<strong>ARVO</strong> 2013 Annual Meeting Abstracts by Scientific Section/Group - <strong>Cornea</strong>Commercial Relationships: Tingting Qian, None; Jiaxu Hong,None; JianJiang Xu, NoneProgram Number: 994 Poster Board Number: B0299Presentation Time: 1:00 PM - 2:45 PMTranscription factor screening of limbal vs. corneal epitheliumidentifies distinct patterns for SOX-9 and peroxisomeproliferator-activated receptor gamma (PPARG)Johannes Menzel-Severing, Matthias Zenkel, Friedrich E. Kruse,Ursula Schlotzer-Schrehardt. Department of Ophthalmology,University of Erlangen-Nuremberg, Erlangen, Germany.Purpose: To identify transcriptional regulators potentially involvedin limbal epithelial stem cell homeostasis and differentiation.Methods: Limbal and central corneal epithelial specimens wereobtained from four human post-mortem donor eyes using lasercapture microdissection. RNA extracted from these specimensunderwent linear amplification (MessageAmp II, Ambion). Sampleswere screened for differential expression of stem cell transcriptionfactor genes using quantitative real-time PCR arrays(SABiosciences). Candidate genes were confirmed using specificreal-time PCR hydrolysis probe assays (Roche) andimmunohistochemistry of frozen corneal sections.Results: Of 86 genes screened, nine appeared to be differentiallyexpressed, and were therefore investigated further (FOXP2,HOXA11, KLF2, SOX9, STAT3, WRN, MYC, DACH1, PPARG).Using individual assays, increased mRNA expression in limbalspecimens was confirmed for SOX9 and PPARG.Immunohistochemistry showed nuclear localization of SOX-9 inlimbal basal cells, whereas no specific staining was seen in centralcorneal epithelium. PPARG was detected within nuclei of basalepithelial cells of conjunctiva and central cornea, whileperinuclear/cytoplasmic staining was observed in small, basal cellclusters at the limbus.Conclusions: Transcription factor SOX-9 has been suggested toepithelium and the subependymal zone. Several reports haveidentified links to Wnt signaling transducer beta-catenin, for which arole in maintenance of limbal stem cells has been proposed. PPARGis a nuclear receptor associated with differentiation pathways ofadipocytes and epithelial cells as well as growth inhibition ofcarcinoma cells. Nuclear export of PPARG is mediated byMAP2K1/MEK1, which invites to speculate about a possibleupstream activity of the MAPK-pathway in putative limbalprogenitors. Further research is warranted to elucidate the functionalinvolvement of SOX-9 and PPARG in corneal epithelial celldifferentiation, and to assess the usefulness of modulating theiractivity in the context of cell therapy.Commercial Relationships: Johannes Menzel-Severing, None;Matthias Zenkel, None; Friedrich E. Kruse, None; UrsulaSchlotzer-Schrehardt, NoneProgram Number: 995 Poster Board Number: B0300Presentation Time: 1:00 PM - 2:45 PMWnt promotes proliferation of corneal epithelial progenitor cellsin xeno-feeder free cultivationKyung-Sun Na 1, 2 , Jeewon Mok 2 , Jungmook Lyu 2 , Choun-Ki Joo 1, 2 .1 Department of Ophthalmology, The Catholic University of Korea,Seoul, Republic of Korea; 2 Catholic Institutes of Visual Science, TheCatholic University of Korea, Seoul, Republic of Korea.Purpose: This study was to establish a simple, xeno-feeder freemethod for cultivating human corneal limbal explants , and also toexplore the effect of Wnt signaling on epithelial progenitor cellproliferation in this cultivation system in vitro and in vivo.Methods: The limbal tissue explants from cadaveric donor wascultured in Isocove’s Modified Dulbecco’s Medium (IMDM) and lowcalcium Panserin 801 medium in 1:1 ratio. The outgrowing cells wereexamined to characterize with flow cytometry,immunohistochemistry, and real-time PCR (RT-PCR). Sprague-Dawley male rats after alkali injuries using 1N NaOH were used forin vivo verification, after which cultivated epithelial sheets weretransplanted. <strong>Cornea</strong>l opacity, re-epithelialization, andneovasculazation was observed for 2 week, and the tissue sectionsanalyzed with hematoxylin and eosin stain (HE stain). Conditionedmedia from L cells secreting Wnt-3a (Wnt3a-L-CM) was used in thecultivation system, and morphological changes and gene expressionlevel were observed.Results: There was migration of fibroblast like stromal cells fromlimbal explants initially, and then, epithelial cells migrated andgrown on stromal cells as an autofeeder layer, which was revealed bymorphological and immunohistochemical methods. RT-PCR showedthat the expression of epithelial progenitor cells are more intensecompared to fresh limbal tissue. Side population (SP) cells weredetected 0.43 ± 0.04 % (n=5) of the primary culture. Flow cytometryresulted 49.12% of E-cadherin, 40.44% of p63, and 44.55% ofABCG2 identified in the cells from explants. Maintaining cornealtransparency without neovascularization was observed in rats aftercultivated epithelial sheets transplantation for 2 weeks. Predominantincreased tightly packed epithelial cells with Wnt3a-L-CM wereobserved compare to the control CM. ABCG2, p63, Lef1, and CK3was increased in Wnt3a-L-CM.Conclusions: This explants culture system with combining media touse stromal cells as autofeeder layer, showed to expand sufficientlimbal epithelial progenitor cells in vitro and to be transplantedrestoring transparency. Also, these findings demonstrated that Wntsignaling play an important role in the proliferation of limbalepithelial progenitor in the proposed cultivation system. This studymay have clinical impact on the expansion of corneal epithelialprogenitor cells for ocular surface reconstruction.contribute to progenitor cell regulation in hair follicle, intestinal©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.
<strong>ARVO</strong> 2013 Annual Meeting Abstracts by Scientific Section/Group - <strong>Cornea</strong>Commercial Relationships: Kyung-Sun Na, None; Jeewon Mok,None; Jungmook Lyu, None; Choun-Ki Joo, NoneProgram Number: 996 Poster Board Number: B0301Presentation Time: 1:00 PM - 2:45 PMHuman limbal epithelium expanded in a complex medium ormedium with human serum: a comparison of morphology andcytokeratin expressionMeeta Pathak 1 , Kristiane Haug 1 , Aboulghassem Shahdadfar 1 , EliGulliksen 1 , Magnus Roeger 3 , Liv Drolsum 1 , Jon K. Slettedal 1 , BjornNicolaissen 1 , Katerina Jirsova 2 . 1 Centre for Eye Research, Dept. ofOphthalmology, Oslo University Hospital, Oslo, Norway;2 Laboratory of the Biology and Pathology of the Eye, GeneralTeaching Hospital and Charles University, Prague, Czech Republic;3 Dept. of Pathology, Oslo University Hospital Ullevål, Oslo, Norway.Purpose: We compared aspects of ultrastructural morphology andthe expression of selected cytokeratins in human limbal epitheliumexpanded in a complex medium (COM), which contains variousrecombinant growth factors, hormones, Cholera toxin and fetalbovine serum (FBS), and culture medium with human serum (HS) asthe only growth supplement (HS).Methods: Limbal biopsies retrieved from corneo-scleral rings wereplaced with the epithelium facing down on the basement membranesurface of samples of human amniotic membranes. The biopsies werecultured in parallel in either COM or HS at 37°C, 5% CO2, and 95%air. Culture medium was changed every 2-3 days and the epitheliumwas expanded for 3 weeks. Specimens were examined by lightmicroscopy, transmission electron microscopy (TEM) andimmunohistochemistry. Expression of CKs 3, 7, 12, 14, and 19 wasevaluated using fluorescence microcopy, and intensity was graded ona scale from 0 (negative) to 3 (strongly positive).Results: By TEM, cytoplasmic density and distribution ofintermediate filaments showed a similar pattern in epithelial cellsexpanded in both types of medium. In basal cells, the filaments wereloosely organized and inconspicuous apart from those associated withintercellular junctions. Clusters of linear or wavy intermediatefilaments (tonofilaments) were encountered to a varying extent in thecytoplasm of cells in the supra-basal layers.By immunohistochemistry, expression of CK3 was not detected(grade 0) in sections of expanded epithelium regardless of type ofmedium. Both COM and HS supported the expression of CK 7, 12,14 and 19, and grading of the samples for intensity of fluorescencerevealed a similar pattern in epithelium engineered in the two typesof medium. Intensity of fluorescence in sections of epithelium labeledfor CK12 and CK19 was evaluated as weak (grade 1), while theintensity in sections of epithelium labeled for CK7 and CK 14 wasevaluated as strongly positive (grade 3).Conclusions: Our findings indicate that COM and HS may equallysupport the expression of selected CKs, suggesting similar degrees ofepithelial proliferation and differentiation. Further, a difference indensity of cytoplasmic intermediate filaments between basal andsupra-basal cells indicates a maintained gradient for epithelialdifferentiation in both types of medium.Commercial Relationships: Meeta Pathak, None; Kristiane Haug,None; Aboulghassem Shahdadfar, None; Eli Gulliksen, None;Magnus Roeger, None; Liv Drolsum, None; Jon K. Slettedal,None; Bjorn Nicolaissen, None; Katerina Jirsova, NoneProgram Number: 997 Poster Board Number: B0302Presentation Time: 1:00 PM - 2:45 PMComparative gene expression analysis of human cornea limbalepithelial stem cells and differentiated corneal epitheliumGoran Petrovski 1, 2 , Reka Albert 1, 2 , Zoltan Vereb 2 , Morten C. Moe 3 ,Ole Kristoffer Olstad 4 , Andras Berta 1 , Laszlo Fesus 2 . 1 Department ofOphthalmology, University of Debrecen, Medical and Health ScienceCenter, Debrecen, Hungary; 2 Stem Cells and Eye ResearchLaboratory, Department of Biochemistry and Molecular Biology,University of Debrecen, Medical and Health Science Center,Debrecen, Hungary; 3 Department of Ophthalmology, Oslo UniversityHospital, Oslo, Norway; 4 Department of Medical Biochemistry, OsloUniversity Hospital, Oslo, Norway.Purpose: Limbal epithelial stem cells (LESCs) are responsible forcorneal epithelium regeneration. Specific molecular markers forLESCs have not been well defined. Our goal was to find new putativemarkers for these cells and to identify associated molecular pathways.Methods: Limbal tissue explants and central corneal epithelium wereharvested from cadavers (according to the Guidelines of the HelsinkiDeclaration). The explants were cultured ex vivo and expanded intoLESCs in a human serum containing medium. Genome-widemicroarray analysis was performed using Affymetrix GeneChipHuman Gene 1.0 ST Array containing more than 28,000 genetranscripts. Functional analysis using Ingenuity software was carriedout to identify pathways and molecules specific for LESCs.Results: LESCs showed upregulated expression of 10 top molecules(flavin containing monooxygenase (FMO) 1 and 2, fibronectin 1(FN1), kallikrein (KLK) 6 and 7, transcobalamin 1 (TCN1),semaphorin 3A (SEMA3A), annexin A3 (ANXA3), V-set domaincontainingT-cell activation inhibitor 1 (VTCN1) and heat shockprotein beta-8 (HSPB8), and downregulated expression of cartilageacidic protein 1 (CRTAC1), alcohol dehydrogenase class 4 mu/sigmachain (ADH7), hepatic leukemia factor (HLF), CD36, Doublecortindomain containing 5 (DCDC5), Diacylglycerol kinase beta (DGKB),protein prune homolog 2 (PRUNE2), anoctamin 4 (ANO4), deathassociated protein-like 1 (DAPL1) and carbonic anhydrase (CA6)compared to differentiated corneal epithelium (p
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