Long-term myofibroblast persistence in the capsular bag contributes to the late spontaneous in-the-bag intraocular lens dislocation

Abstract Late spontaneous in-the-bag intraocular lens (IOL) dislocation is a complication presenting 6 months or later after cataract surgery. We aimed to characterize the cells in the lens capsules (LCs) of 18 patients with spontaneous late in-the-bag IOL dislocation. Patients' average age was...

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Main Authors: Jovana Bisevac, Natalia S. Anisimova, Richárd Nagymihály, Olav Kristianslund, Kirankumar Katta, Agate Noer, Ilias H. Sharafetdinov, Liv Drolsum, Morten C. Moe, Boris E. Malyugin, Goran Petrovski
Format: Article
Language:English
Published: Nature Publishing Group 2020-11-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-020-77207-7
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spelling doaj-7ca01174659e48f28de3394e745336202020-12-08T11:29:57ZengNature Publishing GroupScientific Reports2045-23222020-11-0110111710.1038/s41598-020-77207-7Long-term myofibroblast persistence in the capsular bag contributes to the late spontaneous in-the-bag intraocular lens dislocationJovana Bisevac0Natalia S. Anisimova1Richárd Nagymihály2Olav Kristianslund3Kirankumar Katta4Agate Noer5Ilias H. Sharafetdinov6Liv Drolsum7Morten C. Moe8Boris E. Malyugin9Goran Petrovski10Center for Eye Research, Department of Ophthalmology, University of Oslo and Oslo University HospitalS. Fyodorov Eye Microsurgery Federal State InstitutionCenter for Eye Research, Department of Ophthalmology, University of Oslo and Oslo University HospitalCenter for Eye Research, Department of Ophthalmology, University of Oslo and Oslo University HospitalCenter for Eye Research, Department of Ophthalmology, University of Oslo and Oslo University HospitalCenter for Eye Research, Department of Ophthalmology, University of Oslo and Oslo University HospitalS. Fyodorov Eye Microsurgery Federal State InstitutionCenter for Eye Research, Department of Ophthalmology, University of Oslo and Oslo University HospitalCenter for Eye Research, Department of Ophthalmology, University of Oslo and Oslo University HospitalS. Fyodorov Eye Microsurgery Federal State InstitutionCenter for Eye Research, Department of Ophthalmology, University of Oslo and Oslo University HospitalAbstract Late spontaneous in-the-bag intraocular lens (IOL) dislocation is a complication presenting 6 months or later after cataract surgery. We aimed to characterize the cells in the lens capsules (LCs) of 18 patients with spontaneous late in-the-bag IOL dislocation. Patients' average age was 82.6 ± 1.5 years (range 72–98), and most of them had pseudoexfoliation syndrome (PEX). Cells from the LCs were positive for myofibroblast (αSMA), proliferation (Ki-67, PCNA), early lens development/lens progenitor (SOX2, PAX6), chemokine receptor (CXCR4), and transmembrane (N-cadherin) markers, while negative for epithelial (E-cadherin) marker. Moreover, the cells produced abundant fibronectin, type I and type V collagen in the nearby extracellular matrix (ECM). During ex vivo cultivation of dislocated IOL-LCs in toto, the cells proliferated and likely migrated onto the IOL’s anterior side. EdU proliferation assay confirmed the proliferation potential of the myofibroblasts (MFBs) in dislocated IOL-LCs. Primary cultured lens epithelial cells/MFBs isolated from the LC of dislocated IOLs could induce collagen matrix contraction and continuously proliferated, migrated, and induced ECM remodeling. Taken together, this indicates that long-lived MFBs of dislocated IOLs might contribute to the pathogenic mechanisms in late in-the-bag IOL dislocation.https://doi.org/10.1038/s41598-020-77207-7
collection DOAJ
language English
format Article
sources DOAJ
author Jovana Bisevac
Natalia S. Anisimova
Richárd Nagymihály
Olav Kristianslund
Kirankumar Katta
Agate Noer
Ilias H. Sharafetdinov
Liv Drolsum
Morten C. Moe
Boris E. Malyugin
Goran Petrovski
spellingShingle Jovana Bisevac
Natalia S. Anisimova
Richárd Nagymihály
Olav Kristianslund
Kirankumar Katta
Agate Noer
Ilias H. Sharafetdinov
Liv Drolsum
Morten C. Moe
Boris E. Malyugin
Goran Petrovski
Long-term myofibroblast persistence in the capsular bag contributes to the late spontaneous in-the-bag intraocular lens dislocation
Scientific Reports
author_facet Jovana Bisevac
Natalia S. Anisimova
Richárd Nagymihály
Olav Kristianslund
Kirankumar Katta
Agate Noer
Ilias H. Sharafetdinov
Liv Drolsum
Morten C. Moe
Boris E. Malyugin
Goran Petrovski
author_sort Jovana Bisevac
title Long-term myofibroblast persistence in the capsular bag contributes to the late spontaneous in-the-bag intraocular lens dislocation
title_short Long-term myofibroblast persistence in the capsular bag contributes to the late spontaneous in-the-bag intraocular lens dislocation
title_full Long-term myofibroblast persistence in the capsular bag contributes to the late spontaneous in-the-bag intraocular lens dislocation
title_fullStr Long-term myofibroblast persistence in the capsular bag contributes to the late spontaneous in-the-bag intraocular lens dislocation
title_full_unstemmed Long-term myofibroblast persistence in the capsular bag contributes to the late spontaneous in-the-bag intraocular lens dislocation
title_sort long-term myofibroblast persistence in the capsular bag contributes to the late spontaneous in-the-bag intraocular lens dislocation
publisher Nature Publishing Group
series Scientific Reports
issn 2045-2322
publishDate 2020-11-01
description Abstract Late spontaneous in-the-bag intraocular lens (IOL) dislocation is a complication presenting 6 months or later after cataract surgery. We aimed to characterize the cells in the lens capsules (LCs) of 18 patients with spontaneous late in-the-bag IOL dislocation. Patients' average age was 82.6 ± 1.5 years (range 72–98), and most of them had pseudoexfoliation syndrome (PEX). Cells from the LCs were positive for myofibroblast (αSMA), proliferation (Ki-67, PCNA), early lens development/lens progenitor (SOX2, PAX6), chemokine receptor (CXCR4), and transmembrane (N-cadherin) markers, while negative for epithelial (E-cadherin) marker. Moreover, the cells produced abundant fibronectin, type I and type V collagen in the nearby extracellular matrix (ECM). During ex vivo cultivation of dislocated IOL-LCs in toto, the cells proliferated and likely migrated onto the IOL’s anterior side. EdU proliferation assay confirmed the proliferation potential of the myofibroblasts (MFBs) in dislocated IOL-LCs. Primary cultured lens epithelial cells/MFBs isolated from the LC of dislocated IOLs could induce collagen matrix contraction and continuously proliferated, migrated, and induced ECM remodeling. Taken together, this indicates that long-lived MFBs of dislocated IOLs might contribute to the pathogenic mechanisms in late in-the-bag IOL dislocation.
url https://doi.org/10.1038/s41598-020-77207-7
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