Fine Needle-Diathermy Regresses Pathological Corneal (Lymph)Angiogenesis and Promotes High-Risk Corneal Transplant Survival

Sci Rep. 2018 Apr 9;8(1):5707. doi: 10.1038/s41598-018-24037-3.

Abstract

Pathological corneal hem- and lymphangiogenesis are prime risk factors for corneal graft rejection. Fine needle-diathermy (FND) is an option to regress corneal blood vessels; however, whether this treatment besides clinically visible blood vessels also affects invisible lymphatic vessels is so far unknown. Here we test the hypothesis that FND destroys not only blood but also lymphatic vessels, thereby promotes corneal high-risk graft survival. The effect of FND was studied in vivo using BALB/c mice and the model of suture-induced corneal neovascularization. Mice were divided into three groups: FND, ANTI (anti-inflammatory therapy) and NON (control). Five, 7, 10 and 20 days after cauterization, corneas were harvested and stained with LYVE-1, CD31 to quantify (lymph)angiogenesis. The long-term survival of allografts was compared between the three groups. FND caused significant regression of both blood and lymphatic vessels compared to the control group at all time points (p < 0.05) with the most obvious effect at day 7 (p < 0.01). Graft survival was significantly prolonged when transplants were placed into the FND pretreated group (p < 0.0001). The effect of the anti-inflammatory therapy alone was less effective compared to FND (p < 0.05). This novel lymphangioregressive effect of FND can be used clinically to precondition high-risk recipients to promote graft survival.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Anti-Inflammatory Agents / administration & dosage*
  • Anti-Inflammatory Agents / pharmacology
  • Corneal Neovascularization / therapy*
  • Corneal Transplantation
  • Diathermy / instrumentation*
  • Disease Models, Animal
  • Female
  • Glycoproteins / metabolism*
  • Graft Rejection / prevention & control*
  • Graft Survival
  • Lymphangiogenesis* / drug effects
  • Membrane Transport Proteins
  • Mice
  • Mice, Inbred BALB C
  • Needles
  • Platelet Endothelial Cell Adhesion Molecule-1 / metabolism*
  • Treatment Outcome

Substances

  • Anti-Inflammatory Agents
  • Glycoproteins
  • Membrane Transport Proteins
  • Pecam1 protein, mouse
  • Platelet Endothelial Cell Adhesion Molecule-1
  • Xlkd1 protein, mouse