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...

Full description

Bibliographic Details
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 Portfolio 2020-11-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-020-77207-7
_version_ 1818681340364587008
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
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
collection DOAJ
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.
first_indexed 2024-12-17T10:01:24Z
format Article
id doaj.art-7ca01174659e48f28de3394e74533620
institution Directory Open Access Journal
issn 2045-2322
language English
last_indexed 2024-12-17T10:01:24Z
publishDate 2020-11-01
publisher Nature Portfolio
record_format Article
series Scientific Reports
spelling doaj.art-7ca01174659e48f28de3394e745336202022-12-21T21:53:17ZengNature PortfolioScientific 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
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
title 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_short 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
url https://doi.org/10.1038/s41598-020-77207-7
work_keys_str_mv AT jovanabisevac longtermmyofibroblastpersistenceinthecapsularbagcontributestothelatespontaneousinthebagintraocularlensdislocation
AT nataliasanisimova longtermmyofibroblastpersistenceinthecapsularbagcontributestothelatespontaneousinthebagintraocularlensdislocation
AT richardnagymihaly longtermmyofibroblastpersistenceinthecapsularbagcontributestothelatespontaneousinthebagintraocularlensdislocation
AT olavkristianslund longtermmyofibroblastpersistenceinthecapsularbagcontributestothelatespontaneousinthebagintraocularlensdislocation
AT kirankumarkatta longtermmyofibroblastpersistenceinthecapsularbagcontributestothelatespontaneousinthebagintraocularlensdislocation
AT agatenoer longtermmyofibroblastpersistenceinthecapsularbagcontributestothelatespontaneousinthebagintraocularlensdislocation
AT iliashsharafetdinov longtermmyofibroblastpersistenceinthecapsularbagcontributestothelatespontaneousinthebagintraocularlensdislocation
AT livdrolsum longtermmyofibroblastpersistenceinthecapsularbagcontributestothelatespontaneousinthebagintraocularlensdislocation
AT mortencmoe longtermmyofibroblastpersistenceinthecapsularbagcontributestothelatespontaneousinthebagintraocularlensdislocation
AT borisemalyugin longtermmyofibroblastpersistenceinthecapsularbagcontributestothelatespontaneousinthebagintraocularlensdislocation
AT goranpetrovski longtermmyofibroblastpersistenceinthecapsularbagcontributestothelatespontaneousinthebagintraocularlensdislocation