Abstract
Purpose
To evaluate the effect of topically administered ascorbic acid on experimentally induced corneal neovascularization in the rat model.
Materials and methods
Corneal chemical cauterization of 72 eyes in Long-Evans male rats was performed using silver nitrate/potassium nitrate sticks. Nine groups of eight eyes were used to evaluate eight concentrations of ascorbic acid with one group of eight eyes serving as a control. Topical instillation of 100 mg/ml non-pH-neutralized ascorbic acid was performed in one group while the remaining seven groups were evaluated using pH-neutralized ascorbic acid in concentrations of 100 mg/ml, 50 mg/ml, 10 mg/ml, 5 mg/ml, 1 mg/ml, 500 µg/ml, and 250 µg/ml.
Results
The percentage of corneal neovascularization and burn stimulus score was determined for all the eyes. The means of percent of corneal neovascularization in ascorbic acid 100 mg/ml (non-neutralized), 100 mg/ml, 50 mg/ml, 10 mg/ml, 5 mg/ml, 1 mg/ml, 500 μg/ml, 250 μg/ml, and control group were 17.50 ± 12.80 (p = 0.001), 17.00 ± 19.30 (p = 0.001), 15.25 ± 13.26 (p = 0.001), 17.62 ± 11.89 (p = 0.001), 28.87 ± 23.08 (p = 0.001), 29.62 ± 16.91 (p = 0.001), 60.12 ± 8.50 (p = 0.04), 65.62 ± 2.26 (p = 0.185), and 68.25 ± 4.06, respectively (Tables 1 and 2). All animals had a burn score of 2+ or higher (Table 1).
Conclusion
Ascorbic acid applied in a topical solution appears to inhibit corneal neovascularization in the rat model of inflammatory neovascularization in concentrations in a dose-dependent manner. The optimal dose-effect relation was in our model found in concentrations between 1 mg and 500 µg/ml. At concentrations below 500 µg/ml there was no statistically significant inhibition in the degree of corneal neovascularization compared to control.
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References
Wu PC, Yang LC, Kuo HK et al (2005) Inhibition of corneal angiogenesis by local application of vasostatin. Mol Vis 11:28–35
Chang JH, Gabiason EE, Kato T, Azar DT (2001) Corneal neovascularization. Curr Opin Ophthalmol 12:242–249
Hill JC, Maske R (1988) An animal model for corneal graft rejection in high-risk keratoplasty. Transplantation 46:26–30
Benelli U, Ross JR, Nardi M et al (1997) Corneal neovascularization induced by xenografts or chemical cautery inhibition by cyclosporin A. Investig Ophthalmol Vis Sci 38(2):274–281
Bocci G, Danesi R, Benelli U et al (1999) Inhibitory effect of suramin in rat models of angiogenesis in vitro and in vivo. Cancer Chemother Pharmacol 43:205–212
Benelli U, Bocci G, Danesi R et al (1998) The heparan sulfate suleparoide inhibits rat corneal angiogenesis and in vitro neovascularization. Exp Eye Res 67:133–142
D’Amato RJ, Loughnan MS, Flynn E et al (1994) Thalidomide is an inhibitor of angiogenesis. Proc Natl Acad Sci USA 91(9):4082–4085
Fotsis T, Pepper M, Adlercreutz H et al (1993) Genistein, a dietary-derived inhibitor of in vitro angiogenesis. Proc Natl Acad Sci USA 90(7):2690–2694
Hanashima C, Namiki H (1999) Reduced viability of vascular endothelial cells by high concentration of ascorbic acid in vitreous humor. Cell Biol Int 23(4):287–297
Bohmer JA, Sellhaus B, Schrage NF (2001) Effects of ascorbic acid on retinal pigment epithelial cells. Curr Eye Res 23(3):206–214
Takano S, Ishiwata S, Nakazawa M et al (1997) Determination of ascorbic acid in human vitreous humor by high-performance liquid chromatography with UV detection. Curr Eye Res 16(6):589–594
Ashino H, Shimamura M, Nakajima H et al (2003) Novel function of ascorbic acid as an angiostatic factor. Angiogenesis 6(4):259–269
Roomi MW, Ivanov V, Kalinovsky T et al (2005) In vivo antitumor effect of ascorbic acid, lysine, proline and green tea extract on human prostate cancer PC-3 xenografts in nude mice: evaluation of tumor growth and immunohistochemistry. In Vivo 19(1):179–183
Connolly DT, Heuvelman DM, Nelson R et al (1989) Tumor vascular permeability factor stimulates endothelial cell growth and angiogenesis. J Clin Invest 84(5):1470–1478
Cho A, Reidy MA (2002) Matrix metalloproteinase-9 is necessary for the regulation of smooth muscle cell replication and migration after arterial injury. Circ Res 91(9):845–851
Johnson C, Galis ZS (2004) Matrix metalloproteinase-2 and -9 differentially regulate smooth muscle cell migration and cell-mediated collagen organization. Arterioscler Thromb Vasc Biol 24(1):54–60
Gurer G, Erdem S, Kocaefe C et al (2004) Expression of matrix metalloproteinases in vasculitic neuropathy. Rheumatol Int 24(5):255–259
Ferroni P, Basili S, Martini F et al (2003) Serum metalloproteinase 9 levels in patients with coronary artery disease: a novel marker of inflammation. J Investig Med 51(5):295–300
Sung HJ, Johnson CE, Lessner SM et al (2005) Matrix metalloproteinase 9 facilitates collagen remodeling and angiogenesis for vascular constructs. Tissue Eng 11(1–2):267–276
Roomi MW, Ivanov V, Kalinovsky T et al (2005) In vitro and in vivo antitumorigenic activity of a mixture of lysine, proline, ascorbic acid, and green tea extract on human breast cancer lines MDA-MB-231 and MCF-7. Med Oncol 22(2):129–138
Knowles HJ, Raval RR, Harris AL et al (2003) Effect of ascorbate on the activity of hypoxia-inducible factor in cancer cells. Cancer Res 63:1764–1768
Marinacci B (1994) Linus Pauling-In Memoriam. Linus Pauling Institute of Science and Medicine, Oregon State University, Corvallis, OR
Sauberlich HE (1994) Pharmacology of vitamin C. Annu Rev Nutr 14:371–391
Brauchle M, Funk JO, Kind P et al (1996) Ultraviolet B and H2O2 are potent inducers of vascular endothelial growth factor expression in cultured keratinocytes. J Biol Chem 271(36):21793–21797
Kuroki M, Voest EE, Amano S et al (1996) Reactive oxygen intermediates increase vascular endothelial growth factor expression in vitro and in vivo. J Clin Invest 98(7):1667–1675
Ivanov VO, Ivanova SV, Niedzwiecki A (1997) Ascorbate affects proliferation of guinea-pig vascular smooth muscle cells by direct and extracellular matrix-mediated effects. J Mol Cell Cardiol 29(12):3293–3303
Joussen AM, Rohrschneider K, Reichling J et al (2000) Treatment of corneal neovascularization with dietary isoflavonoids and flavonoids. Exp Eye Res 71(5):483–487
Anderson MT, Staal FJ, Gitler C et al (1994) Separation of oxidant-initiated and redox-regulated steps in the NF-kappa B signal transduction pathway. Proc Natl Acad Sci USA 91(24):11527–11531
Bowie AG, O’Neill LA (2000) Vitamin C inhibits NF-kappa B activation by TNF via the activation of p38 mitogen-activated protein kinase. J Immunol 165(12):7180–7188
Shono T, Ono M, Izumi H et al (1996) Involvement of the transcription factor NF-kappaB in tubular morphogenesis of human microvascular endothelial cells by oxidative stress. Mol Cell Biol 16(8):4231–4239
Carcamo JM, Pedraza A, Borquez-Ojeda O et al (2002) Vitamin C suppresses TNF alpha-induced NF kappa B activation by inhibiting I kappa B alpha phosphorylation. Biochemistry 41(43):12995–13002
Ingber D, Folkman J (1988) Inhibition of angiogenesis through modulation of collagen metabolism. Lab Invest 59(1):44–51
Nicosia RF, Belser P, Bonanno E et al (1991) Regulation of angiogenesis in vitro by collagen metabolism. In Vitro Cell Dev Biol 27A(12):961–966
Schnaper HW, Grant DS, Stetler-Stevenson WG et al (1993) Type IV collagenase(s) and TIMPs modulate endothelial cell morphogenesis in vitro. J Cell Physiol 156(2):235–246
Schwartz E, Bienkowski RS, Coltoff-Schiller B et al (1982) Changes in the components of extracellular matrix and in growth properties of cultured aortic smooth muscle cells upon ascorbate feeding. J Cell Biol 92(2):462–470
Phillips GD, Stone AM, Jones BD et al (1994) Vascular endothelial growth factor (rhVEGF165) stimulates direct angiogenesis in the rabbit cornea. In Vivo 8(6):961–965
Amano S, Rohan R, Kuroki M et al (1998) Requirement for vascular endothelial growth factor in wound- and inflammation-related corneal neovascularization. Invest Ophthalmol Vis Sci 39(1):18–22
Philipp W, Speicher L, Humpel C (2000) Expression of vascular endothelial growth factor and its receptors in inflamed and vascularized human corneas. Invest Ophthalmol Vis Sci 41(9):2514–2522
Cursiefen C, Rummelt C, Kuchle M (2000) Immunohistochemical localization of vascular endothelial growth factor, transforming growth factor alpha, and transforming growth factor beta1 in human corneas with neovascularization. Cornea 19(4):526–533
Orbe J, Rodriguez JA, Arias R et al (2003) Antioxidant vitamins increase the collagen content and reduce MMP-1 in a porcine model of atherosclerosis: implications for plaque stabilization. Atherosclerosis 167(1):45–53
Mahoney JM, Waterbury LD (1985) Drug effects on the neovascularization response to silver nitrate cauterization of the rat cornea. Curr Eye Res 4:531–535
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Peyman, G.A., Kivilcim, M., Morales, A.M. et al. Inhibition of corneal angiogenesis by ascorbic acid in the rat model. Graefes Arch Clin Exp Ophthalmol 245, 1461–1467 (2007). https://doi.org/10.1007/s00417-007-0542-4
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DOI: https://doi.org/10.1007/s00417-007-0542-4