Review Article

Palmitoylethanolamide, a Natural Retinoprotectant: Its Putative Relevance for the Treatment of Glaucoma and Diabetic Retinopathy

Table 1

Summary of preclinical studies related to PEA’s cytoprotective effects.

YearDose PEAMain resultsReference

20155 μM in vitroInhibition of the Ca2+-dependent release of glutamate[24]
20155 mg/kg Diminished inflammation, demyelination, axonal damage, and inflammatory cytokine expression in a multiple sclerosis model[25]
20150.1 μM in vitroProtection cell viability in cultured cortical neurons and astrocytes against inflammation[26]
201510−8–10−6 MConcentration-dependently reduced expression of proinflammatory and proangiogenic markers[27]
20141 mg/kg Prevention of induced afferent mechanical sensitization[28]
2014200, 400 and 800 µg/mLInhibition of inflammation markers and chymase expression in granulomatous tissue[29]
201430 mg/kg scIncreased AMP-activated protein kinase-α phosphorylation and carnitine palmitoyltransferase 1 transcription in adipose tissue; polarized adipose tissue macrophages to M2 lean phenotype[30]
201410 mg/kgReduction of structural radiation injury, intestinal wall thickness, collagen deposition, intestinal inflammation, and increased anti-inflammatory IL-10 and IL-6[31]
201310 mg/kgReduction of the clinical signs of type II collagen-induced arthritis as well as of paw edema compared to control[32]
20132, 10 or 50 mg/kgImproves all macroscopic signs of colitis and decreases the expression and release of all the proinflammatory markers[33]
201330 mg/kgReduction of hypertension and protects kidney injury[34]
20131 μM control in vivoProtected SCI-associated neuroinflammation in vivo and in vitro[35]
20130.1 µM, in vitroRescue of neuron damage by amyloid and reduction of neuroinflammation (decrease of astrocyte activation)[36]
20135–10 mg/kg Normalizing the activity of sensitized nociceptive neurons; significant reduction of mechanical allodynia and thermal hyperalgesia in a dose-dependent manner[37]
201310 mg/kgStrong reduction of microglia activation and PEA delayed mast cell recruitment, protection of mast cells against degranulation, and abolition of the nerve growth factor increase, reducing pain[38]
201310 mg/kg Protection of spinal cord damage; restoration of PPAR-δ and PPAR-γ expression in spinal cord after damage[39]
201310, 20, 40, 60 mg/kg i.p.Showing anti-epileptic properties in a rat model[40]
2013NRBlunted Aβ1-42-induced neurotoxicity and controlled glial activation [41]
201210 mg/kg Significant attenuation of the degree of renal dysfunction, injury, and inflammation caused by ischemia-reperfusion injury[42]
201210 mg/kgReduction of MPTP-induced microglial activation, the number of GFAP-positive astrocytes, and reduction of neutrophil infiltrations, reduction of TNF-, IL-1 and iNOS in spinal cord and prevention of SCI-induced IB-α degradation and Bax expression[43]
201210 mg/kgReduction of apoptosis, brain infarctions, and various inflammatory parameters[44]
201110 mg/kgSignificant reduction of mast cell infiltration, expression of mediators like NGF, the activation of microglia, and astrocytes expressing cannabinoid CB(2) receptor after spinal cord injury [45]
200810 mg/kgSignificant reduction of spinal cord inflammation and tissue injury, neutrophil infiltration, and proinflammatory cytokine expression and significant amelioration of the recovery of motor limb function [46]

NR: Nonreported.