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Background  P21 is one kind of cyclin-dependent kinase inhibitor that can prevent cells from going through the G1/S phase checkpoint and inhibit cell proliferation. Proliferative vitreoretinopathy (PVR) is a proliferative response in the eye. The aim of this study was to determine whether p21 Waf1/Cip1  (p21) suppresses the proliferation and migration of retinal pigment epithelial (RPE) cells  in vitro  and controls PVR development  in vivo .    Methods  Cell cycle analyses and transwell assays were conducted to assess cell proliferation characteristics and the migration ability of RPE cells after transfection with  p21 . Western blot and reverse-transcription polymerase chain reaction technologies were used to detect the expression of p21, CDK 2  and cyclinE in RPE cells and rabbit retinal tissues. The impact of increasing p21 expression on PVR development was conducted by implantation of an adenovirus vector containing rabbit  p21  (rAd-p21) in a PVR rabbit model. The prevalence of PVR and retinal detachment was determined by indirect ophthalmoscopy on days 3, 7, 14, and 21 after the injection of rAd-p21 into the vitreous. B scans and hematoxylin-eosin staining were employed to check rabbit retinas on day 21.    Results  Cell cycle analyses and transwell assays showed that p21 inhibited the proliferation and migration of RPE cells. Increased expression of p21 was detected in cultured RPE cells and rabbit retinas after transfection with the  p21  gene, whereas levels of CDK 2  and cyclinE were decreased. The increase in p21 expression effectively suppressed the development of PVR in a rabbit model.    Conclusions  The increase in p21 expression in RPE cells not only inhibits the proliferation and migration of RPE cells  in vitro , but also suppresses the development of PVR  in vivo , which indicates its therapeutic potential in treating PVR.

bmc ophthalmology

Overexpression p21WAF1/CIP1 in suppressing retinal pigment epithelial cells and progression of proliferative vitreoretinopathy via inhibition CDK2 and cyclin E