Journal of the Korean Ophthalmological Society 2005;46(3):510-520.
Published online March 31, 2005.
Effect of Tranilast on the Proliferation of Human Corneal Keratocytes in Vitro.
Ji Eun Lee, Hee Jun Han, Jong Soo Lee, Boo Sup Oum
1Department of Ophthalmology, Pusan National University, College of Medicine, Busan, Korea. jongsool@pusan.ac.kr
2Shin Sea-kyae Eye Clinic, Ulsan, Korea.
트라닐라스트에 의한 각막실질세포의 증식억제효과
이지은1,한희준2,이종수1,엄부섭1
Department of Ophthalmology, Pusan National University, College of Medicine1, Busan, Korea Shin Sea-kyae Eye Clinic2, Ulsan, Korea
Correspondence:  Jong Soo Lee, M.D.1
Abstract
PURPOSE
To evaluate the inhibitory effect of tranilast on proliferation of cultured human keratocytes, and to investigate the apoptotic response and the cellular morphologic changes associated with tranilast in vitro. METHODS: Human corneal keratocytes were exposed to tranilast at a concentration of 0.05, 0.1, 0.2, 0.4, 0.8, 1.6, and 3.2 mg/ml for a period of 4, 24, and 48 hours. Evaluations were conducted with MTT-based-calorimetric assay for measuring the metabolic activity, flow cytometric analysis and fluorescent micrograph for assessing the apoptotic response, and inverted phase-contrast micrograph and electron microscopy for observing the morphologic changes. RESULTS: The inhibitory effect of human keratocyte proliferation was found to have a dose and time dependent pattern (p<0.05). In flow cytometry, the maximal apoptotic response developed at 0.8 mg/ml concentration after 4 and 24 hours of exposure time, and apoptotic cells were demonstrated in fluorescent micrograph. At higher concentration of Tratnilast, human corneal keratocytes were more swollen rather than having a spindle shape and being detached from the bottom of the dish. The damaged keratocytes had degenerative and apoptotic changes like the formation of phagolysosomal granule, marginal condensation in the nucleus, and bleb formation of the nuclear membrane. CONCLUSIONS: The apoptotic response of tranilast is concerned with the inhibitory effect of human corneal keratocyte proliferation. Therefore, tranilast shows promise in clinical use for the inhibition of postoperative excimer laser induced corneal opacity or haze with fewer side effects.
Key Words: Apoptosis;Flow cytometry;Human corneal keratocyte;Tranilast


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