The novel use of decorin in prevention of the development of proliferative vitreoretinopathy (PVR)

Background The cytokine transforming growth factor-ß (TGF-ß) is a pivotal contributor to tissue fibrosis and a key cytokine in the pathogenesis of cellular transdifferentiation, epithelial-mesenchymal transition (EMT), and cell adhesion. This study evaluates the effect of decorin, a naturally occurr...

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Veröffentlicht in:Graefe's archive for clinical and experimental ophthalmology 2011-11, Vol.249 (11), p.1649-1660
Hauptverfasser: Nassar, Khaled, Lüke, Julia, Lüke, Matthias, Kamal, Mahmoud, Abd El-Nabi, Effat, Soliman, Mahmoud, Rohrbach, Martin, Grisanti, Salvatore
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container_end_page 1660
container_issue 11
container_start_page 1649
container_title Graefe's archive for clinical and experimental ophthalmology
container_volume 249
creator Nassar, Khaled
Lüke, Julia
Lüke, Matthias
Kamal, Mahmoud
Abd El-Nabi, Effat
Soliman, Mahmoud
Rohrbach, Martin
Grisanti, Salvatore
description Background The cytokine transforming growth factor-ß (TGF-ß) is a pivotal contributor to tissue fibrosis and a key cytokine in the pathogenesis of cellular transdifferentiation, epithelial-mesenchymal transition (EMT), and cell adhesion. This study evaluates the effect of decorin, a naturally occurring TGF-ß inhibitor, in an experimental rabbit model for proliferative vitreoretinopathy (PVR). Methods Traumatic PVR was induced in 50 rabbits divided into ten groups ( n  = 5). One group (GI) reveals a control with no treatment after trauma. Groups (GII–GIV) consisted of subgroups receiving phacovitrectomy at three different time points; (a) at the time of trauma, (b) 1 week following trauma, and (c) 2 weeks following trauma. GIII and GIV received 100 μg or 200 μg decorin, respectively. PVR severity was scored from 0 to 4. The amount of fibrosis was quantified using JMicroVision© software. Results The control group GI developed severe PVR with tractional retinal detachment (TRD); (PVR score ≥2) in four rabbits out of five. Vitrectomy had a positive effect ( p  
doi_str_mv 10.1007/s00417-011-1730-9
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This study evaluates the effect of decorin, a naturally occurring TGF-ß inhibitor, in an experimental rabbit model for proliferative vitreoretinopathy (PVR). Methods Traumatic PVR was induced in 50 rabbits divided into ten groups ( n  = 5). One group (GI) reveals a control with no treatment after trauma. Groups (GII–GIV) consisted of subgroups receiving phacovitrectomy at three different time points; (a) at the time of trauma, (b) 1 week following trauma, and (c) 2 weeks following trauma. GIII and GIV received 100 μg or 200 μg decorin, respectively. PVR severity was scored from 0 to 4. The amount of fibrosis was quantified using JMicroVision© software. Results The control group GI developed severe PVR with tractional retinal detachment (TRD); (PVR score ≥2) in four rabbits out of five. Vitrectomy had a positive effect ( p  &lt; 0.05) on PVR development when preformed immediately, however the developed fibrosis was high. The best results were obtained when surgery was used in conjunction with decorin that reduced both the PVR score and fibrosis development significantly ( p  &lt; 0.05). Depending on dosage and time of vitrectomy, PVR could be completely avoided (PVR score = 0) in 16 rabbits out of 30. TRD was prevented in 13 rabbits out of 15 in GIII to 14 rabbits out of 15 in GIV. In decorin-treated eyes, vitrectomy outcome was best when preformed at 1 week after trauma. There were no drug-related toxic effects evident on clinical and histopathological examination. Conclusions In conclusion, in this rabbit model of PVR, adjuvant decorin application during vitrectomy effectively reduces fibrosis and TRD development. In conjunction with no obvious histopathological toxicity signs, decorin represents a promising substance to inhibit PVR reactions.</description><identifier>ISSN: 0721-832X</identifier><identifier>EISSN: 1435-702X</identifier><identifier>DOI: 10.1007/s00417-011-1730-9</identifier><identifier>PMID: 21735240</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Animals ; Decorin - therapeutic use ; Disease Models, Animal ; Female ; Fibrosis - prevention &amp; control ; Intravitreal Injections ; Medicine ; Medicine &amp; Public Health ; Ophthalmology ; Phacoemulsification ; Rabbits ; Retina - pathology ; Retinal Detachment - pathology ; Retinal Detachment - prevention &amp; control ; Retinal Disorders ; Transforming Growth Factor beta - antagonists &amp; inhibitors ; Vitrectomy ; Vitreoretinopathy, Proliferative - prevention &amp; control</subject><ispartof>Graefe's archive for clinical and experimental ophthalmology, 2011-11, Vol.249 (11), p.1649-1660</ispartof><rights>Springer-Verlag 2011</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c436t-c02aedb45e0dfb41caee688fdb6e3af7406e9b407c60a78c0ac96049c1219f7b3</citedby><cites>FETCH-LOGICAL-c436t-c02aedb45e0dfb41caee688fdb6e3af7406e9b407c60a78c0ac96049c1219f7b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00417-011-1730-9$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00417-011-1730-9$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27904,27905,41468,42537,51299</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21735240$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nassar, Khaled</creatorcontrib><creatorcontrib>Lüke, Julia</creatorcontrib><creatorcontrib>Lüke, Matthias</creatorcontrib><creatorcontrib>Kamal, Mahmoud</creatorcontrib><creatorcontrib>Abd El-Nabi, Effat</creatorcontrib><creatorcontrib>Soliman, Mahmoud</creatorcontrib><creatorcontrib>Rohrbach, Martin</creatorcontrib><creatorcontrib>Grisanti, Salvatore</creatorcontrib><title>The novel use of decorin in prevention of the development of proliferative vitreoretinopathy (PVR)</title><title>Graefe's archive for clinical and experimental ophthalmology</title><addtitle>Graefes Arch Clin Exp Ophthalmol</addtitle><addtitle>Graefes Arch Clin Exp Ophthalmol</addtitle><description>Background The cytokine transforming growth factor-ß (TGF-ß) is a pivotal contributor to tissue fibrosis and a key cytokine in the pathogenesis of cellular transdifferentiation, epithelial-mesenchymal transition (EMT), and cell adhesion. This study evaluates the effect of decorin, a naturally occurring TGF-ß inhibitor, in an experimental rabbit model for proliferative vitreoretinopathy (PVR). Methods Traumatic PVR was induced in 50 rabbits divided into ten groups ( n  = 5). One group (GI) reveals a control with no treatment after trauma. Groups (GII–GIV) consisted of subgroups receiving phacovitrectomy at three different time points; (a) at the time of trauma, (b) 1 week following trauma, and (c) 2 weeks following trauma. GIII and GIV received 100 μg or 200 μg decorin, respectively. PVR severity was scored from 0 to 4. The amount of fibrosis was quantified using JMicroVision© software. Results The control group GI developed severe PVR with tractional retinal detachment (TRD); (PVR score ≥2) in four rabbits out of five. Vitrectomy had a positive effect ( p  &lt; 0.05) on PVR development when preformed immediately, however the developed fibrosis was high. 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This study evaluates the effect of decorin, a naturally occurring TGF-ß inhibitor, in an experimental rabbit model for proliferative vitreoretinopathy (PVR). Methods Traumatic PVR was induced in 50 rabbits divided into ten groups ( n  = 5). One group (GI) reveals a control with no treatment after trauma. Groups (GII–GIV) consisted of subgroups receiving phacovitrectomy at three different time points; (a) at the time of trauma, (b) 1 week following trauma, and (c) 2 weeks following trauma. GIII and GIV received 100 μg or 200 μg decorin, respectively. PVR severity was scored from 0 to 4. The amount of fibrosis was quantified using JMicroVision© software. Results The control group GI developed severe PVR with tractional retinal detachment (TRD); (PVR score ≥2) in four rabbits out of five. Vitrectomy had a positive effect ( p  &lt; 0.05) on PVR development when preformed immediately, however the developed fibrosis was high. The best results were obtained when surgery was used in conjunction with decorin that reduced both the PVR score and fibrosis development significantly ( p  &lt; 0.05). Depending on dosage and time of vitrectomy, PVR could be completely avoided (PVR score = 0) in 16 rabbits out of 30. TRD was prevented in 13 rabbits out of 15 in GIII to 14 rabbits out of 15 in GIV. In decorin-treated eyes, vitrectomy outcome was best when preformed at 1 week after trauma. There were no drug-related toxic effects evident on clinical and histopathological examination. Conclusions In conclusion, in this rabbit model of PVR, adjuvant decorin application during vitrectomy effectively reduces fibrosis and TRD development. In conjunction with no obvious histopathological toxicity signs, decorin represents a promising substance to inhibit PVR reactions.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>21735240</pmid><doi>10.1007/s00417-011-1730-9</doi><tpages>12</tpages></addata></record>
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subjects Animals
Decorin - therapeutic use
Disease Models, Animal
Female
Fibrosis - prevention & control
Intravitreal Injections
Medicine
Medicine & Public Health
Ophthalmology
Phacoemulsification
Rabbits
Retina - pathology
Retinal Detachment - pathology
Retinal Detachment - prevention & control
Retinal Disorders
Transforming Growth Factor beta - antagonists & inhibitors
Vitrectomy
Vitreoretinopathy, Proliferative - prevention & control
title The novel use of decorin in prevention of the development of proliferative vitreoretinopathy (PVR)
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