PMID- 27189516 OWN - NLM STAT- MEDLINE DCOM- 20180327 LR - 20220321 IS - 2045-2322 (Electronic) IS - 2045-2322 (Linking) VI - 6 DP - 2016 May 18 TI - Rho kinase inhibitor enables cell-based therapy for corneal endothelial dysfunction. PG - 26113 LID - 10.1038/srep26113 [doi] LID - 26113 AB - The corneal endothelium maintains corneal transparency; consequently, its dysfunction causes severe vision loss. Tissue engineering-based therapy, as an alternative to conventional donor corneal transplantation, is anticipated to provide a less invasive and more effective therapeutic modality. We conducted a preclinical study for cell-based therapy in a primate model and demonstrated regeneration of the corneal endothelium following injection of cultured monkey corneal endothelial cells (MCECs) or human CECs (HCECs), in combination with a Rho kinase (ROCK) inhibitor, Y-27632, into the anterior chamber. We also evaluated the safety and efficacy of Good Manufacturing Practice (GMP)-grade HCECs, similar to those planned for use as transplant material for human patients in a clinical trial, and we showed that the corneal endothelium was regenerated without adverse effect. We also showed that CEC engraftment is impaired by limited substrate adhesion, which is due to actomyosin contraction induced by dissociation-induced activation of ROCK/MLC signaling. Inclusion of a ROCK inhibitor improves efficiency of engraftment of CECs and enables cell-based therapy for treating corneal endothelial dysfunction as a clinically relevant therapy. FAU - Okumura, Naoki AU - Okumura N AD - Department of Biomedical Engineering, Faculty of Life and Medical Sciences, Doshisha University, Kyotanabe, Japan. FAU - Sakamoto, Yuji AU - Sakamoto Y AD - Research Laboratory, Senju Pharmaceutical Co., Ltd., Kobe, Japan. FAU - Fujii, Keita AU - Fujii K AD - Department of Biomedical Engineering, Faculty of Life and Medical Sciences, Doshisha University, Kyotanabe, Japan. FAU - Kitano, Junji AU - Kitano J AD - Department of Biomedical Engineering, Faculty of Life and Medical Sciences, Doshisha University, Kyotanabe, Japan. FAU - Nakano, Shinichiro AU - Nakano S AD - Department of Biomedical Engineering, Faculty of Life and Medical Sciences, Doshisha University, Kyotanabe, Japan. FAU - Tsujimoto, Yuki AU - Tsujimoto Y AD - Department of Biomedical Engineering, Faculty of Life and Medical Sciences, Doshisha University, Kyotanabe, Japan. FAU - Nakamura, Shin-Ichiro AU - Nakamura S AD - Research Center of Animal Life Science, Shiga University of Medical Science, Otsu, Japan. FAU - Ueno, Morio AU - Ueno M AD - Department of Ophthalmology, Kyoto Prefectural University of Medicine, Kyoto, Japan. FAU - Hagiya, Michio AU - Hagiya M AD - Department of Ophthalmology, Kyoto Prefectural University of Medicine, Kyoto, Japan. FAU - Hamuro, Junji AU - Hamuro J AD - Department of Ophthalmology, Kyoto Prefectural University of Medicine, Kyoto, Japan. FAU - Matsuyama, Akifumi AU - Matsuyama A AD - Platform of Therapeutics for Rare Disease, National Institutes of Biomedical Innovation, Health and Nutrition, Osaka, Japan. FAU - Suzuki, Shingo AU - Suzuki S AD - Department of Molecular Life Science, Division of Basic Medical Science and Molecular Medicine, Tokai University School of Medicine, Isehara, Japan. FAU - Shiina, Takashi AU - Shiina T AD - Department of Molecular Life Science, Division of Basic Medical Science and Molecular Medicine, Tokai University School of Medicine, Isehara, Japan. FAU - Kinoshita, Shigeru AU - Kinoshita S AD - Department of Ophthalmology, Kyoto Prefectural University of Medicine, Kyoto, Japan. AD - Department of Frontier Medical Science and Technology for Ophthalmology, Kyoto Prefectural University of Medicine, Kyoto, Japan. FAU - Koizumi, Noriko AU - Koizumi N AD - Department of Biomedical Engineering, Faculty of Life and Medical Sciences, Doshisha University, Kyotanabe, Japan. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20160518 PL - England TA - Sci Rep JT - Scientific reports JID - 101563288 RN - 0 (Protein Kinase Inhibitors) RN - EC 2.7.11.1 (rho-Associated Kinases) SB - IM MH - Animals MH - Cell Transplantation/*methods MH - Cells, Cultured MH - Corneal Diseases/*therapy MH - Disease Models, Animal MH - Endothelial Cells/*physiology MH - Humans MH - Macaca fascicularis MH - Protein Kinase Inhibitors/*administration & dosage MH - Treatment Outcome MH - rho-Associated Kinases/*antagonists & inhibitors PMC - PMC4870691 COIS- Shigeru Kinoshita obtained a patent regarding the application of ROCK inhibitor for corneal endothelium (registration number: 5657252). N. O. and N. K. are listed as inventors of the patent. EDAT- 2016/05/18 06:00 MHDA- 2018/03/28 06:00 PMCR- 2016/05/18 CRDT- 2016/05/19 06:00 PHST- 2016/01/06 00:00 [received] PHST- 2016/04/27 00:00 [accepted] PHST- 2016/05/19 06:00 [entrez] PHST- 2016/05/18 06:00 [pubmed] PHST- 2018/03/28 06:00 [medline] PHST- 2016/05/18 00:00 [pmc-release] AID - srep26113 [pii] AID - 10.1038/srep26113 [doi] PST - epublish SO - Sci Rep. 2016 May 18;6:26113. doi: 10.1038/srep26113.