PMID- 11095607 OWN - NLM STAT- MEDLINE DCOM- 20001222 LR - 20061115 IS - 0146-0404 (Print) IS - 0146-0404 (Linking) VI - 41 IP - 13 DP - 2000 Dec TI - Differential expression of matrix metalloproteinases and their tissue inhibitors at the advancing pterygium head. PG - 4142-9 AB - PURPOSE: Pterygia are a proliferative and inflammatory growth of limbal epithelial stem cell origin, characterized by corneal tissue invasion and extensive matrix remodeling including the destruction of Bowman's layer (BL). The purpose of this study was to determine the expression of matrix metalloproteinases (MMPs) and tissue inhibitors of MMPs (TIMPs) at the advancing pterygium edge. METHODS: Formalin-fixed, paraffin-embedded whole eyes (n = 11) with pterygia attached, were serially sectioned and analyzed immunohistochemically to determine the spatial distribution of four MMPs and three TIMPs. Tear samples were collected from other patients with pterygia (n = 11) and displayed by gelatin zymography. RESULTS: Collagenase-1 was expressed by pterygium epithelial cells, corneal stromal fibroblasts and pterygium fibroblasts that had migrated between the epithelium and BL at the advancing pterygium edge. Collagenase-3 and gelatinases A and B were detected in all pterygia, intensely staining columnar epithelial cells directly adjacent to the denatured BL. In addition, gelatinase A immunoreactivity was observed on BL. Immunoreactivity for TIMP-1 and -3 paralleled that of the gelatinases, with more intense staining in epithelial cells and fibroblasts where BL was absent. TIMP-2 was faintly detected in pterygium epithelial cells but intensely stained pterygium fibroblasts. Gelatinase B was the most abundant gelatinolytic enzyme present in tears, elevated approximately twofold in eyes with pterygia versus the contralateral control eyes. CONCLUSIONS: This investigation is the first to identify the expression pattern of MMPs and TIMPs at the advancing pterygium edge in specimens of human eyes and in tears derived from patients with pterygia. These enzymes may be responsible for the destruction of BL, and their pattern of differential expression suggests that each may play a selective role in the pathogenesis of pterygia. FAU - Di Girolamo, N AU - Di Girolamo N AD - Inflammation Research Unit, School of Pathology, University of New South Wales, Australia. nldigirolamo@unsw.edu.au FAU - Wakefield, D AU - Wakefield D FAU - Coroneo, M T AU - Coroneo MT LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Invest Ophthalmol Vis Sci JT - Investigative ophthalmology & visual science JID - 7703701 RN - 0 (Eye Proteins) RN - 0 (Protease Inhibitors) RN - 0 (Tissue Inhibitor of Metalloproteinases) RN - 0 (tear proteins) RN - EC 3.4.24.- (Matrix Metalloproteinases) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Eye Proteins/metabolism MH - Female MH - Humans MH - Immunoenzyme Techniques MH - Male MH - Matrix Metalloproteinases/*metabolism MH - Middle Aged MH - Protease Inhibitors/*metabolism MH - Pterygium/*enzymology/pathology MH - Tears/metabolism MH - Tissue Inhibitor of Metalloproteinases/*metabolism EDAT- 2000/11/30 11:00 MHDA- 2001/02/28 10:01 CRDT- 2000/11/30 11:00 PHST- 2000/11/30 11:00 [pubmed] PHST- 2001/02/28 10:01 [medline] PHST- 2000/11/30 11:00 [entrez] PST - ppublish SO - Invest Ophthalmol Vis Sci. 2000 Dec;41(13):4142-9.