Kinetic Profiles of Inflammatory Mediators in the Conjunctival Sac Fluid of Patients upon Photorefractive Keratectomy

Photorefractive keratectomy (PRK) represents a therapeutic option to remodel corneal stroma and to compensate refractive errors, which involves inflammatory and/or regenerative processes. In this context, the modulation of cytokines/chemokines in the conjunctival sac fluid and their role in the main...

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Main Authors: Veronica Tisato, Paolo Perri, Erika Rimondi, Elisabetta Melloni, Giuseppe Lamberti, Daniela Milani, Paola Secchiero, Giorgio Zauli
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Mediators of Inflammation
Online Access:http://dx.doi.org/10.1155/2015/942948
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author Veronica Tisato
Paolo Perri
Erika Rimondi
Elisabetta Melloni
Giuseppe Lamberti
Daniela Milani
Paola Secchiero
Giorgio Zauli
author_facet Veronica Tisato
Paolo Perri
Erika Rimondi
Elisabetta Melloni
Giuseppe Lamberti
Daniela Milani
Paola Secchiero
Giorgio Zauli
author_sort Veronica Tisato
collection DOAJ
description Photorefractive keratectomy (PRK) represents a therapeutic option to remodel corneal stroma and to compensate refractive errors, which involves inflammatory and/or regenerative processes. In this context, the modulation of cytokines/chemokines in the conjunctival sac fluid and their role in the maintenance of the corneal microenvironment during the healing process upon refractive procedures has not been deeply investigated. In this study, serial samples of conjunctival sac fluid of patients (n=25) undergoing PRK were harvested before and at different time points after surgery. The levels of 29 cytokines/chemokines/growth factors involved in inflammatory/immune processes were measured with a multiplex array system. The results have firstly highlighted the different pattern of cytokine expression between the microenvironment at the anterior surface of the eye and the systemic circulation. More importantly, the kinetic of modulation of cytokines/chemokines at the conjunctival level following PRK revealed that while the majority of cytokines/chemokines showed a significant decrease, MCP-1 emerged in light of its pronounced and significant increase soon after PRK and during the follow-up. This methodological approach has highlighted the role of MCP-1 in the healing process following PRK and has shown a potential for the identification of expression/modulation of soluble factors for biomarker profiling in ocular surface diseases.
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issn 0962-9351
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series Mediators of Inflammation
spelling doaj-art-877f4de852554ae7849994ef4b2234422025-02-03T06:13:52ZengWileyMediators of Inflammation0962-93511466-18612015-01-01201510.1155/2015/942948942948Kinetic Profiles of Inflammatory Mediators in the Conjunctival Sac Fluid of Patients upon Photorefractive KeratectomyVeronica Tisato0Paolo Perri1Erika Rimondi2Elisabetta Melloni3Giuseppe Lamberti4Daniela Milani5Paola Secchiero6Giorgio Zauli7Department of Morphology, Surgery and Experimental Medicine and LTTA Centre, University of Ferrara, Via Fossato di Mortara 66, 44121 Ferrara, ItalyDepartment of Biomedical Sciences and Surgical Specialities, University-Hospital of Ferrara, Corso Giovecca 203, 44121 Ferrara, ItalyDepartment of Life Sciences, University of Trieste, Via Manzoni 16, 34137 Trieste, ItalyDepartment of Morphology, Surgery and Experimental Medicine and LTTA Centre, University of Ferrara, Via Fossato di Mortara 66, 44121 Ferrara, ItalyDepartment of Biomedical Sciences and Surgical Specialities, University-Hospital of Ferrara, Corso Giovecca 203, 44121 Ferrara, ItalyDepartment of Morphology, Surgery and Experimental Medicine and LTTA Centre, University of Ferrara, Via Fossato di Mortara 66, 44121 Ferrara, ItalyDepartment of Morphology, Surgery and Experimental Medicine and LTTA Centre, University of Ferrara, Via Fossato di Mortara 66, 44121 Ferrara, ItalyInstitute for Maternal and Child Health, IRCCS Burlo Garofolo, Via dell’Istria 65/01, 34137 Trieste, ItalyPhotorefractive keratectomy (PRK) represents a therapeutic option to remodel corneal stroma and to compensate refractive errors, which involves inflammatory and/or regenerative processes. In this context, the modulation of cytokines/chemokines in the conjunctival sac fluid and their role in the maintenance of the corneal microenvironment during the healing process upon refractive procedures has not been deeply investigated. In this study, serial samples of conjunctival sac fluid of patients (n=25) undergoing PRK were harvested before and at different time points after surgery. The levels of 29 cytokines/chemokines/growth factors involved in inflammatory/immune processes were measured with a multiplex array system. The results have firstly highlighted the different pattern of cytokine expression between the microenvironment at the anterior surface of the eye and the systemic circulation. More importantly, the kinetic of modulation of cytokines/chemokines at the conjunctival level following PRK revealed that while the majority of cytokines/chemokines showed a significant decrease, MCP-1 emerged in light of its pronounced and significant increase soon after PRK and during the follow-up. This methodological approach has highlighted the role of MCP-1 in the healing process following PRK and has shown a potential for the identification of expression/modulation of soluble factors for biomarker profiling in ocular surface diseases.http://dx.doi.org/10.1155/2015/942948
spellingShingle Veronica Tisato
Paolo Perri
Erika Rimondi
Elisabetta Melloni
Giuseppe Lamberti
Daniela Milani
Paola Secchiero
Giorgio Zauli
Kinetic Profiles of Inflammatory Mediators in the Conjunctival Sac Fluid of Patients upon Photorefractive Keratectomy
Mediators of Inflammation
title Kinetic Profiles of Inflammatory Mediators in the Conjunctival Sac Fluid of Patients upon Photorefractive Keratectomy
title_full Kinetic Profiles of Inflammatory Mediators in the Conjunctival Sac Fluid of Patients upon Photorefractive Keratectomy
title_fullStr Kinetic Profiles of Inflammatory Mediators in the Conjunctival Sac Fluid of Patients upon Photorefractive Keratectomy
title_full_unstemmed Kinetic Profiles of Inflammatory Mediators in the Conjunctival Sac Fluid of Patients upon Photorefractive Keratectomy
title_short Kinetic Profiles of Inflammatory Mediators in the Conjunctival Sac Fluid of Patients upon Photorefractive Keratectomy
title_sort kinetic profiles of inflammatory mediators in the conjunctival sac fluid of patients upon photorefractive keratectomy
url http://dx.doi.org/10.1155/2015/942948
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