Objective
In a previous study, we reported the upregulation of Nerve Growth Factor (NGF) and trkA
NGFR expression in Ocular Cicatricial Pemphigoid (OCP), an inflammatory and remodeling eye disease. Herein, we hypothesize a potential NGF-driven mechanism on fibroblasts (FBs) during OCP remodeling events. To verify, human derived OCP-FBs were isolated and characterized either at baseline or after NGF exposure.
Materials and Methods
Conjunctival biopsies were obtained from 7 patients having OCP and 6 control subjects (cataract surgery). Both conjunctivas and primary FB cultures were characterised for αSMA, NGF and trkA
NGFR/p75
NTR expression. Subcultures were exposed to NGF and evaluated for αSMA, NGF, trkA
NGFR/p75
NTR expression as well as TGFβ1/IL4 release. For analysis,
early and advanced subgroups were defined according to clinical parameters.
Results
OCP-conjunctivas showed αSMA-expressing FBs and high NGF levels. A
dvanced OCP-FBs showed higher αSMA expression associated with higher p75
NTR and lower trkA
NGFR expression, as compared to
early counterparts. αSMA expression was in keeping with disease severity and correlated to p75
NTR. NGF exposure did not affect trkA
NGFR levels in
early OCP-FBs while decreased both αSMA/p75
NTR expression and TGFβ1/IL4 release. These effects were not observed in
advanced OCP-FBs.
Conclusions
Taken together, these data are suggestive for a NGF/p75
NTR task in the potential modulation of OCP fibrosis and encourages further studies to fully understand the underlying mechanism occurring in fibrosis. NGF/p75
NTR might be viewed as a potential therapeutic target.
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