Sakamoto Taiji
Department of Ophthalmology, Kagoshima University Graduate School of Medical and Dental Sciences.
Nippon Ganka Gakkai Zasshi. 2003 Dec;107(12):866-82; discussion 883.
There is a group of cells, called hyalocytes, in the cortical vitreous. Although hyalocytes were discovered more than a hundred years ago, the molecular and cellular biological characteristics of hyalocytes have yet to be elucidated. In this study, we investigated various aspects of hyalocytes and, also performed triamcinolone acetonide (TA)-assisted vitrectomy to remove the hyalocytes for diabetic macular edema. Immunohistochemical analysis of rat eyes showed that 90% of hyalocytes were negative for ED1 but positive for ED2, indicating that hyalocyte is a tissue macrophage. Chimeric mice were created by transplanting bone marrow from green fluorescent protein (GFP)-transgenic mice into irradiated wild-type mice, showing the origin of hyalocyte to be bone marrow cells. Bovine hyalocytes were cultured successfully. The proliferation of hyalocytes was significantly enhanced by hepatocyte growth factor (HGF), platelet-derived growth factor (PDGF), vascular endothelial growth factor (VEGF), and fibroblast growth factor (FGF-2) and inhibited by transforming growth factor(TGF)-beta. Among these, PDGF-BB stimulated the proliferation most potently through the MEK 1 pathway. Hyalocyte migration assessed by double chamber assay was also stimulated by PDGF-BB and it was mediated by the PI3K and p38 MAPK pathways. Cellular contraction of hyalocyte was significantly enhanced by PDGF-BB and TGF-beta through Rho kinase, p44/42 MAPK, and protein kinase C pathways, as measured by collagen gel contraction assay. Next, the relationship between the vitreous cavity(VC) and the immune system was studied after intravitreous inoculation with ovalbumin (OVA). Injection of OVA into the VC of C 57 BL/6 mice resulted in suppressed systemic cell-mediated immunity to OVA as determined by the ear swelling assay. This aberrant immune responsiveness following VC injection of OVA was termed VC-associated immune deviation or VCAID. The phenomenon of VCAID was mediated by intravitreous antigen-presenting cells. The histological study of chimeric mice showed these cells to be intravitreous residential cells, namely hyalocytes. VCAID was abolished by intravitreous inflammation such as experimental autoimmune uveitis. Finally, TA-assisted vitrectomy for diabetic macular edema was performed to remove cortical vitreous, because it contained many hyalocytes which could secrete inflammatory cytokines including VEGF. Although the number of treated eyes was limited, the surgical results have been favorable so far. The investigation of hyalocytes would open a new avenue for better understanding and development of treatment for various vitreo-retinal diseases.
在皮质玻璃体中有一组细胞,称为玻璃体细胞。尽管玻璃体细胞在一百多年前就已被发现,但其分子和细胞生物学特性尚未阐明。在本研究中,我们对玻璃体细胞的各个方面进行了研究,并且还进行了曲安奈德(TA)辅助玻璃体切除术以清除糖尿病性黄斑水肿患者的玻璃体细胞。对大鼠眼睛进行免疫组织化学分析显示,90%的玻璃体细胞ED1呈阴性,但ED2呈阳性,这表明玻璃体细胞是一种组织巨噬细胞。通过将绿色荧光蛋白(GFP)转基因小鼠的骨髓移植到经照射的野生型小鼠中创建了嵌合小鼠,结果表明玻璃体细胞起源于骨髓细胞。成功培养了牛玻璃体细胞。肝细胞生长因子(HGF)、血小板衍生生长因子(PDGF)、血管内皮生长因子(VEGF)和成纤维细胞生长因子(FGF-2)可显著增强玻璃体细胞的增殖,而转化生长因子(TGF)-β则起抑制作用。其中,PDGF-BB通过MEK 1途径最有效地刺激增殖。通过双室试验评估的玻璃体细胞迁移也受到PDGF-BB的刺激,并且它是由PI3K和p38 MAPK途径介导的。通过胶原凝胶收缩试验测量,PDGF-BB和TGF-β通过Rho激酶、p44/42 MAPK和蛋白激酶C途径显著增强玻璃体细胞的细胞收缩。接下来,在用卵清蛋白(OVA)进行玻璃体内接种后,研究了玻璃体腔(VC)与免疫系统之间的关系。通过耳部肿胀试验测定,向C 57 BL/6小鼠的玻璃体腔注射OVA导致对OVA的全身细胞介导免疫受到抑制。玻璃体腔注射OVA后这种异常的免疫反应性被称为玻璃体腔相关免疫偏离或VCAID。VCAID现象是由玻璃体内抗原呈递细胞介导的。对嵌合小鼠的组织学研究表明这些细胞是玻璃体内驻留细胞,即玻璃体细胞。玻璃体内炎症如实验性自身免疫性葡萄膜炎可消除VCAID。最后,对糖尿病性黄斑水肿患者进行TA辅助玻璃体切除术以清除皮质玻璃体,因为其含有许多可分泌包括VEGF在内的炎性细胞因子的玻璃体细胞。尽管治疗的眼睛数量有限,但迄今为止手术结果良好。对玻璃体细胞的研究将为更好地理解和开发各种玻璃体视网膜疾病的治疗方法开辟一条新途径。