Subnormal cytokine profile in the tear fluid of keratoconus patients.

Keratoconus, historically viewed as a non-inflammatory disease, is an ectatic corneal disorder associated with progressive thinning of the corneal stroma. Recently, a few inflammatory mediators have been reported to be elevated in the tear fluid of keratoconus patients. Consequently, we investigated...

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Main Authors: Albert S Jun, Leslie Cope, Caroline Speck, Xiaojun Feng, Seakwoo Lee, Huan Meng, Abdel Hamad, Shukti Chakravarti
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2011-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0016437&type=printable
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author Albert S Jun
Leslie Cope
Caroline Speck
Xiaojun Feng
Seakwoo Lee
Huan Meng
Abdel Hamad
Shukti Chakravarti
author_facet Albert S Jun
Leslie Cope
Caroline Speck
Xiaojun Feng
Seakwoo Lee
Huan Meng
Abdel Hamad
Shukti Chakravarti
author_sort Albert S Jun
collection DOAJ
description Keratoconus, historically viewed as a non-inflammatory disease, is an ectatic corneal disorder associated with progressive thinning of the corneal stroma. Recently, a few inflammatory mediators have been reported to be elevated in the tear fluid of keratoconus patients. Consequently, we investigated a wide range of inflammation regulating cytokines in the tears and sera of keratoconus and control subjects. Interleukin (IL)-1β, IL-4, IL-6, IL-10, IL-12, IL-13, IL-17, interferon (IFN)-γ, chemokine C-C motif ligand 5 (CCL5) and tumor necrosis factor (TNF)-α were tested in tear samples and sera of keratoconus and control individuals by multiplex immuno-bead assays. Selected cytokines were further tested by standard ELISA on pooled tear samples. All cytokines in the sera were generally low, with no significant changes between keratoconus and control subjects. However, in tear fluids, clear differences were detected between the two groups. These differences include increased IL-6, and decreased IL-12, TNF-α, IFN-γ, IL-4, IL-13 and CCL5 in keratoconus compared to control tear fluids. The decreases in IL-12, TNF-α and CCL5 were statistically significant, while the IL-13 decrease was statistically significant in the severe keratoconus group only. IL-17 could not be detected by multiplex immuno-bead assay, but showed an increase in keratoconus by conventional ELISA on a limited number of pooled tear samples. Our findings confirm increased IL-6, but dispute earlier reports of increased TNF-α, and suggest a cytokine imbalance in keratoconus disrupting corneal homeostasis. Moreover, an increase in IL-17 suggests tissue degenerative processes at work, contributing to the thinning and weakening of the corneal connective tissue in keratoconus.
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spelling doaj-art-a25c339e439f4c14ac08b02e4bb1c2292025-08-20T03:44:55ZengPublic Library of Science (PLoS)PLoS ONE1932-62032011-01-0161e1643710.1371/journal.pone.0016437Subnormal cytokine profile in the tear fluid of keratoconus patients.Albert S JunLeslie CopeCaroline SpeckXiaojun FengSeakwoo LeeHuan MengAbdel HamadShukti ChakravartiKeratoconus, historically viewed as a non-inflammatory disease, is an ectatic corneal disorder associated with progressive thinning of the corneal stroma. Recently, a few inflammatory mediators have been reported to be elevated in the tear fluid of keratoconus patients. Consequently, we investigated a wide range of inflammation regulating cytokines in the tears and sera of keratoconus and control subjects. Interleukin (IL)-1β, IL-4, IL-6, IL-10, IL-12, IL-13, IL-17, interferon (IFN)-γ, chemokine C-C motif ligand 5 (CCL5) and tumor necrosis factor (TNF)-α were tested in tear samples and sera of keratoconus and control individuals by multiplex immuno-bead assays. Selected cytokines were further tested by standard ELISA on pooled tear samples. All cytokines in the sera were generally low, with no significant changes between keratoconus and control subjects. However, in tear fluids, clear differences were detected between the two groups. These differences include increased IL-6, and decreased IL-12, TNF-α, IFN-γ, IL-4, IL-13 and CCL5 in keratoconus compared to control tear fluids. The decreases in IL-12, TNF-α and CCL5 were statistically significant, while the IL-13 decrease was statistically significant in the severe keratoconus group only. IL-17 could not be detected by multiplex immuno-bead assay, but showed an increase in keratoconus by conventional ELISA on a limited number of pooled tear samples. Our findings confirm increased IL-6, but dispute earlier reports of increased TNF-α, and suggest a cytokine imbalance in keratoconus disrupting corneal homeostasis. Moreover, an increase in IL-17 suggests tissue degenerative processes at work, contributing to the thinning and weakening of the corneal connective tissue in keratoconus.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0016437&type=printable
spellingShingle Albert S Jun
Leslie Cope
Caroline Speck
Xiaojun Feng
Seakwoo Lee
Huan Meng
Abdel Hamad
Shukti Chakravarti
Subnormal cytokine profile in the tear fluid of keratoconus patients.
PLoS ONE
title Subnormal cytokine profile in the tear fluid of keratoconus patients.
title_full Subnormal cytokine profile in the tear fluid of keratoconus patients.
title_fullStr Subnormal cytokine profile in the tear fluid of keratoconus patients.
title_full_unstemmed Subnormal cytokine profile in the tear fluid of keratoconus patients.
title_short Subnormal cytokine profile in the tear fluid of keratoconus patients.
title_sort subnormal cytokine profile in the tear fluid of keratoconus patients
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0016437&type=printable
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