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Published on: November 22, 2024
Expression and potential role of major inflammatory cytokines in experimental keratomycosis
Wenxian Zhong1, Hongmei Yin, Lixin Xie
1State Key Laboratory Cultivation Base, Shandong Provincial Key Laboratory of Ophthalmology, Shandong Eye Institute, Qingdao, China.
Purpose:
The aim of this study was to investigate the expression and regulation of the four major inflammatory cytokines in fungal keratitis (FK) with the goal of further understanding its pathogenesis in order to develop more effective therapeutic approaches.
Methods:
Aspergillus fumigatus and Candida albicans were the corneal pathogens selected for this study to establish murine FK using epikeratophakia with the aid of corneal epithelium erasion. One, three, five, and seven days post-infection, the corneal lesions and inflammatory responses were observed by slit-lamp and histopathology, and the expressions of the four inflammatory cytokines, macrophage inflammatory protein-2 (MIP-2), cytokine-induced neutrophil chemoattractant (KC), interleukin-1beta (IL-1beta), and interleukin-6 (IL-6), in the infected corneas were determined using reverse transcription polymerase chain reaction (RT-PCR) and enzyme-linked immunosorbent assay (ELISA). For the intervention experiment with neutralizing antibodies, the experimental mice were then injected subconjunctivally with 5 microl (2 ng/microl) MIP-2 or IL-1beta polyclonal antibody 1 h before and 24 h after surgery. Reestablishment of the FK murine model was performed following injection. Effects of MIP-2 or IL-1beta polyclonal antibody on the corneal diseases were observed by slit-lamp microscopy, histopathology, and ELISA.
Results:
Expression of MIP-2, KC, IL-1beta, and IL-6 was upregulated significantly in the infected group one, three, five, and seven days after surgery. Following treatment with an MIP-2 polyclonal antibody, the corneal clinical scores and inflammatory responses decreased, the MIP-2 protein levels were downregulated significantly (p<0.01), and the KC protein levels decreased slightly (p>0.05). Upon administration of IL-1beta polyclonal antibodies, the decrease in clinical scores, inflammatory responses, and protein levels of MIP-2 and KC was apparent at 1 and 3 days after infection (p<0.01).
Conclusions:
A persistent, high level expression of MIP-2 and IL-1beta is an important and even major factor in the corneal pathogenesis of FK. Specific polyclonal neutralizing antibodies may be administered to inhibit the major chemokines and cytokines responsible for corneal damage thus effectively relieving the injury caused by FK.
Insights
High levels of macrophage inflammatory protein-2 (MIP-2) and interleukin-1beta (IL-1beta) drive fungal keratitis (FK) pathogenesis. Neutralizing these cytokines with antibodies effectively reduced corneal damage and inflammation in a mouse model.
Area of Science:
- Ophthalmology
- Immunology
- Microbiology
Background:
- Fungal keratitis (FK) is a serious eye infection.
- Understanding the inflammatory mechanisms of FK is crucial for developing effective treatments.
Purpose of the Study:
- To investigate the expression and regulation of four key inflammatory cytokines in fungal keratitis.
- To elucidate the role of these cytokines in FK pathogenesis.
- To explore therapeutic strategies targeting these cytokines.
Main Methods:
- Established a murine model of fungal keratitis using Aspergillus fumigatus and Candida albicans.
- Monitored corneal lesions and inflammatory responses via slit-lamp and histopathology.
- Quantified cytokine expression (MIP-2, KC, IL-1beta, IL-6) using RT-PCR and ELISA.
- Administered neutralizing antibodies against MIP-2 and IL-1beta to assess their therapeutic effects.
Main Results:
- Significant upregulation of MIP-2, KC, IL-1beta, and IL-6 was observed in infected corneas.
- Treatment with MIP-2 antibodies reduced clinical scores and inflammatory markers.
- IL-1beta antibody treatment notably decreased clinical scores, inflammation, and associated cytokine levels.
Conclusions:
- Sustained high expression of MIP-2 and IL-1beta plays a major role in fungal keratitis pathogenesis.
- Targeting these key cytokines with neutralizing antibodies offers a promising therapeutic approach for FK.
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