CLINICAL AND MORPHOLOGICAL FEATURES OF CELLS IMPLICATED IN THE PATHOGENESIS OF IDIOPATHIC EPIRETINAL MEMBRANE FORMATION IN PATIENTS WITH DIFFERENT VISUAL ACUITY

Among various cellular populations, ERMs contain cells with contractile features typical of myofibroblasts. This type of cells provides collagen producing and facilitates membrane contraction. The identification of ERM morphological elements at different stages of its formation remains a topical que...

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Main Authors: I. M. Gorshkov, S. V. Kolesnik, V. I. Shestopalov, A. V. Miridonova
Format: Article
Language:Russian
Published: Publishing house "Ophthalmology" 2017-09-01
Series:Офтальмохирургия
Subjects:
Online Access:https://www.ophthalmosurgery.ru/jour/article/view/337
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author I. M. Gorshkov
S. V. Kolesnik
V. I. Shestopalov
A. V. Miridonova
author_facet I. M. Gorshkov
S. V. Kolesnik
V. I. Shestopalov
A. V. Miridonova
author_sort I. M. Gorshkov
collection DOAJ
description Among various cellular populations, ERMs contain cells with contractile features typical of myofibroblasts. This type of cells provides collagen producing and facilitates membrane contraction. The identification of ERM morphological elements at different stages of its formation remains a topical question.Purpose. To investigate the cells morphological features in a qualitative composition of epiretinal membranes in patients with different visual acuity.Material and methods. All patients were divided into 3 equal groups of 20 patients (20 eyes), depending on the initial best corrected visual acuity (BCVA). Samples of ERM were obtained from 60 patients during microsurgical operations with subseuqent. There was performed an immunohistochemistry to recognize: glial acidic fibrillary protein (GFAP), TGF-β1, α-SMA actin, cellular retinaldehyde-binding protein (CRALBP), fibronectin, CD68, CD45, aswell as collagen of II, IV, VI types.Results. Specimens, removed from eyes with a higher visual acuity, showed a more cell viability than specimens, removed from eyes with a lower visual acuity. Comparing these specimens we found significant differences in cell viability depended on cell proliferation and transdifferentiation. Our results revealed that ERMs are characterized by the intensive decreasing of glial acidic fibrillary protein (GFAP) expression and competitive increasing α-SMA actin myofibroblast-like cells in time. As a result, we detected a diffuse presence of α-SM actin–positive myofibroblasts containing TGF-β1 and collagen expression at late stages. Conclusion. Immunocytochemical analysis helps to identify the pathomorphological changes of ERM samples and to determine mechanisms of ERM formation in patients with a different severity of pathological process.
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spelling doaj.art-8df927e1347e468786e0d6d58d4d80cc2023-01-20T12:34:47ZrusPublishing house "Ophthalmology"Офтальмохирургия0235-41602312-49702017-09-010261110.25276/0235-4160-2017-2-6-11287CLINICAL AND MORPHOLOGICAL FEATURES OF CELLS IMPLICATED IN THE PATHOGENESIS OF IDIOPATHIC EPIRETINAL MEMBRANE FORMATION IN PATIENTS WITH DIFFERENT VISUAL ACUITYI. M. Gorshkov0S. V. Kolesnik1V. I. Shestopalov2A. V. Miridonova3The S . Fyodorov Eye Microsurgery Federal State InstitutionThe S . Fyodorov Eye Microsurgery Federal State InstitutionThe Bascom Palmer Eye Institute University o f Miami School o f MedicineThe S . Fyodorov Eye Microsurgery Federal State InstitutionAmong various cellular populations, ERMs contain cells with contractile features typical of myofibroblasts. This type of cells provides collagen producing and facilitates membrane contraction. The identification of ERM morphological elements at different stages of its formation remains a topical question.Purpose. To investigate the cells morphological features in a qualitative composition of epiretinal membranes in patients with different visual acuity.Material and methods. All patients were divided into 3 equal groups of 20 patients (20 eyes), depending on the initial best corrected visual acuity (BCVA). Samples of ERM were obtained from 60 patients during microsurgical operations with subseuqent. There was performed an immunohistochemistry to recognize: glial acidic fibrillary protein (GFAP), TGF-β1, α-SMA actin, cellular retinaldehyde-binding protein (CRALBP), fibronectin, CD68, CD45, aswell as collagen of II, IV, VI types.Results. Specimens, removed from eyes with a higher visual acuity, showed a more cell viability than specimens, removed from eyes with a lower visual acuity. Comparing these specimens we found significant differences in cell viability depended on cell proliferation and transdifferentiation. Our results revealed that ERMs are characterized by the intensive decreasing of glial acidic fibrillary protein (GFAP) expression and competitive increasing α-SMA actin myofibroblast-like cells in time. As a result, we detected a diffuse presence of α-SM actin–positive myofibroblasts containing TGF-β1 and collagen expression at late stages. Conclusion. Immunocytochemical analysis helps to identify the pathomorphological changes of ERM samples and to determine mechanisms of ERM formation in patients with a different severity of pathological process.https://www.ophthalmosurgery.ru/jour/article/view/337epiretinal membranehyalocytesmuller cellsastrocytesmyofibroblast-like cells
spellingShingle I. M. Gorshkov
S. V. Kolesnik
V. I. Shestopalov
A. V. Miridonova
CLINICAL AND MORPHOLOGICAL FEATURES OF CELLS IMPLICATED IN THE PATHOGENESIS OF IDIOPATHIC EPIRETINAL MEMBRANE FORMATION IN PATIENTS WITH DIFFERENT VISUAL ACUITY
Офтальмохирургия
epiretinal membrane
hyalocytes
muller cells
astrocytes
myofibroblast-like cells
title CLINICAL AND MORPHOLOGICAL FEATURES OF CELLS IMPLICATED IN THE PATHOGENESIS OF IDIOPATHIC EPIRETINAL MEMBRANE FORMATION IN PATIENTS WITH DIFFERENT VISUAL ACUITY
title_full CLINICAL AND MORPHOLOGICAL FEATURES OF CELLS IMPLICATED IN THE PATHOGENESIS OF IDIOPATHIC EPIRETINAL MEMBRANE FORMATION IN PATIENTS WITH DIFFERENT VISUAL ACUITY
title_fullStr CLINICAL AND MORPHOLOGICAL FEATURES OF CELLS IMPLICATED IN THE PATHOGENESIS OF IDIOPATHIC EPIRETINAL MEMBRANE FORMATION IN PATIENTS WITH DIFFERENT VISUAL ACUITY
title_full_unstemmed CLINICAL AND MORPHOLOGICAL FEATURES OF CELLS IMPLICATED IN THE PATHOGENESIS OF IDIOPATHIC EPIRETINAL MEMBRANE FORMATION IN PATIENTS WITH DIFFERENT VISUAL ACUITY
title_short CLINICAL AND MORPHOLOGICAL FEATURES OF CELLS IMPLICATED IN THE PATHOGENESIS OF IDIOPATHIC EPIRETINAL MEMBRANE FORMATION IN PATIENTS WITH DIFFERENT VISUAL ACUITY
title_sort clinical and morphological features of cells implicated in the pathogenesis of idiopathic epiretinal membrane formation in patients with different visual acuity
topic epiretinal membrane
hyalocytes
muller cells
astrocytes
myofibroblast-like cells
url https://www.ophthalmosurgery.ru/jour/article/view/337
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AT vishestopalov clinicalandmorphologicalfeaturesofcellsimplicatedinthepathogenesisofidiopathicepiretinalmembraneformationinpatientswithdifferentvisualacuity
AT avmiridonova clinicalandmorphologicalfeaturesofcellsimplicatedinthepathogenesisofidiopathicepiretinalmembraneformationinpatientswithdifferentvisualacuity