Human lens epithelial cell apoptosis and epithelial to mesenchymal transition in femtosecond laser-assisted cataract surgery

AIM: To evaluate human lens epithelium cell apoptosis and epithelial to mesenchymal transition (EMT) induced by femtosecond laser in femtosecond laser assisted cataract surgery (FLACS). METHODS: Sixty cataract patients with N2 to N3 stage according to the LOCS III were enrolled in this study and di...

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Main Authors: Wei Sun, Jia Liu, Jing Li, Di Wu, Jing Wang, Ming-Wu Wang, Jin-Song Zhang, Jiang-Yue Zhao
Format: Article
Language:English
Published: Press of International Journal of Ophthalmology (IJO PRESS) 2018-03-01
Series:International Journal of Ophthalmology
Subjects:
Online Access:http://www.ijo.cn/en_publish/2018/3/20180309.pdf
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author Wei Sun
Jia Liu
Jing Li
Di Wu
Jing Wang
Ming-Wu Wang
Jin-Song Zhang
Jiang-Yue Zhao
author_facet Wei Sun
Jia Liu
Jing Li
Di Wu
Jing Wang
Ming-Wu Wang
Jin-Song Zhang
Jiang-Yue Zhao
author_sort Wei Sun
collection DOAJ
description AIM: To evaluate human lens epithelium cell apoptosis and epithelial to mesenchymal transition (EMT) induced by femtosecond laser in femtosecond laser assisted cataract surgery (FLACS). METHODS: Sixty cataract patients with N2 to N3 stage according to the LOCS III were enrolled in this study and divided into three groups randomly: FLACS1 group (cataract surgery by FLACS with LenSx), FLACS2 group (cataract surgery by FLACS with LensAR) and manual group (cataract surgery by phacoemulsification). Patients in two FLACS groups performed anterior capsulotomy by LenSx or LensAR laser system. Patients in the manual group were performed continuous curvilinear capsulorrhexis (CCC) manually. The anterior capsules were fixed right after moved out of eye. Hematoxylin-eosine staining, immunofluorescence staining and real-time PCR were performed in order to observe human lens epithelium cells changes after cataract surgery. RESULTS: The capsule cutting edge was shown irregularity and roughness in two FLACS groups and smooth edge in manual capsulotomy by pathologic staining. Irregularities of the cell configuration with partly swollen and destroyed nuclei were observed in two FLACS groups. Femtosecond laser could induce a significantly higher cell apoptosis in human lens epithelium cell than manually performed CCC (P<0.05). Lens epithelium cells apoptosis were correlated with femtosecond laser duration according to Pearson correlation analysis. Decreased N-cadherin expression, alpha-SMA and FSP-1 level in two FLACS groups showed the inhibition of cell EMT. CONCLUSION: Femtosecond laser may affect the apoptosis and EMT of lens epithelium cells which are under the peeled central lens capsule.
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spelling doaj.art-eb17f1adb6d54b1086a1f87cb7abc9ae2022-12-21T17:32:04ZengPress of International Journal of Ophthalmology (IJO PRESS)International Journal of Ophthalmology2222-39592227-48982018-03-0111340140710.18240/ijo.2018.03.09Human lens epithelial cell apoptosis and epithelial to mesenchymal transition in femtosecond laser-assisted cataract surgeryWei Sun0Jia Liu1Jing Li2Di Wu3Jing Wang4Ming-Wu Wang5Jin-Song Zhang6Jiang-Yue Zhao7Department of Ophthalmology, the 4th Affiliated Hospital of China Medical UniversityDepartment of Ophthalmology, the 4th Affiliated Hospital of China Medical UniversityDepartment of Ophthalmology, the 4th Affiliated Hospital of China Medical UniversityDepartment of Ophthalmology, the 4th Affiliated Hospital of China Medical UniversityDepartment of Ophthalmology, the 4th Affiliated Hospital of China Medical UniversityEye Hospital of China Medical UniversityDepartment of Ophthalmology, the 4th Affiliated Hospital of China Medical UniversityDepartment of Ophthalmology, the 4th Affiliated Hospital of China Medical UniversityAIM: To evaluate human lens epithelium cell apoptosis and epithelial to mesenchymal transition (EMT) induced by femtosecond laser in femtosecond laser assisted cataract surgery (FLACS). METHODS: Sixty cataract patients with N2 to N3 stage according to the LOCS III were enrolled in this study and divided into three groups randomly: FLACS1 group (cataract surgery by FLACS with LenSx), FLACS2 group (cataract surgery by FLACS with LensAR) and manual group (cataract surgery by phacoemulsification). Patients in two FLACS groups performed anterior capsulotomy by LenSx or LensAR laser system. Patients in the manual group were performed continuous curvilinear capsulorrhexis (CCC) manually. The anterior capsules were fixed right after moved out of eye. Hematoxylin-eosine staining, immunofluorescence staining and real-time PCR were performed in order to observe human lens epithelium cells changes after cataract surgery. RESULTS: The capsule cutting edge was shown irregularity and roughness in two FLACS groups and smooth edge in manual capsulotomy by pathologic staining. Irregularities of the cell configuration with partly swollen and destroyed nuclei were observed in two FLACS groups. Femtosecond laser could induce a significantly higher cell apoptosis in human lens epithelium cell than manually performed CCC (P<0.05). Lens epithelium cells apoptosis were correlated with femtosecond laser duration according to Pearson correlation analysis. Decreased N-cadherin expression, alpha-SMA and FSP-1 level in two FLACS groups showed the inhibition of cell EMT. CONCLUSION: Femtosecond laser may affect the apoptosis and EMT of lens epithelium cells which are under the peeled central lens capsule.http://www.ijo.cn/en_publish/2018/3/20180309.pdf407femtosecond lasers assisted cataract surgerylens epithelium cellapoptosisepithelial mesenchymal transition
spellingShingle Wei Sun
Jia Liu
Jing Li
Di Wu
Jing Wang
Ming-Wu Wang
Jin-Song Zhang
Jiang-Yue Zhao
Human lens epithelial cell apoptosis and epithelial to mesenchymal transition in femtosecond laser-assisted cataract surgery
International Journal of Ophthalmology
407
femtosecond lasers assisted cataract surgery
lens epithelium cell
apoptosis
epithelial mesenchymal transition
title Human lens epithelial cell apoptosis and epithelial to mesenchymal transition in femtosecond laser-assisted cataract surgery
title_full Human lens epithelial cell apoptosis and epithelial to mesenchymal transition in femtosecond laser-assisted cataract surgery
title_fullStr Human lens epithelial cell apoptosis and epithelial to mesenchymal transition in femtosecond laser-assisted cataract surgery
title_full_unstemmed Human lens epithelial cell apoptosis and epithelial to mesenchymal transition in femtosecond laser-assisted cataract surgery
title_short Human lens epithelial cell apoptosis and epithelial to mesenchymal transition in femtosecond laser-assisted cataract surgery
title_sort human lens epithelial cell apoptosis and epithelial to mesenchymal transition in femtosecond laser assisted cataract surgery
topic 407
femtosecond lasers assisted cataract surgery
lens epithelium cell
apoptosis
epithelial mesenchymal transition
url http://www.ijo.cn/en_publish/2018/3/20180309.pdf
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