Vitreous levels of Lipocalin-2 on patients with primary rhegmatogenous retinal detachment.

<h4>Purpose</h4>To measure vitreous levels of Lipocalin2 (LCN2) in patients with rhegmatogenous retinal detachment (RRD) and investigate potential association with presence of proliferative vitreoretinopathy (PVR).<h4>Materials and methods</h4>Collection of undiluted vitreous...

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Main Authors: Georgios Batsos, Eleni Christodoulou, Georgios Vartholomatos, Petros Galanis, Maria Stefaniotou
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2019-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0227266&type=printable
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author Georgios Batsos
Eleni Christodoulou
Georgios Vartholomatos
Petros Galanis
Maria Stefaniotou
author_facet Georgios Batsos
Eleni Christodoulou
Georgios Vartholomatos
Petros Galanis
Maria Stefaniotou
author_sort Georgios Batsos
collection DOAJ
description <h4>Purpose</h4>To measure vitreous levels of Lipocalin2 (LCN2) in patients with rhegmatogenous retinal detachment (RRD) and investigate potential association with presence of proliferative vitreoretinopathy (PVR).<h4>Materials and methods</h4>Collection of undiluted vitreous samples from 24 patients suffering from RRD and 10 control patients undergoing vitrectomy for: vitreomacular traction (VMT) (n = 2), idiopathic epiretinal membrane (iERM) (n = 6) and full thickness macular hole (FTMH) (n = 2). Quantitative analysis of LCN2 has been made with flow cytometry. Lens status, duration of symptoms, quadrants of detachment, as well as level of PVR, were assessed. Statistical analysis included Mann-Whitney test, Kruskal-Wallis test, t-test, Spearman's correlation coefficient and Fisher's exact test.<h4>Results</h4>Median LCN2 was significantly higher in the RRD group as compared to control (p<0.001). Within the RRD group there was a positive correlation between LCN2 and PVR grade (rs = 0.94, p<0.001). Median LCN2 was 35,759 pg/ml (IR = 55,347) in grade C PVR, 9,387 pg/ml (IR = 3721) in grade B, 4,917 pg/ml (IR = non computable) in grade A and 3,921 pg/ml (2132) in the no PVR group. Median LCN2 was also significantly higher in pseudophakic patients as compared to phakic patients (p = 0.007). LCN2 also correlates with the extend of detachment (≤2 vs >2 quadrants, p<0.001) as well as with duration of symptoms (rs = 0.87, p<0.001). After multivariate linear regression analysis, only PVR was independently related with LCN2 concentration. In particular, increased PVR grading was associated with increased LCN2 concentration (coefficient b = 2.97, 95% confidence interval = 1.89 to 4.67, p<0.001).<h4>Conclusion</h4>A positive correlation between vitreous levels of LCN2 and PVR grading reveals a potential role in the pathogenesis and progression of PVR. Further studies could elucidate if LCN2 could be a therapeutic target.
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spelling doaj-art-2ed8df05a65f4c6ba19f4474f5a3edbd2025-08-20T02:55:16ZengPublic Library of Science (PLoS)PLoS ONE1932-62032019-01-011412e022726610.1371/journal.pone.0227266Vitreous levels of Lipocalin-2 on patients with primary rhegmatogenous retinal detachment.Georgios BatsosEleni ChristodoulouGeorgios VartholomatosPetros GalanisMaria Stefaniotou<h4>Purpose</h4>To measure vitreous levels of Lipocalin2 (LCN2) in patients with rhegmatogenous retinal detachment (RRD) and investigate potential association with presence of proliferative vitreoretinopathy (PVR).<h4>Materials and methods</h4>Collection of undiluted vitreous samples from 24 patients suffering from RRD and 10 control patients undergoing vitrectomy for: vitreomacular traction (VMT) (n = 2), idiopathic epiretinal membrane (iERM) (n = 6) and full thickness macular hole (FTMH) (n = 2). Quantitative analysis of LCN2 has been made with flow cytometry. Lens status, duration of symptoms, quadrants of detachment, as well as level of PVR, were assessed. Statistical analysis included Mann-Whitney test, Kruskal-Wallis test, t-test, Spearman's correlation coefficient and Fisher's exact test.<h4>Results</h4>Median LCN2 was significantly higher in the RRD group as compared to control (p<0.001). Within the RRD group there was a positive correlation between LCN2 and PVR grade (rs = 0.94, p<0.001). Median LCN2 was 35,759 pg/ml (IR = 55,347) in grade C PVR, 9,387 pg/ml (IR = 3721) in grade B, 4,917 pg/ml (IR = non computable) in grade A and 3,921 pg/ml (2132) in the no PVR group. Median LCN2 was also significantly higher in pseudophakic patients as compared to phakic patients (p = 0.007). LCN2 also correlates with the extend of detachment (≤2 vs >2 quadrants, p<0.001) as well as with duration of symptoms (rs = 0.87, p<0.001). After multivariate linear regression analysis, only PVR was independently related with LCN2 concentration. In particular, increased PVR grading was associated with increased LCN2 concentration (coefficient b = 2.97, 95% confidence interval = 1.89 to 4.67, p<0.001).<h4>Conclusion</h4>A positive correlation between vitreous levels of LCN2 and PVR grading reveals a potential role in the pathogenesis and progression of PVR. Further studies could elucidate if LCN2 could be a therapeutic target.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0227266&type=printable
spellingShingle Georgios Batsos
Eleni Christodoulou
Georgios Vartholomatos
Petros Galanis
Maria Stefaniotou
Vitreous levels of Lipocalin-2 on patients with primary rhegmatogenous retinal detachment.
PLoS ONE
title Vitreous levels of Lipocalin-2 on patients with primary rhegmatogenous retinal detachment.
title_full Vitreous levels of Lipocalin-2 on patients with primary rhegmatogenous retinal detachment.
title_fullStr Vitreous levels of Lipocalin-2 on patients with primary rhegmatogenous retinal detachment.
title_full_unstemmed Vitreous levels of Lipocalin-2 on patients with primary rhegmatogenous retinal detachment.
title_short Vitreous levels of Lipocalin-2 on patients with primary rhegmatogenous retinal detachment.
title_sort vitreous levels of lipocalin 2 on patients with primary rhegmatogenous retinal detachment
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0227266&type=printable
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