New Insight in Pain Relief and Reparative Efficacy of rh-EGF on Rabbit Corneal Injury Running title:Rh-EGF: Pain Relief and Repair in Corneal Injury

Author:

Gao Min1,Song Shaojie2,Wu Guokai3,Wang Xin4

Affiliation:

1. Capital Medical University

2. Affiliated Hospital of Yangzhou University,Yangzhou

3. Dongguan Guangming Ophthalmic Hospital

4. Fourth Medical Center of PLA General Hospital

Abstract

Abstract

Purpose This study aimed to investigate recombinant human epidermal growth factor (rh EGF) in corneal wound healing while also providing the effects of pain relief. Methods Twenty experimental rabbits were randomly divided into four groups, five rabbits each. All rabbits were exposed to a 5 kW AC for 5 minutes. Each rabbit was only irradiated on one side, and their natural blinking was observed during this process. After modeling, each group was separately subjected to treatments with physiological saline, oxybuprocaine hydrochloride, rh EGF, and a combination of medications. Results Compared to the control group, the experimental group receiving recombinant human epidermal growth factor (rh EGF) treatment exhibited a significant decrease in blink frequency and wiping frequency (P < 0.05), with notably superior effects compared to the group treated with oxibuprocaine hydrochloride. Furthermore, compared to the oxibuprocaine hydrochloride group, the experimental group receiving rh EGF treatment showed a significant reduction in conjunctival congestion and prolonged secretion duration (P < 0.05), along with a shorter corneal epithelial recovery time compared to the oxibuprocaine hydrochloride group (P < 0.05). Fluorescein sodium staining revealed a smaller stained area in the experimental group receiving rh EGF treatment. Additionally, inflammatory factors IL-1β, IL-6, and TNF-α were markedly decreased in the rh EGF treatment group, while the anti-inflammatory factor IL-10 exhibited a significant increase. Conclusions We confirmed that rh EGF not only promotes corneal repair but also possesses certain analgesic effects, which providing new perspectives and strategies for future research in the field of corneal injury treatment and repair.

Publisher

Springer Science and Business Media LLC

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3. M. Eye injuries caused by date palm thorns and leaves;ALMAHMOUD T;Saudi journal of ophthalmology: official journal of the Saudi Ophthalmological Society,2020

4. Key Role of Staphylococcal Fibronectin-Binding Proteins During the Initial Stage of Staphylococcus aureus Keratitis in Humans;MAURIN C;Frontiers in cellular and infection microbiology,2021

5. Cataract incision-related corneal erosion: recurrent corneal erosion because of clear corneal cataract surgery;KIM ME;Journal of cataract and refractive surgery,2020

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