Therapeutic potential of Pirfenidone for treating equine corneal scarring.
Abstract: To evaluate the safety and efficacy of Pirfenidone (PFD) in the treatment of equine corneal fibrosis using an in vitro model. Methods: Healthy donor equine corneas were collected and used to generate primary equine corneal fibroblasts (ECFs) by growing cultures in minimal essential medium supplemented with 10% fetal bovine serum. Equine corneal myofibroblasts (ECMs), used as a model of equine corneal fibrosis, were produced by growing ECF cultures in serum-free medium containing transforming growth factor β1 (1 ng/mL). Trypan blue viability assays and changes in ECF morphology were utilized to determine the optimal PFD dose for this in vitro model. Trypan blue viability, phase-contrast microscopy, and TUNEL assays were used to evaluate the cytotoxicity of PFD. Scratch and MTT assays were used to evaluate the effect of PFD on cellular migration and proliferation. Real-time PCR, immunoblot analysis, and immunocytochemistry were employed to determine the efficacy of PFD to inhibit ECM formation in vitro. Results: Topical PFD application at 200 μg/mL successfully decreased αSMA expression when compared to the TGFβ1 only treatment group (P < 0.01). PFD application ≤ 200 μg/mL did not affect ECF phenotype or cellular viability and did not result in significant cytotoxicity. Conclusions: Pirfenidone safely and effectively inhibits TGFβ1-induced equine corneal fibrosis in vitro. In vivo studies are warranted.
© 2014 American College of Veterinary Ophthalmologists.
Publication Date: 2014-07-15 PubMed ID: 25041235PubMed Central: PMC4295017DOI: 10.1111/vop.12194Google Scholar: Lookup
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
- Journal Article
- Research Support
- N.I.H.
- Extramural
- Research Support
- Non-U.S. Gov't
- Research Support
- U.S. Gov't
- Non-P.H.S.
Summary
This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.
The research article discusses an examination of the drug Pirfenidone’s potential in treating horse corneal scarring, experimenting with in vitro models.
Study Methodology
- The study started by using healthy corneas from horses to produce primary equine corneal fibroblasts (ECFs), required in the generation of tissue and wound healing.
- These ECFs were grown in a minimal essential medium containing 10% fetal bovine serum, provoked to transform into equine corneal myofibroblasts (ECMs), acting as a model for horse corneal fibrosis, using a serum-free medium with transforming growth factor β1 (TGFβ1).
- To determine the optimal dosage of Pirfenidone for the model, the researchers observed changes in ECF morphology and used Trypan blue viability assays, an assay used to determine cell viability.
- The possible cytotoxicity of the drug was evaluated using TUNEL assays, Trypan blue viability, and phase-contrast microscopy, a technique allowing detailed examination of cell structure.
- The effect of Pirfenidone on cellular migration and proliferation was accessed using MTT and Scratch assays.
- Real-time PCR, immunoblot analysis, and immunocytochemistry – advanced techniques for protein and genetic analysis – were used to ascertain if PFD could inhibit ECM formation.
Study Findings
- The results displayed that a topical application of Pirfenidone at 200 μg/mL significantly reduced the expression of αSMA, a protein marker for myofibroblast development, when compared to a group treated only with TGFβ1.
- Pirfenidone’s application did not affect ECF’s phenotype or their viability and was not observed to be significantly cytotoxic, deeming it a safe treatment option.
Conclusion
- The study concludes that Pirfenidone demonstrated an ability to effectively and safely inhibit TGFβ1-induced equine corneal fibrosis in test tube models.
- While the obtained results indicate promise, in vivo studies, where the drug is tested on living organisms, are recommended for further validations.
Cite This Article
APA
Fink MK, Giuliano EA, Tandon A, Mohan RR.
(2014).
Therapeutic potential of Pirfenidone for treating equine corneal scarring.
Vet Ophthalmol, 18(3), 242-250.
https://doi.org/10.1111/vop.12194 Publication
Researcher Affiliations
- Harry S. Truman Memorial Veterans Hospital, Columbia, MO, USA; College of Veterinary Medicine, University of Missouri, Columbia, MO, USA.
MeSH Terms
- Actins / genetics
- Actins / metabolism
- Animals
- Anti-Inflammatory Agents, Non-Steroidal / therapeutic use
- Cell Movement / drug effects
- Cells, Cultured
- Cornea / cytology
- Corneal Injuries / drug therapy
- Corneal Injuries / veterinary
- Fibroblasts / drug effects
- Fibroblasts / physiology
- Gene Expression Regulation / drug effects
- Horse Diseases / drug therapy
- Horses
- Pyridones / therapeutic use
Grant Funding
- I01 BX000357 / BLRD VA
- R01 EY017294 / NEI NIH HHS
- R01EY017294 / NEI NIH HHS
References
This article includes 42 references
- Michau TM, Schwabenton B, Davidson MG. Superficial nonhealing corneal ulcers in horses: 23 cases (1989-2003). Veterinary Ophthalmology 2003;6:291–297.
- Haber M, Cao Z, Panjwani N. Effects of growth factors (EGF, PDGF-BB and TGF-beta 1) on cultured equine epithelial cells and keratocytes: implications for wound healing. Veterinary Ophthalmology 2003;6:211–217.
- Nasisse MP, Nelms S. Equine ulcerative keratitis. Veterinary Clinics of North America: Equine Practice 1992;8:537–555.
- Boote C, Dennis S, Newton RH. Collagen fibrils appear more closely packed in the prepupillary cornea: optical and biomechanical implications. Investigative Ophthalmology & Visual Science 2003;44:2941–2948.
- Conrad GW, Funderburgh JL. Eye development and the appearance and maintenance of corneal transparency. Transactions of the Kansas Academy of Science 1992;95:34–38.
- Maurice DM. The transparency of the corneal stroma. Vision Research 1970;10:107–108.
- Mohan RR, Hutcheon AE, Choi R. Apoptosis, necrosis, proliferation, and myofibroblast generation in the stroma following LASIK and PRK. Experimental Eye Research 2003;76:71–87.
- Wilson SE, Mohan RR, Ambrosio R. The corneal wound healing response: cytokine-mediated interaction of the epithelium, stroma, and inflammatory cells. Progress in Retinal and Eye Research 2001;20:625–637.
- Maltseva O, Folger P, Zekaria D. Fibroblast growth factor reversal of the corneal myofibroblast phenotype. Investigative Ophthalmology & Visual Science 2001;42:2490–2495.
- Margadant C, Sonnenberg A. Integrin-TGF-beta crosstalk in fibrosis, cancer and wound healing. EMBO Reports 2010;11:97–105.
- Tandon A, Tovey JC, Sharma A. Role of transforming growth factor beta in corneal function, biology, and pathology. Current Molecular Medicine 2010;10:565–578.
- Myrna KE, Pot SA, Murphy CJ. Meet the corneal myofibroblast: the role of myofibroblast transformation in corneal wound healing and pathology. Veterinary Ophthalmology 2009;12:25–27.
- Jester JV, Huang J, Barry-Lane PA. Transforming growth factor(beta)-mediated corneal myofibroblast differentiation requires actin and fibronectin assembly. Investigative Ophthalmology & Visual Science 1999;40:1959–1967.
- Jester JV, Huang J, Fisher S. Myofibroblast differentiation of normal human keratocytes and hTERT, extended-life human corneal fibroblasts. Investigative Ophthalmology & Visual Science 2003;44:1850–1858.
- Jester JV, Petroll WM, Cavanagh HD. Corneal stromal wound healing in refractive surgery: the role of myofibroblasts. Progress in Retinal and Eye Research 1999;18:311–356.
- Cordeiro MF, Mead A, Ali RR. Novel antisense oligonucleotides targeting TGF-beta inhibit in vivo scarring and improve surgical outcome. Gene Therapy 2003;10:59–71.
- Jester JV, Barry-Lane PA, Petroll WM. Inhibition of corneal fibrosis by topical application of blocking antibodies to TGF beta in the rabbit. Cornea 1997;16:177–187.
- Netto MV, Mohan RR, Ambrosio R. Wound healing in the cornea: a review of refractive surgery complications and new prospects for therapy. Cornea 2005;24:509–522.
- Thom SB, Myers JS, Rapuano CJ. Effect of topical anti-transforming growth factor-beta on corneal stromal haze after photo-refractive keratectomy in rabbits. Journal of Cataract and Refractive Surgery 1997;23:1324–1330.
- Antoniu SA. Pirfenidone for the treatment of idiopathic pulmonary fibrosis. Expert Opinion on Investigational Drugs 2006;15:823–828.
- Di Sario A, Bendia E, Macarri G. The anti-fibrotic effect of pirfenidone in rat liver fibrosis is mediated by downregulation of procollagen α1(I), TIMP-1 and MMP-2. Digestive and Liver Disease 2004;36:744–751.
- Hewitson TD, Kelynack KJ, Tait MG. Pirfenidone reduces in vitro rat renal fibroblast activation and mitogenesis. Digestive and Liver Disease 2001;14:453–460.
- Jung KI, Choi JS, Kim HK. Effects of an anti-transforming growth factor-beta agent (pirfenidone) on strabismus surgery in rabbits. Current Eye Research 2012;37:770–776.
- Lin X, Yu M, Wu K. Pirfenidone inhibits proliferation, migration, and collagen contraction of human tenon's fibroblasts in vitro. Investigative Ophthalmology & Visual Science 2009;50:3763–3770.
- Oku H, Shimizu T, Kawabata T. Antifibrotic action of pirfenidone and prednisolone: different effects on pulmonary cytokines and growth factors in bleomycin-induced murine pulmonary fibrosis. European Journal of Pharmacology 2008;590:400–408.
- Schaefer CJ, Ruhrmund DW, Pan L. Antifibrotic activities of pirfenidone in animal models. European Respiratory Review 2011;20:85–97.
- Zhong H, Sun G, Lin X. Evaluation of pirfenidone as a new postoperative antiscarring agent in experimental glaucoma surgery. Investigative Ophthalmology & Visual Science 2011;52:3136–3142.
- Choi K, Lee K, Ryu SW. Pirfenidone inhibits transforming growth factor-beta1-induced fibrogenesis by blocking nuclear translocation of Smads in human retinal pigment epithelial cell line ARPE-19. Molecular Vision 2012;18:1010–1020.
- Sun G, Lin X, Zhong H. Pharmacokinetics of pirfenidone after topical administration in rabbit eye. Molecular Vision 2011;17:2191–2196.
- Azuma A. Pirfenidone treatment of idiopathic pulmonary fibrosis. Therapeutic Advances in Respiratory Disease 2012;6:107–114.
- Buss DG, Giuliano EA, Sharma A. Isolation and cultivation of equine corneal keratocytes, fibroblasts and myofibroblasts. Veterinary Ophthalmology 2010;13:37–42.
- Liang CC, Park AY, Guan JL. In vitro scratch assay: a convenient and inexpensive method for analysis of cell migration in vitro. Nature Protocols 2007;2:329–333.
- Jester JV, Huang J, Petroll WM. TGFbeta induced myofibroblast differentiation of rabbit keratocytes requires synergistic TGFbeta, PDGF and integrin signaling. Experimental Eye Research 2002;75:645–657.
- Bosiack AP, Giuliano EA, Gupta R. Efficacy and safety of suberoylanilide hydroxamic acid (Vorinostat) in the treatment of canine corneal fibrosis. Veterinary Ophthalmology 2012;15:307–314.
- Buss DG, Sharma A, Giuliano EA. Efficacy and safety of mitomycin C as an agent to treat corneal scarring in horses using an in vitro model. Veterinary Ophthalmology 2010;13:211–218.
- Donnelly KS, Giuliano EA, Sharma A. Decorin-PEI nanoconstruct attenuates equine corneal fibroblast differentiation. Veterinary Ophthalmology 2013;16:1–8.
- Gupta R, Yarnall BW, Giuliano EA. Mitomycin C: a promising agent for the treatment of canine corneal scarring. Veterinary Ophthalmology 2011;14:304–312.
- Sharma A, Rodier JT, Tandon A. Attenuation of corneal myofibroblast development through nanoparticle-mediated soluble transforming growth factor-beta type II receptor (sTGFbetaRII) gene transfer. Molecular Vision 2012;18:2598–2607.
- Ka SM, Yeh YC, Huang XR. Kidney-targeting Smad7 gene transfer inhibits renal TGF-beta/MAD homologue (SMAD) and nuclear factor kappaB (NF-kappaB) signalling pathways, and improves diabetic nephropathy in mice. Diabetologia 2012;55:509–519.
- Shi Q, Liu X, Bai Y. In vitro effects of pirfenidone on cardiac fibroblasts: proliferation, myofibroblast differentiation, migration and cytokine secretion. PLOS ONE 2011;6.
- Kim H, Choi YH, Park SJ. Antifibrotic effect of pirfenidone on orbital fibroblasts of patients with thyroid-associated ophthalmopathy by decreasing TIMP-1 and collagen levels. Investigative Ophthalmology & Visual Science 2010;51:3061–3066.
- Chowdhury S, Guha R, Trivedi R. Pirfenidone nanoparticles improve corneal wound healing and prevent scarring following alkali burn. PLOS ONE 2013;8.
Citations
This article has been cited 14 times.- Sinha NR, Hofmann AC, Suleiman LA, Jeffrey MT, Kumar R, Mohan RR. Alterations in Mitochondrial DNA in Corneal Fibroblast and Myofibroblast Post Injury. Invest Ophthalmol Vis Sci 2026 Jan 5;67(1):36.
- Gorbatyuk M, Sinha NR, Kumar R, Zhylkibayev A, Athar M, McNutt P, Mohan RR. Current progress in research on ocular injury caused by exposure to vesicants. Prog Retin Eye Res 2025 Nov;109:101413.
- Routh BL, Tripathi R, Giuliano E, Lujin P, Sinha PR, Mohan RR. Anti-fibrotic effects of lisinopril (ACE inhibitor) and fasudil (ROCK inhibitor) in combination for canine corneal fibrosis in vitro. Vet Ophthalmol 2026 Jan;29(1):e13304.
- Gong J, Ding G, Hao Z, Li Y, Deng A, Zhang C. Elucidating the mechanism of corneal epithelial cell repair: unraveling the impact of growth factors. Front Med (Lausanne) 2024;11:1384500.
- Talpan D, Salla S, Seidelmann N, Walter P, Fuest M. Antifibrotic Effects of Caffeine, Curcumin and Pirfenidone in Primary Human Keratocytes. Int J Mol Sci 2023 Jan 11;24(2).
- Mohan RR, Kempuraj D, D'Souza S, Ghosh A. Corneal stromal repair and regeneration. Prog Retin Eye Res 2022 Nov;91:101090.
- Tripathi R, Sinha NR, Kempuraj D, Balne PK, Landreneau JR, Juneja A, Webel AD, Mohan RR. Evaluation of CRISPR/Cas9 mediated TGIF gene editing to inhibit corneal fibrosis in vitro. Exp Eye Res 2022 Jul;220:109113.
- Fuchs AA, Balne PK, Giuliano EA, Sinha NR, Mohan RR. Evaluation of a novel combination of TRAM-34 and ascorbic acid for the treatment of corneal fibrosis in vivo. PLoS One 2022;17(1):e0262046.
- Chen X, Shen Y, Zhao H, Guo W. [Pirfenidone inhibits proliferation of rabbit tenon fibroblasts by down-regulating TGF-β3 in the TGF-β/Smad pathway]. Nan Fang Yi Ke Da Xue Xue Bao 2021 Nov 20;41(11):1692-1699.
- Anumanthan G, Sharma A, Waggoner M, Hamm CW, Gupta S, Hesemann NP, Mohan RR. Efficacy and Safety Comparison Between Suberoylanilide Hydroxamic Acid and Mitomycin C in Reducing the Risk of Corneal Haze After PRK Treatment In Vivo. J Refract Surg 2017 Dec 1;33(12):834-839.
- Marlo TL, Giuliano EA, Tripathi R, Sharma A, Mohan RR. Altering equine corneal fibroblast differentiation through Smad gene transfer. Vet Ophthalmol 2018 Mar;21(2):132-139.
- Chan DD, Li J, Luo W, Predescu DN, Cole BJ, Plaas A. Pirfenidone reduces subchondral bone loss and fibrosis after murine knee cartilage injury. J Orthop Res 2018 Jan;36(1):365-376.
- Marlo TL, Giuliano EA, Sharma A, Mohan RR. Development of a novel ex vivo equine corneal model. Vet Ophthalmol 2017 Jul;20(4):288-293.
- Dhooria S, Agarwal R, Gupta D. Is pirfenidone ready for use in non-idiopathic pulmonary fibrosis interstitial lung diseases?. Lung India 2015 Jan-Feb;32(1):4-5.
Use Nutrition Calculator
Check if your horse's diet meets their nutrition requirements with our easy-to-use tool Check your horse's diet with our easy-to-use tool
Talk to a Nutritionist
Discuss your horse's feeding plan with our experts over a free phone consultation Discuss your horse's diet over a phone consultation
Submit Diet Evaluation
Get a customized feeding plan for your horse formulated by our equine nutritionists Get a custom feeding plan formulated by our nutritionists