Kase Satoru, Osaki Mitsuhiko, Sato Izuru, Takahashi Shuji, Nakanishi Katsuya, Yoshida Kazuhiko, Ito Hisao, Ohno Shigeaki
Department of Ophthalmology, Sapporo Social Insurance General Hospital, Sapporo, Japan.
Br J Ophthalmol. 2007 Sep;91(9):1209-12. doi: 10.1136/bjo.2007.115709. Epub 2007 Mar 14.
The pterygium represents an invasion of a wing of altered ocular surface tissue into the normal cornea. The head itself is slightly elevated and white, which is the only site of firm adhesion to the globe. The mechanisms of cell proliferation and adhesion in pterygium epithelium, however, are unknown. The aim of this study was to analyse the expression of cell adhesion molecules in pterygium tissues.
Six pterygia were surgically removed using the bare-sclera procedure, and two normal corneas and a normal bulbar conjunctiva were also obtained. Formalin-fixed, paraffin-embedded tissues were analysed by immunohistochemistry with anti-E-cadherin and beta-catenin antibodies.
Immunoreactivity for E-cadherin was not detected in the normal cornea and conjunctiva. In contrast, all corneal and conjunctival epithelial cells showed a weak homogeneous immunoreaction for beta-catenin on the cell membrane. In the pterygium head, the thickness was relatively marked compared with the body, and normal conjunctival and corneal epithelia. E-cadherin as well as beta-catenin was heterogeneously expressed in the cell membrane and cytoplasm of a variety of epithelial cells, whereas the expression was less marked in the body. Several epithelial cells showed intense nuclear immunoreactivity for beta-catenin. Immunoreactivity of beta-catenin, but not E-cadherin, was detected in only a few stromal cells, which were less marked than in epithelial cells.
It is suggested that E-cadherin and beta-catenin are concentrated in pterygium tissue, and are possibly involved with epithelial proliferation and adhesion.
翼状胬肉是眼表组织发生改变的一个翼侵入正常角膜。胬肉头部本身略隆起且呈白色,这是其与眼球牢固粘连的唯一部位。然而,翼状胬肉上皮细胞增殖和粘连的机制尚不清楚。本研究的目的是分析翼状胬肉组织中细胞粘附分子的表达。
采用裸巩膜手术方法手术切除6例翼状胬肉,并获取2个正常角膜和1个正常球结膜。用抗E-钙粘蛋白和β-连环蛋白抗体通过免疫组织化学对福尔马林固定、石蜡包埋的组织进行分析。
在正常角膜和结膜中未检测到E-钙粘蛋白的免疫反应性。相比之下,所有角膜和结膜上皮细胞在细胞膜上均显示出对β-连环蛋白的微弱均匀免疫反应。在翼状胬肉头部,与胬肉体部以及正常结膜和角膜上皮相比,其厚度相对明显。E-钙粘蛋白以及β-连环蛋白在多种上皮细胞的细胞膜和细胞质中呈异质性表达,而在胬肉体部表达较弱。一些上皮细胞显示出对β-连环蛋白强烈的核免疫反应性。仅在少数基质细胞中检测到β-连环蛋白的免疫反应性,而未检测到E-钙粘蛋白的免疫反应性,且基质细胞中的免疫反应性比上皮细胞中的弱。
提示E-钙粘蛋白和β-连环蛋白在翼状胬肉组织中聚集,可能与上皮细胞增殖和粘连有关。