Biology of corneal fibrosis: soluble mediators, integrins, and extracellular vesicles

Tina B McKay1, Audrey E K Hutcheon2, James D Zieske2

  • 1Schepens Eye Research Institute/Massachusetts Eye and Ear, Department of Ophthalmology, Harvard Medical School, Boston, MA, 02114, USA. Tina_McKay@meei.harvard.edu.

Eye (London, England)
|December 14, 2019
PubMed

Insights

Corneal fibrosis, or scarring, involves complex biochemical pathways and extracellular matrix deposition. This study explores key pro-fibrotic factors and highlights a novel role for epithelial-derived extracellular vesicles in corneal wound healing.

Area of Science:

  • Ophthalmology
  • Cell Biology
  • Biochemistry

Background:

  • Corneal fibrosis disrupts tissue homeostasis, leading to irregular extracellular matrix deposition.
  • Scarring mechanisms are primarily linked to the transforming growth factor-β pathway and myofibroblast differentiation.

Purpose of the Study:

  • To elucidate the biochemical pathways regulating corneal fibrosis.
  • To examine the roles of specific pro-fibrotic factors in corneal scarring.
  • To investigate the contribution of epithelial-derived extracellular vesicles and the basement membrane.

Main Methods:

  • Analysis of biochemical pathways in epithelial debridement, superficial keratectomy, and penetrating incision injury models.
  • Elaboration on the interplay of transforming growth factor-β1, thrombospondin-1, and αvβ6 integrins.
  • Exploration of extracellular vesicle function and basement membrane importance.

Main Results:

  • Detailed discussion of canonical transforming growth factor-β pathway involvement.
  • Identification of key pro-fibrotic factors contributing to corneal scar development.
  • Novel insights into the role of extracellular vesicles in epithelial wound healing.

Conclusions:

  • Corneal fibrosis is a multifactorial process involving specific biochemical pathways and cellular interactions.
  • Transforming growth factor-β1, thrombospondin-1, and αvβ6 are critical in scar formation.
  • Extracellular vesicles and basement membrane integrity are important, underappreciated factors in corneal repair.

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