PMID- 20847117 OWN - NLM STAT- MEDLINE DCOM- 20110225 LR - 20161125 IS - 1552-5783 (Electronic) IS - 0146-0404 (Linking) VI - 52 IP - 1 DP - 2011 Jan 21 TI - Hydrogen and N-acetyl-L-cysteine rescue oxidative stress-induced angiogenesis in a mouse corneal alkali-burn model. PG - 427-33 LID - 10.1167/iovs.10-6167 [doi] AB - PURPOSE: To investigate the role of reactive oxygen species (ROS) as the prime initiators of the angiogenic response after alkali injury of the cornea and observe the effects of antioxidants in preventing angiogenesis. METHODS: The corneal epithelia of SOD-1-deficient mice or wild-type (WT) mice were removed after application of 0.15 N NaOH to establish the animal model of alkali burn. ROS production was semiquantitatively measured by dihydroethidium (DHE) fluorescence. Angiogenesis was visualized by CD31 immunohistochemistry. The effects of the specific NF-kappaB inhibitor DHMEQ, the antioxidant N-acetyl-L-cysteine (NAC), and hydrogen (H2) solution were observed. RESULTS: ROS production in the cornea was enhanced immediately after alkali injury, as shown by increased DHE fluorescence (P<0.01). NF-kappaB activation and the upregulation of vascular endothelial growth factor (VEGF) and monocyte chemoattractant protein-1 (MCP-1) were significantly enhanced (P<0.01), leading to a significantly larger area of angiogenesis. Angiogenesis in SOD-1-/- mice corneas were significantly higher in WT mice (P<0.01), confirming the role of ROS. Pretreatment with the specific NF-kappaB inhibitor DHMEQ or the antioxidant NAC significantly reduced corneal angiogenesis by downregulating the NF-kappaB pathway (P<0.01) in both WT and SOD-1-/- mice. Furthermore, we showed that irrigation of the cornea with hydrogen (H2) solution significantly reduced angiogenesis after alkali-burn injury (P<0.01). CONCLUSIONS: Immediate antioxidant therapy with H2-enriched irrigation solution is a new potent treatment of angiogenesis in cornea to prevent blindness caused by alkali burn. FAU - Kubota, Miyuki AU - Kubota M AD - Department of Ophthalmology, Keio University School of Medicine, Shinjuku-ku, Tokyo, Japan. FAU - Shimmura, Shigeto AU - Shimmura S FAU - Kubota, Shunsuke AU - Kubota S FAU - Miyashita, Hideyuki AU - Miyashita H FAU - Kato, Naoko AU - Kato N FAU - Noda, Kousuke AU - Noda K FAU - Ozawa, Yoko AU - Ozawa Y FAU - Usui, Tomohiko AU - Usui T FAU - Ishida, Susumu AU - Ishida S FAU - Umezawa, Kazuo AU - Umezawa K FAU - Kurihara, Toshihide AU - Kurihara T FAU - Tsubota, Kazuo AU - Tsubota K LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20110121 PL - United States TA - Invest Ophthalmol Vis Sci JT - Investigative ophthalmology & visual science JID - 7703701 RN - 0 (Antioxidants) RN - 0 (Benzamides) RN - 0 (Ccl2 protein, mouse) RN - 0 (Chemokine CCL2) RN - 0 (Cyclohexanones) RN - 0 (NF-kappa B) RN - 0 (Reactive Oxygen Species) RN - 0 (Vascular Endothelial Growth Factor A) RN - 0 (dehydroxymethylepoxyquinomicin) RN - 0 (vascular endothelial growth factor A, mouse) RN - 55X04QC32I (Sodium Hydroxide) RN - EC 1.15.1.1 (Sod1 protein, mouse) RN - EC 1.15.1.1 (Superoxide Dismutase) RN - EC 1.15.1.1 (Superoxide Dismutase-1) RN - J65BV539M3 (Deuterium Oxide) RN - WYQ7N0BPYC (Acetylcysteine) SB - IM MH - Acetylcysteine/administration & dosage/*therapeutic use MH - Animals MH - Antioxidants/administration & dosage/*therapeutic use MH - Benzamides/pharmacology MH - Blindness/prevention & control MH - Burns, Chemical/*drug therapy/metabolism/pathology MH - Chemokine CCL2/metabolism MH - Corneal Neovascularization/*drug therapy/metabolism/pathology MH - Cyclohexanones/pharmacology MH - Deuterium Oxide/administration & dosage/*therapeutic use MH - *Disease Models, Animal MH - Enzyme-Linked Immunosorbent Assay MH - Eye Burns/*chemically induced MH - Male MH - Mice MH - Mice, Inbred ICR MH - Mice, Knockout MH - Microscopy, Fluorescence MH - NF-kappa B/antagonists & inhibitors/metabolism MH - Oxidative Stress MH - Reactive Oxygen Species/metabolism MH - Reverse Transcriptase Polymerase Chain Reaction MH - Sodium Hydroxide/toxicity MH - Superoxide Dismutase/genetics MH - Superoxide Dismutase-1 MH - Vascular Endothelial Growth Factor A/metabolism EDAT- 2010/09/18 06:00 MHDA- 2011/02/26 06:00 CRDT- 2010/09/18 06:00 PHST- 2010/09/18 06:00 [entrez] PHST- 2010/09/18 06:00 [pubmed] PHST- 2011/02/26 06:00 [medline] AID - iovs.10-6167 [pii] AID - 10.1167/iovs.10-6167 [doi] PST - epublish SO - Invest Ophthalmol Vis Sci. 2011 Jan 21;52(1):427-33. doi: 10.1167/iovs.10-6167.