Differential expression of antimicrobial peptides in human fungal keratitis

Jia-Song Wang1, Xi Peng1, Zhao Zhao1

  • 1Department of Ophthalmology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, Hubei Province, China.

Abstract

Insights

Antimicrobial peptides (AMPs) are elevated in active fungal keratitis (FK). Human beta-defensin-2 (HBD-2) and LL-37 show specific roles in Fusarium and Aspergillus keratitis, respectively.

Area of Science:

  • Ophthalmology
  • Immunology
  • Microbiology

Background:

  • Fungal keratitis (FK) is a serious eye infection.
  • Antimicrobial peptides (AMPs) are crucial in innate immunity against pathogens.
  • Understanding AMPs' role in FK can inform treatment strategies.

Purpose of the Study:

  • To quantify the expression of various AMPs in corneal tissue during active FK and after healing.
  • To investigate potential differences in AMP expression related to specific fungal species.

Main Methods:

  • Corneal tissue samples were obtained from patients undergoing lamellar keratoplasty for severe FK or corneal scars.
  • Quantitative real-time PCR was employed to measure the gene expression of specific AMPs, including human beta-defensin (HBD) variants and LL-37.

Main Results:

  • All studied AMPs showed elevated messenger ribonucleic acid (mRNA) expression in active FK samples compared to healed samples.
  • HBD-1, -9, S100A8, S100A9, and LL-37 were constitutively expressed in healed corneal tissue.
  • HBD-2 mRNA levels were significantly higher in Fusarium keratitis, while LL-37 mRNA was significantly elevated in Aspergillus keratitis.

Conclusions:

  • AMPs expression is significantly upregulated during active fungal keratitis.
  • Specific AMPs, notably HBD-2 and LL-37, demonstrate differential expression patterns linked to Fusarium and Aspergillus species, respectively.
  • These findings suggest a targeted role for certain AMPs in the host response to different fungal pathogens causing keratitis.