Related Experiment Video
Updated: Sep 21, 2025

Establishing a Porcine Ex Vivo Cornea Model for Studying Drug Treatments against Bacterial Keratitis
Published on: May 12, 2020
Role of surfactant protein-D in ocular bacterial infection
Xinzhu Hou1, Xin Zhang1, Zhiyong Zhang2,3
1The Second Affiliated College of Zhejiang Chinese Medical University, Hangzhou, 310053, Zhejiang, People's Republic of China.
Purpose:
Our review explains the role of surfactant protein D (SP-D) in different kinds of bacterial infection based on its presence in different ocular surface tissues. We discuss the potential role of SP-D against invasion by pathogens, with the aim of identifying new prospects for the possible mechanism of SP-D-mediated immune processes, and the diagnosis, prognosis, or treatment of ocular bacterial infection.
Methods:
We reviewed articles about the role of SP-D in various ocular bacterial infections or infection-related ocular diseases through PubMed, Google Scholar, and the Web of Science databases.
Results:
SP-D acts as an important immune factor that can resemble molecules in different polymerization states and that defends against pathogen invasion. The increased SP-D production and secretion in tear fluid and the cornea after ocular bacterial infections such as Staphylococcus aureus, Pseudomonas aeruginosa keratitis, and infection-related ocular diseases, was shown to have potential anti-inflammatory effects. The mechanisms of SP-D's action against ocular bacterial infections include presenting, aggregating, opsonizing, and phagocytizing antigens, as well as regulating anti-bacterial immunity processes, including toll-like receptor-5 (TLR-5) pathway and IL-8 effect, TLR-4 and TLR-2 pathways and other possible ways remained to be elucidated in more detail. The findings demonstrate the potential of SP-D as an important clinical diagnostic biomarker prognosis predictor, and target for ocular immunotherapy.
Conclusion:
SP-D participates in invasion by different ocular bacteria and infection-related ocular diseases through multiple immune mechanisms. This finding provides new prospects for the diagnosis, prognosis and treatment of ocular bacterial infection.
Insights
Surfactant protein D (SP-D) plays a key role in defending against ocular bacterial infections. This immune factor shows potential for diagnosing, predicting, and treating eye infections.
Area of Science:
- Immunology
- Ophthalmology
- Microbiology
Background:
- Surfactant protein D (SP-D) is an immune factor present in ocular surface tissues.
- SP-D plays a role in defending against pathogen invasion.
Purpose of the Study:
- To explain the role of SP-D in various ocular bacterial infections.
- To identify new prospects for SP-D-mediated immune processes in ocular bacterial infections.
- To explore SP-D's potential in the diagnosis, prognosis, and treatment of ocular bacterial infections.
Main Methods:
- A systematic review of articles was conducted.
- Databases searched included PubMed, Google Scholar, and the Web of Science.
- Articles focused on SP-D's role in ocular bacterial infections and related diseases.
Main Results:
- Increased SP-D production in tears and cornea observed in bacterial keratitis (e.g., Staphylococcus aureus, Pseudomonas aeruginosa) and related diseases.
- SP-D exhibits anti-inflammatory effects and defends against pathogen invasion through mechanisms like opsonization and phagocytosis.
- SP-D's action involves pathways such as TLR-5, TLR-4, and TLR-2, with further elucidation needed.
Conclusions:
- SP-D is involved in combating ocular bacterial infections and related diseases via multiple immune mechanisms.
- SP-D holds promise as a diagnostic biomarker, prognostic predictor, and therapeutic target for ocular bacterial infections.
More Related Videos
Related Concept Videos
Breathing
Surface Membrane Barriers
The outer layer of the skin, the epidermis, is a robust barrier comprising layers of closely packed keratinized cells. This dense arrangement prevents microbes from penetrating the body. The periodic shedding of epidermal cells...
Biofilms
Gene Regulation in Microbial Communities: Quorum Sensing
Formation of Lipopolysaccharides

