PMID- 28933986 OWN - NLM STAT- MEDLINE DCOM- 20180427 LR - 20181202 IS - 1557-7732 (Electronic) IS - 1080-7683 (Linking) VI - 33 IP - 9 DP - 2017 Nov TI - The Antiangiogenesis Effect of Pirfenidone in Wound Healing In Vitro. PG - 693-703 LID - 10.1089/jop.2017.0007 [doi] AB - Abstracts Purpose: Pirfenidone is mostly used in antifibrotic and anti-inflammatory therapies. We have previously demonstrated that pirfenidone had antifibrotic and anti-inflammatory effects on the wound healing process after glaucoma filtration surgery in vitro and in vivo. Since the wound healing and reactive scarring process simultaneously involves inflammation, fibrosis, and angiogenesis, and angiogenesis plays a more important role in chronic or prolonged wound healing, we tried to explore the antiangiogenesis effect in pirfenidone and its potential multitarget function in regulating excessive scarring. The aim of the present study was to investigate the antiangiogenesis effect of pirfenidone. METHODS: The proliferation of human umbilical vein endothelial cells (HUVECs) and human Tenon's fibroblasts (HTFs) were detected by WST-1 assay. The cell viability of HUVECs was measured by Trypan Blue together with lactate dehydrogenase, Annexin 5 experiment, and Ki-67 immunofluorescence assay. The functions of HUVECs and HTFs were demonstrated using cell migration assay, transwell invasion assay, and tube formation assay. The expression levels of vascular endothelial growth factor-A (VEGF-A), VEGF receptor-2 (VEGFR-2), neuropilin-1(NRP-1), and their downstream signaling proteins p-PI3K, PI3K, p-AKT, AKT, p-mTOR, and mechanistic target of rapamycin (mTOR) were indicated by western blot assay. The secretion of VEGF-A was detected by enzyme-linked immunosorbent assay. RESULTS: Pirfenidone inhibited proliferation, migration, invasion, and tube formation of HUVECs in vitro, and had an equivalent antiangiogenesis effect when compared with Ranibizumab in HUVECs and HTFs. Pirfenidone downregulated VEGF-A/VEGFR-2, VEGF-A/NRP-1, and its downstream signaling pathway protein expression. CONCLUSIONS: Pirfenidone has an antiangiogenesis effect in the wound healing process and may become an ideal multitarget antiscarring agent after glaucoma filtration surgery. FAU - Liu, Xiao'an AU - Liu X AD - State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University , Guangzhou, People's Republic of China . FAU - Yang, Yangfan AU - Yang Y AD - State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University , Guangzhou, People's Republic of China . FAU - Guo, Xiujuan AU - Guo X AD - State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University , Guangzhou, People's Republic of China . FAU - Liu, Liling AU - Liu L AD - State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University , Guangzhou, People's Republic of China . FAU - Wu, Kaili AU - Wu K AD - State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University , Guangzhou, People's Republic of China . FAU - Yu, Minbin AU - Yu M AD - State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University , Guangzhou, People's Republic of China . LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20170921 PL - United States TA - J Ocul Pharmacol Ther JT - Journal of ocular pharmacology and therapeutics : the official journal of the Association for Ocular Pharmacology and Therapeutics JID - 9511091 RN - 0 (Angiogenesis Inhibitors) RN - 0 (Annexin A5) RN - 0 (Anti-Inflammatory Agents, Non-Steroidal) RN - 0 (Ki-67 Antigen) RN - 0 (Neurophysins) RN - 0 (Pyridones) RN - 0 (VEGFA protein, human) RN - 0 (Vascular Endothelial Growth Factor A) RN - D7NLD2JX7U (pirfenidone) RN - EC 1.1.1.27 (L-Lactate Dehydrogenase) RN - EC 2.7.10.1 (KDR protein, human) RN - EC 2.7.10.1 (Vascular Endothelial Growth Factor Receptor-2) SB - IM MH - Angiogenesis Inhibitors/*pharmacology MH - Annexin A5/metabolism MH - Anti-Inflammatory Agents, Non-Steroidal/*pharmacology MH - Blotting, Western MH - Cell Movement/physiology MH - Cell Proliferation/drug effects MH - Cell Survival/drug effects MH - Enzyme-Linked Immunosorbent Assay MH - Fibroblasts/drug effects MH - Flow Cytometry MH - Human Umbilical Vein Endothelial Cells/drug effects MH - Humans MH - Ki-67 Antigen/metabolism MH - L-Lactate Dehydrogenase/metabolism MH - Neurophysins/metabolism MH - Pyridones/*pharmacology MH - Tenon Capsule/cytology MH - Vascular Endothelial Growth Factor A/metabolism MH - Vascular Endothelial Growth Factor Receptor-2/metabolism MH - Wound Healing/*drug effects OTO - NOTNLM OT - AKT signaling pathway OT - antiangiogenesis OT - antiscarring OT - multitarget OT - pirfenidone OT - wound healing process EDAT- 2017/09/22 06:00 MHDA- 2018/04/28 06:00 CRDT- 2017/09/22 06:00 PHST- 2017/09/22 06:00 [pubmed] PHST- 2018/04/28 06:00 [medline] PHST- 2017/09/22 06:00 [entrez] AID - 10.1089/jop.2017.0007 [pii] AID - 10.1089/jop.2017.0007 [doi] PST - ppublish SO - J Ocul Pharmacol Ther. 2017 Nov;33(9):693-703. doi: 10.1089/jop.2017.0007. Epub 2017 Sep 21.