Effects of ranibizumab on the extracellular matrix production by human Tenon's fibroblast

Anti-Vascular Endothelial Growth Factors (Anti-VEGF) agents have received recent interest as potential anti-fibrotic agents for their concurrent use with trabeculectomy. Preliminary cohort studies have revealed improved bleb morphology following trabeculectomy augmented with ranibizumab. The effects...

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Veröffentlicht in:Experimental eye research 2014-10, Vol.127, p.236-242
Hauptverfasser: Md Noh, Siti Munirah, Sheikh Abdul Kadir, Siti H., Bannur, Zakaria M., Froemming, Gabriele Anisah, Abdul Hamid Hasani, Narimah, Mohd Nawawi, Hapizah, Crowston, Jonathan G., Vasudevan, Sushil
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container_title Experimental eye research
container_volume 127
creator Md Noh, Siti Munirah
Sheikh Abdul Kadir, Siti H.
Bannur, Zakaria M.
Froemming, Gabriele Anisah
Abdul Hamid Hasani, Narimah
Mohd Nawawi, Hapizah
Crowston, Jonathan G.
Vasudevan, Sushil
description Anti-Vascular Endothelial Growth Factors (Anti-VEGF) agents have received recent interest as potential anti-fibrotic agents for their concurrent use with trabeculectomy. Preliminary cohort studies have revealed improved bleb morphology following trabeculectomy augmented with ranibizumab. The effects of this humanized monoclonal antibody on human Tenon's fibroblast (HTF), the key player of post trabeculectomy scar formation, are not fully understood. This study was conducted to understand the effects of ranibizumab on extracellular matrix production by HTF. The effect of ranibizumab on HTF proliferation and cell viability was determined using MTT assay (3-(4,5-dimethylthiazone-2-yl)-2,5-diphenyl tetrazolium). Ranibizumab at concentrations ranging from 0.01 to 0.5 mg/mL were administered for 24, 48 and 72 h in serum and serum free conditions. Supernatants and cell lysates from samples were assessed for collagen type 1 alpha 1 and fibronectin mRNA and protein level using quantitative real time polymerase chain reaction (qRT-PCR) and enzyme-linked immunosorbent assay (ELISA). After 48-h, ranibizumab at 0.5 mg/mL, significantly induced cell death under serum-free culture conditions (p 
doi_str_mv 10.1016/j.exer.2014.08.005
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Preliminary cohort studies have revealed improved bleb morphology following trabeculectomy augmented with ranibizumab. The effects of this humanized monoclonal antibody on human Tenon's fibroblast (HTF), the key player of post trabeculectomy scar formation, are not fully understood. This study was conducted to understand the effects of ranibizumab on extracellular matrix production by HTF. The effect of ranibizumab on HTF proliferation and cell viability was determined using MTT assay (3-(4,5-dimethylthiazone-2-yl)-2,5-diphenyl tetrazolium). Ranibizumab at concentrations ranging from 0.01 to 0.5 mg/mL were administered for 24, 48 and 72 h in serum and serum free conditions. Supernatants and cell lysates from samples were assessed for collagen type 1 alpha 1 and fibronectin mRNA and protein level using quantitative real time polymerase chain reaction (qRT-PCR) and enzyme-linked immunosorbent assay (ELISA). After 48-h, ranibizumab at 0.5 mg/mL, significantly induced cell death under serum-free culture conditions (p &lt; 0.05). Ranibizumab caused significant reduction of collagen type 1 alpha 1 (COL1A1) mRNA, but not for fibronectin (FN). Meanwhile, COL1A1 and FN protein levels were found upregulated in treated monolayers compared to control monolayers. Ranibizumab at 0.5 mg/mL significantly reduced cell viability in cultured HTF. From this study, we found that single application of ranibizumab is inadequate to induce the anti-fibrotic effects on HTF, suggesting the importance of adjunctive therapy. Further studies are underway to understand mechanism of actions of ranibizumab on HTF. •This study aims to understand effects of ranibizumab on extracellular matrix component.•Analysis of gene and protein expression was done using PCR and ELISA techniques.•Ranibizumab inhibits collagen type 1 alpha 1 mRNA but increase its protein accumulation.•Ranibizumab caused insignificant impact on fibronectin mRNA and increase its protein accumulation.•We demonstrated that ranibizumab would be a potential anti-scarring agent in trabeculectomy.</description><identifier>ISSN: 0014-4835</identifier><identifier>EISSN: 1096-0007</identifier><identifier>DOI: 10.1016/j.exer.2014.08.005</identifier><identifier>PMID: 25139730</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Angiogenesis Inhibitors - pharmacology ; Antibodies, Monoclonal, Humanized - pharmacology ; Cell Culture Techniques ; Cell Proliferation - drug effects ; Cell Survival - drug effects ; collagen type 1 alpha 1 ; Collagen Type I - genetics ; Collagen Type I - metabolism ; Enzyme-Linked Immunosorbent Assay ; Fibroblasts - drug effects ; Fibroblasts - metabolism ; fibronectin ; Fibronectins - genetics ; Fibronectins - metabolism ; Fluorescent Antibody Technique, Indirect ; Gene Expression Regulation - physiology ; Glaucoma, Open-Angle - surgery ; human Tenon's fibroblast ; Humans ; quantitative real time polymerase chain reaction ; Ranibizumab ; Real-Time Polymerase Chain Reaction ; RNA, Messenger - genetics ; Tenon Capsule - cytology ; Trabeculectomy ; Vascular Endothelial Growth Factor A - antagonists &amp; inhibitors ; Vimentin - metabolism</subject><ispartof>Experimental eye research, 2014-10, Vol.127, p.236-242</ispartof><rights>2014 Elsevier Ltd</rights><rights>Copyright © 2014 Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c422t-9761b125fc192e49344df34774bd93b59fbfb13fcecc99324ce7e36cf4df82583</citedby><cites>FETCH-LOGICAL-c422t-9761b125fc192e49344df34774bd93b59fbfb13fcecc99324ce7e36cf4df82583</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0014483514002267$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25139730$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Md Noh, Siti Munirah</creatorcontrib><creatorcontrib>Sheikh Abdul Kadir, Siti H.</creatorcontrib><creatorcontrib>Bannur, Zakaria M.</creatorcontrib><creatorcontrib>Froemming, Gabriele Anisah</creatorcontrib><creatorcontrib>Abdul Hamid Hasani, Narimah</creatorcontrib><creatorcontrib>Mohd Nawawi, Hapizah</creatorcontrib><creatorcontrib>Crowston, Jonathan G.</creatorcontrib><creatorcontrib>Vasudevan, Sushil</creatorcontrib><title>Effects of ranibizumab on the extracellular matrix production by human Tenon's fibroblast</title><title>Experimental eye research</title><addtitle>Exp Eye Res</addtitle><description>Anti-Vascular Endothelial Growth Factors (Anti-VEGF) agents have received recent interest as potential anti-fibrotic agents for their concurrent use with trabeculectomy. Preliminary cohort studies have revealed improved bleb morphology following trabeculectomy augmented with ranibizumab. The effects of this humanized monoclonal antibody on human Tenon's fibroblast (HTF), the key player of post trabeculectomy scar formation, are not fully understood. This study was conducted to understand the effects of ranibizumab on extracellular matrix production by HTF. The effect of ranibizumab on HTF proliferation and cell viability was determined using MTT assay (3-(4,5-dimethylthiazone-2-yl)-2,5-diphenyl tetrazolium). Ranibizumab at concentrations ranging from 0.01 to 0.5 mg/mL were administered for 24, 48 and 72 h in serum and serum free conditions. Supernatants and cell lysates from samples were assessed for collagen type 1 alpha 1 and fibronectin mRNA and protein level using quantitative real time polymerase chain reaction (qRT-PCR) and enzyme-linked immunosorbent assay (ELISA). After 48-h, ranibizumab at 0.5 mg/mL, significantly induced cell death under serum-free culture conditions (p &lt; 0.05). Ranibizumab caused significant reduction of collagen type 1 alpha 1 (COL1A1) mRNA, but not for fibronectin (FN). Meanwhile, COL1A1 and FN protein levels were found upregulated in treated monolayers compared to control monolayers. Ranibizumab at 0.5 mg/mL significantly reduced cell viability in cultured HTF. From this study, we found that single application of ranibizumab is inadequate to induce the anti-fibrotic effects on HTF, suggesting the importance of adjunctive therapy. 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subjects Angiogenesis Inhibitors - pharmacology
Antibodies, Monoclonal, Humanized - pharmacology
Cell Culture Techniques
Cell Proliferation - drug effects
Cell Survival - drug effects
collagen type 1 alpha 1
Collagen Type I - genetics
Collagen Type I - metabolism
Enzyme-Linked Immunosorbent Assay
Fibroblasts - drug effects
Fibroblasts - metabolism
fibronectin
Fibronectins - genetics
Fibronectins - metabolism
Fluorescent Antibody Technique, Indirect
Gene Expression Regulation - physiology
Glaucoma, Open-Angle - surgery
human Tenon's fibroblast
Humans
quantitative real time polymerase chain reaction
Ranibizumab
Real-Time Polymerase Chain Reaction
RNA, Messenger - genetics
Tenon Capsule - cytology
Trabeculectomy
Vascular Endothelial Growth Factor A - antagonists & inhibitors
Vimentin - metabolism
title Effects of ranibizumab on the extracellular matrix production by human Tenon's fibroblast
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