Effect of therapeutic UVC on corneal DNA: Safety assessment for potential keratitis treatment

Antimicrobial ultraviolet C (UVC) has proven efficacy in vitro against keratitis isolates and has potential to treat corneal infection if safety can be confirmed. Safety of 265 nm, 1.93 mW/cm2 intensity UVC (15–300 s exposures) was investigated in vitro via cyclobutane pyrimidine dimer (CPD) formati...

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Veröffentlicht in:The ocular surface 2021-04, Vol.20, p.130-138
Hauptverfasser: Marasini, Sanjay, Mugisho, Odunayo O., Swift, Simon, Read, Hannah, Rupenthal, Ilva D., Dean, Simon J., Craig, Jennifer P.
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container_end_page 138
container_issue
container_start_page 130
container_title The ocular surface
container_volume 20
creator Marasini, Sanjay
Mugisho, Odunayo O.
Swift, Simon
Read, Hannah
Rupenthal, Ilva D.
Dean, Simon J.
Craig, Jennifer P.
description Antimicrobial ultraviolet C (UVC) has proven efficacy in vitro against keratitis isolates and has potential to treat corneal infection if safety can be confirmed. Safety of 265 nm, 1.93 mW/cm2 intensity UVC (15–300 s exposures) was investigated in vitro via cyclobutane pyrimidine dimer (CPD) formation in DNA of human cultured corneal epithelial cells; ex vivo, by evaluating UVC transmissibility as a function of porcine corneal thickness; and in vivo, by evaluating CPD induction in the mouse cornea following UVC exposure. A single exposure of 15 s UVC did not induce significant CPD formation (0.92 ± 1.45%) in vitro relative to untreated control (p = 0.93) whereas 300 s exposure caused extensive CPD formation (86.8 ± 13.73%; p 
doi_str_mv 10.1016/j.jtos.2021.02.005
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Safety of 265 nm, 1.93 mW/cm2 intensity UVC (15–300 s exposures) was investigated in vitro via cyclobutane pyrimidine dimer (CPD) formation in DNA of human cultured corneal epithelial cells; ex vivo, by evaluating UVC transmissibility as a function of porcine corneal thickness; and in vivo, by evaluating CPD induction in the mouse cornea following UVC exposure. A single exposure of 15 s UVC did not induce significant CPD formation (0.92 ± 1.45%) in vitro relative to untreated control (p = 0.93) whereas 300 s exposure caused extensive CPD formation (86.8 ± 13.73%; p &lt; 0.0001). Cumulative exposure to 15 s UVC daily for 3 days induced more CPD (14.6 ± 8.2%) than a single equivalent 45 s exposure (8.3 ± 4.0%) (p &lt; 0.001) but levels returned to baseline within 72 h (p = 0.29), indicating highly efficient DNA repair. Ex vivo, UVC transmission decreased sharply with increasing corneal thickness, confirming UVC effects are limited to the superficial corneal layers. In vivo evaluations demonstrated no detectable CPD after three consecutive daily 15 s UVC exposures, whereas a single 300 s exposure induced extensive CPD formation in superficial corneal epithelium. Up to three daily doses of 15 s UVC, in vivo, appear safe with respect to CPD formation. Ongoing research exploring UVC as a possible treatment for microbial keratitis is warranted.</description><identifier>ISSN: 1542-0124</identifier><identifier>EISSN: 1937-5913</identifier><identifier>DOI: 10.1016/j.jtos.2021.02.005</identifier><identifier>PMID: 33610742</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Antimicrobial ; Keratitis ; Pseudomonas aeruginosa ; Treatment safety ; Ultraviolet C</subject><ispartof>The ocular surface, 2021-04, Vol.20, p.130-138</ispartof><rights>2021 Elsevier Inc.</rights><rights>Copyright © 2021. 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Safety of 265 nm, 1.93 mW/cm2 intensity UVC (15–300 s exposures) was investigated in vitro via cyclobutane pyrimidine dimer (CPD) formation in DNA of human cultured corneal epithelial cells; ex vivo, by evaluating UVC transmissibility as a function of porcine corneal thickness; and in vivo, by evaluating CPD induction in the mouse cornea following UVC exposure. A single exposure of 15 s UVC did not induce significant CPD formation (0.92 ± 1.45%) in vitro relative to untreated control (p = 0.93) whereas 300 s exposure caused extensive CPD formation (86.8 ± 13.73%; p &lt; 0.0001). Cumulative exposure to 15 s UVC daily for 3 days induced more CPD (14.6 ± 8.2%) than a single equivalent 45 s exposure (8.3 ± 4.0%) (p &lt; 0.001) but levels returned to baseline within 72 h (p = 0.29), indicating highly efficient DNA repair. Ex vivo, UVC transmission decreased sharply with increasing corneal thickness, confirming UVC effects are limited to the superficial corneal layers. In vivo evaluations demonstrated no detectable CPD after three consecutive daily 15 s UVC exposures, whereas a single 300 s exposure induced extensive CPD formation in superficial corneal epithelium. Up to three daily doses of 15 s UVC, in vivo, appear safe with respect to CPD formation. Ongoing research exploring UVC as a possible treatment for microbial keratitis is warranted.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>33610742</pmid><doi>10.1016/j.jtos.2021.02.005</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0001-7352-1112</orcidid><orcidid>https://orcid.org/0000-0002-9540-5224</orcidid><orcidid>https://orcid.org/0000-0001-8282-9637</orcidid></addata></record>
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source Alma/SFX Local Collection
subjects Antimicrobial
Keratitis
Pseudomonas aeruginosa
Treatment safety
Ultraviolet C
title Effect of therapeutic UVC on corneal DNA: Safety assessment for potential keratitis treatment
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