Airborne Particulates Affect Corneal Homeostasis and Immunity

Abstract

Insights

Airborne particulate matter (PM) <2.5 µm exacerbates Pseudomonas aeruginosa (PA) eye infections, increasing corneal perforation and inflammation. PM2.5 exposure also triggers oxidative stress and elevates inflammatory markers in corneal cells.

Area of Science:

  • Ophthalmology
  • Environmental Health
  • Toxicology

Background:

  • Airborne particulate matter (PM2.5) is a growing environmental concern.
  • Ocular infections, such as those caused by Pseudomonas aeruginosa (PA), can lead to severe vision impairment.
  • The combined effects of PM2.5 and ocular pathogens on corneal health are not well understood.

Purpose of the Study:

  • To investigate the in vitro and in vivo effects of PM2.5 on normal and PA-infected corneas.
  • To determine the impact of PM2.5 on corneal epithelial cell viability, oxidative stress, and inflammatory responses.
  • To evaluate the role of PM2.5 in exacerbating PA-induced keratitis and corneal perforation.

Main Methods:

  • In vitro studies used MTT assays to assess cell viability of mouse corneal epithelial cells (MCEC) and human corneal epithelial cells (HCET) exposed to PM2.5.
  • Oxidative stress and inflammatory marker gene expression (mRNA) were analyzed using RT-PCR in MCEC and HCET.
  • In vivo studies involved topical application of PM2.5 to PA-infected mouse corneas, followed by clinical scoring, histology, bacterial plate counts, myeloperoxidase assays, RT-PCR, ELISA, and Western blotting.

Main Results:

  • PM2.5 exposure (25-200 µg/mL) did not significantly reduce MCEC and HCET viability but increased reactive oxygen species in MCEC.
  • PM2.5 exposure upregulated mRNA levels of inflammatory and oxidative stress markers in both mouse and human corneal cells.
  • In vivo, PA-infected corneas exposed to PM2.5 showed earlier perforation, increased bacterial load, elevated myeloperoxidase activity, and higher expression of pro-inflammatory markers and High Mobility Group Box 1 (HMGB1) protein compared to PA infection alone.

Conclusions:

  • PM2.5 acts as a significant risk factor, exacerbating Pseudomonas aeruginosa keratitis.
  • The mechanism involves PM2.5-induced oxidative stress, inflammation, and upregulation of HMGB1.
  • These effects contribute to accelerated corneal perforation in infected eyes.

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