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Research Article|Articles in Press, 101820

Proteomic profiling of human corneal stroma from long-term contact lens wearers reveals activation of inflammatory responses

  • Manli Deng
    Affiliations
    Department of Ophthalmology, Shanghai Tenth People’s Hospital, School of Medicine, Tongji University, Shanghai, China
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  • Min Li
    Affiliations
    Department of Ophthalmology, Shanghai Tenth People’s Hospital, School of Medicine, Tongji University, Shanghai, China
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  • Lin Liu
    Affiliations
    Department of Ophthalmology, Shanghai Tenth People’s Hospital, School of Medicine, Tongji University, Shanghai, China
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  • Yuehui Shi
    Affiliations
    Department of Ophthalmology, Shanghai Tenth People’s Hospital, School of Medicine, Tongji University, Shanghai, China
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  • Lina Sun
    Affiliations
    Department of Ophthalmology, Shanghai Tenth People’s Hospital, School of Medicine, Tongji University, Shanghai, China
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  • Xiaoyun Ma
    Correspondence
    Corresponding authors at: Department of Ophthalmology, Shanghai Tenth People’s Hospital, Tongji University, Shanghai, China (Jun Zou); Department of Ophthalmology, Shanghai University of Medicine & Health Sciences Affiliated Zhoupu Hospital, Shanghai, China (Xiaoyun Ma).
    Affiliations
    Department of Ophthalmology, Shanghai University of Medicine & Health Sciences Affiliated Zhoupu Hospital, Shanghai, China
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  • Jun Zou
    Correspondence
    Corresponding authors at: Department of Ophthalmology, Shanghai Tenth People’s Hospital, Tongji University, Shanghai, China (Jun Zou); Department of Ophthalmology, Shanghai University of Medicine & Health Sciences Affiliated Zhoupu Hospital, Shanghai, China (Xiaoyun Ma).
    Affiliations
    Department of Ophthalmology, Shanghai Tenth People’s Hospital, School of Medicine, Tongji University, Shanghai, China
    Search for articles by this author
Published:February 10, 2023DOI:https://doi.org/10.1016/j.clae.2023.101820

      Abstract

      Purpose

      To investigate the association between proteomic changes and potential pathogenesis in the human cornea with respect to the duration of wearing soft contact lenses (SCLs).

      Methods

      A total of 96 corneal stroma samples, obtained via small incision lenticule extraction (SMILE), were equally grouped according to the duration of wearing SCL: 0Y, did not wear SCL; 5Y, wore SCL for<5 years; 5–10Y, wore SCL for 5–10 years; O10Y, wore SCL for>10 years. Liquid chromatography–tandem mass spectrometry was used to identify and quantify protein profiles in the corneal stroma. Expression levels of CO1A1, CO4A1, NFKB1, and IL6RB were determined using western blot and immunohistochemistry analysis.

      Results

      This study quantified a total of 5,668 proteins across samples and identified 2,379 differentially expressed proteins (DEPs) with significantly increased abundance in the three SCL-wearing groups compared with that in the non-SCL-wearing group. Compared with those in the 0Y group, the molecular functions of DEPs in the 5Y, 5–10Y, and O10Y groups were mainly related to translation regulator activity, antigen binding, peptidase inhibitor activity, participation in extracellular matrix (ECM) production, complement activation, and inflammatory responses. Pathway enrichment analysis of DEPs showed that the sphingolipid, phosphatidylinositol 3-kinase-protein kinase B, and hypoxia-inducible factor-1 signaling pathways were activated in the human corneal stroma after long-term SCL use.

      Conclusions

      Inflammation-related proteomic components in human corneal stroma increased after long-term use of SCL and may act as an essential factor in the molecular pathogenesis of corneal stroma damage.

      Keywords

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