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Cytokeratin expression in corneal dystrophies
Anamaria Baptista Coutinho1, Denise de Freitas, João Pessoa de Souza Filho
1São Paulo Federal University, SP, Brazil. anamariacoutinho@hotmail.com
Purpose:
To identify an immunohistochemical pattern of epithelial markers in granular, lattice and Avellino corneal dystrophies.
Methods:
Twenty-two corneal buttons, diagnosed as lattice (17), Avellino (4) and granular (1) underwent immunohistochemical studies of cytokeratins (CKs) on paraffin-embedded sections (group I). Monoclonal antibodies for pan-CK (AE1/AE3) and CKs 3/12, 5/6, 8, 18 and 19 were used. Twenty-two normal corneas were used as the control (group II).
Results:
Six lattice and 2 Avellino cases of group I stained positively with anti-CK 3/12 in corneal epithelium and areas of corneal stroma deposits. One of these cases of lattice was positive for anti-pan-CK (AE1/AE3) also in the epithelium and areas of corneal stroma deposits with a similar pattern. None of the controls (group II) revealed any staining in corneal stroma. All disease and control cases (groups I and II) revealed positive staining in corneal epithelium.
Conclusion:
AE1/AE3 and CK 3/12 anti-CK positive markers in the stromal deposits of lattice and Avellino dystrophies may suggest an epithelial genesis of the disease.
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