Combined Application of Bevacizumab and Mitomycin C or Bevacizumab and 5-Fluorouracil in Experimental Glaucoma Filtration Surgery

The present study aimed at observing the effect of a single subconjunctival injection of bevacizumab (BVZ) combined with 5-fluorouracil (5-Fu) or mitomycin C (MMC) on the antiscarring effect of glaucoma filtration surgery (GFS). The inhibitory effect of combined BVZ and 5-Fu in retinal pigment epith...

Full description

Saved in:
Bibliographic Details
Main Authors: Lei Zuo, Jianhong Zhang, Xun Xu
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2018/8965709
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1841524537217253376
author Lei Zuo
Jianhong Zhang
Xun Xu
author_facet Lei Zuo
Jianhong Zhang
Xun Xu
author_sort Lei Zuo
collection DOAJ
description The present study aimed at observing the effect of a single subconjunctival injection of bevacizumab (BVZ) combined with 5-fluorouracil (5-Fu) or mitomycin C (MMC) on the antiscarring effect of glaucoma filtration surgery (GFS). The inhibitory effect of combined BVZ and 5-Fu in retinal pigment epithelial cells on vascular endothelial growth factor (VEGF) levels was demonstrated through in vitro experiments. Combined BVZ and 5-Fu and combined BVZ and MMC inhibited cell cycle, induced apoptosis, and inhibited human umbilical vein endothelial cell migration. Also, the cytotoxicity of combined BVZ and 5-Fu was lower. In animal experiments, the observation of filtering bleb survival, hematoxylin and eosin and Masson staining of filtering bleb scars, and mRNA expression levels of fibrosis markers in filtering blebs showed that combined BVZ and 5-Fu had a better antiscarring effect compared with single drugs; however, the antiscarring effect of combined BVZ and MMC was not significantly different from MMC. Therefore, the findings of this study provided more reference for the clinical use of adjuncts to inhibit scarring after GFS and helped understand the regulatory effect of combined anti-VEGF antibody BVZ and antimetabolites on wound healing more comprehensively.
format Article
id doaj-art-4a96f1add27f4516af353db2b310903f
institution Kabale University
issn 2090-004X
2090-0058
language English
publishDate 2018-01-01
publisher Wiley
record_format Article
series Journal of Ophthalmology
spelling doaj-art-4a96f1add27f4516af353db2b310903f2025-02-03T05:53:00ZengWileyJournal of Ophthalmology2090-004X2090-00582018-01-01201810.1155/2018/89657098965709Combined Application of Bevacizumab and Mitomycin C or Bevacizumab and 5-Fluorouracil in Experimental Glaucoma Filtration SurgeryLei Zuo0Jianhong Zhang1Xun Xu2Department of Ophthalmology, Shanghai Fourth People’s Hospital, Shanghai 200081, ChinaDepartment of Ophthalmology, Shanghai Fourth People’s Hospital, Shanghai 200081, ChinaDepartment of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200080, ChinaThe present study aimed at observing the effect of a single subconjunctival injection of bevacizumab (BVZ) combined with 5-fluorouracil (5-Fu) or mitomycin C (MMC) on the antiscarring effect of glaucoma filtration surgery (GFS). The inhibitory effect of combined BVZ and 5-Fu in retinal pigment epithelial cells on vascular endothelial growth factor (VEGF) levels was demonstrated through in vitro experiments. Combined BVZ and 5-Fu and combined BVZ and MMC inhibited cell cycle, induced apoptosis, and inhibited human umbilical vein endothelial cell migration. Also, the cytotoxicity of combined BVZ and 5-Fu was lower. In animal experiments, the observation of filtering bleb survival, hematoxylin and eosin and Masson staining of filtering bleb scars, and mRNA expression levels of fibrosis markers in filtering blebs showed that combined BVZ and 5-Fu had a better antiscarring effect compared with single drugs; however, the antiscarring effect of combined BVZ and MMC was not significantly different from MMC. Therefore, the findings of this study provided more reference for the clinical use of adjuncts to inhibit scarring after GFS and helped understand the regulatory effect of combined anti-VEGF antibody BVZ and antimetabolites on wound healing more comprehensively.http://dx.doi.org/10.1155/2018/8965709
spellingShingle Lei Zuo
Jianhong Zhang
Xun Xu
Combined Application of Bevacizumab and Mitomycin C or Bevacizumab and 5-Fluorouracil in Experimental Glaucoma Filtration Surgery
Journal of Ophthalmology
title Combined Application of Bevacizumab and Mitomycin C or Bevacizumab and 5-Fluorouracil in Experimental Glaucoma Filtration Surgery
title_full Combined Application of Bevacizumab and Mitomycin C or Bevacizumab and 5-Fluorouracil in Experimental Glaucoma Filtration Surgery
title_fullStr Combined Application of Bevacizumab and Mitomycin C or Bevacizumab and 5-Fluorouracil in Experimental Glaucoma Filtration Surgery
title_full_unstemmed Combined Application of Bevacizumab and Mitomycin C or Bevacizumab and 5-Fluorouracil in Experimental Glaucoma Filtration Surgery
title_short Combined Application of Bevacizumab and Mitomycin C or Bevacizumab and 5-Fluorouracil in Experimental Glaucoma Filtration Surgery
title_sort combined application of bevacizumab and mitomycin c or bevacizumab and 5 fluorouracil in experimental glaucoma filtration surgery
url http://dx.doi.org/10.1155/2018/8965709
work_keys_str_mv AT leizuo combinedapplicationofbevacizumabandmitomycincorbevacizumaband5fluorouracilinexperimentalglaucomafiltrationsurgery
AT jianhongzhang combinedapplicationofbevacizumabandmitomycincorbevacizumaband5fluorouracilinexperimentalglaucomafiltrationsurgery
AT xunxu combinedapplicationofbevacizumabandmitomycincorbevacizumaband5fluorouracilinexperimentalglaucomafiltrationsurgery