Corneal keratocyte

File:Emergence-of-Large-Scale-Cell-Morphology-and-Movement-from-Local-Actin-Filament-Growth-Dynamics-pbio.0050233.sv001.ogv Corneal keratocytes (corneal fibroblasts) are specialized fibroblasts residing in the stroma. This corneal layer, representing about 85-90% of corneal thickness, is built up from highly regular collagenous lamellae and extracellular matrix components. Keratocytes play the major role in keeping it transparent, healing its wounds, and synthesizing its components. In the unperturbed cornea keratocytes stay dormant, coming into action after any kind of injury or inflammation. Some keratocytes underlying the site of injury, even a light one, undergo apoptosis immediately after the injury.[1] Any glitch in the precisely orchestrated process of healing may cloud the cornea, while excessive keratocyte apoptosis may be a part of the pathological process in the degenerative corneal disorders such as keratoconus, and these considerations prompt the ongoing research into the function of these cells.

## Contents

* 1 Origin and functions
* 2 Clinical significance
* 3 See also
* 4 References
* 5 External links

## Origin and functions

Keratocytes are developmentally derived from the cranial population of neural crest cells, from whence they migrate to settle in the mesenchyme. In some species the migration from neural crest comes in two waves, with the first giving birth to the corneal endothelium and the second invading the epithelium-secreted stromal anlage devoid of cells; in other species both populations come from a single wave of migration. Once settled in the stroma, keratocytes start synthesizing collagen molecules of different types (I, V, VI) and keratan sulfate. By the moment of eye opening after birth the proliferation of keratocytes is all but finished and most of them are in the quiescent state.[2]

By the end of eye development an interconnected keratocyte network is established in the cornea, with dendrites of neighbouring cells contacting each other.[3] Quiescent keratocytes synthesize the so-called crystallins, known primarily for their role in the lens. Corneal crystallins, like the lens ones, are thought to help maintain the transparency and optimal refraction.[4] They are also part of corneal antioxidant defense.[5] Crystallins expressed by human keratocytes are ALDH1A1, ALDH3A1,[6] ALDH2 and TKT. Different sets of crystallins are typical to distinct species.[7] Keratan sulfate produced by keratocytes is thought to help maintain optimal corneal hydration;[8] genetic disruption of its synthesis leads to the macular corneal dystrophy.[9]

According to one study, average keratocyte density in the human stroma is about 20500 cells per mm3, or 9600 in a column of 1 mm2 in section. The highest density is observed in the upper 10% of the stroma. The number of keratocytes declines with age, at a rate approximately 0.45% per year.[10]

After an injury to the cornea, some keratocytes undergo apoptosis, prompted by the signaling molecules secreted by the upper layers, such as IL1 alpha and TNF-alpha. Other neighbouring keratocytes, when acted upon by the same molecules, become active, proliferate and start synthesizing matrix metalloproteinases that cause tissue remodeling. These activated cells are designated in different sources either as "active keratocytes" or "fibroblasts" or are said to assume a "repair phenotype". After heavier injuries or at the advanced stages of healing process a number of keratocytes transforms into myofibroblasts actively secreting ECM components; this transformation is thought to be caused by TGF-beta. As soon as the basement membrane of corneal epithelium is restored, TGF beta inflow into the stroma drastically decreases and myofibroblasts disappear, after which the remaining activated keratocytes continue for some time to reshape the extracellular matrix, secreting IL1-alpha in order to maintain their "repair phenotype".[1]

Apoptosis of keratocytes, either in quiescent or active state, is a process that attracts special attention. In a healthy cornea the programmed cell death is a rare occasion, but immediately after an injury to the uppermost layer keratocytes directly under the injury site commit apoptosis.[11] One hypothesis explains such rapid reaction by the need to stem the possible infection from spreading into the cornea, because due to the limitations of ocular immune system the immune cells take up to several hours to arrive at the site of injury.[12] In a normal course of events, the lack of keratocytes is gradually replenished by the mitosis of the adjacent cells.[2] Apoptosis is observed after eye operations, including keratotomy and laser surgery,[13] and may play a role in the development of post-surgery complications.

## Clinical significance

Alcohol dehydrogenase immunoreactivity in a healthy cornea (top), in Fuchs' dystrophy and keratoconic cornea. Diaminobenzidine stains keratocytes in the cross-section of cornea. From Mootha et al., 2009.[14]

Keratocytes may play a role in different corneal disorders. According to comparative research, their functions drastically diverge from the norm in keratoconus, the most frequent form of corneal dystrophy. In keratoconic corneas they have been shown to commit apoptosis far away from any epithelial injury; a hypothesis exists that presents excessive keratocyte apoptosis as a major pathological event in keratoconus.[15] According to one study, patient's keratocytes have decreased levels of one of the alcohol dehydrogenase subforms,[14] they secrete significantly less superoxide dismutase 3, according to another.[16]

## See also

* List of human cell types derived from the germ layers

## References

1. ↑ 1.0 1.1 "Apoptosis in the initiation, modulation and termination of the corneal wound healing response". Exp. Eye Res. 85 (3): 305–11. September 2007. doi:10.1016/j.exer.2007.06.009. PMID 17655845.
2. ↑ 2.0 2.1 "The keratocyte: corneal stromal cell with variable repair phenotypes". Int. J. Biochem. Cell Biol. 38 (10): 1625–31. 2006. doi:10.1016/j.biocel.2006.03.010. PMID 16675284.
3. ↑ "Novel aspects of the ultrastructural organization of human corneal keratocytes". Invest. Ophthalmol. Vis. Sci. 36 (13): 2557–67. December 1995. PMID 7499078. http://www.iovs.org/cgi/pmidlookup?view=long&pmid=7499078. Retrieved 2009-06-13.
4. ↑ Jester JV (April 2008). "Corneal crystallins and the development of cellular transparency". Semin. Cell Dev. Biol. 19 (2): 82–93. doi:10.1016/j.semcdb.2007.09.015. PMID 17997336.
5. ↑ "The role of corneal crystallins in the cellular defense mechanisms against oxidative stress". Semin. Cell Dev. Biol. 19 (2): 100–12. April 2008. doi:10.1016/j.semcdb.2007.10.004. PMID 18077195.
6. ↑ "Antioxidant function of corneal ALDH3A1 in cultured stromal fibroblasts". Free Radic. Biol. Med. 41 (9): 1459–69. November 2006. doi:10.1016/j.freeradbiomed.2006.08.009. PMID 17023273.
7. ↑ Jester JV (April 2008). "Corneal crystallins and the development of cellular transparency". Semin. Cell Dev. Biol. 19 (2): 82–93. doi:10.1016/j.semcdb.2007.09.015. PMID 17997336.
8. ↑ Funderburgh JL (October 2000). "Keratan sulfate: structure, biosynthesis, and function". Glycobiology 10 (10): 951–8. doi:10.1093/glycob/10.10.951. PMID 11030741.
9. ↑ MACULAR DYSTROPHY, CORNEAL, 1; MCDC1 \- OMIM.
10. ↑ "Normal human keratocyte density and corneal thickness measurement by using confocal microscopy in vivo". Invest. Ophthalmol. Vis. Sci. 42 (2): 333–9. February 2001. PMID 11157863. http://www.iovs.org/cgi/pmidlookup?view=long&pmid=11157863. Retrieved 2009-06-14.
11. ↑ "Epithelial injury induces keratocyte apoptosis: hypothesized role for the interleukin-1 system in the modulation of corneal tissue organization and wound healing". Exp. Eye Res. 62 (4): 325–7. April 1996. doi:10.1006/exer.1996.0038. PMID 8795451.
12. ↑ "Herpes simplex virus type-1 infection of corneal epithelial cells induces apoptosis of the underlying keratocytes". Exp. Eye Res. 64 (5): 775–9. May 1997. doi:10.1006/exer.1996.0266. PMID 9245908.
13. ↑ "Long-term corneal keratoctye deficits after photorefractive keratectomy and laser in situ keratomileusis". Trans Am Ophthalmol Soc 103: 56–66; discussion 67–8. 2005. PMID 17057788. PMC 1447559. http://www.aosonline.org/xactions/2005/1545-6110_v103_p056.pdf. Retrieved 2009-06-14.
14. ↑ 14.0 14.1 "Marked reduction of alcohol dehydrogenase in keratoconus corneal fibroblasts". Mol. Vis. 15: 706–12. 2009. PMID 19365573.
15. ↑ "Keratocyte apoptosis associated with keratoconus". Exp. Eye Res. 69 (5): 475–81. November 1999. doi:10.1006/exer.1999.0719. PMID 10548467.
16. ↑ "Interleukin-1alpha downregulates extracellular-superoxide dismutase in human corneal keratoconus stromal cells". Mol. Vis. 13: 1285–90. 2007. PMID 17679946. http://www.molvis.org/molvis/v13/a140/.

## External links

* Nigel Brookes \- researcher

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Anatomy of the globe of the human eye

Fibrous tunic (outer)|

| Sclera|

* Episcleral layer
* Schlemm's canal
* Trabecular meshwork

|

Cornea|

* Limbus
* layers
* Epithelium
* Bowman's
* Stroma
* Dua's layer
* Descemet's
* Endothelium

1:posterior segment 2:ora serrata 3:ciliary muscle 4:ciliary zonules 5:Schlemm's canal 6:pupil 7:anterior chamber 8:cornea 9:iris 10:lens cortex 11:lens nucleus 12:ciliary process 13:conjunctiva 14:inferior oblique muscule 15:inferior rectus muscule 16:medial rectus muscle 17:retinal arteries and veins 18:optic disc 19:dura mater 20:central retinal artery 21:central retinal vein 22:optic nerve 23:vorticose vein 24:bulbar sheath 25:macula 26:fovea 27:sclera 28:choroid 29:superior rectus muscle 30:retina

Uvea/vascular tunic (middle)|

| Choroid|

* Capillary lamina of choroid
* Bruch's membrane
* Sattler's layer

|

Ciliary body|

* Ciliary processes
* Ciliary muscle
* Pars plicata
* Pars plana

Iris|

* Stroma
* Pupil
* Iris dilator muscle
* Iris sphincter muscle

Retina (inner)|

| Layers|

* Inner limiting membrane
* Nerve fiber layer
* Ganglion cell layer
* Inner plexiform layer
* Inner nuclear layer

* Outer plexiform layer
* Outer nuclear layer

* External limiting membrane
* Layer of rods and cones
* Retinal pigment epithelium

|

Cells|

* Photoreceptor cells (Cone cell, Rod cell) → (Horizontal cell) → Bipolar cell → (Amacrine cell) → Retina ganglion cell (Midget cell, [[Biology:Parasol cParasol cell, [[Bistratified cell]], Giant retina ganglion cells, Photosensitive ganglion cell) → Diencephalon: P cell, M cell, K cell, Muller glia

Other|

* Macula
* Perifoveal area
* Parafoveal area
* Fovea
* Foveal avascular zone
* Foveola
* Optic disc
* Optic cup
* Ora serrata

Anatomical regions of the eye|

| Anterior segment|

* Adnexa
* Fibrous tunic
* Anterior chamber
* Aqueous humour
* Iris
* Posterior chamber
* Ciliary body
* Lens
* Capsule of lens
* Zonule of Zinn

|

Posterior segment|

* Vitreous chamber
* Vitreous body
* Retina
* Choroid

Other|

* Keratocytes
* Ocular immune system
* Optical coherence tomography
* Eye care professional
* Eye disease
* Refractive error
* Accommodation
* Physiological Optics
* Visual perception

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