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Am J OphthalmolOctober 20180 citations

Cytokine Levels in the Aqueous Humor Are Associated With Corneal Thickness in Eyes With Bullous Keratopathy.

Suzuki Natsume, Yamaguchi Takefumi, Shibata Shinsuke, Nagai Toshihiro, Noma Hisashi, Tsubota Kazuo, Shimazaki Jun


AI Summary

This study found that corneal edema severity in bullous keratopathy correlates with specific inflammatory cytokines (IL-13, sICAM-1) in the aqueous humor, suggesting a role for inflammation in its pathogenesis.

Abstract

Purpose

We sought to investigate the association between the severity of bullous keratopathy and proinflammatory cytokine levels in the aqueous humor (AqH).

Design

Cross-sectional study.

Methods

This study included a total of 95 eyes: 62 with bullous keratopathy and 33 that underwent cataract surgery. Central corneal thickness (CCT) and central corneal volume within 4 and 6 mm (CCV 4mm and CCV 6mm , respectively) were determined using anterior segment optical coherence tomography. A total of 95 AqH samples were collected at the beginning of surgery. The levels of cytokines (interleukins [ILs]-1α, -1β, -4, -6, -8, -10, -12p70, -13, -17A, interferon [IFN]-α, IFN-γ, monocyte chemotactic protein [MCP]-1, E-selectin, P-selectin, and soluble intercellular adhesion molecule-1 [sICAM-1]) in the AqH were measured using multiplex beads immunoassay. We evaluated the correlation among AqH cytokine levels, CCT, CCV 4mm , and CCV 6mm in eyes with bullous keratopathy.

Results

The levels of protein, ILs-4, -6, -8, -10, -12p70, and -17A, MCP-1, IFN-γ, E-selectin, P-selectin, and sICAM-1 were significantly higher in eyes with bullous keratopathy compared with those of the normal control subjects (all P < .0025). CCT was significantly correlated with the levels of IL-13 (r = 0.551, P = .0009) and sICAM-1 (r = 0.448, P = .0005). CCV 4mm was significantly correlated with the levels of IL-13 (r = 0.514, P = .0022) and sICAM-1 (r = 0.404, P = .0019). CCV 6mm was significantly correlated with the level of sICAM-1 (r = 0.459, P = .0003).

Conclusion

The severity of corneal edema in eyes with bullous keratopathy was associated with the levels of specific cytokines in the AqH.


MeSH Terms

AgedAged, 80 and overAqueous HumorCataract ExtractionCorneaCorneal DiseasesCorneal EdemaCross-Sectional StudiesCytokinesFemaleHumansImmunoassayMaleMiddle AgedOrgan SizeProspective StudiesTomography, Optical Coherence

Key Concepts4

In a cross-sectional study of 95 eyes (62 with bullous keratopathy and 33 controls undergoing cataract surgery), the levels of protein, interleukins (ILs)-4, -6, -8, -10, -12p70, and -17A, monocyte chemotactic protein (MCP)-1, interferon (IFN)-γ, E-selectin, P-selectin, and soluble intercellular adhesion molecule-1 (sICAM-1) in the aqueous humor were significantly higher in eyes with bullous keratopathy compared with those of the normal control subjects (all P < .0025).

MechanismCross-sectionalCross-sectional Studyn=95 eyes (62 with bullous keratopathy,…Ch17Ch23

In a cross-sectional study of 62 eyes with bullous keratopathy, central corneal thickness (CCT) was significantly correlated with the levels of IL-13 (r = 0.551, P = .0009) and sICAM-1 (r = 0.448, P = .0005) in the aqueous humor.

PrognosisCross-sectionalCross-sectional Studyn=62 eyes with bullous keratopathyCh17

In a cross-sectional study of 62 eyes with bullous keratopathy, central corneal volume within 4mm (CCV 4mm) was significantly correlated with the levels of IL-13 (r = 0.514, P = .0022) and sICAM-1 (r = 0.404, P = .0019) in the aqueous humor.

PrognosisCross-sectionalCross-sectional Studyn=62 eyes with bullous keratopathyCh17

In a cross-sectional study of 62 eyes with bullous keratopathy, central corneal volume within 6mm (CCV 6mm) was significantly correlated with the level of sICAM-1 (r = 0.459, P = .0003) in the aqueous humor.

PrognosisCross-sectionalCross-sectional Studyn=62 eyes with bullous keratopathyCh17

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