We have investigated whether antisense oligonucleotides delivered intravitr
eally could reduce gene expression specifically in the retina. In this stud
y, phosphorothioate antisense oligonucleotides targeted to fibronectin tran
scripts were coupled to a novel carrier and used to specifically reduce fib
ronectin (FN) expression in retinal vascular cells. Using confocal microsco
py, fluorescence from fluorescein isothio-cyanate-labeled FN-oligonucleotid
es was detected in retinal vascular cells at 24 h postinjection and persist
ed until day 6 (the end point of this study). The fibronectin mRNA level wa
s consistently decreased to 86.7% +/- 7.9% of control (p<0.05) at day 2, an
d 46.7% +/- 4.9% of control (p<0.01) at day 6. In contrast, the p-actin mRN
A level, an internal control, was unaltered in rat retinas that received FN
-oligonucleotides. Fibronectin protein level at day 6 was also significantl
y reduced to 61.4% +/- 16% of control (p<0.01). No toxic effect resulting f
rom the carrier was detected histologically. Thus, intravitreal delivery of
antisense oligonucleotides to modulate abnormal gene expression in retinal
diseases may he an effective approach for ocular gene therapy.