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芝麻酚对角膜新生血管化有效吗?

Is Sesamol Effective in Corneal Neovascularization?

作者信息

Kaya Hüseyin, Pekel Gökhan, Yörükoğlu Aygün, Hiraali Mehmet Can, Şahin Barbaros

机构信息

Ophthalmology Department (H.K., G.P.), Pamukkale University, Denizli, Turkey; Pathology Department (A.Y.), Denizli Servergazi State Hospital, Denizli, Turkey; Kilis State Hospital (M.C.H.), Eye Clinic, Kilis, Turkey; and Experimental Animal Research Lab (B.S.), Faculty of Medicine, Pamukkale University, Denizli, Turkey.

出版信息

Eye Contact Lens. 2018 Nov;44 Suppl 2:S414-S419. doi: 10.1097/ICL.0000000000000512.

Abstract

OBJECTIVES

To evaluate the effects of topically and subconjunctivally administered sesamol on experimentally induced corneal neovascularization in rats.

METHODS

Fifty-six right eyes of 56 Wistar Albino rats were chemically cauterized to induce corneal neovascularization in this experimental and comparative study. The subjects were divided into eight groups: topical sesamol (group 1), subconjunctival sesamol (group 2), topical bevacizumab (group 3), subconjunctival bevacizumab (group 4), topical bevacizumab+ sesamol (group 5), subconjunctival bevacizumab+ sesamol (group 6), topical Tween 80 (group 7), and control (group 8). The amount of subconjunctivally injected sesamol and bevacizumab was 1.25 mg each. Topical groups were administered 10 mg/mL drops twice daily. The control group was left untreated. To evaluate the degree of corneal neovascularization, digital photographs and corneal sections stained with hematoxylin-eosin and CD31 were used.

RESULTS

When photographs of neovascularization areas were examined, all treatment groups showed statistically significant differences when compared with the control group (P<0.001). Topical sesamol was found to be more effective when compared with subconjunctival sesamol (P=0.003). Topical sesamol+ bevacizumab was found to be more effective when compared with topical bevacizumab (P=0.018). The numbers of new corneal vessels were as follows: 12.28±6.29 in group 1, 36.85±12.8 in group 2, 18.85±7.71 in group 3, 16.85±8.70 in group 4, 19.57±8.56 in group 5, 22.57±7.43 in group 6, 45.00±11.29 in group 7, and 51.16±5.91 in group 8 (P<0.001).

CONCLUSIONS

The outcomes of this study suggest antiangiogenic effects of sesamol. The use of topical sesamol monotherapy or sesamol combined with bevacizumab may be options for the prevention of corneal neovascularization.

摘要

目的

评估局部和结膜下给予芝麻酚对大鼠实验性诱导角膜新生血管形成的影响。

方法

在本实验及对比研究中,对56只Wistar白化大鼠的56只右眼进行化学烧灼以诱导角膜新生血管形成。将研究对象分为八组:局部用芝麻酚(第1组)、结膜下用芝麻酚(第2组)、局部用贝伐单抗(第3组)、结膜下用贝伐单抗(第4组)、局部用贝伐单抗 + 芝麻酚(第5组)、结膜下用贝伐单抗 + 芝麻酚(第6组)、局部用吐温80(第7组)和对照组(第8组)。结膜下注射的芝麻酚和贝伐单抗剂量均为1.25 mg。局部用药组每天两次给予10 mg/mL滴眼液。对照组不进行治疗。为评估角膜新生血管形成的程度,使用数码照片以及苏木精 - 伊红染色和CD31染色的角膜切片。

结果

检查新生血管区域的照片时,所有治疗组与对照组相比均显示出统计学上的显著差异(P<0.001)。发现局部用芝麻酚比结膜下用芝麻酚更有效(P = 0.003)。发现局部用芝麻酚 + 贝伐单抗比局部用贝伐单抗更有效(P = 0.018)。角膜新生血管数量如下:第1组为12.28±6.29,第2组为36.85±12.8,第3组为18.85±7.71,第4组为16.85±8.70,第5组为19.57±8.56,第6组为22.57±7.43,第7组为45.00±11.29, 第8组为51.16±5.(P<0.001)。

结论

本研究结果提示芝麻酚具有抗血管生成作用。局部用芝麻酚单一疗法或芝麻酚与贝伐单抗联合使用可能是预防角膜新生血管形成的选择。

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