- Klíčová slova
- sagitální hloubka oka,
- MeSH
- diagnostické techniky oftalmologické přístrojové vybavení MeSH
- dopravní nehody MeSH
- keratokonus komplikace MeSH
- klinické rozhodování MeSH
- kontaktní čočky * MeSH
- lidé středního věku MeSH
- lidé MeSH
- oční protézy MeSH
- optická koherentní tomografie MeSH
- poranění rohovky * diagnostické zobrazování etiologie terapie MeSH
- refrakční chirurgické výkony metody přístrojové vybavení MeSH
- Check Tag
- lidé středního věku MeSH
- lidé MeSH
- ženské pohlaví MeSH
- Publikační typ
- kazuistiky MeSH
- přehledy MeSH
- MeSH
- cizí těleso v oku diagnóza patologie terapie MeSH
- dítě MeSH
- fraktury očnice chirurgie diagnóza patologie MeSH
- lidé MeSH
- oční víčka zranění MeSH
- popálení oka chirurgie diagnóza farmakoterapie klasifikace patologie terapie MeSH
- poranění oka * chirurgie diagnóza epidemiologie klasifikace ošetřování patologie MeSH
- poranění rohovky diagnóza patologie terapie MeSH
- první pomoc metody ošetřování MeSH
- stupeň závažnosti nemoci MeSH
- syndrom třeseného dítěte diagnóza etiologie patologie MeSH
- zhmoždění diagnóza patologie terapie MeSH
- zneužívané dítě zákonodárství a právo MeSH
- Check Tag
- dítě MeSH
- lidé MeSH
- Publikační typ
- práce podpořená grantem MeSH
- přehledy MeSH
Mesenchymal stem cells (MSCs) represent a population of adult stem cells that have potent immunoregulatory, anti-inflammatory, and antiapoptotic properties. In addition, they have ability to migrate to the site of inflammation or injury, where they contribute to the regeneration and healing process. For these properties, MSCs have been used as therapeutic cells in several models, including treatment of damages or disorders of the ocular surface. If the damage of the ocular surface is extensive and involves a limbal region where limbal stem cell reside, MSC therapy has been proved as the effective treatment approach. Although the anti-inflammatory properties of MSCs have been well characterized, mechanisms of antiapoptotic action of MSCs are not well recognized. Using a chemically damaged cornea in a mouse model, we showed that the injury decreases expression of the gene for antiapoptotic molecule Bcl-2 and increases the expression of proapoptotic genes Bax and p53. These changes were attenuated by local transplantation of MSCs after corneal damage. The antiapoptotic effect of MSCs was tested in an in vitro model of co-cultivation of corneal explants with MSCs. The apoptosis of corneal cells in the explants was induced by proinflammatory cytokines and was significantly inhibited in the presence of MSCs. The antiapoptotic effect of MSCs was mediated by paracrine action, as confirmed by separation of the explants in inserts or by supernatants from MSCs. In addition, MSCs decreased the expression of genes for the molecules associated with endoplasmic reticulum stress Atf4, Bip, and p21, which are associated with apoptosis. The results show that MSCs inhibit the expression of proapoptotic genes and decrease the number of apoptotic cells in the damaged corneas, and this action might be one of the mechanisms of the therapeutic action of MSCs.
- MeSH
- apoptóza genetika MeSH
- cyklooxygenasa 2 genetika metabolismus MeSH
- cytokiny genetika metabolismus MeSH
- hepatocytární růstový faktor genetika metabolismus MeSH
- keratitida genetika metabolismus patologie MeSH
- kultivované buňky MeSH
- lidé MeSH
- mezenchymální kmenové buňky cytologie metabolismus MeSH
- modely nemocí na zvířatech * MeSH
- myši inbrední BALB C MeSH
- polymerázová řetězová reakce s reverzní transkripcí MeSH
- poranění rohovky genetika metabolismus terapie MeSH
- regulace genové exprese * MeSH
- rohovka metabolismus MeSH
- transplantace mezenchymálních kmenových buněk metody MeSH
- zvířata MeSH
- Check Tag
- lidé MeSH
- ženské pohlaví MeSH
- zvířata MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
AIMS: Brittle cornea syndrome (BCS) is a rare autosomal recessive disorder. The aim of this study was to review ZNF469 mutations associated with BCS type 1 to date and to describe an additional case of Czech/Polish background. METHODS: Whole genome sequencing was undertaken to identify the molecular genetic cause of disease in the proband. Sequence variants in ZNF469 previously reported as BCS type 1-causing were searched in the literature, manually curated and aligned to the reference sequence NM_001127464.2. RESULTS: The proband has been reviewed since childhood with progressive myopia and hearing loss. Aged 13 years had been diagnosed with Stickler syndrome. Aged 16.5 years, he developed acute hydrops in the left eye managed by corneal transplantation. At the age of 26, he experienced right corneal rupture after blunt trauma, also managed by grafting. He had a number of secondary complications and despite regular follow-up and timely management, the right eye became totally blind and the left eye had light perception at the last follow-up visit, aged 42. He was found to be a compound heterozygote for two novel mutations c.1705C>T; p.(Gln569*) and c.1402_1411del; p.(Pro468Alafs*31) in ZNF469. In total 22 disease-causing variants in ZNF469 have been identified, mainly in consanguineous families or endogamous populations. Only four probands, including the case described in the current study, harboured compound heterozygous mutations. CONCLUSION: BCS occurs very rarely in outbred populations which may cause diagnostic errors due to poor awareness of the disease. Investigation into the underlying molecular genetic cause in patients with connective tissue disorders may lead to a re-evaluation of their clinical diagnosis.
- MeSH
- abnormality očí diagnóza genetika patofyziologie MeSH
- artritida diagnóza MeSH
- chybná diagnóza MeSH
- dospělí MeSH
- edém rohovky patofyziologie chirurgie MeSH
- glaukom patofyziologie chirurgie MeSH
- heterozygot MeSH
- keratoplastika perforující MeSH
- kožní abnormality diagnóza genetika patofyziologie MeSH
- lidé MeSH
- myopie patofyziologie MeSH
- nemoci pojiva diagnóza MeSH
- nestabilita kloubu vrozené diagnóza genetika patofyziologie MeSH
- odchlípení sítnice diagnóza patofyziologie chirurgie MeSH
- percepční nedoslýchavost diagnóza MeSH
- perforace rohovky patofyziologie chirurgie MeSH
- reoperace MeSH
- trabekulektomie MeSH
- transkripční faktory genetika MeSH
- vitrektomie MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- mužské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- kazuistiky MeSH
- přehledy MeSH
- MeSH
- antibakteriální látky terapeutické užití MeSH
- antiflogistika nesteroidní terapeutické užití MeSH
- cizí těleso v oku chirurgie diagnóza farmakoterapie MeSH
- kočky MeSH
- mydriatika terapeutické užití MeSH
- penetrující poranění oka chirurgie diagnostické zobrazování farmakoterapie MeSH
- popálení oka diagnóza farmakoterapie MeSH
- poranění rohovky * chirurgie diagnóza etiologie farmakoterapie MeSH
- psi MeSH
- zvířata MeSH
- Check Tag
- kočky MeSH
- psi MeSH
- zvířata MeSH
Our previous research revealed that trehalose, a nonreducing disaccharide of glucose and an important stress responsive factor, proved to have anti-inflammatory, antiapoptotic, and particularly antioxidant properties in UVB-irradiated corneas. Trehalose reduced oxidative stress in corneas induced by UVB irradiation, by means of a decrease in the antioxidant/prooxidant imbalance in the corneal epithelium. In this study, we demonstrate that trehalose of 3% or 6% concentration in eye drops directly decreases oxidative stress in UVB-irradiated corneas, by removing the excessive amount of reactive oxygen species (ROS). Trehalose drops applied on corneas during UVB irradiation once daily for four days resulted in a reduction or even absence of the oxidative stress, DNA damage, and peroxynitrite formation (detected by nitrotyrosine residues), seen in buffer-treated corneas. Furthermore, trehalose treatment applied curatively after repeated irradiation for the subsequent fourteen days led to the renewal of corneal transparency and significant suppression or even absence of neovascularization. This was in contrast to buffer-treated irradiated corneas, where the intracorneal inflammation was developed and the untransparent corneas were vascularized. In conclusion, the treatment of UVB-irradiated corneas with trehalose eye drops removed the excessive amount of ROS in the corneal epithelium, leading to the suppression of oxidative stress and favorable corneal healing. The 6% trehalose showed a higher intensive antioxidant effect.
- MeSH
- hojení ran účinky léků účinky záření MeSH
- interleukin-1beta metabolismus MeSH
- keratiny metabolismus MeSH
- králíci MeSH
- oxidační stres * účinky léků účinky záření MeSH
- poranění rohovky farmakoterapie MeSH
- poškození DNA MeSH
- reaktivní formy kyslíku metabolismus MeSH
- reepitalizace účinky léků účinky záření MeSH
- rohovka účinky léků patologie účinky záření MeSH
- synthasa oxidu dusnatého, typ II metabolismus MeSH
- trehalosa farmakologie terapeutické užití MeSH
- tyrosin analogy a deriváty metabolismus MeSH
- ultrafialové záření * MeSH
- vaskulární endoteliální růstový faktor A metabolismus MeSH
- zvířata MeSH
- Check Tag
- králíci MeSH
- ženské pohlaví MeSH
- zvířata MeSH
- Publikační typ
- časopisecké články MeSH
- MeSH
- dokumentace * metody využití MeSH
- edém rohovky diagnóza etiologie patologie MeSH
- fotografování * metody veterinární MeSH
- herpetické infekce diagnóza komplikace patologie MeSH
- keratitida diagnóza genetika klasifikace MeSH
- limbus corneae patologie MeSH
- melanom diagnóza komplikace patologie MeSH
- nemoci koček MeSH
- nemoci psů MeSH
- nemoci rohovky * diagnóza patofyziologie patologie MeSH
- poranění rohovky diagnóza patologie MeSH
- spinocelulární karcinom diagnóza komplikace patologie MeSH
- statistika jako téma MeSH
- suchá keratokonjunktivitida diagnóza genetika klasifikace MeSH
- úbytek endoteliálních buněk rohovky diagnóza komplikace patologie MeSH
- zvířata MeSH
- Check Tag
- zvířata MeSH
PURPOSE: To assess whether injured porcine endothelium of small and large corneoscleral disc differ in its reparative/regenerative capacity under various conditions of organ culture storage. MATERIAL AND METHODS: 166 paired porcine corneas were trephined to obtain tissues with diameter 12.0 mm and 17.5 mm (with area neighboring endothelial periphery). In tested discs, central endothelium was mechanically wounded. Density of live endothelial cells (LECD), percentage of dead cells (%DC), coefficient of variation and cell hexagonality were assessed in central and paracentral endothelium following 5- or 9-day incubation in medium with 2% or 10% fetal bovine serum. The parameters were assessed also in fresh and intact cultured discs. Dead endothelial cells (EC) were visualized by trypan blue, cell borders by Alizarin Red S dye. Endothelial imprints were immunoassayed for the proliferation marker Ki-67 and the nucleolar marker fibrillarin. RESULTS: In fresh corneas, the LECD/mm2 (mean ± standard deviation) were 3998.0 ± 215.4 (central area) and 3888.2 ± 363.1 (paracentral area). Only the length of storage had significant effect on wound repair. Lesion was repaired partially after 5-day and fully after 9-day cultivation. After 9-day storage in medium with 10% serum, the mean LECD detected in small discs were 2409.4 ± 881.8 (central area) and 3949.5 ± 275.5 (paracentral area) and in large discs the mean LECD were 2555.0 ± 347.0 (central area) and 4007.5 ± 261.2 (paracentral area). Ki-67 showed cell proliferation associated with healing of EC of both large and small corneas. CONCLUSIONS: The lesions were completely repaired within 9 days of storage. Presence of the area, where stem cells appear to be located, contributes to stimulation of endothelial reparation less than serum concentration and time of culture. Both cell migration and proliferation contribute to the wound repair.
- MeSH
- hojení ran fyziologie MeSH
- modely nemocí na zvířatech MeSH
- orgánové kultury - kultivační techniky MeSH
- počet buněk MeSH
- pohyb buněk MeSH
- poranění rohovky patologie terapie MeSH
- prasata MeSH
- rohovkový endotel zranění patologie MeSH
- tupá poranění patologie terapie MeSH
- zvířata MeSH
- Check Tag
- zvířata MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
The aim of this study is to examine whether molecular hydrogen (H2) is able to reduce oxidative stress after corneal damage induced by UVB irradiation. We previously found that UVB irradiation of the cornea caused the imbalance between the antioxidant and prooxidant enzymes in the corneal epithelium, followed by the imbalance between metalloproteinases and their physiological inhibitors (imbalances in favour of prooxidants and metalloproteinases) contributing to oxidative stress and development of the intracorneal inflammation. Here we investigate the effect of H2 dissolved in PBS in the concentration 0.5 ppm wt/vol, applied on rabbit corneas during UVB irradiation and healing (UVB doses 1.01 J/cm2 once daily for four days). Some irradiated corneas remained untreated or buffer treated. In these corneas the oxidative stress appeared, followed by the excessive inflammation. Malondiladehyde and peroxynitrite expressions were present. The corneas healed with scar formation and neovascularization. In contrast, in H2 treated irradiated corneas oxidative stress was suppressed and malondiladehyde and peroxynitrite expressions were absent. The corneas healed with the restoration of transparency. The study provides the first evidence of the role of H2 in prevention of oxidative and nitrosative stress in UVB irradiated corneas, which may represent a novel prophylactic approach to corneal photodamage.
- MeSH
- králíci MeSH
- kyselina peroxydusitá metabolismus MeSH
- malondialdehyd metabolismus MeSH
- oxidační stres účinky léků účinky záření MeSH
- poranění rohovky farmakoterapie metabolismus MeSH
- reaktivní formy kyslíku metabolismus MeSH
- rohovka účinky léků metabolismus účinky záření MeSH
- ultrafialové záření * MeSH
- vodík terapeutické užití MeSH
- zvířata MeSH
- Check Tag
- králíci MeSH
- zvířata MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- publikace stažené z tisku MeSH