Hydrocinnamoyl-L-valylpyrrolidine (AS-1), a synthetic low-molecule mimetic of myeloid differentiation primary response gene 88 (MyD88), inhibits
inflammation by disrupting the interaction between the
interleukin-1 receptor (IL-1R) and MyD88. Here, we describe the effects of AS-1 on injury-induced increases in
inflammation and neovascularization in mouse corneas. Mice were administered a subconjunctival injection of 8 μL AS-1 diluent before or after corneal
alkali burn, followed by evaluation of corneal resurfacing and
corneal neovascularization (CNV) by
slit-lamp biomicroscopy and clinical assessment. Corneal
inflammation was assessed by whole-mount CD45+ immunofluorescence staining, and corneal hemangiogenesis and lymphangiogenesis following injury were evaluated by immunostaining for the vascular markers
isolectin B4 (IB4) and the lymphatic vascularized marker lymphatic vessel endothelial
hyaluronan receptor 1 (LYVE1), respectively. Additionally, corneal tissues were collected to determine the expression of 35
cytokines, and we detected activation of IL-1RI, MyD88, and
mitogen-activated protein kinase (MAPK). The results showed that
alkali conditions increased the number of CD45+ cells and expression of
vascular endothelial growth factor (
VEGF)-A,
VEGF-C, and LYVE1 in corneas, with these levels decreased in the AS-1-treated group. Moreover, AS-1 effectively prevented
alkali-induced
cytokine production, blocked interactions between IL-1RI and MyD88, and inhibited MAPK activation post-
alkali burn. These results indicated that AS-1 prevented
alkali-induced corneal hemangiogenesis and lymphangiogenesis by blocking IL-1RI-MyD88 interaction, as well as
extracellular signal-regulated kinase phosphorylation, and could be efficacious for the prevention and treatment of corneal
alkali burn.