BPC-157 accelerated corneal epithelial defect healing in rats with faster re-epithelialization compared to controls, extending its documented tissue repair capabilities to the eye — a new organ system for BPC-157 therapeutic application.

Lazić, Ratimir; Gabrić, Nikica; Dekaris, Iva; Bosnar, Damir; Boban-Blagaić, Alenka; Sikirić, Predrag · Animal Study

RPEP-01424 · 2008

Could Autoimmunity Against Eye Neuropeptides Cause Retinal Disease in Humans?

Autoimmune targeting of vasoactive neuropeptides (VIP, PACAP) in retinal vessels may cause retinopathy through impaired local blood flow autoregulation — proposing neuropeptide autoimmunity as a mechanism for vascular retinal diseases including diabetic retinopathy.

Staines, Donald R · Review

RPEP-05002 · 2020

BPC-157 Eye Drops Reverse Corneal Anesthesia and Heal Corneal Lesions in Rats

BPC-157 eye drops (0.4 μg/eye) fully counteracted tetracaine and oxybuprocaine corneal effects — restoring sensitivity, healing lesions, and normalizing tear production — even when the NO system was blocked.

Mirković, Ivan; Kralj, Tamara; Lozić, Marin; Stambolija, Vasilije; Kovačević, Josip; Vrdoljak, Luka; Zlatar, Mirna; Milanović, Kristina; Drmić, Domagoj; Predović, Jurica; Masnec, Sanja; Jurjević, Matija; Bušić, Mladen; Seiwerth, Sven; Kokot, Antonio; Sikirić, Predrag · Animal

RPEP-05064 · 2020

Shortened Versions of Cell-Penetrating Peptide Penetratin Can Cross Corneal Tissue

All synthesized penetratin analogues demonstrated measurable trans-corneal diffusion despite their hydrophilic nature and ~1.6 kDa size, though none achieved the penetration efficiency of full-length penetratin.

Pescina, Silvia; Sala, Marina; Scala, Maria Carmina; Santi, Patrizia; Padula, Cristina; Campiglia, Pietro; Ostacolo, Carmine; Nicoli, Sara · In Vitro

RPEP-05065 · 2020

Comprehensive Safety Review of Injectable Semaglutide for Type 2 Diabetes

Semaglutide demonstrated cardiovascular superiority in SUSTAIN 6, with a safety profile typical of GLP-1RAs. The only concerning signal was increased diabetic retinopathy events, likely related to rapid glucose lowering rather than direct drug toxicity.

Peter, Rajesh; Bain, Steve C · Review

RPEP-05305 · 2021

Growth Hormone-Releasing Hormone Agonist Protects Eye Nerve Cells After Injury

GHRH agonist MR-409 protected retinal ganglion cells after optic nerve injury and additively enhanced macrophage-mediated neuroprotection, with effects mediated through Akt phosphorylation and microglial activation.

Cen, Ling-Ping; Ng, Tsz Kin; Liang, Jia-Jian; Xu, Ciyan; Zhuang, Xi; Liu, Yu-Fen; Chen, Shao-Lang; Xu, Yanxuan; Yang, Qichen; Yuan, Xiang-Ling; Qin, Yong Jie; Chan, Sun On; Chen, Haoyu; Zhang, Mingzhi; Schally, Andrew V; Pang, Chi Pui · Animal

RPEP-05403 · 2021

Opioid Peptides Like Enkephalins Could Treat Chronic Eye Pain in Dry Eye Disease

Eye pain in dry eye disease is modulated by endogenous opioid peptides. Peripheral and central sensitization causes pain persistence. Topical opiorphin-containing formulations represent a novel theoretical approach to treat ocular pain by enhancing endogenous enkephalin activity.

Giannaccare, Giuseppe; Ghelardini, Carla; Mancini, Alessandra; Scorcia, Vincenzo; Di Cesare Mannelli, Lorenzo · Review

RPEP-05418 · 2021

Substance P Blocker Fosaprepitant Prevents UV-Induced Eye Inflammation in Both Eyes

Fosaprepitant (NK-1R antagonist) blocked UVR-B-induced NKR-1 expression and pro-inflammatory cytokine/chemokine production in both exposed and unexposed partner eyes in a mouse cataract model.

Gross, Janine; Wegener, Alfred R; Kronschläger, Martin; Schönfeld, Carl-Ludwig; Holz, Frank G; Meyer, Linda M · Preclinical Animal Study

RPEP-05420 · 2021

Stapled Peptide Blocks Herpes Eye Infection by Targeting Viral DNA Machinery

Optimized di-valine stapled peptide blocked HSV-1 DNA synthesis and infection in human primary corneal epithelial cells with selectivity index of 11.6. Unstapled control peptide had no effect. Peptide did not block unrelated virus infection (specificity confirmed).

Guan, Hancheng; Nuth, Manunya; Lee, Vivian; Lin, Chenyan; Mitchell, Claire H; Lu, Wennan; Scott, Richard W; Parker, Michael H; Kulp, John L; Reitz, Allen B; Ricciardi, Robert P · In Vitro Study

RPEP-05528 · 2021

Anti-Tau Antibody Protects Both Brain and Eyes in Alzheimer's Mouse Model

12A12mAb targeting pathological tau N-terminal fragment improved retinal pathology (APP/Aβ processing, tau phosphorylation, inflammation, synaptic proteins, mitochondrial function, neuronal death) in parallel with hippocampal improvements in Tg2576 AD mice after IV administration.

Latina, Valentina; Giacovazzo, Giacomo; Cordella, Federica; Balzamino, Bijorn Omar; Micera, Alessandra; Varano, Monica; Marchetti, Cristina; Malerba, Francesca; Florio, Rita; Ercole, Bruno Bruni; La Regina, Federico; Atlante, Anna; Coccurello, Roberto; Di Angelantonio, Silvia; Calissano, Pietro; Amadoro, Giuseppina · Animal

RPEP-05537 · 2021

Substance P Drives Abnormal Lymphatic Vessel Growth in Dry Eye Disease

SP/NK1R system promotes corneal lymphangiogenesis in DED by upregulating VEGFR3 expression on HDLECs. DED mouse model confirmed NK1R-dependent lymphatic vessel invasion. NK1R antagonism could inhibit pathologic lymphangiogenesis.

Lee, Seok Jae; Im, Sang-Taek; Wu, Jun; Cho, Chang Sik; Jo, Dong Hyun; Chen, Yihe; Dana, Reza; Kim, Jeong Hun; Lee, Sang-Mok · Animal

RPEP-09113 · 2024

Can Semaglutide Worsen Diabetic Eye Disease? What the Data Shows

In the SUSTAIN-6 cardiovascular outcome trial, semaglutide was associated with approximately 75% increased risk of diabetic retinopathy (DR) worsening. This was a secondary endpoint, not the trial's primary focus. Cases were rare in absolute terms. Insulin icodec (a novel once-weekly insulin) also showed increased DR worsening compared to daily insulin. No other recent antihyperglycemic agent (SGLT2 inhibitors, DPP-4 inhibitors, other GLP-1 drugs) was associated with DR worsening. Importantly, after the SUSTAIN-6 finding, nearly all subsequent trials excluded patients with pre-existing diabetic retinopathy. This means the true risk in the most vulnerable population remains unclear. Dedicated semaglutide eye safety studies were underway at the time of publication. The most at-risk patients are those with pre-existing high-risk DR, poor baseline blood sugar (where rapid improvement could trigger worsening), and those using insulin.

Rajagopal, Rithwick; McGill, Janet B · Review

RPEP-11649 · 2025

GLP-1 Drug Users Had Up to 75% Lower Risk of Age-Related Macular Degeneration

GLP-1 receptor agonist use was associated with a significantly lower risk of developing nonexudative age-related macular degeneration (AMD) compared to metformin, insulin, and SGLT-2 inhibitors. After 3 years of use, GLP-1 users had 75% lower AMD risk versus metformin (RR 0.25), 72% lower risk versus insulin (RR 0.28), and 58% lower risk versus SGLT-2 inhibitors (RR 0.42). In the more rigorous propensity score-matched analysis controlling for additional confounders (BMI, hypertension, CKD, diabetes duration), the reduced risk remained significant compared to insulin (HR 0.45; 95% CI 0.27–0.76). This suggests GLP-1 drugs may have a protective effect on the retina independent of blood sugar control, since all comparator groups were also on glucose-lowering medications.

Joo, Julia H; Zhao, Alison H; Chalasani, Meghana; Allan, Kevin C; Rachitskaya, Aleksandra V · Retrospective Cohort

RPEP-12896 · 2025

GLP-1 Medications May Improve Dry Eye Symptoms in Diabetes Patients

GLP-1 RA users had median Schirmer values of 15 mm vs. 7.5 mm and median TBUT of 10 sec vs. 5.85 sec compared to non-users.

Ottonelli, Giovanni; Gaeta, Alessandro; Montericcio, Novella; Tredici, Costanza; Ortfeldt, Vittoria; Birtolo, Maria Francesca; Jaafar, Simona; Mirani, Marco; Di Maria, Alessandra · Case Control

RPEP-12922 · 2025

Modified Neuropeptide Y Protects Eye Nerves Without Dangerous Blood Vessel Constriction

Truncated NPY (3-36) selectively activated neuroprotective pathways (via Y2/Y5 receptors) while avoiding vasoconstriction (mediated by Y1 receptors), demonstrating that receptor-selective peptide analogs can dissociate beneficial from harmful effects in glaucoma treatment.

Palanivel, Viswanthram; Basavarajappa, Devaraj; Salkar, Akanksha; Komáromy, András M; Tietz, Ole; Eva, Taslima Akter; Chitranshi, Nitin; Mirzaei, Mehdi; Gupta, Veer; You, Yuyi; Graham, Stuart L; Gupta, Vivek · Animal Study