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Published on: January 7, 2019
Tissue microarray analysis of cyclin-dependent kinase inhibitors p21 and p16 in Fuchs dystrophy
Mario Matthaei1, Eva-Maria Lackner, Huan Meng
1The Wilmer Eye Institute, Johns Hopkins University, Baltimore, MD 21231, USA.
Purpose:
To investigate the novel application of tissue microarray (TMA) technology to corneal disease and to report altered protein expression of senescence-associated cyclin-dependent kinase inhibitors p21 and p16 in Fuchs endothelial corneal dystrophy (FECD).
Methods:
A TMA including 208 cores was generated from paraffin-embedded tissues, including corneal buttons of 50 FECD and 5 keratoconus patients retrieved after penetrating keratoplasty, 10 autopsy globes with nonpathologic corneas, and nonocular control specimens. TMA sections were immunolabeled for p21 and p16 and analyzed using a 9-grade scoring system (0-8). Result validation was performed by immunolabeling of individual whole tissue sections. Corneal endothelial p21 and p16 expression levels in FECD specimens compared with controls served as main outcome measures.
Results:
TMA immunohistochemical analysis disclosed increased endothelial expression levels of nuclear p21 in FECD specimens (P < 0.05) and an altered endothelial p16 expression pattern. Immunolabeling of whole tissue sections showed statistically significant endothelial overexpression of both proteins (p21 and p16, P < 0.05).
Conclusions:
The present study introduces TMA technology as a valuable tool for molecular high-throughput profiling of corneal tissues. It demonstrates p21 and p16 overexpression in the corneal endothelium of genetically undifferentiated FECD patients supporting a role of cellular senescence in the pathogenesis of FECD.
Insights
Tissue microarray technology revealed increased p21 and p16 protein expression in Fuchs endothelial corneal dystrophy (FECD), suggesting cellular senescence contributes to FECD pathogenesis.
Area of Science:
- Ophthalmology
- Molecular Biology
- Cellular Senescence
Background:
- Fuchs endothelial corneal dystrophy (FECD) is a progressive corneal disease.
- Cellular senescence, a state of irreversible growth arrest, is implicated in various pathologies.
- Senescence-associated cyclin-dependent kinase inhibitors, p21 and p16, are key regulators of the cell cycle.
Purpose of the Study:
- To evaluate the utility of tissue microarray (TMA) technology in corneal disease research.
- To investigate the expression levels of p21 and p16 in the corneal endothelium of FECD patients.
- To explore the potential role of cellular senescence in FECD pathogenesis.
Main Methods:
- A tissue microarray (TMA) was constructed using corneal tissues from FECD patients, keratoconus patients, and nonpathologic controls.
- TMA sections were immunolabeled for p21 and p16.
- Protein expression levels were quantified using a standardized scoring system, with validation by whole tissue section analysis.
Main Results:
- TMA analysis showed significantly increased endothelial expression of p21 in FECD specimens.
- An altered expression pattern of p16 was observed in FECD endothelium.
- Validation studies confirmed statistically significant overexpression of both p21 and p16 in the corneal endothelium of FECD patients.
Conclusions:
- Tissue microarray (TMA) technology is a valuable tool for high-throughput molecular profiling of corneal tissues.
- Overexpression of p21 and p16 in FECD corneal endothelium supports the involvement of cellular senescence in FECD.
- These findings provide insights into the molecular mechanisms underlying FECD and suggest potential therapeutic targets.
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