Prospects for epidermal growth factor in the management of corneal disorders.

Abstract:

:Epidermal growth factor (EGF) is a naturally occurring mitogen which, in its recombinant form, is under intensive investigation for therapeutic use. Receptor activation by EGF induces up-regulation of synthesis of specific proteins as well as proliferation and differentiation of the corneal epithelium, keratocytes, and endothelium both in vivo and in vitro. With topical application of EGF, corneal wounds could possibly heal within hours, and the strength of the stromal scars is also increased; this may lead to the prospect of sutureless surgery. It may be possible to treat degenerative and dystrophic disorders of the cornea, especially of the endothelium, and to enhance the density of endothelial cells in donor corneas prior to transplantation. Combination therapy with EGF, fibroblast growth factor, and corticosteroids may be advantageous in producing a synergistic effect. It is possible that, with increased knowledge of the pharmacokinetics and the development of appropriate delivery systems, EGF could become an integral part of the next generation of ophthalmic pharmaceuticals.

journal_name

Surv Ophthalmol

journal_title

Survey of ophthalmology

authors

Tripathi RC,Raja SC,Tripathi BJ

doi

10.1016/0039-6257(90)90127-h

subject

Has Abstract

pub_date

1990-05-01 00:00:00

pages

457-62

issue

6

eissn

0039-6257

issn

1879-3304

pii

0039-6257(90)90127-H

journal_volume

34

pub_type

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