PMID- 28692738 OWN - NLM STAT- MEDLINE DCOM- 20170714 LR - 20180216 IS - 1552-5783 (Electronic) IS - 0146-0404 (Linking) VI - 58 IP - 9 DP - 2017 Jul 1 TI - Inhibition of Monocyte Chemoattractant Protein 1 Prevents Conjunctival Fibrosis in an Experimental Model of Glaucoma Filtration Surgery. PG - 3432-3439 LID - 10.1167/iovs.17-21480 [doi] AB - PURPOSE: To evaluate the effect of treatment with monocyte chemoattractant protein-1 receptor inhibitor (MCP-Ri) to maintain bleb survival and prevent fibrosis in an experimental model of glaucoma filtration surgery (GFS). METHODS: GFS was performed on one eye of C57/Bl6 mice (n = 36) that was treated with MCP-Ri, mitomycin-C (MMC), or vehicle at the time of surgery. Real-time polymerase chain reaction was used to evaluate conjunctival expression of monocyte chemoattractant protein-1 (MCP-1), TGFB1, TGFB2, collagen 1a1 (Col1a1), sparc (Sparc), and fibronectin at 2 and 7 days following surgery. Anterior segment slit-lamp examination, optical coherence tomography, and confocal microscopy were performed in vivo at day 14. Eyes were processed for immunohistochemical staining of F4/80, a monocyte-macrophage marker, at day 2. In vitro experiments were also performed to compare the effect of MMC, MCP-Ri, and vehicle on the viability of mouse Tenon's fibroblasts. RESULTS: Treatment with MCP-Ri results in a greater reduction in the percentage of F4/80-positive cells in conjunctival blebs and lesser MCP-1 gene expression following experimental GFS than MMC or control. Both MMC and MCP-Ri reduced Col1a1 and Sparc expression, but not fibronectin. TGFB1 decreased with MCP-Ri but not MMC; MMC but not MCP-Ri reduced TGFB2. MMC and MCP-Ri treatment resulted in the preservation of bleb height at day 14, as compared to control. MCP-Ri was less toxic to mouse Tenon's fibroblasts in comparison with MMC. CONCLUSIONS: Targeting MCP-1 results in prolonged bleb survival following experimental GFS with less cellular toxicity as compared to MMC. MCP inhibition could provide a safer alternative to conventional antifibrotic adjunctive treatments in GFS. FAU - Chong, Rachel Shujuan AU - Chong RS AD - Singapore National Eye Centre, Singapore 2Singapore Eye Research Institute, Singapore 3Duke NUS Graduate Medical School, Singapore. FAU - Lee, Ying Shi AU - Lee YS AD - Singapore Eye Research Institute, Singapore. FAU - Chu, Stephanie Wai Ling AU - Chu SWL AD - Singapore Eye Research Institute, Singapore. FAU - Toh, Li Zhen AU - Toh LZ AD - Singapore Eye Research Institute, Singapore. FAU - Wong, Tina Tzee Ling AU - Wong TTL AD - Singapore National Eye Centre, Singapore 2Singapore Eye Research Institute, Singapore 3Duke NUS Graduate Medical School, Singapore. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Invest Ophthalmol Vis Sci JT - Investigative ophthalmology & visual science JID - 7703701 RN - 0 (Antifibrinolytic Agents) RN - 0 (Chemokine CCL2) RN - 0 (Enzyme Inhibitors) RN - 0 (Fibronectins) RN - 0 (Osteonectin) RN - 0 (Receptors, CCR2) RN - 0 (SPARC protein, mouse) RN - 0 (Transforming Growth Factor beta) RN - 50SG953SK6 (Mitomycin) RN - 9007-34-5 (Collagen) SB - IM MH - Animals MH - Antifibrinolytic Agents/*pharmacology MH - Cell Survival/drug effects MH - Chemokine CCL2/*antagonists & inhibitors/metabolism MH - Collagen/metabolism MH - Conjunctiva/*drug effects MH - Disease Models, Animal MH - Enzyme Inhibitors/*pharmacology MH - Fibroblasts/*drug effects MH - Fibronectins/metabolism MH - Fibrosis/*prevention & control MH - Filtering Surgery MH - Glaucoma/*drug therapy/surgery MH - *Glaucoma Drainage Implants MH - Mice MH - Mice, Inbred C57BL MH - Mitomycin/pharmacokinetics MH - Osteonectin/metabolism MH - Receptors, CCR2/*antagonists & inhibitors MH - Transforming Growth Factor beta/metabolism EDAT- 2017/07/12 06:00 MHDA- 2017/07/15 06:00 CRDT- 2017/07/11 06:00 PHST- 2017/07/11 06:00 [entrez] PHST- 2017/07/12 06:00 [pubmed] PHST- 2017/07/15 06:00 [medline] AID - 2643580 [pii] AID - 10.1167/iovs.17-21480 [doi] PST - ppublish SO - Invest Ophthalmol Vis Sci. 2017 Jul 1;58(9):3432-3439. doi: 10.1167/iovs.17-21480.