A short-term in vivo experimental model for Fuchs endothelial corneal dystrophy

We evaluated the in vivo functionality of a corneal endothelium tissue-engineered using corneal endothelial cells from human patients with Fuchs endothelial corneal dystrophy (FECD). A total of 15 healthy cats underwent full-thickness corneal transplantation. All transplants were of xenogeneic human...

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Veröffentlicht in:Investigative ophthalmology & visual science 2012-09, Vol.53 (10), p.6343-6354
Hauptverfasser: Haydari, M Nour, Perron, Marie-Claude, Laprise, Simon, Roy, Olivier, Cameron, J Douglas, Proulx, Stéphanie, Brunette, Isabelle
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container_end_page 6354
container_issue 10
container_start_page 6343
container_title Investigative ophthalmology & visual science
container_volume 53
creator Haydari, M Nour
Perron, Marie-Claude
Laprise, Simon
Roy, Olivier
Cameron, J Douglas
Proulx, Stéphanie
Brunette, Isabelle
description We evaluated the in vivo functionality of a corneal endothelium tissue-engineered using corneal endothelial cells from human patients with Fuchs endothelial corneal dystrophy (FECD). A total of 15 healthy cats underwent full-thickness corneal transplantation. All transplants were of xenogeneic human origin and all grafts but two were tissue-engineered. In seven animals the graft corneal endothelium was tissue-engineered using cultured corneal endothelial cells from humans with FECD (TE-FECD). Two control animals were grafted with an endothelium engineered using cultured endothelial cells from normal eye bank corneas (TE-normal). Two controls received a native full-thickness corneal transplant, and four other controls were grafted with the stromal carrier only (without endothelial cells). Outcome parameters included graft transparency (0, opaque to 4, clear), pachymetry, optical coherence tomography, endothelial cell morphometry, transmission electron microscopy (TEM), and immunostaining of function-related proteins. Seven days after transplantation, 6 of 7 TE-FECD grafts, all TE-normal grafts, and all normal native grafts were clear (transparency score >3), while all carriers-only grafts were opaque (score
doi_str_mv 10.1167/iovs.12-9708
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A total of 15 healthy cats underwent full-thickness corneal transplantation. All transplants were of xenogeneic human origin and all grafts but two were tissue-engineered. In seven animals the graft corneal endothelium was tissue-engineered using cultured corneal endothelial cells from humans with FECD (TE-FECD). Two control animals were grafted with an endothelium engineered using cultured endothelial cells from normal eye bank corneas (TE-normal). Two controls received a native full-thickness corneal transplant, and four other controls were grafted with the stromal carrier only (without endothelial cells). Outcome parameters included graft transparency (0, opaque to 4, clear), pachymetry, optical coherence tomography, endothelial cell morphometry, transmission electron microscopy (TEM), and immunostaining of function-related proteins. Seven days after transplantation, 6 of 7 TE-FECD grafts, all TE-normal grafts, and all normal native grafts were clear (transparency score &gt;3), while all carriers-only grafts were opaque (score &lt;1). The mean pachymetry was 772 ± 102 μm for TE-FECD, 524 ± 11 μm for TE-normal, 555 ± 48 for normal native, and 1188 ± 223 μm for carriers only. TEM showed subendothelial loose fibrillar material deposition in all TE-FECD grafts. The TE endothelium expressed Na(+)-K(+)/ATPase and Na(+)/HCO3(-). Restoration of transparency and corneal thickness demonstrated that the TE-FECD grafts were functional in vivo. 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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central
subjects Adult
Aged
Aged, 80 and over
Animals
Cats
Cell Count
Corneal Pachymetry
Corneal Transplantation - methods
Disease Models, Animal
Endothelial Cells - physiology
Endothelial Cells - ultrastructure
Endothelium, Corneal - pathology
Endothelium, Corneal - physiopathology
Endothelium, Corneal - surgery
Eye Banks
Female
Fuchs' Endothelial Dystrophy - pathology
Fuchs' Endothelial Dystrophy - physiopathology
Fuchs' Endothelial Dystrophy - surgery
Humans
Intraocular Pressure - physiology
Male
Microscopy, Electron, Transmission
Middle Aged
Postoperative Complications - diagnosis
Primary Cell Culture
Tissue Engineering - methods
Transplantation, Heterologous
title A short-term in vivo experimental model for Fuchs endothelial corneal dystrophy
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