Ultrastructural study of collagen fibrils, proteoglycans and lamellae of the cornea treated with iontophoresis – UVA cross-linking and hypotonic riboflavin solution

To investigate the effects of iontophoresis–ultraviolet A (UVA) cross-linking (CXL) with hypotonic riboflavin solution on the ultrastructural changes in the lamellae, collagen fibrils (CFs), and proteoglycans (PGs) in the central and peripheral stroma of the human corneal buttons. The iontophoresis...

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Autores principales: Turki Almubrad, Rita Mencucci, Adrian Smedowski, Ramachandran Samivel, Essam Almutleb, Aljoharah Alkanaan, Adnan Ali Khan, Ali Masmali, Saeed Akhtar
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Publicado: Elsevier 2021
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spelling oai:doaj.org-article:9ed4f0fa9d0441008d36cfc12e2738642021-11-20T04:56:51ZUltrastructural study of collagen fibrils, proteoglycans and lamellae of the cornea treated with iontophoresis – UVA cross-linking and hypotonic riboflavin solution1319-562X10.1016/j.sjbs.2021.08.019https://doaj.org/article/9ed4f0fa9d0441008d36cfc12e2738642021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S1319562X21006902https://doaj.org/toc/1319-562XTo investigate the effects of iontophoresis–ultraviolet A (UVA) cross-linking (CXL) with hypotonic riboflavin solution on the ultrastructural changes in the lamellae, collagen fibrils (CFs), and proteoglycans (PGs) in the central and peripheral stroma of the human corneal buttons. The iontophoresis method was used for the trans-epithelial application of hypotonic riboflavin in ex vivo corneal culture for 5 min. The corneas were irradiated using three methods: Group 1 (G1), a UVA irradiance of 3 mW/cm2 for 30 min; Group 2 (G2), a UVA irradiance of 10 mW/cm2 for 9 min; Group 3 (G3), without UVA irradiation. Three untreated corneas were used as controls (G0). After the CXL procedure, the corneas were processed for electron microscopy. The CF diameter and PGs in each sample were analyzed using the iTEM program. The keratocyte organelles and stromal architecture in the peripheral cornea were better preserved than those in the central cornea. In G1 and G2, the mean CF diameter in the peripheral cornea was significantly higher than that in the central cornea. In G3, the CF diameter in the central cornea was significantly larger than that in the peripheral cornea. Furthermore, differences in PG area size were observed between the central and peripheral corneas in all groups. Riboflavin + UVA application at 3 mW/cm2 for 30 min and 10 mW/cm2 for 9 min was a suitable method of CXL; however, 3 mW/cm2 for 30 min improved the organization and size of the collagen fibrils. CXL treatment applied at the periphery was more effective than that applied at the center.Turki AlmubradRita MencucciAdrian SmedowskiRamachandran SamivelEssam AlmutlebAljoharah AlkanaanAdnan Ali KhanAli MasmaliSaeed AkhtarElsevierarticleCollagen fibrilsProteoglycansCorneaIontophoresisUltraviolet ABiology (General)QH301-705.5ENSaudi Journal of Biological Sciences, Vol 28, Iss 12, Pp 7160-7174 (2021)
institution DOAJ
collection DOAJ
language EN
topic Collagen fibrils
Proteoglycans
Cornea
Iontophoresis
Ultraviolet A
Biology (General)
QH301-705.5
spellingShingle Collagen fibrils
Proteoglycans
Cornea
Iontophoresis
Ultraviolet A
Biology (General)
QH301-705.5
Turki Almubrad
Rita Mencucci
Adrian Smedowski
Ramachandran Samivel
Essam Almutleb
Aljoharah Alkanaan
Adnan Ali Khan
Ali Masmali
Saeed Akhtar
Ultrastructural study of collagen fibrils, proteoglycans and lamellae of the cornea treated with iontophoresis – UVA cross-linking and hypotonic riboflavin solution
description To investigate the effects of iontophoresis–ultraviolet A (UVA) cross-linking (CXL) with hypotonic riboflavin solution on the ultrastructural changes in the lamellae, collagen fibrils (CFs), and proteoglycans (PGs) in the central and peripheral stroma of the human corneal buttons. The iontophoresis method was used for the trans-epithelial application of hypotonic riboflavin in ex vivo corneal culture for 5 min. The corneas were irradiated using three methods: Group 1 (G1), a UVA irradiance of 3 mW/cm2 for 30 min; Group 2 (G2), a UVA irradiance of 10 mW/cm2 for 9 min; Group 3 (G3), without UVA irradiation. Three untreated corneas were used as controls (G0). After the CXL procedure, the corneas were processed for electron microscopy. The CF diameter and PGs in each sample were analyzed using the iTEM program. The keratocyte organelles and stromal architecture in the peripheral cornea were better preserved than those in the central cornea. In G1 and G2, the mean CF diameter in the peripheral cornea was significantly higher than that in the central cornea. In G3, the CF diameter in the central cornea was significantly larger than that in the peripheral cornea. Furthermore, differences in PG area size were observed between the central and peripheral corneas in all groups. Riboflavin + UVA application at 3 mW/cm2 for 30 min and 10 mW/cm2 for 9 min was a suitable method of CXL; however, 3 mW/cm2 for 30 min improved the organization and size of the collagen fibrils. CXL treatment applied at the periphery was more effective than that applied at the center.
format article
author Turki Almubrad
Rita Mencucci
Adrian Smedowski
Ramachandran Samivel
Essam Almutleb
Aljoharah Alkanaan
Adnan Ali Khan
Ali Masmali
Saeed Akhtar
author_facet Turki Almubrad
Rita Mencucci
Adrian Smedowski
Ramachandran Samivel
Essam Almutleb
Aljoharah Alkanaan
Adnan Ali Khan
Ali Masmali
Saeed Akhtar
author_sort Turki Almubrad
title Ultrastructural study of collagen fibrils, proteoglycans and lamellae of the cornea treated with iontophoresis – UVA cross-linking and hypotonic riboflavin solution
title_short Ultrastructural study of collagen fibrils, proteoglycans and lamellae of the cornea treated with iontophoresis – UVA cross-linking and hypotonic riboflavin solution
title_full Ultrastructural study of collagen fibrils, proteoglycans and lamellae of the cornea treated with iontophoresis – UVA cross-linking and hypotonic riboflavin solution
title_fullStr Ultrastructural study of collagen fibrils, proteoglycans and lamellae of the cornea treated with iontophoresis – UVA cross-linking and hypotonic riboflavin solution
title_full_unstemmed Ultrastructural study of collagen fibrils, proteoglycans and lamellae of the cornea treated with iontophoresis – UVA cross-linking and hypotonic riboflavin solution
title_sort ultrastructural study of collagen fibrils, proteoglycans and lamellae of the cornea treated with iontophoresis – uva cross-linking and hypotonic riboflavin solution
publisher Elsevier
publishDate 2021
url https://doaj.org/article/9ed4f0fa9d0441008d36cfc12e273864
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