Background Fungal Keratitis (FK) is an infective keratopathy with extremely high blindness rate. The damaging effect of this disease is not only the destruction of corneal tissue during fungal infection, but also the cornea scar formed during the healing period after infection control, which can also seriously affect a patient's vision. The purpose of the study was to observe the effect of umbilical cord mesenchymal stem cells (uMSCs) on corneal scar formation in FK. Methods The FK mouse model was made according to a previously reported method. Natamycin eye drops were used for antifungal treatment 24 hours after modeling. There are four groups involved in the study, including control group, FK group, vehicleinj FK group and uMSCsinj FK group. Mice in uMSCsinj FK group received repeated subconjunctival injections of uMSCs for 3 times at the 1d, 4d and 7d after FK modeling. At 14d, 21d and 28d after trauma, clinical observation, histological examination, second harmonic generation and molecular assays were performed. Results The uMSCs topical administration reduced corneal scar formation area and corneal opacity, accompanying with decreased corneal thickness and inflammatory cell infiltration, following down-regulated fibrotic-related factors α-SMA, TGFβ1, CTGF, and COLI and finally inhibited phosphorylation of TGFβ1/Smad2 signaling pathway during FK corneal fibrosis. Conclusion The results confirmed that uMSCs can improve corneal opacity during the scar formation stage of FK, and exert anti-inflammatory and anti-fibrotic effects.

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On 25 Oct, 2019
Received 23 Aug, 2019
On 31 Jul, 2019
Invitations sent on 31 Jul, 2019
On 31 Jul, 2019
On 30 Jul, 2019
On 30 Jul, 2019
Posted 25 Jun, 2019
On 15 Jul, 2019
Received 09 Jul, 2019
Received 27 Jun, 2019
On 25 Jun, 2019
On 25 Jun, 2019
Invitations sent on 25 Jun, 2019
On 20 Jun, 2019
On 20 Jun, 2019
On 20 Jun, 2019
On 30 May, 2019
Received 22 May, 2019
On 13 May, 2019
Received 14 Mar, 2019
Invitations sent on 18 Feb, 2019
On 18 Feb, 2019
On 08 Jan, 2019
On 08 Jan, 2019
On 04 Jan, 2019
On 27 Dec, 2018
On 25 Oct, 2019
Received 23 Aug, 2019
On 31 Jul, 2019
Invitations sent on 31 Jul, 2019
On 31 Jul, 2019
On 30 Jul, 2019
On 30 Jul, 2019
Posted 25 Jun, 2019
On 15 Jul, 2019
Received 09 Jul, 2019
Received 27 Jun, 2019
On 25 Jun, 2019
On 25 Jun, 2019
Invitations sent on 25 Jun, 2019
On 20 Jun, 2019
On 20 Jun, 2019
On 20 Jun, 2019
On 30 May, 2019
Received 22 May, 2019
On 13 May, 2019
Received 14 Mar, 2019
Invitations sent on 18 Feb, 2019
On 18 Feb, 2019
On 08 Jan, 2019
On 08 Jan, 2019
On 04 Jan, 2019
On 27 Dec, 2018
Background Fungal Keratitis (FK) is an infective keratopathy with extremely high blindness rate. The damaging effect of this disease is not only the destruction of corneal tissue during fungal infection, but also the cornea scar formed during the healing period after infection control, which can also seriously affect a patient's vision. The purpose of the study was to observe the effect of umbilical cord mesenchymal stem cells (uMSCs) on corneal scar formation in FK. Methods The FK mouse model was made according to a previously reported method. Natamycin eye drops were used for antifungal treatment 24 hours after modeling. There are four groups involved in the study, including control group, FK group, vehicleinj FK group and uMSCsinj FK group. Mice in uMSCsinj FK group received repeated subconjunctival injections of uMSCs for 3 times at the 1d, 4d and 7d after FK modeling. At 14d, 21d and 28d after trauma, clinical observation, histological examination, second harmonic generation and molecular assays were performed. Results The uMSCs topical administration reduced corneal scar formation area and corneal opacity, accompanying with decreased corneal thickness and inflammatory cell infiltration, following down-regulated fibrotic-related factors α-SMA, TGFβ1, CTGF, and COLI and finally inhibited phosphorylation of TGFβ1/Smad2 signaling pathway during FK corneal fibrosis. Conclusion The results confirmed that uMSCs can improve corneal opacity during the scar formation stage of FK, and exert anti-inflammatory and anti-fibrotic effects.

Figure 1

Figure 2

Figure 3

Figure 4

Figure 5

Figure 6
This is a list of supplementary files associated with this preprint. Click to download.
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