<strong>ARVO</strong> 2013 Annual Meeting Abstracts by Scientific Section/Group - <strong>Cornea</strong>tube length (P=0.30) or tube-corneal distance (P=0.80).Conclusions: The presence of a tube shunt drainage device in theanterior chamber causes significant local endothelial cell losscompared to central cornea or cornea furthest away from the tube.Endothelial cells near the tube may be better preserved with tubesangled further away from the cornea, but a larger study is needed toanswer this question.Commercial Relationships: Euna Koo, None; Jing Hou, None;Ying Han, None; Jeremy D. Keenan, None; Robert L. Stamper,Transcend (C), Genentech (C); Bennie H. Jeng, NoneProgram Number: 1651 Poster Board Number: D0286Presentation Time: 8:30 AM - 10:15 AMHuman Cytomegalovirus-mediated inflammatory responses ofcorneal endothelial cellsMichiko Kandori 1 , Dai Miyazaki 1 , Keiko Yakura 1 , Yumiko Noguchi 1 ,Yukimi Yamamoto 1 , Yoshitsugu Inoue 1 , Tatsuo Suzutani 2 .1 Ophthalmology, Tottori University, Yonago, Japan; 2 Microbiology,Fukushima Medical University, Fukushima, Japan.Purpose: To determine whether human cytomegalovirus (CMV) caninfect corneal endothelial cells, and characterize inflammatoryresponses of corneal endothelial cells after infection.Methods: Clinical isolate of CMV was purified by density gradientand adsorbed to immortalized human corneal endothelial cells(HCEn) at a multiplicity of infection 0, 0.01 or 0.1. The infectivity ofCMV into HCEn cells was analyzed by the induction of immediateearly,early, and late genes of CMV, and inflammatory cytokineinduction by real-time RT-PCR. Inflammatory responses of HCEncells were characterized by protein array analysis of the supernatants.Results: Representative viral genes, including IE-1, UL-83, andglycoprotein B, were sequentially induced after CMV infection.CMV infection characteristically stimulated induction of IL-6 andIDO1 (indoleamine 2,3-dioxygenase 1) mRNA by HCEn cells.Protein array analysis showed significant induction of inflammatorymediators, immune regulators, or neurotrophic factors , includingBDNF, BLC, GDNF, PIGF, MCP-1, EGF, TGF-β1, PDGF-BB, IL-16, Leptin, MCSF, MCP-4, IP-10, IL-6, IL-13, IL-5, IL-15, GCP-2,FGF-9, IFN-γ, RANTES, Ckβ8-1, Eotaxin, MIP-3α, VEGF.Conclusions: CMV infects corneal endothelial cells, and provokesanti-viral responses, together with induction of immune regulatorymediators or neurotrophic factors. These results may give us clues toelucidate the pathogenesis of CMV endotheliitis.Commercial Relationships: Michiko Kandori, None; DaiMiyazaki, None; Keiko Yakura, None; Yumiko Noguchi, None;Yukimi Yamamoto, None; Yoshitsugu Inoue, None; TatsuoSuzutani, NoneProgram Number: 1652 Poster Board Number: D0287Presentation Time: 8:30 AM - 10:15 AMEngineering of Human <strong>Cornea</strong>l Endothelial GraftsYingting Zhu, Bo Han, Szu-Yu Chen, Scheffer C. Tseng. Research,Ocular Surface Ctr and Tissue Tech, Miami, FL.Purpose: We have reported that knockdown by p120 siRNAselectively activates p120-catenin/Kaiso signaling and successfullyexpands contact-inhibited HCEC monolayers to an average size of2.1 ± 0.3 mm in diameter from 1/8 of the descemet membranestripped from the corneoscleral rim. Herein, we would like to showhow incorporation of other means might further expand themonolayer size.Methods: HCEC monolayers derived from 1/8 stripped descemetmembrane and cultured to 7 days in SHEM were treated withdifferent concentrations of p120 siRNA weekly with or without 100nM Kaiso siRNA or 5 µg/ml nocodazole, a microtubule disruptingagent, for up to 5 weeks. Before termination, cells were furthertreated with 10 µM BrdU for 4 h. Immunostaining was performed tomonitor cytolocalization of F-actin, α-catenin, β-catenin, p120catenin, N-cadherin, ZO-1, Na+/K+-ATPase, and BrdU labeling.Results: Consistent with our recent report, p120 siRNA knockdownuniquely promoted proliferation of contact-inhibited HCEC bynuclear translocation of p120 catenin to relieve repression by nuclearKaiso. Such proliferation was further enhanced to achieve an averagemonolayer size of 4.1 ± 0.3 mm in diameter (n=3, p
<strong>ARVO</strong> 2013 Annual Meeting Abstracts by Scientific Section/Group - <strong>Cornea</strong>Results: The optical density of the cells is measured via an MTTassay and compared to controls (cells in PBS alone) to obtain the cellviability after treatment with UVA-RF combination. Dose responsecurves are plotted against exposure time for low and high irradiancesand the time required to get 50% cell viability (=EC50) is estimatedusing a non-linear regression model and compared for high and lowirradiance treatments. Results show cell viability decreasing as afunction of increasing energy dose applied.Conclusions: This custom chamber allows for the comparison ofcytotoxicity levels of UVA-RF combination on human cornealendothelial cells while controlling the gaseous composition andtemperature of the chamber close to in vivo conditions.Commercial Relationships: Radha Pertaub, Avedro Inc (E); MarcD. Friedman, Avedro Inc (E); David Muller, Avedro Inc (E)Program Number: 1654 Poster Board Number: D0289Presentation Time: 8:30 AM - 10:15 AMA Nonsynthetic, Biological Carrier for Cultivated Human<strong>Cornea</strong>l Endothelial Cells (HCECs) for potential therapeuticpurposesJesintha Navaratnam, Eli Gulliksen, Kristine Ustgaard-Andersen,Jon K. Slettedal, Liv Drolsum, Bjorn Nicolaissen, AboulghassemShahdadfar. Center for Eye Research, Oslo University Hospital,Oslo, Norway.Purpose: The aim of our ongoing study is to establish a carrier forHCECs for therapeutic purposes. In the present study we investigatethe feasibility of using nonsynthetic, biological carrier for cultivatedHCECs.Methods: Descemet’s membrane with the attached endothelial cellswas carefully dissected from human corneas in small strips. One partharvested as non-cultured cells and the other cultivated in cornealendothelial cell growth medium for 6 weeks at 37 degree Celsiuswith 5% CO2 in a humidified atmosphere and the medium waschanged every 2-3 days. The cultivated HCECs were seeded onacellular, nonsynthetic carrier and cultivated for further 3 weeks incorneal endothelial cell expansion medium that was changed every 2-3 days. Cultivated HCECs on nonsynthetic carrier and non-culturedHCEC were comparatively analyzed by qRT-PCR, electronmicroscopy (EM) and immunohistochemistry.Results: In our study the cultivated HCECs seeded on nonsyntheticcarrier formed a stable monolayer. Our results show that thecultivated HCECs seeded on nonsynthetic carrier and the nonculturedHCECs are functional and express stem cell markers whenanalyzed by qRT-PCR. The expression levels of markers associatedwith neural crest, stem cells and corneal endothelial function (SNAI1,SNAI2, SOX9, NES, ZO-1, CX43, VADC2 and VADC3) are higherin cultivated HCECs seeded on nonsynthetic carrier compared tonon-cultured HCECs. The structure of cultivated HCECs seeded onnonsynthetic carrier on transmission EM is very similar compared toex vivo HCECs.Conclusions: The preliminary results show that nonsynthetic carrierused in this study can potentially be used in therapeutic purposes inthe future.Commercial Relationships: Jesintha Navaratnam, None; EliGulliksen, None; Kristine Ustgaard-Andersen, None; Jon K.Slettedal, None; Liv Drolsum, None; Bjorn Nicolaissen, None;Aboulghassem Shahdadfar, NoneProgram Number: 1655 Poster Board Number: D0290Presentation Time: 8:30 AM - 10:15 AMDifferences in corneal endothelial abnormalities in the centraland intermediate zones in Fuchs’ corneal dystrophyHisataka Fujimoto, Takeshi Soma, Yoshinori Oie, Shizuka Koh,Motokazu Tsujikawa, Naoyuki Maeda, Kohji Nishida. OsakaUniversity, Suita, Osaka, Japan.Purpose: Fuchs’ corneal dystrophy is a progressive cornealendothelial dystrophy that causes irreversible endothelial change andbullous keratopathy. To investigate the regional differences in theabnormality, we examined the corneal endothelium at multiple sites,including the periphery.Methods: 17 eyes of 9 patients (6 women and 3 men; 30-80 yearsold) with Fuchs’ corneal dystrophy were studied at Osaka UniversityHospital. We used a newly developed non-contact specularmicroscope (NIDEK CEM-530) to examine the intermediate zone 27degrees in the periphery from the corneal center in addition to thecenter and the peripheral 5 degrees from the center. We measured thesize of the degenerative area with guttata and the cellular density inthe residual intact area.Results: The abnormal areas in the central zone (center and 5 degreesfrom the center) represented 65.4 ± 33.7% of the total area, and thosein the 27 degrees of the peripheral zone represented 27.1 ± 34.2% ofthe total area. The results differed significantly (P < 0.001). Theabnormal areas in the 27 degrees of the peripheral zone of 16 of 17eyes were significantly (P< 0.05) larger than those in the center. Inthe 6 points 27 degrees of the peripheral zones, the abnormal areasinferiorly were significantly (P < 0.001) larger than superiorly, by theusage of z score analysisConclusions: In Fuchs’ corneal dystrophy, the corneal endothelialcells degenerate more rapidly in the central zone than theintermediate zone. This finding might offer new information tofacilitate an understanding of the disease mechanisms.Commercial Relationships: Hisataka Fujimoto, None; TakeshiSoma, HOYA corporation (R), Santen Pharmaceutical Co., Ltd (F),Otsuka Pharmaceutical Co., Ltd (F); Yoshinori Oie, Santen (F),HOYA (F); Shizuka Koh, Santen, Inc. (R), Johnson & Johnson (R),Topcon (R), Otsuka Pharmaceutical Co. (R); Motokazu Tsujikawa,Shionogi & Co. (C), Daiichi Sankyo Co. (F), Daiichi Sankyo Co. (R),Santen Co. (R), AMO Co. (R); Naoyuki Maeda, Topcon (F), Santen(R), Otsuka (R), Oculus (R), HOYA (R); Kohji Nishida, Alcon (C),Alcon (F), HOYA (F), Senju (F), Pfizer (F), Santen (F), OsakaUniversity (P)Program Number: 1656 Poster Board Number: D0291Presentation Time: 8:30 AM - 10:15 AMDevelopment and Characterization of Decellularized Human<strong>Cornea</strong>l Stroma as a Scaffold for Tissue EngineeringRadhika Tandon 1 , Sujata Mohanty 2 , Himi Singh 1 , Deepika Gupta 3 ,Seema Sen 4 , Seema Kashyap 4 , Amit K. Dinda 5 , Manjeet Jassal 3 ,Ashwini K. Agrawal 3 . 1 Department of Ophthalmology, Dr. RajendraPrasad Centre for Ophthalmic Sciences, All India Institute of MedicalSciences, New Delhi, India; 2 Stem Cell Facility, All India Institute ofMedical Sciences, New Delhi, India; 3 SMITA Research Labs,Department of Textile, Indian Institute of Technology, New Delhi,India; 4 Department of Ocular Pathology,Dr. Rajendra Prasad Centre©2013, Copyright by the Association for Research in Vision and Ophthalmology, Inc., all rights reserved. Go to iovs.org to access the version of record. For permissionto reproduce any abstract, contact the <strong>ARVO</strong> Office at arvo@arvo.org.
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