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Publication : A Core of Keratocan-Negative Cells Survives in Old Corneal Scars.

First Author  Joud H Year  2025
Journal  Am J Pathol Volume  195
Issue  2 Pages  281-292
PubMed ID  39566825 Mgi Jnum  J:389046
Mgi Id  MGI:7854735 Doi  10.1016/j.ajpath.2024.10.017
Citation  Joud H, et al. (2024) A Core of Keratocan-Negative Cells Survives in Old Corneal Scars. Am J Pathol
abstractText  Corneal scars originate from keratocyte-derived fibroblasts and myofibroblasts that are ultimately cleared through apoptosis or revert to keratocytes. A mouse model expressing the keratocyte lineage-specific reporter KeraRT/tetO-Cre/mTmG (I-KeramTmG) was interrogated to elucidate cell phenotype dynamics during scar maturation. This model expresses tdTomato (red) in all keratocan-negative cells, while enhanced green fluorescent protein (green) is expressed only by keratocytes. A 1-mm full-thickness keratotomy was generated in adult I-KeramTmG mice. The presence of keratocytes was determined at 3, 6, and 10 months after injury. At 3 and 6 months, few green cells were visualized at the scar borders, while few or no green cells were seen in the central (core) scar. At 10 months, green cells were seen throughout the scar, but most cells were red. Proliferation of stromal cells after injury was studied by 5-ethynyl-2'-deoxyuridine labeling and Ki-67 staining; both assays showed proliferation only during the first 2 weeks after injury. Second harmonic generation microscopy showed thickened and irregularly arranged collagen fibers in scars, suggesting that neither extracellular matrix organization nor cell phenotype had changed significantly at 10 months after injury. Findings from in vivo experiments suggest that in old corneal scars, a nonkeratocyte phenotype persists in an abnormal matrix with unique characteristics that probably prevent the regression of fibroblasts and myofibroblasts to keratocytes or invasion of surrounding keratocytes.
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