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Features of the expression of biomolecular markers (CD44, MMP9, TGFβ1) in assessing the effectiveness of treatment of endothelial-epithelial corneal dystrophy

https://doi.org/10.29235/1814-6023-2019-16-4-477-487

Abstract

The purpose was to determine the effectiveness of endothelial-epithelial dystrophy treatment with subconjunctival injection of low molecular weight hyaluronic acid.

Prospective material of 14 corneas with different epithelialepithelial dystrophy forms were examined and treated. To study the morphological features of keratopathy with the background of glaucoma staining of histological preparations with hematoxylin and eosin; histochemical staining (PAS reaction, MSB,Masson,Congored; IHC with CD44, MMP9, TGFβ1 were used.

According to the results obtained, in the group of patients with EED, with the background of the use of an injectable form of hyaluronic acid, the activity of inflammation decreases due to a decrease in the epithelial and stromal expression of CD44 and MMP9. The proapoptotic and profibrotic action of TGFβ1 decreases.

About the Authors

G. R. Semak
Belarusian State Medical University
Belarus

Galina R. Semak – Ph. D. (Med.), Assistant Professor.

83, Dzerzhinski Ave., 220116, Minsk



V. A. Zakharova
Belarusian State Medical University
Belarus

Viktoria A. Zakharova – Ph. D. (Med.), Assistant Professor.

83, Dzerzhinski Ave., 220116, Minsk



S. K. Kletsky
Belarusian State Medical University
Belarus

Semion K. Kletsky – Ph. D. (Med.), Assistant Professor.

83, Dzerzhinski Ave., 220116, Minsk



T. A. Letkovskaya
Belarusian State Medical University
Belarus

Tatiana A. Letkovskaya – Ph. D. (Med.), Assistant Professor.

83, Dzerzhinski Ave., 220116, Minsk



I. Yu. Zherko
Belarusian State Medical University
Belarus

Iryna Yu. Zherko – Junior researcher. 

83, Dzerzhinski Ave., 220116, Minsk



References

1. McCarey B. E., Edelhauser H. F., Lynn M. J. Review of corneal endothelial specular microscopy for FDA clinical trials of refractive procedures, surgical devices and new intraocular drugs and solutions. Cornea, 2008, vol. 27, no. 1, pp. 1–16. https://doi.org/10.1097/ico.0b013e31815892da

2. McCarey B. E. Noncontact specular microscopy: a macrophotography technicue and some endothelial cell findings. Ophthalmology, 1979, vol. 86, no. 10, pp. 1848–1860. https://doi.org/10.1016/s0161-6420(79)35337-4

3. Yee R. W., Matsuda M., Schultz R. O., Edelhauser H. F. Changes in the normal corneal endothelia cellular pattern as a function of age. Current Eye Research, 1985, vol. 4, no. 6, pp. 671–678. https://doi.org/10.3109/02713688509017661

4. Semak G. R., Zherko I. Yu. Clinical results of complex treatment of keratopathies in the outcome of inflammatory diseases of the anterior segment of the eyeball using an injectable form of hyaluronic acid. Meditsinskii zhurnal [Medical journal], 2019, no. 1, pp. 97–100 (in Russian).

5. Semak G. R., Lyudchik A. V., Zherko I. Yu. A new approach to the treatment of chronic dystrophic diseases of the cornea. Doklady Natsional’noi akademii nauk Belarusi = Doklady of the National Academy of Sciences of Belarus, 2018, vol. 62, no. 6, pp. 719–724 (in Russian).

6. Travis J. A., Hughes M. G., Wong J. M., Wagner W. D., Geary R. L. Hyaluronan enhances contraction of collagen by smooth muscle cells and adven-titialfibroblasts: role of CD44 and implications for constrictive remodeling. Circulation Research, 2001, vol. 88, no. 1, pp. 77–83. https://doi.org/10.1161/01.res.88.1.77

7. Chen C.-H., Wang S.-S., Wei E. I., Chu T.-Y., Hsieh P. C. H. Hyaluronan enhances bone marrow cell therapy for myocardial repair after in-farction. Molecular Therapy, 2013, vol. 21, no. 3, pp. 670–679. https://doi.org/10.1038/mt.2012.268

8. Bourguignon L. Y. W., Wong G., Xia W., Man M.-Q., Holleran W. M., Elias P. M. Selective matrix (hyaluronan) interaction with CD44 and RhoGTPase signaling promotes keratinocyte functions and overcomes age-related epidermal dysfunction. Journal of Dermatological Science, 2013, vol. 72, no. 1, pp. 32–44. https://doi.org/10.1016/j.jdermsci.2013.05.003

9. Arnold F., Jia C., He C., Cherry G. W., Carbow B., Meyer-Ingold W., Bader D., West D. C. Hyaluronan, heterogeneity, and healing: the effects of ultrapure hyaluronan of definedmolecular size on the repair of full-thickness pig skin wounds. Wound Repair and Regeneration, 1995, vol. 3, no. 3, pp. 299–310. https://doi.org/10.1046/j.1524-475x.1995.30310.x

10. Medeiros C. S., Marino G. K., Santhiago M. R., Wilson S. E. The corneal basement membranes and stromal fibrosis. Investigative Opthalmology and Visual Science, 2018, vol. 59, no. 10, pp. 4044–4053. https://doi.org/10.1167/iovs.18-24428


Review

For citations:


Semak G.R., Zakharova V.A., Kletsky S.K., Letkovskaya T.A., Zherko I.Yu. Features of the expression of biomolecular markers (CD44, MMP9, TGFβ1) in assessing the effectiveness of treatment of endothelial-epithelial corneal dystrophy. Proceedings of the National Academy of Sciences of Belarus, Medical series. 2019;16(4):477-487. (In Russ.) https://doi.org/10.29235/1814-6023-2019-16-4-477-487

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ISSN 1814-6023 (Print)
ISSN 2524-2350 (Online)