Evidence map›Paper›PMID 35819289›Full record

ArticleTranslational vision science & technology2022

Topical Losartan and Corticosteroid Additively Inhibit Corneal Stromal Myofibroblast Generation and Scarring Fibrosis After Alkali Burn Injury.

Lycia Pedral Sampaio, Guilherme S L Hilgert, Thomas Michael Shiju, Marcony R Santhiago, Steven E Wilson

Erratum issued Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Translational vision science & technology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT07449000 (Topical Losartan as Treatment to Reduce Corneal Scarring Fibrosis), which is not on this map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
6.0field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07449000 narecruitingnot on this mapstarted 2026, after this paper: background citation

Topical Losartan as Treatment to Reduce Corneal Scarring Fibrosis

TypeinterventionalSponsorUniversidad Autonoma de Nuevo LeonRan2026 to 2027Enrolled46ConditionsCorneal Scarring FibrosisArmsTopical losartan, Placebo Control
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.

  1. Topical losartan ophthalmic drops - a review of corneal wound healing and topical losartan for managing corneal haze and potential future indications.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2025
    Pooled it
  2. Review
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  5. Administration of Topical NorLeuInternational journal of molecular sciences · 2026
    Article
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  10. Effect of 0.8mg/ml Losartan on Corneal Opacities.Pakistan journal of medical sciences · 2025
    Article
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  14. Classic lattice corneal dystrophy: a brief review and summary of treatment modalities.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2024
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 2 countries.

Lycia Pedral SampaioCole Eye Institute, Cleveland Clinic, Cleveland, OH, USA.
Guilherme S L HilgertCole Eye Institute, Cleveland Clinic, Cleveland, OH, USA.
Thomas Michael ShijuCole Eye Institute, Cleveland Clinic, Cleveland, OH, USA.
Marcony R SanthiagoDepartment of Ophthalmology at University of São Paulo, São Paulo, Brazil.
Steven E WilsonCole Eye Institute, Cleveland Clinic, Cleveland, OH, USA.
Cleveland Eye Clinic · USUniversidade de São Paulo · BR

Funding

RESOURCE/SERVICE CORE C - MOLECULAR INFORMATICS MODULEP30EY025585 · NEI · CLEVELAND CLINIC LERNER COM-CWRU · PI Brian D Perkins · 2016 to 2026
$7.7M
NEI NIH HHS P30 EY025585
6 · The paper itself

Abstract

Purpose: To evaluate the efficacy of losartan and prednisolone acetate in inhibiting corneal scarring fibrosis after alkali burn injury in rabbits. Methods: Sixteen New Zealand White rabbits were included. Alkali injuries were produced using 1N sodium hydroxide on a 5-mm diameter Whatman #1 filter paper for 1 minute. Four corneas in each group were treated six times per day for 1 month with 50 µL of (1) 0.8 mg/mL losartan in balanced salt solution (BSS), (2) 1% prednisolone acetate, (3) combined 0.8 mg/mL losartan and 1% prednisolone acetate, or (4) BSS. Area of opacity and total opacity were analyzed in standardized slit-lamp photos with ImageJ. Corneas in both groups were cryofixed in Optimal cutting temperature (OCT) compound at 1 month after surgery, and immunohistochemistry was performed for alpha-smooth muscle actin (α-SMA) and keratocan or transforming growth factor β1 and collagen type IV with ImageJ quantitation. Results: Combined topical losartan and prednisolone acetate significantly decreased slit-lamp opacity area and intensity, as well as decreased stromal myofibroblast α-SMA area and intensity of staining per section and confined myofibroblasts to only the posterior stroma with repopulation of the anterior and mid-stroma with keratocan-positive keratocytes after 1 month of treatment. Corneal fibroblasts produced collagen type IV not associated with basement membranes, and this production was decreased by topical losartan. Conclusions: Combined topical losartan and prednisolone acetate decreased myofibroblast-associated fibrosis after corneal alkali burns that produced full-thickness injury, including corneal endothelial damage. Increased dosages and duration of treatment may further decrease scarring fibrosis. Translational Relevance: Topical losartan and prednisolone acetate decrease myofibroblast-mediated scarring fibrosis after corneal injury.

Indexed as

Burns, ChemicalCorneal DiseasesCorneal InjuriesAdrenal Cortex HormonesAlkaliesAnimalsCicatrixCollagen Type IVFibrosisLosartanMyofibroblastsRabbitsAdrenal Cortex HormonesAlkaliesCollagen Type IVLosartan

Identifiers

PMID35819289
PMCPMC9287619
OpenAlexW4285041467

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.