PMID- 22386369 OWN - NLM STAT- MEDLINE DCOM- 20120522 LR - 20220410 IS - 1081-597X (Print) IS - 1081-597X (Linking) VI - 28 IP - 4 DP - 2012 Apr TI - Vorinostat: a potent agent to prevent and treat laser-induced corneal haze. PG - 285-90 LID - 10.3928/1081597X-20120210-01 [doi] AB - PURPOSE: This study investigated the efficacy and safety of vorinostat, a deacetylase (HDAC) inhibitor, in the treatment of laser-induced corneal haze following photorefractive keratectomy (PRK) in rabbits in vivo and transforming growth factor beta 1 (TGFbeta1) -induced corneal fibrosis in vitro. METHODS: Corneal haze in rabbits was produced with -9.00 diopters (D) PRK. Fibrosis in cultured human and rabbit corneal fibroblasts was activated with TGFbeta1. Vorinostat (25 mum) was topically applied once for 5 minutes on rabbit cornea immediately after PRK for in vivo studies. Vorinostat (0 to 25 mum) was given to human/rabbit corneal fibroblasts for 5 minutes or 48 hours for in vitro studies. Slit-lamp microscopy, TUNEL assay, and trypan blue were used to determined vorinostat toxicity, whereas real-time polymerase chain reaction, immunocytochemistry, and immunoblotting were used to measure its efficacy. RESULTS: Single 5-minute vorinostat (25 mum) topical application on the cornea following PRK significantly reduced corneal haze (P<.008) and fibrotic marker proteins (alpha-smooth muscle actin and f-actin; P<.001) without showing redness, swelling, or inflammation in rabbit eyes in vivo screened 4 weeks after PRK. Vorinostat reduced TGFbeta1-induced fibrosis in human and rabbit corneas in vitro in a dose-dependent manner without altering cellular viability, phenotype, or proliferation. CONCLUSIONS: Vorinostat is non-cytotoxic and safe for the eye and has potential to prevent laser-induced corneal haze in patients undergoing PRK for high myopia. CI - Copyright 2012, SLACK Incorporated. FAU - Tandon, Ashish AU - Tandon A AD - Harry S. Truman Memorial Veterans' Hospital, Columbia, Missouri 65212, USA. FAU - Tovey, Jonathan C K AU - Tovey JC FAU - Waggoner, Michael R AU - Waggoner MR FAU - Sharma, Ajay AU - Sharma A FAU - Cowden, John W AU - Cowden JW FAU - Gibson, Daniel J AU - Gibson DJ FAU - Liu, Yuanjing AU - Liu Y FAU - Schultz, Gregory S AU - Schultz GS FAU - Mohan, Rajiv R AU - Mohan RR LA - eng GR - R01EY17294/EY/NEI NIH HHS/United States GR - R01 EY017294/EY/NEI NIH HHS/United States GR - R01 EY005587/EY/NEI NIH HHS/United States GR - R01EY005587/EY/NEI NIH HHS/United States GR - P30 EY021721/EY/NEI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. DEP - 20120301 PL - United States TA - J Refract Surg JT - Journal of refractive surgery (Thorofare, N.J. : 1995) JID - 9505927 RN - 0 (Actins) RN - 0 (Fibronectins) RN - 0 (Histone Deacetylase Inhibitors) RN - 0 (Hydroxamic Acids) RN - 0 (RNA, Messenger) RN - 0 (Transforming Growth Factor beta1) RN - 58IFB293JI (Vorinostat) SB - IM MH - Actins/genetics MH - Animals MH - Cells, Cultured MH - Cornea/drug effects/*surgery MH - Corneal Keratocytes/drug effects MH - Corneal Opacity/*prevention & control MH - Dose-Response Relationship, Drug MH - Female MH - Fibronectins/genetics MH - Fibrosis/chemically induced/prevention & control MH - Histone Deacetylase Inhibitors/adverse effects/*therapeutic use MH - Humans MH - Hydroxamic Acids/adverse effects/*therapeutic use MH - In Situ Nick-End Labeling MH - *Photorefractive Keratectomy MH - Postoperative Complications/*prevention & control MH - RNA, Messenger/metabolism MH - Rabbits MH - Real-Time Polymerase Chain Reaction MH - Transforming Growth Factor beta1/pharmacology MH - Vorinostat PMC - PMC4508025 MID - NIHMS527346 COIS- The authors have no financial or proprietary interests in the materials presented herein. EDAT- 2012/03/06 06:00 MHDA- 2012/05/23 06:00 PMCR- 2015/07/20 CRDT- 2012/03/06 06:00 PHST- 2011/06/06 00:00 [received] PHST- 2011/01/03 00:00 [accepted] PHST- 2012/03/06 06:00 [entrez] PHST- 2012/03/06 06:00 [pubmed] PHST- 2012/05/23 06:00 [medline] PHST- 2015/07/20 00:00 [pmc-release] AID - 10.3928/1081597X-20120210-01 [doi] PST - ppublish SO - J Refract Surg. 2012 Apr;28(4):285-90. doi: 10.3928/1081597X-20120210-01. Epub 2012 Mar 1.