PMID- 22815636 OWN - NLM STAT- MEDLINE DCOM- 20121113 LR - 20211021 IS - 1090-0535 (Electronic) IS - 1090-0535 (Linking) VI - 18 DP - 2012 TI - Quiescent keratocytes fail to repair MMC induced DNA damage leading to the long-term inhibition of myofibroblast differentiation and wound healing. PG - 1828-39 AB - PURPOSE: The purpose of this study was to determine the acute and long-term effects of mitomycin C (MMC) on quiescent rabbit corneal keratocytes regarding cell proliferation, myofibroblast differentiation and DNA repair. METHODS: Quiescent keratocytes cultured in serum-free media were exposed to various concentrations of MMC and then treated with transforming growth factor-beta (TGFbeta). DNA damage was evaluated in both cultured keratocytes and live rabbit eyes following treatment with MMC. The long-term ability of quiescent keratocytes to repair MMC induced damage in vivo was evaluated in rabbits treated with MMC 2 months before 100 mum deep lamellar keratectomy (LK) injury. RESULTS: MMC significantly blocked TGFbeta-induced cell proliferation and myofibroblast differentiation in cultured quiescent keratocytes and altered the transcriptional regulation of macrophage chemotactic protein-1 (MCP-1) and alpha smooth muscle actin (alphaSMA). MMC also induced phosphorylation of the nuclear histone marker of DNA damage, gammaH2AX (a member of the H2A histone family), without induction of cell cycle entry or immediate DNA repair measured by Comet assay. In live rabbits, 0.2 mg/ml MMC significantly induced gammaH2AX nuclear immunostaining (p<0.05) throughout the cornea and corneas receiving 0.2 mg/ml MMC treatment 2 months before LK injury showed complete absence of any corneal scarring. CONCLUSIONS: MMC induces DNA damage to quiescent corneal keratocytes, which remains unrepaired, resulting in abnormal cell replication and gene transcription that leads to long-term effects on corneal repair. Overall these findings suggest that there may be long-term and perhaps permanent consequences to the application of MMC as an anti-fibrotic therapy. FAU - Jester, James V AU - Jester JV AD - Gavin Herbert Eye Institute, University of California-Irvine, CA, USA. jjester@uci.edu FAU - Nien, Chyong Jy AU - Nien CJ FAU - Vasiliou, Vasilis AU - Vasiliou V FAU - Brown, Donald J AU - Brown DJ LA - eng GR - EY017963/EY/NEI NIH HHS/United States GR - R01 EY007348/EY/NEI NIH HHS/United States GR - R01 EY019719/EY/NEI NIH HHS/United States GR - R24 EY016663/EY/NEI NIH HHS/United States GR - EY016663/EY/NEI NIH HHS/United States GR - R01 EY017963/EY/NEI NIH HHS/United States GR - EY07348/EY/NEI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20120704 PL - United States TA - Mol Vis JT - Molecular vision JID - 9605351 RN - 0 (Actins) RN - 0 (Chemokine CCL2) RN - 0 (Culture Media, Serum-Free) RN - 0 (Histones) RN - 0 (Transforming Growth Factor beta) RN - 50SG953SK6 (Mitomycin) SB - IM MH - Actins/genetics/metabolism MH - Animals MH - Cell Differentiation/drug effects MH - Cell Proliferation/drug effects MH - Cells, Cultured MH - Chemokine CCL2/genetics/metabolism MH - Cicatrix/prevention & control MH - Comet Assay MH - Cornea/*drug effects/metabolism MH - Corneal Injuries MH - Corneal Keratocytes/*drug effects/metabolism/pathology MH - Culture Media, Serum-Free MH - *DNA Damage MH - DNA Repair/drug effects MH - Histones/genetics/metabolism MH - Mitomycin/*pharmacology MH - Myofibroblasts/drug effects/metabolism/pathology MH - Rabbits MH - Transcription, Genetic/drug effects MH - Transforming Growth Factor beta/pharmacology MH - Wound Healing/*drug effects PMC - PMC3398499 EDAT- 2012/07/21 06:00 MHDA- 2012/11/14 06:00 PMCR- 2012/01/01 CRDT- 2012/07/21 06:00 PHST- 2012/05/01 00:00 [received] PHST- 2012/07/01 00:00 [accepted] PHST- 2012/07/21 06:00 [entrez] PHST- 2012/07/21 06:00 [pubmed] PHST- 2012/11/14 06:00 [medline] PHST- 2012/01/01 00:00 [pmc-release] AID - 189 [pii] AID - 2012MOLVIS0208 [pii] PST - ppublish SO - Mol Vis. 2012;18:1828-39. Epub 2012 Jul 4.