title: Decorin and suramin inhibit ocular fibroblast collagen production.
abstract: BACKGROUND
  The process of ocular wound healing with respect to glaucomatous filtering procedures is of current interest. Delaying this response in patients could possibly lead to more favorable surgical results. So far, only highly toxic antimetabolites have come into frequent clinical use. The possible efficacy of other groups of substances such as growth factor inhibitors has not yet been examined in vitro.
  
  
  METHODS
  We exposed Tenon's capsule fibroblasts in tissue culture to various concentrations of decorin and suramin. The dose responses of type I and type III collagen to these inhibitors were measured using an ELISA-type dot blot assay. Total cellular protein production was assayed by measuring the incorporation of tritiated leucine.
  
  
  RESULTS
  At a concentration of 10 micrograms/ml, suramin reduced the collagen production by more than 80%. Decorin, at a concentration of 100 micrograms/ml, reduced type I collagen production by about 50% while type III collagen was reduced by 80%. At these concentrations, the total cellular protein production was not inhibited.
  
  
  CONCLUSIONS
  Both suramin and decorin, which specifically inhibit the action of growth factors on target cells, reduce the production of collagen synthesis by Tenon's capsule fibroblasts. This is a specific effect, because total protein production is not influenced. This sets these substances apart from antimetabolites. Decorin and suramin may have clinical relevance in that they appear to interfere with ocular wound healing more specifically than the substances so far frequently used.
authors.affiliation: Department of Pathology, Baylor College of Medicine, Houston, Texas, USA. h.mietz@uni-koeln.de
authors.forename: H
authors.initials: H
authors.lastname: Mietz
authors.forename: P
authors.initials: P
authors.lastname: Chévez-Barrios
authors.forename: M W
authors.initials: MW
authors.lastname: Lieberman
authors.forename: M
authors.initials: M
authors.lastname: Wendt
authors.forename: R
authors.initials: R
authors.lastname: Gross
authors.forename: S F
authors.initials: SF
authors.lastname: Basinger
mesh_terms: D000970:Antineoplastic Agents / Q000008:administration & dosage / Q000494:pharmacology*; D002460:Cell Line; D003094:Collagen / Q000037:antagonists & inhibitors / Q000096:biosynthesis*; D003238:Connective Tissue / Q000187:drug effects / Q000378:metabolism*; D003239:Connective Tissue Cells; D058575:Decorin; D004305:Dose-Response Relationship, Drug; D004797:Enzyme-Linked Immunosorbent Assay; D016326:Extracellular Matrix Proteins; D005347:Fibroblasts / Q000166:cytology / Q000187:drug effects / Q000378:metabolism; D006801:Humans; D011509:Proteoglycans / Q000008:administration & dosage / Q000494:pharmacology*; D013498:Suramin / Q000008:administration & dosage / Q000494:pharmacology*; D014945:Wound Healing / Q000187:drug effects
chemical_list: D000970:Antineoplastic Agents; C546878:DCN protein, human; D058575:Decorin; D016326:Extracellular Matrix Proteins; D011509:Proteoglycans; D013498:Suramin; D003094:Collagen