Polysaccharide hydrogel combined with mesenchymal stem cells promotes the healing of corneal alkali burn in rats

PLoS One. 2015 Mar 19;10(3):e0119725. doi: 10.1371/journal.pone.0119725. eCollection 2015.

Abstract

Corneal chemical burns are common ophthalmic injuries that may result in permanent visual impairment. Although significant advances have been achieved on the treatment of such cases, the structural and functional restoration of a chemical burn-injured cornea remains challenging. The applications of polysaccharide hydrogel and subconjunctival injection of mesenchymal stem cells (MSCs) have been reported to promote the healing of corneal wounds. In this study, polysaccharide was extracted from Hardy Orchid and mesenchymal stem cells (MSCs) were derived from Sprague-Dawley rats. Supplementation of the polysaccharide significantly enhanced the migration rate of primarily cultured rat corneal epithelial cells. We examined the therapeutic effects of polysaccharide in conjunction with MSCs application on the healing of corneal alkali burns in rats. Compared with either treatment alone, the combination strategy resulted in significantly better recovery of corneal epithelium and reduction in inflammation, neovascularization and opacity of healed cornea. Polysaccharide and MSCs acted additively to increase the expression of anti-inflammatory cytokine (TGF-β), antiangiogenic cytokine (TSP-1) and decrease those promoting inflammation (TNF-α), chemotaxis (MIP-1α and MCP-1) and angiogenesis (VEGF and MMP-2). This study provided evidence that Hardy Orchid derived polysaccharide and MSCs are safe and effective treatments for corneal alkali burns and that their benefits are additive when used in combination. We concluded that combination therapy with polysaccharide and MSCs is a promising clinical treatment for corneal alkali burns and may be applicable for other types of corneal disorder.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Alkalies / toxicity
  • Animals
  • Burns, Chemical / pathology
  • Burns, Chemical / therapy*
  • Corneal Injuries / pathology
  • Corneal Injuries / therapy*
  • Humans
  • Hydrogel, Polyethylene Glycol Dimethacrylate / administration & dosage
  • Mesenchymal Stem Cell Transplantation*
  • Mesenchymal Stem Cells
  • Polysaccharides / administration & dosage*
  • Rats
  • Wound Healing

Substances

  • Alkalies
  • Polysaccharides
  • Hydrogel, Polyethylene Glycol Dimethacrylate

Grants and funding

Supported by the grant from National Sciences Foundation of China (81371037); http://www.nsfc.gov.cn/. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.