ROCK Inhibitors as an Alternative Therapy for Corneal Grafting : A Systematic Review

Currently, corneal blindness is affecting >10 million individuals worldwide, and there is a significant unmet medical need because only 1.5% of transplantation needs are met globally due to a lack of high-quality grafts. In light of this global health disaster, researchers are developing corneal substitutes that can resemble the human cornea in vivo and replace human donor tissue. Thus, this review examines ROCK (Rho-associated coiled-coil containing protein kinases) inhibitors as a potential corneal wound-healing (CWH) therapy by reviewing the existing clinical and nonclinical findings. The systematic review was done from PubMed, Scopus, Web of Science, and Google Scholar for CWH, corneal injury, corneal endothelial wound healing, ROCK inhibitors, Fasudil, Netarsudil, Ripasudil, Y-27632, clinical trial, clinical study, case series, case reports, preclinical study, in vivo, and in vitro studies. After removing duplicates, all downloaded articles were examined. The literature search included the data till January 2023. This review summarized the results of ROCK inhibitors in clinical and preclinical trials. In a clinical trial, various ROCK inhibitors improved CWH in individuals with open-angle glaucoma, cataract, iris cyst, ocular hypertension, and other ocular diseases. ROCK inhibitors also improved ocular wound healing by increasing cell adhesion, migration, and proliferation in vitro and in vivo. ROCK inhibitors have antifibrotic, antiangiogenic, anti-inflammatory, and antiapoptotic characteristics in CWH, according to the existing research. ROCK inhibitors were effective topical treatments for corneal infections. Ripasudil, Y-27632, H-1152, Y-39983, and AMA0526 are a few new ROCK inhibitors that may help CWH and replace human donor tissue.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:39

Enthalten in:

Journal of ocular pharmacology and therapeutics : the official journal of the Association for Ocular Pharmacology and Therapeutics - 39(2023), 9 vom: 23. Nov., Seite 585-599

Sprache:

Englisch

Beteiligte Personen:

Polopalli, Subramanyam [VerfasserIn]
Saha, Achintya [VerfasserIn]
Niri, Pakter [VerfasserIn]
Kumar, Mohit [VerfasserIn]
Das, Parikshit [VerfasserIn]
Kamboj, Dev Vrat [VerfasserIn]
Chattopadhyay, Pronobesh [VerfasserIn]

Links:

Volltext

Themen:

138381-45-0
Corneal blindness
Corneal wound healing
EC 2.7.11.1
Fasudil
Journal Article
K-115
ROCK inhibitors
Review
Rho-Associated Kinases
Ripasudil
Systematic Review
Y 27632

Anmerkungen:

Date Completed 06.11.2023

Date Revised 15.11.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1089/jop.2023.0040

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM362348545