This article is dedicated to the realistic, present-day problem in treating patients with a damaged cornea. It contains a general summary of the practical experience of treatments in various spheres of medicine and in ophthalmology in particular, concerning the new developing method of restoring tissue with the aid of platelet rich plasma. This is a branch of regenerative medicine. In ophthalmology an effective method has long been sought for treating patients with a damaged cornea. It is well-known that platelet rich plasma contains a high quantity of elements which contribute to growth: thrombocyte, transformation, insulin-like, epidermal etc. And although the mechanism of the parts their role has not been sufficiently studied, the positive results of the PRP use in various fields of surgical medicine and in particular in the treatment of burns and ulcers of the tissue, speak of the key role being played in the growth factor and the process of tissue restoration. Despite the fact that this method has not been fully studied by ophthalmologists, it is of great interest to practising doctors, considering its potential value due to it being therapeutically effective and both simple and economic to produce. Our aim here is to give a short overview of the literature which contains descriptions of the morphological qualities of thrombocytes, to note and describe the characteristics of PRP and its role in the regeneration of tissue, to make special note of the history of the discovery of the growth factor in medico-biological science and to analyze the publications which give details of the PRP use.

Purpose: to study the composition and content of proinflammatory cytokines, chemoattractant mediators, vascular growth factors in blood serum (SB) and lacrimal fluid (LF) in patients with KPHR. Materials and methods. A total of 106 patients with postinflammatory corneal spots and turbid transplant were examined. The control group consisted of 20 practically healthy donors. Cytokines: IL-2, IL-18, MCP-1 / CCL2, MIP-1β / CCL4, RANTES / CCL5, Eotaxin / CCL11, IP-10 / CXCL10, SDF-1α / CXCL12, VEGF-A, VEGF-D, PIGF-1, HGF / SF. Results. The study of the levels of systemic production of immunomodiators in the groups of patients revealed significant changes in the concentrations of MCP-1 / CCL2, RANTES / CCL5, Eotaxin / CCL11, IP-10 / CXCL10, SDF-1α / CXCL12, as well as angiogenic factors VEGF-A and HGF / SF compared to controls. In the group of primary KPHR in the presence of vascularization, an increase in the production of IL-18, RANTES / CCL5, Eotaxin / CCL11 was observed. 1 / CCL2, VEGF-A, PIGF-1 and HGF / SF (p<0.05). Graft vascularization in repeated (2 and higher) corneal transplants (group II) was associated with significant increases in SC IL-2, PIGF-1, and HGF/SF (p<0.05). Analysis of cytokine content in the LF of patients with repeated KPHR and vascularized graft showed a statistically significant increase in IP-10 / CXCL10, MIP-1β / CCL4, SDF-1α / CXCL12, and VEGF-A. A retrospective analysis of the content of cytokines in the SB, depending on the outcomes of keratoplasty, showed a significant increase in the concentration of 7 out of 11 studied cytokines in patients of the KPHR group with various complications in the postoperative period, including those with a developed graft rejection reaction. Conclusions. It has been shown that the formation of vascularized corneal spots is associated with a significant increase in systemic production of IL-18, an increase in the concentration of chemokines with angiogenic activity RANTES / CCL5 and Eotaxin / CCL11 in the blood of patients with KPHR. During vascularization of the graft with repeated KPHR in the SB and LF, a unidirectional increase in the levels of IL-2, MCP-1 / CCL2, growth of VEGF-A and HGF / SF is observed. A factor in the development of graft rejection is the initially high concentrations in the SB of patients with KPHR IL-2, IL-18, chemokines RANTES / CCL5, MIP1β / CCL4, VEGF-A, PLGF, HGF / SF (p<0.05), indicating about the activation of pathological angiogenesis against the background of inflammation and an activated adaptive immune response.

We studied the effect of cultured human fetal (8-12 weeks gestation) neural stem and progenitor cells on regeneration of rabbit cornea after alkaline burn. A single subconjunctival injection of cell culture suspension after burn injury significantly accelerated regeneration of the anterior and posterior epithelium in comparison with the control group.

Human recombinant protein Wnt7a (hrWnt7a) inhibits cell proliferative activity and triggers cell polarization. Although cell polarization process was maintained only over a short time, probably via microenvironmental stimuli, hrWnt7a is involved in the transformation of the retinal pigment epithelium. Analysis of Wnt signaling pathway and its regulation will help to understand the processes in retinal pigment epithelial cells under pathological conditions, which can be useful in developing new generation drugs.

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