State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, Guangzhou, China.
The second hospital of Anhui medical university, Hefei, China.
Mol Vis. 2023 Dec 15;29:317-328. eCollection 2023.
PURPOSE: Corneal alkali burns can progress to corneal epithelial defects, inflammation, scarring, and angiogenesis, potentially leading to blindness. Therefore, we examined the therapeutic effects of a novel ophthalmic solution (ZK002) on wound healing in alkali-burned rat corneas. METHODS: In this study, we attempted to treat alkali-exposed rat corneas using topical application of either an ophthalmic solution with ZK002 or an anti-vascular endothelial growth factor agent for 14 days. We evaluated corneal edema, corneal neovascularization area, and histological changes. We also assessed the inflammatory (MMP-9, MMP-2, and interleukin-1β) and angiogenic (vascular endothelial growth factor receptor 2, VEGFR2) markers. Levels of inflammatory (matrix metalloproteinase (MMP)-9, MMP-2, and interleukin-1β), profibrotic (α-smooth muscle actin, α-SMA; transforming growth factor-β2,TGF-β2), and angiogenic (vascular endothelial growth factor-receptor 2, VEGFR2) factors, as well as peroxisome proliferator-activated receptor γ (PPARγ) mRNA expression, were measured. RESULTS: The analyses showed that alkali exposure caused an increase in corneal edema and fibrosis with corneal neovascularization. The accumulation of α-smooth muscle actin-positive myofibroblasts and the deposition of transforming growth factor-β2 on the alkali-exposed corneas were noted on day 14. The mRNA expression levels of interleukin-1β, MMP-9, MMP-2, VEGFR2, and profibrotic factors were decreased in the ZK002 group compared with the control group during the early period of corneal alkali burns on day 14. However, the expression level of PPARγ mRNA was increased in the ZK002 group. CONCLUSIONS: ZK002 decreased the fibrotic reaction and prevented neovascularization in the cornea after an alkali burn. Therefore, the novel ophthalmic solution ZK002 could be a potentially promising therapeutic clinical treatment for corneal wound healing.
目的:角膜碱烧伤可进展为角膜上皮缺损、炎症、瘢痕形成和血管生成,潜在导致失明。因此,我们研究了一种新型眼科溶液(ZK002)对碱烧伤大鼠角膜愈合的治疗作用。
方法:在这项研究中,我们试图通过局部应用含有 ZK002 的眼科溶液或抗血管内皮生长因子药物来治疗碱暴露的大鼠角膜 14 天。我们评估了角膜水肿、角膜新生血管面积和组织学变化。我们还评估了炎症(MMP-9、MMP-2 和白细胞介素-1β)和血管生成(血管内皮生长因子受体 2,VEGFR2)标志物。测量了炎症(基质金属蛋白酶(MMP)-9、MMP-2 和白细胞介素-1β)、促纤维化(α-平滑肌肌动蛋白,α-SMA;转化生长因子-β2,TGF-β2)和血管生成(血管内皮生长因子受体 2,VEGFR2)因子以及过氧化物酶体增殖物激活受体γ(PPARγ)mRNA 的表达。
结果:分析表明,碱暴露导致角膜水肿和纤维化增加,并伴有角膜新生血管形成。在第 14 天,观察到碱暴露角膜上积累了α-平滑肌肌动蛋白阳性肌成纤维细胞,并沉积了转化生长因子-β2。与对照组相比,在角膜碱烧伤的早期(第 14 天),ZK002 组白细胞介素-1β、MMP-9、MMP-2、VEGFR2 和促纤维化因子的 mRNA 表达水平降低,但 ZK002 组的 PPARγ mRNA 表达水平增加。
结论:ZK002 减少了碱烧伤后角膜的纤维化反应并阻止了新生血管形成。因此,新型眼科溶液 ZK002 可能成为治疗角膜伤口愈合的一种有前途的临床治疗方法。
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