Abstract
Once a corneal scar develops, surgical management remains the only option for visual rehabilitation. Corneal transplantation is the definitive treatment for a corneal scar. In addition to the challenges posed by graft rejections and other postoperative complications, the lack of high-quality donor corneas can limit the benefits possible with keratoplasty. The purpose of our study was to evaluate a new therapeutic strategy for treating corneal scarring by targeting collagen deposition. We overexpressed a fibril collagenase (matrix metalloproteinase 14 (MMP14)) to prevent collagen deposition in the scar tissue. We demonstrated that a single and simple direct injection of recombinant adeno-associated virus-based vector expressing murine MMP14 can modulate gene expression of murine stromal keratocytes. This tool opens new possibilities with regard to treatment. In a mouse model of corneal full-thickness incision, we observed that MMP14 overexpression reduced corneal opacity and expression of the major genes involved in corneal scarring, especially type III collagen and α-smooth muscle actin. These results represent proof of concept that gene transfer of MMP14 can reduce scar formation, which could have therapeutic applications after corneal trauma.
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Acknowledgements
We thank M Allouche and B Couderc for helpful comments and critical reading. This work was supported by the Fondation de l’Avenir (study ET7-474), la Fondation de France (grants ‘Berthe Fouassier’: 2008002176, 2009002318 and 2009002320), the Laboratoires Pierre Fabre and the INSERM. We also thank MA Daussion and J Bernaud from the Centre de Recherche de Chirurgie Expérimentale Claude Bernard (CHU Purpan, Toulouse, France) for animal care and experiments.
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Galiacy, S., Fournié, P., Massoudi, D. et al. Matrix metalloproteinase 14 overexpression reduces corneal scarring. Gene Ther 18, 462–468 (2011). https://doi.org/10.1038/gt.2010.159
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DOI: https://doi.org/10.1038/gt.2010.159
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