The differential expression of connective tissue growth factor and fibronectin in different types and stages of epiretinal membrane
10.3760/cma.j.issn.2095-0160.2013.08.013
- VernacularTitle:不同类型和病程视网膜前膜中结缔组织生长因子和纤维连接蛋白的差异表达
- Author:
Bing, SUN
;
Gen-Jie, KE
;
Wen, HU
;
Lei, WEN
;
Yan, CHEN
- Publication Type:Journal Article
- Keywords:
Retina;
Proliferation;
Epiretinal membrane;
Connective tissue growth factor;
Fibronectin;
Immunohistochemistry
- From:
Chinese Journal of Experimental Ophthalmology
2013;31(8):757-762
- CountryChina
- Language:Chinese
-
Abstract:
Background Many kindof cells,cytokineand extracellulamatrix components,such aconnective tissue growth facto(CTGF) and fibronectin (FN),can regulate and controll the formation and developmenof epiretinal membrane.Iiimportanto investigate the morphology and pathology of epiretinal membrane fothe prevention of relevanretinopathies.Objective Thistudy wato investigate the expression of CTGF and FN in differentypeand stageof epiretinal membranes.MethodEpiretinal membranewere collected during vitrectomy and silicon oil removal surgery from 24 eyeof 24 casewith rhegmatogenouretinal detachment(RRD) (including 14 eyewith courses<90 dayand 10 eyewith course≥ 90 days),20 eyeof 20 casewith diabetiretinopathy (DR)associated with vitreouhemorrhage and tractional RD (course≥ 90 days)and 7 eyeof 7 casewith silicon oil tamponade (course≥ 90 days).The grading of the proliferative vitroretinopathy (PVR) wa>C2 in all the eyes.Histopathological examination waperformed to assesthe pathological elemenin the differentypeand stageof epiretinal membrane,and the differential expressionof CTGF and FN in the varioutypeof epiretinal membranewere detected by immunochemistry.The amounof cellpositive foCTGF and FN wacompared using the FisheExacProbability method.ResultHistopathological examination showed thaincrease in the numbeof RPE celland inflammatory cellwaprimary characteristiin the epithelial membrane of RRD with courses<90 days,buthere were loof neurogliocyteand fibroblastin the RRD group with course≥ 90 days.In addition,the infiltration of inflammatory cellwapredominanin the RRD and Dgroups,bufibroplasiwaobviouin the silicon oil tamponade group.When the course wa≥ 90 days,7 eye(70.0%)in the RRD group wapositive foCTGF,and 18 eyes(90.0%)in the Dgroup and 2 eyes(28.6%)in the silicon oil tamponade group were positive foCTGF,with significandifference among them(P=0.037).In regardto FN,9 eyeshowed expression in the RRD group(90.0%),18 eyein the Dgroup(90.0%)and 7 eyein the silicon oil tamponade group(100.0%),withousignificandifference among them (P =0.379).In the RRD group,7 eyewith course≥ 90 dayand 13 eyewith courses<90 days(92.9%)were positive foCTGF,showing significandifference between them(P =0.032).AfoFN,9 eye(90.0%)with course≥ 90 dayshowed positivity,which wasignificantly highethan the 7 eyewith courses<90 day(50.0%) (P =0.019).ConclusionThe expression of CTGF in epiretinal membranevariewith the disease type and course duration,buthe expression of FN in epiretinal membrane varieonly with the course duration.