Comparison of Biomarkers Playing a Role in Pterygium Development in Pterygium and Recurrent Pterygium Tissues

<b>Background/Objectives:</b> Pterygium is a nonneoplastic elastotic degeneration characterized by subepithelial growth. It manifests as an ocular lesion originating from the bulbar conjunctiva, extending to the corneal surface, and reaching the visual axis in some cases. Although the ex...

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Main Authors: Özgür Eroğul, Serkan Şen
Format: Article
Language:English
Published: MDPI AG 2024-11-01
Series:Diagnostics
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Online Access:https://www.mdpi.com/2075-4418/14/23/2619
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author Özgür Eroğul
Serkan Şen
author_facet Özgür Eroğul
Serkan Şen
author_sort Özgür Eroğul
collection DOAJ
description <b>Background/Objectives:</b> Pterygium is a nonneoplastic elastotic degeneration characterized by subepithelial growth. It manifests as an ocular lesion originating from the bulbar conjunctiva, extending to the corneal surface, and reaching the visual axis in some cases. Although the exact cause is unknown, prolonged exposure to ultraviolet radiation is considered the most significant contributing factor. Chronic irritation and actinic damage are likely responsible for the typical fibrovascular reactions observed in pterygium. Additionally, growth factors, cytokines, and matrix metalloproteinases play roles in the pathogenesis of pterygium. This study compared recurrent and primary pterygium cases at the molecular level to gain new insights into the etiology of pterygium. <b>Methods:</b> Total protein was extracted from surgical samples of patients with primary and recurrent pterygium, and the levels of transforming growth factor beta 1 (<i>TGF-β1</i>), interleukin-1 beta (<i>IL-1β</i>), interleukin-6 (<i>IL-6</i>), <i>IL-8</i>, and <i>IL-10</i> were analyzed using the enzyme-linked immunosorbent assay technique. Target gene expression levels were analyzed using the ΔΔCt method after cDNA synthesis from isolated RNA, with normalization to <i>GAPDH</i> and quantification performed with SYBR Green PCR Master Mix. <b>Results:</b> Among the studied cytokines, <i>IL-10</i> levels were higher in primary pterygium than in recurrent pterygium (722.0 ± 600.9/421.4 ± 266.8) (<i>p</i> = 0.0054). Other cytokines (<i>IL-6</i>, <i>IL-8</i>, <i>IL-1β</i>, and <i>TGF-β1</i>) were detected at similar levels in both primary and recurrent pterygium (<i>p</i> = 0.2986). Additionally, the <i>TGF-β1</i> gene expression was found to be significantly upregulated in recurrent pterygium tissue compared to primary pterygium tissue (<i>p</i> = 0.034). <b>Conclusions:</b> This increase suggests that TGF-β1 may contribute to the recurrence mechanisms of pterygium through processes such as fibroblast activation and tissue remodeling. The higher levels of <i>IL-10</i> in primary pterygium compared to recurrent pterygium indicate an enhanced early protective response aimed at limiting pterygium progression and controlling the inflammatory process.
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spelling doaj-art-7e24bc4f897748c88850ea3fc790947a2025-08-20T02:50:13ZengMDPI AGDiagnostics2075-44182024-11-011423261910.3390/diagnostics14232619Comparison of Biomarkers Playing a Role in Pterygium Development in Pterygium and Recurrent Pterygium TissuesÖzgür Eroğul0Serkan Şen1Department of Ophthalmology, Faculty of Medicine, Afyonkarahisar Health Sciences University, 03030 Afyonkarahisar, TurkeyDepartment of Medical Laboratory Techniques, Ataturk Vocational School of Health Services, Afyonkarahisar Health Sciences University, 03030 Afyonkarahisar, Turkey<b>Background/Objectives:</b> Pterygium is a nonneoplastic elastotic degeneration characterized by subepithelial growth. It manifests as an ocular lesion originating from the bulbar conjunctiva, extending to the corneal surface, and reaching the visual axis in some cases. Although the exact cause is unknown, prolonged exposure to ultraviolet radiation is considered the most significant contributing factor. Chronic irritation and actinic damage are likely responsible for the typical fibrovascular reactions observed in pterygium. Additionally, growth factors, cytokines, and matrix metalloproteinases play roles in the pathogenesis of pterygium. This study compared recurrent and primary pterygium cases at the molecular level to gain new insights into the etiology of pterygium. <b>Methods:</b> Total protein was extracted from surgical samples of patients with primary and recurrent pterygium, and the levels of transforming growth factor beta 1 (<i>TGF-β1</i>), interleukin-1 beta (<i>IL-1β</i>), interleukin-6 (<i>IL-6</i>), <i>IL-8</i>, and <i>IL-10</i> were analyzed using the enzyme-linked immunosorbent assay technique. Target gene expression levels were analyzed using the ΔΔCt method after cDNA synthesis from isolated RNA, with normalization to <i>GAPDH</i> and quantification performed with SYBR Green PCR Master Mix. <b>Results:</b> Among the studied cytokines, <i>IL-10</i> levels were higher in primary pterygium than in recurrent pterygium (722.0 ± 600.9/421.4 ± 266.8) (<i>p</i> = 0.0054). Other cytokines (<i>IL-6</i>, <i>IL-8</i>, <i>IL-1β</i>, and <i>TGF-β1</i>) were detected at similar levels in both primary and recurrent pterygium (<i>p</i> = 0.2986). Additionally, the <i>TGF-β1</i> gene expression was found to be significantly upregulated in recurrent pterygium tissue compared to primary pterygium tissue (<i>p</i> = 0.034). <b>Conclusions:</b> This increase suggests that TGF-β1 may contribute to the recurrence mechanisms of pterygium through processes such as fibroblast activation and tissue remodeling. The higher levels of <i>IL-10</i> in primary pterygium compared to recurrent pterygium indicate an enhanced early protective response aimed at limiting pterygium progression and controlling the inflammatory process.https://www.mdpi.com/2075-4418/14/23/2619pterygiumrecurrent pterygiumIL-6IL-8IL-1βTGF-β1
spellingShingle Özgür Eroğul
Serkan Şen
Comparison of Biomarkers Playing a Role in Pterygium Development in Pterygium and Recurrent Pterygium Tissues
Diagnostics
pterygium
recurrent pterygium
IL-6
IL-8
IL-1β
TGF-β1
title Comparison of Biomarkers Playing a Role in Pterygium Development in Pterygium and Recurrent Pterygium Tissues
title_full Comparison of Biomarkers Playing a Role in Pterygium Development in Pterygium and Recurrent Pterygium Tissues
title_fullStr Comparison of Biomarkers Playing a Role in Pterygium Development in Pterygium and Recurrent Pterygium Tissues
title_full_unstemmed Comparison of Biomarkers Playing a Role in Pterygium Development in Pterygium and Recurrent Pterygium Tissues
title_short Comparison of Biomarkers Playing a Role in Pterygium Development in Pterygium and Recurrent Pterygium Tissues
title_sort comparison of biomarkers playing a role in pterygium development in pterygium and recurrent pterygium tissues
topic pterygium
recurrent pterygium
IL-6
IL-8
IL-1β
TGF-β1
url https://www.mdpi.com/2075-4418/14/23/2619
work_keys_str_mv AT ozgurerogul comparisonofbiomarkersplayingaroleinpterygiumdevelopmentinpterygiumandrecurrentpterygiumtissues
AT serkansen comparisonofbiomarkersplayingaroleinpterygiumdevelopmentinpterygiumandrecurrentpterygiumtissues