PMID- 11115261 OWN - NLM STAT- MEDLINE DCOM- 20001222 LR - 20220311 IS - 0003-9950 (Print) IS - 0003-9950 (Linking) VI - 118 IP - 12 DP - 2000 Dec TI - Topical soluble tumor necrosis factor receptor type I suppresses ocular chemokine gene expression and rejection of allogeneic corneal transplants. PG - 1666-71 AB - OBJECTIVE: To determine the effect of topical soluble tumor necrosis factor receptor type I (sTNFR-I) on survival of murine orthotopic corneal transplants and on ocular chemokine gene expression after corneal transplantation. METHODS: BALB/c mice (N = 50) were used as recipients of multiple minor H-disparate corneal transplants from B10.D2 donors. After orthotopic corneal transplantation, mice were randomized in a masked fashion to receive either topical sTNFR-I or vehicle 3 times daily, and all grafts were evaluated for signs of rejection and neovascularization by slitlamp biomicroscopy for 8 weeks. Ocular chemokine gene expression in sTNFR-I- and vehicle only-treated groups was determined using a multiprobe ribonuclease protection assay. RESULTS: Hosts treated with topical sTNFR-I experienced significantly enhanced corneal allograft survival compared with animals treated with vehicle alone (P =.01). Moreover, postoperative messenger RNA levels of RANTES and macrophage inflammatory protein-1beta in sTNFR-I-treated eyes were substantially suppressed compared with vehicle-treated eyes. Vehicle-treated eyes bearing rejected allografts expressed higher levels of messenger RNA for both chemokines than control eyes bearing accepted allografts. CONCLUSIONS: Topical treatment with sTNFR-I promotes the acceptance of allogeneic corneal transplants and inhibits gene expression of 2 chemokines (RANTES and macrophage inflammatory protein-1beta) associated with corneal graft rejection. CLINICAL RELEVANCE: Our findings support the feasibility of a topical anticytokine strategy as a means of reducing corneal allograft rejection without resorting to the use of potentially toxic immunosuppressive drugs. FAU - Qian, Y AU - Qian Y AD - Schepens Eye Research Institute, Department of Ophthalmology, Harvard Medical School, Boston, MA, USA. FAU - Dekaris, I AU - Dekaris I FAU - Yamagami, S AU - Yamagami S FAU - Dana, M R AU - Dana MR LA - eng GR - NEI0363/PHS HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - Arch Ophthalmol JT - Archives of ophthalmology (Chicago, Ill. : 1960) JID - 7706534 RN - 0 (Antigens, CD) RN - 0 (Chemokine CCL4) RN - 0 (Chemokine CCL5) RN - 0 (Macrophage Inflammatory Proteins) RN - 0 (Ophthalmic Solutions) RN - 0 (RNA, Messenger) RN - 0 (Receptors, Tumor Necrosis Factor) RN - 0 (Receptors, Tumor Necrosis Factor, Type I) RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Administration, Topical MH - Animals MH - Antigens, CD/administration & dosage/*pharmacology MH - Chemokine CCL4 MH - Chemokine CCL5/*genetics MH - Cornea/metabolism MH - *Corneal Transplantation MH - Gene Expression/*drug effects MH - Graft Rejection/metabolism/*prevention & control MH - Graft Survival/drug effects MH - Macrophage Inflammatory Proteins/*genetics MH - Male MH - Mice MH - Mice, Inbred BALB C MH - Nuclease Protection Assays MH - Ophthalmic Solutions/administration & dosage/pharmacology MH - RNA, Messenger/*biosynthesis MH - Random Allocation MH - Receptors, Tumor Necrosis Factor/administration & dosage MH - Receptors, Tumor Necrosis Factor, Type I MH - Solubility MH - Transplantation, Homologous MH - Tumor Necrosis Factor-alpha/antagonists & inhibitors EDAT- 2000/12/15 11:00 MHDA- 2001/02/28 10:01 CRDT- 2000/12/15 11:00 PHST- 2000/12/15 11:00 [pubmed] PHST- 2001/02/28 10:01 [medline] PHST- 2000/12/15 11:00 [entrez] AID - els90065 [pii] AID - 10.1001/archopht.118.12.1666 [doi] PST - ppublish SO - Arch Ophthalmol. 2000 Dec;118(12):1666-71. doi: 10.1001/archopht.118.12.1666.