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Inflammatory cells in proliferative vitreoretinopathy subretinal membranes
D G Charteris1, P Hiscott, H L Robey
1Department of Clinical Science, Institute of Ophthalmology, London, United Kingdom.
Background:
The inflammatory cell content of subretinal membranes occurring in proliferative vitreoretinopathy (PVR) has not yet been well characterized. This study was undertaken to investigate the inflammatory cells present in PVR subretinal membranes.
Methods:
Eight subretinal membranes obtained surgically from eyes with PVR complicating rhegmatogenous retinal detachment were studied immunohistochemically using the avidin-biotin complex technique and a panel of monoclonal and polyclonal antibodies.
Results:
T lymphocytes were found in five of the eight subretinal membranes. CD4+ T cells were demonstrated in four and CD8+ T cells in one of the membranes. T cells bearing the interleukin 2 receptor were found in two of four membranes studied. Macrophages were found in four membranes. No B lymphocytes or neutrophils were demonstrated, and there were no significant deposits of complement or immunoglobulins. Expression of the MHC class II antigen HLA DR was consistently found in frozen specimens. Glial cells and retinal pigment epithelial cells also were present in the membranes, often adjacent to T cells, although overall no obvious relationship was found between glial or retinal epithelial cells and T cells.
Conclusion:
The findings indicate that T lymphocytes are present in PVR subretinal membranes and have the potential to interact with other cell types in the pathogenesis of this condition.
Insights
T lymphocytes and macrophages are present in subretinal membranes associated with proliferative vitreoretinopathy (PVR). These inflammatory cells may play a role in the development of PVR, a condition affecting the retina.
Area of Science:
- Ophthalmology
- Immunology
- Cell Biology
Background:
- Subretinal membranes in proliferative vitreoretinopathy (PVR) have an uncharacterized inflammatory cell composition.
- Understanding these cells is crucial for PVR pathogenesis research.
Purpose of the Study:
- To investigate the specific types of inflammatory cells within surgically obtained PVR subretinal membranes.
- To characterize the cellular infiltrate in PVR.
Main Methods:
- Immunohistochemistry was performed on eight surgically excised PVR subretinal membranes.
- A panel of monoclonal and polyclonal antibodies was used to identify cell types.
Main Results:
- T lymphocytes were detected in five of eight membranes; CD4+ T cells in four, CD8+ T cells in one.
- Macrophages were present in four membranes. No B lymphocytes or neutrophils were found.
- HLA DR expression was consistent; glial and RPE cells were also present.
Conclusions:
- T lymphocytes are confirmed to be present in PVR subretinal membranes.
- These findings suggest a potential role for T lymphocytes in the pathogenesis of PVR through cell interactions.