AI Article Synopsis

  • Corneal myofibroblasts are important for corneal scarring, and potassium has potential to reduce scar tissue formation.
  • In experiments, hyperosmolar potassium was shown to inhibit the transformation of corneal fibroblasts into myofibroblasts and reduce collagen synthesis, indicating a protective effect against scarring.
  • KCl eye drops in mice demonstrated effectiveness in preventing corneal scar formation, highlighting its potential as a new treatment option for corneal injuries.

Article Abstract

Purpose: Corneal myofibroblasts play a crucial role in the process of corneal scarring. Potassium has been documented to reduce skin scar tissue formation. Herein, we investigated the ability of potassium to prevent corneal fibrosis in cell culture and .

Methods: Corneal fibroblasts (CFs) were isolated from the corneal limbus and treated with TGF-β1 to transform into corneal myofibroblasts. Corneal myofibroblast markers were detected by quantitative real-time PCR, Western blot, and immunofluorescence. The contractive functions of corneal myofibroblast were evaluated by the scratch assay and the collagen gel contraction assay. RNA sequencing in corneal fibroblasts was performed to explore the mechanisms underlying hyperosmolar potassium treatment. GO and KEGG analysis were performed to explore the underlying mechanism by hyperosmolar potassium treatment. The ATP detection assay assessed the level of cell metabolism. KCl eye drops four times per day were administered to mice models of corneal injury to evaluate the ability to prevent corneal scar formation. Corneal opacity area was evaluated by Image J software.

Results: Treatment with hyperosmolar potassium could suppress corneal myofibroblast transformation and collagen I synthesis induced by TGF-β1 in cell culture. Hyperosmolar potassium could inhibit wound healing and gel contraction in CFs. RNA sequencing results suggested that genes involved in the metabolic pathway were downregulated after KCl treatment. ATP levels were significantly decreased in the KCl group compared with the control group. Hyperosmolar potassium could prevent corneal myofibroblast transformation after corneal injury and corneal scar formation in mice.

Conclusion: Potassium can suppress corneal myofibroblast transformation and collagen I protein synthesis. Moreover, given that KCl eye drops can prevent corneal scar formation, it has been suggested to have huge prospects as a novel treatment approach during clinical practice.

Download full-text PDF

Source
http://dx.doi.org/10.1080/02713683.2022.2129072DOI Listing

Publication Analysis

Top Keywords

hyperosmolar potassium
24
corneal myofibroblast
24
corneal
20
prevent corneal
20
myofibroblast transformation
16
corneal scar
16
scar formation
12
corneal myofibroblasts
8
potassium
8
potassium prevent
8

Similar Publications

Quantifying the Deficits of Body Water and Monovalent Cations in Hyperglycemic Emergencies.

J Clin Med

December 2024

Research Service, Department of Medicine, Raymond G. Murphy Veterans Affairs Medical Center, University of New Mexico School of Medicine, Albuquerque, NM 87108, USA.

Hyperglycemic emergencies cause significant losses of body water, sodium, and potassium. This report presents a method for computing the actual losses of water and monovalent cations in these emergencies. We developed formulas for computing the losses of water and monovalent cations as a function of the presenting serum sodium and glucose levels, the sum of the concentrations of sodium plus potassium in the lost fluids, and body water at the time of hyperglycemia presentation as measured by bioimpedance or in the initial euglycemic state as estimated by anthropometric formulas.

View Article and Find Full Text PDF

Diazoxide-Associated Hyperglycemia: A Critical Case Precipitating Hyperosmolar Hyperglycemic State in a Child.

J Med Toxicol

January 2025

Division of Pediatric Emergency Medicine, Johns Hopkins Children's Center, 1800 Orleans Street, Baltimore, MD, 21287, USA.

Introduction: Diazoxide is the first-line treatment for children with hyperinsulinemic hypoglycemia (HI). In these cases, diazoxide raises blood glucose levels by suppressing insulin release, preventing hypoglycemia, and potentially devastating end-organ sequelae. Hyperosmolar hyperglycemic state (HHS) is an exceedingly rare side effect of diazoxide.

View Article and Find Full Text PDF
Article Synopsis
  • * Isotonic normal saline is standard for initial fluid resuscitation, but balanced solutions can help DKA resolve quicker; continuous IV insulin is preferred after stabilizing fluids and electrolytes.
  • * The review warns against rapid hyperglycemia correction leading to cerebral edema, recommends close monitoring of electrolytes, and suggests that early oral nutrition can shorten hospital stays; intubation is preferred for respiratory failure management, while routine sodium bicarbonate use is generally discouraged.
View Article and Find Full Text PDF

: Hypokalemia is associated with considerable morbidity and mortality, highlighting the timely correction of potassium levels as a critical medical consideration. However, the management of mild hypokalemia remains a subject of ongoing debate. This study explores the relationship between potassium replacement in the emergency department (ED) and hospital mortality in patients with mild hypokalemia.

View Article and Find Full Text PDF

DKA/HHS insulin infusion protocol adherence and patient outcomes in Shellharbour Hospital.

Intern Med J

December 2023

Department of Medicine, Shellharbour Hospital, Illawarra, New South Wales, Australia.

Background: Diabetic ketoacidosis (DKA) and hyperosmolar hyperglycaemic state (HHS) are medical emergencies requiring prompt assessment and management to avoid complications.

Aims: To examine adherence to the hospital DKA/HHS insulin infusion protocol, assess outcomes in patients admitted with DKA or HHS, and determine if improvements have been observed from a similar audit in 2016.

Methods: An audit was conducted on 40 patients admitted to Shellharbour Hospital with DKA or HHS.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!