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Role of the chloride channel blocker in the formation of filtering tract scars after glaucoma surgery in rats.

Abstract
Filtration surgery is commonly performed for glaucoma treatment to reduce intraocular pressure (IOP); however, scarring of the filtering bleb is the main cause of failure. In this study, we evaluated the effects of the chloride channel blocker 5-nitro-2-(3-phenylpropylamino)benzoic acid (NPPB) on scar formation in filtering blebs. A glaucoma filtering surgery model was generated using Sprague-Dawley rats, divided into the control and NPPB groups receiving injections of different NPPB concentrations. The IOP of all rats decreased 1-day post-surgery and gradually increased afterward. However, IOP in rats from the NPPB groups recovered more slowly than that of the control group rats. In addition, the area and survival times of filtering blebs in rats from the NPPB groups were substantially larger and longer than those in the control group. Twenty-eight days after surgery, the protein and mRNA expression of collagen I, fibronectin and α-smooth muscle actin in the filtering area of rats from the NPPB groups were significantly lower than that in the control group rats. Collectively, our study demonstrates that NPPB inhibits filtering bleb scar formation, maintains filtering bleb morphology and prolongs filtering bleb survival time by inhibiting the differentiation of conjunctival fibroblasts and extracellular matrix synthesis.
AuthorsYujiao Jin, Weiyi Jin, Qiushuang Sun, Nan Li, Meiling Jiang, Yinfeng Liu, Lixia Sun
JournalClinical and experimental pharmacology & physiology (Clin Exp Pharmacol Physiol) Vol. 50 Issue 10 Pg. 806-814 (10 2023) ISSN: 1440-1681 [Electronic] Australia
PMID37452725 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Copyright© 2023 The Authors. Clinical and Experimental Pharmacology and Physiology published by John Wiley & Sons Australia, Ltd.
Chemical References
  • 5-nitro-2-(3-phenylpropylamino)benzoic acid
  • Chlorides
  • Chloride Channels
Topics
  • Rats
  • Animals
  • Cicatrix (prevention & control)
  • Chlorides
  • Rats, Sprague-Dawley
  • Glaucoma (surgery)
  • Intraocular Pressure
  • Chloride Channels

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