학술논문

Persistence of Contact Lens-Induced Corneal Parainflammation Following Lens Removal.
Document Type
article
Source
Investigative Ophthalmology and Visual Science. 65(3)
Subject
Mice
Animals
Mice
Inbred C57BL
Lens
Crystalline
Contact Lenses
Cornea
Cytokines
Language
Abstract
PURPOSE: Contact lens wear induces corneal parainflammation involving increased immune cell numbers after 24 hours (CD11c+, Lyz2+, γδ-T cells) and six days (Ly6G+ cells) wear. We investigated the time course of onset and resolution of these responses. METHODS: LysMcre or C57BL/6J mice were fitted with a contact lens (four to 48 hours). Contralateral eyes did not wear lenses. After lens removal, Lyz2+, MHC-II+ or Ly6G+ cells were examined by quantitative imaging. RT-qPCR determined cytokine gene expression. RESULTS: Lens wear for 24 hours increased corneal Lyz2+ cells versus contralateral eyes approximately two-fold. Corneas remained free of visible pathology. The Lyz2+ response was not observed after four or 12 hours wear, nor after 12 hours wear plus 12 hours no wear. Lens removal after 24 hours wear further increased Lyz2+ cells (∼48% after one day), which persisted for four days, returning to baseline by seven days. Lyz2+ cells in contralateral eyes remained at baseline. MHC-II+ cells showed a similar response but without increasing after lens removal. Lens wear for 48 hours showed reduced Lyz2+ cells versus 24 hours wear with one day discontinuation, correlating with reduced IL-1β and IL-18 gene expression. Lens wear for 24 hours did not induce Ly6G+ responses six days after removal. CONCLUSIONS: Lens-induced corneal parainflammation involving Lyz2+ cells requires 24 hours wear but persists after lens discontinuation, requiring seven days for reversal. Lens wear for 48 hours may suppress initial Lyz2+ cell and cytokine responses. The significance of parainflammation during and after lens wear remains to be determined.