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Quantifying the Mechanical Properties of the Endothelial Glycocalyx with Atomic Force Microscopy
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Modeling the Endothelial Glycocalyx Layer in the Human Conventional Aqueous Outflow Pathway.

Alireza Karimi1, Mahdi Halabian1, Reza Razaghi1

  • 1Department of Ophthalmology and Visual Sciences, University of Alabama at Birmingham, Birmingham, AL 35233, USA.

Cells
|December 11, 2022
PubMed
Summary

The eye's conventional outflow pathway has a charged glycocalyx layer that influences aqueous humor flow. This layer plays a minor role in regulating intraocular pressure (IOP) and outflow resistance.

Keywords:
Schlemm’s canalaqueous outflow resistanceelectro-fluid–structure interactionendothelial glycocalyx layerjuxtacanalicular tissuetrabecular meshwork

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Area of Science:

  • Ocular Biomechanics
  • Fluid Dynamics
  • Cell Biology

Background:

  • The glycocalyx, a layer of proteoglycans and glycoproteins, covers key structures in the eye's aqueous humor outflow pathway.
  • This layer is implicated in mechanotransduction and regulating outflow resistance, a primary determinant of intraocular pressure (IOP).

Purpose of the Study:

  • To investigate the biomechanical role of the endothelial glycocalyx layer in the conventional aqueous outflow pathway.
  • To model the electrical-fluid-structure interaction (EFSI) within the trabecular meshwork (TM), juxtacanalicular tissue (JCT), and Schlemm's canal (SC).

Main Methods:

  • A 3D microstructural finite element (FE) model of the human eye's TM/JCT/SC complex was developed.
  • The model incorporated a charged double layer representing the glycocalyx and modeled aqueous humor as electroosmotic flow.
  • The electrical-fluid-structure interaction (EFSI) method was employed to couple the glycocalyx, aqueous humor, and outflow tissues.

Main Results:

  • Elevated IOP (15 mmHg) in the EFSI model showed a 9% decrease (2.35 mm/s) in maximum aqueous humor velocity compared to a fluid-structure interaction (FSI) model.
  • The charged endothelial glycocalyx layer demonstrated a minor influence on biomechanical stresses, strains, and aqueous humor hydrodynamics.

Conclusions:

  • The electrical charge of the endothelial glycocalyx layer has a limited but measurable impact on the biomechanics and hydrodynamics of the conventional aqueous outflow pathway.
  • Further research may elucidate the full functional significance of the glycocalyx in ocular fluid dynamics and IOP regulation.