1. Altered tear inflammatory profile in Indian keratoconus patients - The 2015 Col Rangachari Award paper
- Author
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Swaminathan Sethu, Chaitra Jayadev, Rashmi Deshmukh, Arkasubhra Ghosh, Rohit Shetty, Oogheelkunde, Promovendi MHN, and RS: FHML non-thematic output
- Subjects
0301 basic medicine ,Male ,Chemokine ,CYCLOSPORINE-A ,Awards and Prizes ,Pathogenesis ,MOLECULES ,chemistry.chemical_compound ,0302 clinical medicine ,lcsh:Ophthalmology ,tear fluid ,LYSYL OXIDASE ,biology ,LOX ,CORNEAS ,Vascular endothelial growth factor ,medicine.anatomical_structure ,Cytokines ,Intercellular Signaling Peptides and Proteins ,Tumor necrosis factor alpha ,Female ,medicine.symptom ,Chemokines ,Inflammation Mediators ,EXPRESSION ,Adult ,Keratoconus ,medicine.medical_specialty ,DISORDERS ,India ,Inflammation ,03 medical and health sciences ,Ophthalmology ,medicine ,Humans ,Guest Editorial ,Eye Proteins ,business.industry ,Monocyte ,medicine.disease ,MATRIX-METALLOPROTEINASES ,COLLAGEN ,030104 developmental biology ,chemistry ,lcsh:RE1-994 ,Tears ,Immunology ,030221 ophthalmology & optometry ,biology.protein ,business ,Cell Adhesion Molecules ,Transforming growth factor - Abstract
Purpose: Conventionally, keratoconus (KC) has been considered a noninflammatory corneal ectatic disorder. Recent evidence suggests a possible role of inflammation in the pathogenesis of KC. Hence, we analyzed the levels of inflammatory factors in the tear fluid of Indian KC patients. Methods: Tear fluid samples were collected from age-and sex-matched healthy controls and KC patients (with different grades). The levels of the inflammatory factors in tears were analyzed using cytometric bead array (Human Soluble Protein Flex Set System, BD Biosciences) for levels of interleukin-1 alpha (IL-1 alpha), IL-1 beta, IL-2, IL-4, IL-5, IL-6, IL-8, IL-9, IL-10, IL-12p70, IL-23p40, IL-13, IL-17A, IL-17F, IL-21, interferon-alpha (IFN alpha), IFN., tumor necrosis factor-alpha, CCL2/monocyte chemotactic protein-1, CCL4/macrophage inflammatory protein-1 beta (MIP-1 beta), MIP-1 alpha, CCL5/RANTES, CXCL10/IP10, ICAM1, CD62E, vascular endothelial growth factor and transforming growth factor beta. Results: An increase in Kmax and Kmean, and a decrease in central corneal thickness was observed with increasing grades of KC. Tear analysis showed that most of the tear soluble factors, including cytokines, chemokines, growth factors and cell adhesion molecules were significantly elevated in the KC patients compared to the controls. Conclusion: Our findings suggest that inflammatory factors associated with KC may play a role in its pathogenesis. This opens the potential to explore anti-inflammatory strategies to either halt or delay the progression of KC.
- Published
- 2017