Abstract

(1) Objective: To study the anti-fibrotic effects of Lycium barbarum polysaccharides (LBP) on corneal stromal fibroblasts and assess LBP’s effect on cell viability. (2) Methods: Primary human corneal keratocytes of passage 3 to 6 were used for all experiments. Cells are pretreated with LBP solution for 24 h and then transforming growth factor beta 1 (TGFβ1) for 48 h and collected for experiments. Fibrotic protein analysis was performed using immunofluorescence and Western blot. The effect of LBP on cell viability was assessed using the MTS assay. (3) Results: LBP significantly reduced the expression of fibrotic proteins, including α-SMA and extracellular matrix proteins (collagen type I and III). LBP significantly decreased the viability of myofibroblasts but not the fibroblasts. Conclusions: In this study, LBP was effective in the prevention of fibrosis gene expression. Further studies to assess the underlying mechanism and pharmacological properties will facilitate the formation of a topical LBP solution for in vivo studies.

Highlights

  • Corneal scarring is the second most common cause of blindness worldwide [1]

  • Once cells reached 30% confluence, cells were pre-treated with Lycium barbarum polysaccharides (LBP) at 0.1 mg/mL, 0.5 mg/mL, 1 mg/mL, 1.5 mg/mL, 2.0 mg/mL, 2.5 mg/mL or 3.0 mg/mL treated for 24 h and with transforming growth factor-β1 (TGFβ1) (Millipore, GF439, Burlington, MA, USA) at 10 ng/mL for 48 h to differentiate the cells into myofibroblasts

  • Phase-contrast microscopy demonstrated bipolar-elongated fibroblast-like morphology of the cells (Figure 1)

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Summary

Introduction

Corneal scarring is the second most common cause of blindness worldwide [1]. Definitive treatment of corneal scarring requires corneal transplantation which is limited by low organ donation rates, especially in the developing world. TGFβ1 is a key cytokine in promoting myofibroblast differentiation with increased production of disorganized stromal matrix proteins, including collagen, fibronectin, tenascin, proteoglycans, thrombospondin and tissue inhibitor of metalloprotease-1 (TIMP-1) This can lead to increased light scattering due to development of corneal haze and scarring [7]. TGFβ2 plays a major role in corneal development the epithelial-mesenchymal interactions, corneal homeostasis and repair [8] Current treatments such as topical corticosteroids are associated with potentially blinding complications, such as cataract, glaucoma and cornea-scleral melting [2]. There were no significant adverse effects detected, including raised intraocular pressure and cornea epithelial toxicity [13] Due to their current availability, good safety profiles and relatively low costs, systemic vitamin C and topical rosiglitazone may serve as more viable forms of therapy, compared to gene therapy, in the near future. We conducted a proof-of-concept experiment using primary corneal fibroblasts

Cell Culture
LBP Preparation and Treatment
Treatment of Cells
Immunofluorescence
Western Blot
Cell Viability Assay
Corneal Fibroblasts Express Vimentin and Fibronectin
LBP Selectively Affects Myofibroblast Cell Viability
LBP Attenuates TGFβ1-Induced Fibrosis
Discussion
Conclusions
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