Fariss R N, Apte S S, Olsen B R, Iwata K, Milam A H
Department of Ophthalmology, University of Washington, Seattle 98195-6485, USA.
Am J Pathol. 1997 Jan;150(1):323-8.
Mutations in tissue inhibitor of metalloproteinases (TIMP)-3 are found in some patients with Sorsby's fundus dystrophy, a retinal degeneration characterized by abnormal deposits in Bruch's membrane and choroidal neovascularization. The purpose of this study was to localize TIMP-3 in the retina/choroid of normal human and animal eyes. Immunolabeling was performed on unfixed and fixed sections of human eyes aged 24 to 85 years and unfixed sections of baboon, chicken, cow, pig, and rat eyes using a monoclonal antibody against a human TIMP-3 synthetic peptide. The antibody produced strong immunolabeling of Bruch's membrane and drusen and weak labeling of retina blood vessels in unfixed human and baboon eyes. Unfixed chicken, cow, pig, and rat tissues showed no reactivity. After antigen retrieval, all fixed human eyes showed specific labeling of Bruch's membrane and drusen, which was strongest in eyes from elderly donors. The results indicate that TIMP-3 is an extracellular matrix component of Bruch's membrane. Thus, abnormal local function of TIMP-3 may lead to the characteristic Bruch's membrane deposits and choroidal neovascularization found in Sorsby's fundus dystrophy. Specific labeling of drusen raises the possibility that altered TIMP-3-mediated matrix remodeling may contribute to age-related degenerative changes in Bruch's membrane.
基质金属蛋白酶组织抑制剂(TIMP)-3的突变在一些患有索斯比眼底营养不良的患者中被发现,这是一种视网膜变性疾病,其特征为布鲁赫膜出现异常沉积物以及脉络膜新生血管形成。本研究的目的是在正常人和动物眼睛的视网膜/脉络膜中定位TIMP-3。使用针对人TIMP-3合成肽的单克隆抗体,对年龄在24至85岁的人眼未固定和固定切片以及狒狒、鸡、牛、猪和大鼠眼的未固定切片进行免疫标记。该抗体在未固定的人眼和狒狒眼中对布鲁赫膜和玻璃膜疣产生强烈免疫标记,对视网膜血管产生弱标记。未固定的鸡、牛、猪和大鼠组织未显示反应性。经过抗原修复后,所有固定的人眼均显示布鲁赫膜和玻璃膜疣的特异性标记,在老年供体的眼中最为强烈。结果表明TIMP-3是布鲁赫膜的一种细胞外基质成分。因此,TIMP-3的局部功能异常可能导致索斯比眼底营养不良中发现的布鲁赫膜特征性沉积物和脉络膜新生血管形成。玻璃膜疣的特异性标记增加了TIMP-3介导的基质重塑改变可能导致布鲁赫膜年龄相关性退行性变化的可能性。