VEGF-Dependent Conjunctivalization of the Corneal Surface

To investigate the mechanisms governing corneal neovascularization and the appearance of goblet cells in a murine model of limbal insufficiency. The spatial and time-dependent relationship between corneal neovascularization and goblet cell density was analyzed in corneal flatmounts. Immunohistochemi...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Investigative ophthalmology & visual science 2003-01, Vol.44 (1), p.117-123
Hauptverfasser: Joussen, Antonia M, Poulaki, Vassiliki, Mitsiades, Nicholas, Stechschulte, Stephen U, Kirchhof, Bernd, Dartt, Darlene A, Fong, Guo-Hua, Rudge, John, Wiegand, Stanley J, Yancopoulos, George D, Adamis, Anthony P
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 123
container_issue 1
container_start_page 117
container_title Investigative ophthalmology & visual science
container_volume 44
creator Joussen, Antonia M
Poulaki, Vassiliki
Mitsiades, Nicholas
Stechschulte, Stephen U
Kirchhof, Bernd
Dartt, Darlene A
Fong, Guo-Hua
Rudge, John
Wiegand, Stanley J
Yancopoulos, George D
Adamis, Anthony P
description To investigate the mechanisms governing corneal neovascularization and the appearance of goblet cells in a murine model of limbal insufficiency. The spatial and time-dependent relationship between corneal neovascularization and goblet cell density was analyzed in corneal flatmounts. Immunohistochemical detection of the vascular endothelial growth factor (VEGF) receptor Flt-1 (VEGFR1) was performed in paraffin-embedded sections. A transgenic mouse that expresses the reporter gene lacZ targeted to the Flt-1 locus through homologous recombination was used to analyze corneal expression of Flt-1. The presence of soluble and membranous goblet cell Flt-1 mRNA and protein content was assessed with Northern and Western blot analyses, respectively. Finally, systemic adenoviral expression of a soluble Flt-1/Fc construct was used to study the effect of inhibition of VEGF bioactivity on the appearance of goblet cells and neovascularization. Corneal neovascularization preceded the appearance of goblet cells, although both processes overlapped temporally. Flt-1 was abundant in the conjunctiva-like epithelium covering the cornea, as well as in the goblet cells, invading leukocytes, and vasculature. A similar expression pattern was observed in the transgenic mice expressing the lacZ gene downstream from the Flt-1 promoter. Isolated human and rat goblet cells in culture expressed Flt-1 mRNA and protein, as did freshly isolated human conjunctiva. The systemic inhibition of VEGF bioactivity potently suppressed both corneal neovascularization (8.3% +/- 8.1% vs. 41.1% +/- 15.3% corneal area; P < 0.001) and corneal goblet cell density (1.6% +/- 2.5% vs. 12.2% +/- 2.4% corneal area; P < 0.001). Two important features of corneal conjunctivalization, the appearance of goblet cells and neovascularization, are regulated by VEGF. Both processes are probably mediated, in part, through the Flt-1 receptor. Taken together, these data indicate that an anti-VEGF therapeutic approach may limit the visual loss associated with conjunctivalization of the corneal surface.
doi_str_mv 10.1167/iovs.01-1277
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_72942616</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>72942616</sourcerecordid><originalsourceid>FETCH-LOGICAL-c385t-ec8f8da2cc09670b13047529817b3fc73fe4aeeba1497b9d1becfc181ac75983</originalsourceid><addsrcrecordid>eNpF0M9LwzAYxvEgipvTm2fZRU925k3Tpj3K3KYw8ODwGtL0jcvoj5m0K_rX22Fhpxzy4XnhS8gt0BlALJ5sffAzCgEwIc7IGKKIBZFIwnMypsDjgHLKR-TK-x2lDIDRSzICFtGYxuGYpJ-L1TJ4wT1WOVbNdF5Xu7bSjT2owv6qxtbVtDbTZov9l6tQFdOP1hml8ZpcGFV4vBneCdksF5v5a7B-X73Nn9eBDpOoCVAnJskV05qmsaAZhJSLiKUJiCw0WoQGuULMFPBUZGkOGWqjIQGlRZQm4YQ8_M_uXf3dom9kab3GolAV1q2XgqWcxRD38PEfald779DIvbOlcj8SqDyWksdSkoI8lur53bDbZiXmJzyk6cH9AJTXqjBOVdr6k-M84hzEyW3t17azDqUvVVH0syC7ruNc9hd79we-Dn3-</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>72942616</pqid></control><display><type>article</type><title>VEGF-Dependent Conjunctivalization of the Corneal Surface</title><source>MEDLINE</source><source>EZB Electronic Journals Library</source><creator>Joussen, Antonia M ; Poulaki, Vassiliki ; Mitsiades, Nicholas ; Stechschulte, Stephen U ; Kirchhof, Bernd ; Dartt, Darlene A ; Fong, Guo-Hua ; Rudge, John ; Wiegand, Stanley J ; Yancopoulos, George D ; Adamis, Anthony P</creator><creatorcontrib>Joussen, Antonia M ; Poulaki, Vassiliki ; Mitsiades, Nicholas ; Stechschulte, Stephen U ; Kirchhof, Bernd ; Dartt, Darlene A ; Fong, Guo-Hua ; Rudge, John ; Wiegand, Stanley J ; Yancopoulos, George D ; Adamis, Anthony P</creatorcontrib><description>To investigate the mechanisms governing corneal neovascularization and the appearance of goblet cells in a murine model of limbal insufficiency. The spatial and time-dependent relationship between corneal neovascularization and goblet cell density was analyzed in corneal flatmounts. Immunohistochemical detection of the vascular endothelial growth factor (VEGF) receptor Flt-1 (VEGFR1) was performed in paraffin-embedded sections. A transgenic mouse that expresses the reporter gene lacZ targeted to the Flt-1 locus through homologous recombination was used to analyze corneal expression of Flt-1. The presence of soluble and membranous goblet cell Flt-1 mRNA and protein content was assessed with Northern and Western blot analyses, respectively. Finally, systemic adenoviral expression of a soluble Flt-1/Fc construct was used to study the effect of inhibition of VEGF bioactivity on the appearance of goblet cells and neovascularization. Corneal neovascularization preceded the appearance of goblet cells, although both processes overlapped temporally. Flt-1 was abundant in the conjunctiva-like epithelium covering the cornea, as well as in the goblet cells, invading leukocytes, and vasculature. A similar expression pattern was observed in the transgenic mice expressing the lacZ gene downstream from the Flt-1 promoter. Isolated human and rat goblet cells in culture expressed Flt-1 mRNA and protein, as did freshly isolated human conjunctiva. The systemic inhibition of VEGF bioactivity potently suppressed both corneal neovascularization (8.3% +/- 8.1% vs. 41.1% +/- 15.3% corneal area; P &lt; 0.001) and corneal goblet cell density (1.6% +/- 2.5% vs. 12.2% +/- 2.4% corneal area; P &lt; 0.001). Two important features of corneal conjunctivalization, the appearance of goblet cells and neovascularization, are regulated by VEGF. Both processes are probably mediated, in part, through the Flt-1 receptor. Taken together, these data indicate that an anti-VEGF therapeutic approach may limit the visual loss associated with conjunctivalization of the corneal surface.</description><identifier>ISSN: 0146-0404</identifier><identifier>ISSN: 1552-5783</identifier><identifier>EISSN: 1552-5783</identifier><identifier>DOI: 10.1167/iovs.01-1277</identifier><identifier>PMID: 12506063</identifier><identifier>CODEN: IOVSDA</identifier><language>eng</language><publisher>Rockville, MD: ARVO</publisher><subject>Animals ; beta-Galactosidase - metabolism ; Biological and medical sciences ; Blotting, Northern ; Blotting, Western ; Cell Count ; Conjunctiva - metabolism ; Conjunctiva - pathology ; Corneal Neovascularization - metabolism ; Corneal Neovascularization - pathology ; Diseases of cornea, anterior segment and sclera ; Endothelial Growth Factors - metabolism ; Epithelial Cells - pathology ; Goblet Cells - pathology ; Immunoenzyme Techniques ; Intercellular Signaling Peptides and Proteins - metabolism ; Lymphokines - metabolism ; Male ; Medical sciences ; Mice ; Mice, Inbred C57BL ; Mice, Transgenic ; Ophthalmology ; RNA, Messenger - metabolism ; Vascular Endothelial Growth Factor A ; Vascular Endothelial Growth Factor Receptor-1 - genetics ; Vascular Endothelial Growth Factor Receptor-1 - metabolism ; Vascular Endothelial Growth Factors</subject><ispartof>Investigative ophthalmology &amp; visual science, 2003-01, Vol.44 (1), p.117-123</ispartof><rights>2003 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c385t-ec8f8da2cc09670b13047529817b3fc73fe4aeeba1497b9d1becfc181ac75983</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,4009,27902,27903,27904</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=14454417$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12506063$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Joussen, Antonia M</creatorcontrib><creatorcontrib>Poulaki, Vassiliki</creatorcontrib><creatorcontrib>Mitsiades, Nicholas</creatorcontrib><creatorcontrib>Stechschulte, Stephen U</creatorcontrib><creatorcontrib>Kirchhof, Bernd</creatorcontrib><creatorcontrib>Dartt, Darlene A</creatorcontrib><creatorcontrib>Fong, Guo-Hua</creatorcontrib><creatorcontrib>Rudge, John</creatorcontrib><creatorcontrib>Wiegand, Stanley J</creatorcontrib><creatorcontrib>Yancopoulos, George D</creatorcontrib><creatorcontrib>Adamis, Anthony P</creatorcontrib><title>VEGF-Dependent Conjunctivalization of the Corneal Surface</title><title>Investigative ophthalmology &amp; visual science</title><addtitle>Invest Ophthalmol Vis Sci</addtitle><description>To investigate the mechanisms governing corneal neovascularization and the appearance of goblet cells in a murine model of limbal insufficiency. The spatial and time-dependent relationship between corneal neovascularization and goblet cell density was analyzed in corneal flatmounts. Immunohistochemical detection of the vascular endothelial growth factor (VEGF) receptor Flt-1 (VEGFR1) was performed in paraffin-embedded sections. A transgenic mouse that expresses the reporter gene lacZ targeted to the Flt-1 locus through homologous recombination was used to analyze corneal expression of Flt-1. The presence of soluble and membranous goblet cell Flt-1 mRNA and protein content was assessed with Northern and Western blot analyses, respectively. Finally, systemic adenoviral expression of a soluble Flt-1/Fc construct was used to study the effect of inhibition of VEGF bioactivity on the appearance of goblet cells and neovascularization. Corneal neovascularization preceded the appearance of goblet cells, although both processes overlapped temporally. Flt-1 was abundant in the conjunctiva-like epithelium covering the cornea, as well as in the goblet cells, invading leukocytes, and vasculature. A similar expression pattern was observed in the transgenic mice expressing the lacZ gene downstream from the Flt-1 promoter. Isolated human and rat goblet cells in culture expressed Flt-1 mRNA and protein, as did freshly isolated human conjunctiva. The systemic inhibition of VEGF bioactivity potently suppressed both corneal neovascularization (8.3% +/- 8.1% vs. 41.1% +/- 15.3% corneal area; P &lt; 0.001) and corneal goblet cell density (1.6% +/- 2.5% vs. 12.2% +/- 2.4% corneal area; P &lt; 0.001). Two important features of corneal conjunctivalization, the appearance of goblet cells and neovascularization, are regulated by VEGF. Both processes are probably mediated, in part, through the Flt-1 receptor. Taken together, these data indicate that an anti-VEGF therapeutic approach may limit the visual loss associated with conjunctivalization of the corneal surface.</description><subject>Animals</subject><subject>beta-Galactosidase - metabolism</subject><subject>Biological and medical sciences</subject><subject>Blotting, Northern</subject><subject>Blotting, Western</subject><subject>Cell Count</subject><subject>Conjunctiva - metabolism</subject><subject>Conjunctiva - pathology</subject><subject>Corneal Neovascularization - metabolism</subject><subject>Corneal Neovascularization - pathology</subject><subject>Diseases of cornea, anterior segment and sclera</subject><subject>Endothelial Growth Factors - metabolism</subject><subject>Epithelial Cells - pathology</subject><subject>Goblet Cells - pathology</subject><subject>Immunoenzyme Techniques</subject><subject>Intercellular Signaling Peptides and Proteins - metabolism</subject><subject>Lymphokines - metabolism</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mice</subject><subject>Mice, Inbred C57BL</subject><subject>Mice, Transgenic</subject><subject>Ophthalmology</subject><subject>RNA, Messenger - metabolism</subject><subject>Vascular Endothelial Growth Factor A</subject><subject>Vascular Endothelial Growth Factor Receptor-1 - genetics</subject><subject>Vascular Endothelial Growth Factor Receptor-1 - metabolism</subject><subject>Vascular Endothelial Growth Factors</subject><issn>0146-0404</issn><issn>1552-5783</issn><issn>1552-5783</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpF0M9LwzAYxvEgipvTm2fZRU925k3Tpj3K3KYw8ODwGtL0jcvoj5m0K_rX22Fhpxzy4XnhS8gt0BlALJ5sffAzCgEwIc7IGKKIBZFIwnMypsDjgHLKR-TK-x2lDIDRSzICFtGYxuGYpJ-L1TJ4wT1WOVbNdF5Xu7bSjT2owv6qxtbVtDbTZov9l6tQFdOP1hml8ZpcGFV4vBneCdksF5v5a7B-X73Nn9eBDpOoCVAnJskV05qmsaAZhJSLiKUJiCw0WoQGuULMFPBUZGkOGWqjIQGlRZQm4YQ8_M_uXf3dom9kab3GolAV1q2XgqWcxRD38PEfald779DIvbOlcj8SqDyWksdSkoI8lur53bDbZiXmJzyk6cH9AJTXqjBOVdr6k-M84hzEyW3t17azDqUvVVH0syC7ruNc9hd79we-Dn3-</recordid><startdate>20030101</startdate><enddate>20030101</enddate><creator>Joussen, Antonia M</creator><creator>Poulaki, Vassiliki</creator><creator>Mitsiades, Nicholas</creator><creator>Stechschulte, Stephen U</creator><creator>Kirchhof, Bernd</creator><creator>Dartt, Darlene A</creator><creator>Fong, Guo-Hua</creator><creator>Rudge, John</creator><creator>Wiegand, Stanley J</creator><creator>Yancopoulos, George D</creator><creator>Adamis, Anthony P</creator><general>ARVO</general><general>Association for Research in Vision and Ophtalmology</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20030101</creationdate><title>VEGF-Dependent Conjunctivalization of the Corneal Surface</title><author>Joussen, Antonia M ; Poulaki, Vassiliki ; Mitsiades, Nicholas ; Stechschulte, Stephen U ; Kirchhof, Bernd ; Dartt, Darlene A ; Fong, Guo-Hua ; Rudge, John ; Wiegand, Stanley J ; Yancopoulos, George D ; Adamis, Anthony P</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c385t-ec8f8da2cc09670b13047529817b3fc73fe4aeeba1497b9d1becfc181ac75983</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Animals</topic><topic>beta-Galactosidase - metabolism</topic><topic>Biological and medical sciences</topic><topic>Blotting, Northern</topic><topic>Blotting, Western</topic><topic>Cell Count</topic><topic>Conjunctiva - metabolism</topic><topic>Conjunctiva - pathology</topic><topic>Corneal Neovascularization - metabolism</topic><topic>Corneal Neovascularization - pathology</topic><topic>Diseases of cornea, anterior segment and sclera</topic><topic>Endothelial Growth Factors - metabolism</topic><topic>Epithelial Cells - pathology</topic><topic>Goblet Cells - pathology</topic><topic>Immunoenzyme Techniques</topic><topic>Intercellular Signaling Peptides and Proteins - metabolism</topic><topic>Lymphokines - metabolism</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Mice</topic><topic>Mice, Inbred C57BL</topic><topic>Mice, Transgenic</topic><topic>Ophthalmology</topic><topic>RNA, Messenger - metabolism</topic><topic>Vascular Endothelial Growth Factor A</topic><topic>Vascular Endothelial Growth Factor Receptor-1 - genetics</topic><topic>Vascular Endothelial Growth Factor Receptor-1 - metabolism</topic><topic>Vascular Endothelial Growth Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Joussen, Antonia M</creatorcontrib><creatorcontrib>Poulaki, Vassiliki</creatorcontrib><creatorcontrib>Mitsiades, Nicholas</creatorcontrib><creatorcontrib>Stechschulte, Stephen U</creatorcontrib><creatorcontrib>Kirchhof, Bernd</creatorcontrib><creatorcontrib>Dartt, Darlene A</creatorcontrib><creatorcontrib>Fong, Guo-Hua</creatorcontrib><creatorcontrib>Rudge, John</creatorcontrib><creatorcontrib>Wiegand, Stanley J</creatorcontrib><creatorcontrib>Yancopoulos, George D</creatorcontrib><creatorcontrib>Adamis, Anthony P</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Investigative ophthalmology &amp; visual science</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Joussen, Antonia M</au><au>Poulaki, Vassiliki</au><au>Mitsiades, Nicholas</au><au>Stechschulte, Stephen U</au><au>Kirchhof, Bernd</au><au>Dartt, Darlene A</au><au>Fong, Guo-Hua</au><au>Rudge, John</au><au>Wiegand, Stanley J</au><au>Yancopoulos, George D</au><au>Adamis, Anthony P</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>VEGF-Dependent Conjunctivalization of the Corneal Surface</atitle><jtitle>Investigative ophthalmology &amp; visual science</jtitle><addtitle>Invest Ophthalmol Vis Sci</addtitle><date>2003-01-01</date><risdate>2003</risdate><volume>44</volume><issue>1</issue><spage>117</spage><epage>123</epage><pages>117-123</pages><issn>0146-0404</issn><issn>1552-5783</issn><eissn>1552-5783</eissn><coden>IOVSDA</coden><abstract>To investigate the mechanisms governing corneal neovascularization and the appearance of goblet cells in a murine model of limbal insufficiency. The spatial and time-dependent relationship between corneal neovascularization and goblet cell density was analyzed in corneal flatmounts. Immunohistochemical detection of the vascular endothelial growth factor (VEGF) receptor Flt-1 (VEGFR1) was performed in paraffin-embedded sections. A transgenic mouse that expresses the reporter gene lacZ targeted to the Flt-1 locus through homologous recombination was used to analyze corneal expression of Flt-1. The presence of soluble and membranous goblet cell Flt-1 mRNA and protein content was assessed with Northern and Western blot analyses, respectively. Finally, systemic adenoviral expression of a soluble Flt-1/Fc construct was used to study the effect of inhibition of VEGF bioactivity on the appearance of goblet cells and neovascularization. Corneal neovascularization preceded the appearance of goblet cells, although both processes overlapped temporally. Flt-1 was abundant in the conjunctiva-like epithelium covering the cornea, as well as in the goblet cells, invading leukocytes, and vasculature. A similar expression pattern was observed in the transgenic mice expressing the lacZ gene downstream from the Flt-1 promoter. Isolated human and rat goblet cells in culture expressed Flt-1 mRNA and protein, as did freshly isolated human conjunctiva. The systemic inhibition of VEGF bioactivity potently suppressed both corneal neovascularization (8.3% +/- 8.1% vs. 41.1% +/- 15.3% corneal area; P &lt; 0.001) and corneal goblet cell density (1.6% +/- 2.5% vs. 12.2% +/- 2.4% corneal area; P &lt; 0.001). Two important features of corneal conjunctivalization, the appearance of goblet cells and neovascularization, are regulated by VEGF. Both processes are probably mediated, in part, through the Flt-1 receptor. Taken together, these data indicate that an anti-VEGF therapeutic approach may limit the visual loss associated with conjunctivalization of the corneal surface.</abstract><cop>Rockville, MD</cop><pub>ARVO</pub><pmid>12506063</pmid><doi>10.1167/iovs.01-1277</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0146-0404
ispartof Investigative ophthalmology & visual science, 2003-01, Vol.44 (1), p.117-123
issn 0146-0404
1552-5783
1552-5783
language eng
recordid cdi_proquest_miscellaneous_72942616
source MEDLINE; EZB Electronic Journals Library
subjects Animals
beta-Galactosidase - metabolism
Biological and medical sciences
Blotting, Northern
Blotting, Western
Cell Count
Conjunctiva - metabolism
Conjunctiva - pathology
Corneal Neovascularization - metabolism
Corneal Neovascularization - pathology
Diseases of cornea, anterior segment and sclera
Endothelial Growth Factors - metabolism
Epithelial Cells - pathology
Goblet Cells - pathology
Immunoenzyme Techniques
Intercellular Signaling Peptides and Proteins - metabolism
Lymphokines - metabolism
Male
Medical sciences
Mice
Mice, Inbred C57BL
Mice, Transgenic
Ophthalmology
RNA, Messenger - metabolism
Vascular Endothelial Growth Factor A
Vascular Endothelial Growth Factor Receptor-1 - genetics
Vascular Endothelial Growth Factor Receptor-1 - metabolism
Vascular Endothelial Growth Factors
title VEGF-Dependent Conjunctivalization of the Corneal Surface
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-24T17%3A29%3A05IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=VEGF-Dependent%20Conjunctivalization%20of%20the%20Corneal%20Surface&rft.jtitle=Investigative%20ophthalmology%20&%20visual%20science&rft.au=Joussen,%20Antonia%20M&rft.date=2003-01-01&rft.volume=44&rft.issue=1&rft.spage=117&rft.epage=123&rft.pages=117-123&rft.issn=0146-0404&rft.eissn=1552-5783&rft.coden=IOVSDA&rft_id=info:doi/10.1167/iovs.01-1277&rft_dat=%3Cproquest_cross%3E72942616%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=72942616&rft_id=info:pmid/12506063&rfr_iscdi=true