Vitreous Collagen Metabolism Before and After Vitrectomy
Overview
Affiliations
Purpose: To assess vitreous metabolism by measuring C-propeptide levels of type II procollagen (pCOL-II-C) and hyaluronan levels in the vitreous and in the vitreous fluid after vitrectomy for macular hole.
Methods: We obtained 1-ml vitreous samples during vitrectomy from 34 patients (34 eyes) with a macular hole (age range 50-77 years, mean 64 years). After vitrectomy, we performed fluid-air exchange in six eyes because of unresolved macular holes and collected 4-ml fluid samples. Gel-filtration high-performance liquid chromatography (HPLC) was used to determine the molecular weight of pCOL-II-C in the samples. The pCOL-II-C level was measured by sandwich enzyme immunoassay and hyaluronan by sandwich binding protein assay.
Results: HPLC showed that pCOL-II-C in the vitreous samples corresponded to purified pCOL-II-C from cartilage. The vitreous pCOL-II-C level (4.7+/-0.3 ng/ml) was similar to reported synovial fluid levels. In six eyes that underwent fluid-air exchange, pCOL-II-C in the fluid samples remained at a level similar to that in the vitreous samples, while hyaluronan levels in the fluid samples were significantly lower than in the vitreous samples.
Conclusions: The molecular weight and concentrations of pCOL-II-C in the vitreous are similar to those in joint fluid. In patients with a macular hole, type II procollagen may be secreted persistently into the vitreous cavity before and after vitrectomy.
Ohta M, Wakuta M, Sakuma A, Hasegawa M, Hamada W, Higashijima F Sci Rep. 2022; 12(1):14630.
PMID: 36028519 PMC: 9418308. DOI: 10.1038/s41598-022-18299-1.
Giridhar S, Verma L, Rajendran A, Bhende M, Goyal M, Ramasamy K Indian J Ophthalmol. 2021; 69(11):3076-3086.
PMID: 34708746 PMC: 8725123. DOI: 10.4103/ijo.IJO_1469_21.
Gisladottir S, Loftsson T, Stefansson E Graefes Arch Clin Exp Ophthalmol. 2009; 247(12):1677-84.
PMID: 19639333 DOI: 10.1007/s00417-009-1141-3.
Ponsioen T, van Luyn M, Van der Worp R, Pas H, Hooymans J, Los L Mol Vis. 2008; 14:652-60.
PMID: 18385800 PMC: 2276182.