Purpose. Proliferative vitreoretinopathy (PVR) is characterized by the
proliferation and migration of retinal pigment epithelial (RPE) and o
ther cells into the vitreous cavity. The PVR membrane formation also i
s associated with collagen production by RPE. The authors examined the
effect of a proline analog, cis-hydroxyproline (CHP), on proliferatio
n, collagen synthesis, attachment, and migration of bovine RPE in vitr
o. Methods. The effect of CHP on cell proliferation was determined as
a function of dosage and days in culture by counting the cell numbers
on days 3, 6, and 9. Collagen synthesis was determined by trichloroace
tic acid precipitation of the radiolabeled samples before and after ba
cterial collagenase digestion. The attachment assay involved type I co
llagen or fibronectin substrates or both (2.5 mu g/well). For migratio
n experiments, RPE cells were removed from a defined area of a conflue
nt culture, and migration was quantitated by counting the number of ce
lls migrating into the denuded area over 30 hours. Results. The additi
on of CHP inhibited RPE proliferation in both a dose- and a time-depen
dent manner; collagen synthesis, attachment, and migration also were i
nhibited by CHP in a dose-dependent manner. When the culture plates we
re coated with collagen, <100 mu g/ml of CHP had no effect on cell att
achment Higher doses of CHP resulted in mild inhibition of attachment
on collagen-coated plates. Simultaneous addition of L-proline to the c
ultures resulted in blockade of these inhibitory effects on proliferat
ion, collagen synthesis, attachment, and migration. Conclusions. The r
esults show that RPE functions critical to the development of PVR are
inhibited by CHP, suggesting the possibility that this drug may have p
otential clinical application.