The results showed that in the infant human corneas studied the composition of both corneal BMs, the EBM and DM, is reproducibly different from that of adult corneas. In the infant corneal EBM, the central part above the Bowman's layer contained little type IV collagen
α3-
α4 chains (revealed only after urea treatment) but stained well for
α1-
α2 chains, opposite to the adult central EBM pattern.
10 The distribution of
α1-
α2 type IV collagen in the infant corneas is in keeping with continuing expression of
α1(IV) mRNA during postnatal life.
65 Subsequently,
α1-
α2 type IV collagen synthesis may be developmentally inhibited at the posttranscriptional level, or the epitopes may become masked, because various monoclonal antibodies no longer detected it in the adult central corneas.
9,10,53,65,66 α3-
α4(IV) chains accumulate in the EBM later in postnatal life, in agreement with previous data.
54 Because
α5-
α6(IV) chains are expressed in both infant and adult central corneal EBM, they appear to be regulated differently from
α3-
α4(IV) chains, and probably form trimers mostly without
α3-
α4(IV) chains.
In adult corneas, basal epithelial precursor (stem) cells are localized in the limbus, although in the embryonic and newborn corneas they may be also present in the central part.
50,67,68 Limbal epithelial stem cells strongly adhere to placental type IV collagen,
69 composed mostly of the
α1-
α2 chains
70 typical of adult limbal BM. Limbal explants on amniotic membranes also make
α1-
α2 type IV collagen.
71 In addition, embryonic stem cells undergo epithelial differentiation on the same
α1-
α2 type IV collagen and then can be used for replacement of injured limbus.
72 These data suggest that limbal stem cells and their more abundant early progeny (transient amplifying cells) may contribute to a unique BM composition with respect to type IV collagen isoforms and also to some other molecules (e.g., specific laminin isoforms containing
α2,
β2, and
γ3 chains, tenascin-C, fibrillin-1, types XII [long form] and XV collagen, and thrombospondin-1).
10,14,16,35,57,64,68,73 The horizontal EBM heterogeneity between the limbus and the central part that develops during embryonic and postnatal life could reflect the need for limbal stem cells and transient amplifying cells to maintain a specific BM composition to preserve their undifferentiated state. Interactions of stem cells with the BM appear to be regulated through specific integrin receptors.
74,75 Patches of some limbal BM components (agrin, SPARC/BM-40, tenascin-C, and versican) were reported to co-localize with p63/ABCG2-positive and Cx43-negative cell clusters in the limbal basal epithelium (Kruse FE et al.
IOVS 2005; 46:ARVO E-Abstract 2081). These BM proteins may be products and markers of putative stem cells that are a minor population of limbal basal epithelial cells. The other BM components differentially expressed in the limbus (described in the
Results section) may be related to a bigger population of transient amplifying cells.
The distribution of type IV collagen in the infant central corneal EBM resembles that of the adult limbal EBM that is probably produced by the epithelial cells.
55 Such EBM composition may favor the existence of epithelial stem cells and early transient amplifying cells in the maturing cornea.
68 Accordingly, the corneal epithelial differentiation marker, keratin 3, is absent from the basal cells of the embryonic central cornea until birth.
67 It was also less abundant in the peripheral basal cells of the infant versus adult corneas (). Basal cells of the infant central corneal epithelium might therefore exist at a similar level of differentiation as most of the basal cells of the adult limbus. However, they seem to be somewhat more differentiated by
α-enolase expression. During postnatal maturation, corneal epithelial basal cells begin to accumulate type IV collagen
α3-
α4 chains in the EBM with concomitant decrease in the production of limbal
α1-
α2(IV) chains. Our data suggest that the differentiation level of the corneal epithelial basal cells influences the expression pattern of type IV collagen isoforms in the EBM (see Ref.
68). Supporting this hypothesis are our previous results on the limbal pattern of type IV collagen and keratin 3 expression of the central epithelial cells in epithelial plugs over radial keratotomy scars.
76 Cell proliferation, as determined by proliferating cell nuclear antigen (PCNA) staining, may not be an important factor in the regulation of postnatal BM protein expression because after 6 months of life, PCNA-positive cells are already confined to the limbal area.
77Laminin
α2 and
β2 chains were not seen in the infant EBM, whereas they were both found in the limbal and also conjunctival EBM in the adult corneas. These chains may be produced by stromal cells (hence, their absence from central corneas), and their presence could reflect stromal rather than epithelial maturation in the postnatal cornea, a situation previously described in the intestine for
α2 chain.
78,79 Together with type IV collagen chains (described earlier), laminin
α2 and
β2 chains seem to be developmentally regulated in the cornea, although the exact timing and mechanisms of their appearance in the adult life are unknown. These findings may be one of the first indications of significant maturation (further differentiation) of epithelial and stromal limbal and conjunctival cells and their mutual BM during postnatal development. This system could be useful for the study of developmental regulation of specific integrin receptors for laminin. One integrin,
α6β4, was expressed in an adult pattern in infant corneas (data not shown), but others (such as
α3β1or
α2β1) might change their expression levels and/or patterns during corneal maturation.
In DM, infant corneas exhibited laminin-511, nidogen-1 and -2, type IV collagen α1-α6 chains, perlecan, and netrin-4 on both DM faces. However, in adult corneas, these components were located only on one DM face. α1-α2(IV) chains were found on the stromal face, and all others, on the endothelial face. Type VIII collagen was primarily located on the endothelial DM face in infant corneas, but was found mostly on the stromal face in the adult corneas. The mechanisms of these changes are not known.
Alterations in the distribution of DM components during postnatal development may reflect cellular differentiation and/or proliferation changes, especially in the case of type VIII collagen, a major DM component. It is made by proliferating corneal endothelial cells in culture but its production is inhibited on confluence.
80 Human corneal endothelial cells largely cease to proliferate in the last trimester of fetal life and after birth.
81 Therefore, this collagen's network may not be made by endothelial cells after birth and may be gradually distanced from them as DM thickens. It can still remain there because of increased stability of its hexagonal network to degradation compared with the trimer.
82 In adult life, it could also be produced by posterior stromal keratocytes, which is supported by data on knockout mice for
α1(VIII) and
α2(VIII) chains that display severe stromal alterations.
83DM components found on both sides in the infant corneas may be initially laid down by stromal and endothelial cells. During postnatal corneal maturation, the stromally located components (e.g., laminin-332, tenascin-C, fibrillin-1, netrin-4, and matrilin-4) may be degraded and replaced by those (e.g., fibronectin) made by the differentiated adult stromal cells. It would be interesting to verify this hypothesis by in situ hybridization on corneas at various stages of postnatal development. It is noteworthy that developmental vertical heterogeneity with respect to type IV collagen chains was observed in glomerular BM,
84,85 which is also a product of more than one cell type.
86Tenascin-C and fibrillin-1 could be detected on the stromal face of the DM only in infant corneas. Both of these proteins can reappear in DM of adult corneas affected by bullous keratopathy and Fuchs' endothelial dystrophy.
11,87 These conditions are characterized by the inability of corneal endothelial cells to pump fluid efficiently out of the cornea resulting in corneal swelling. It is possible that the infant endothelium also cannot pump out fluid as efficiently as adult endothelium, leading to the accumulation of tenascin-C and fibrillin-1 in the infant DM. Previously, tenascin-C isoforms were also found in the central corneas of fetal and infant eyes, and their expression diminished with postnatal aging.
88 However, in the Maseruka et al. paper,
88 more isoforms were seen in infant corneas than we have observed and epithelial (rather than ECM) staining was notable. Moreover, they did not observe the DM staining described in the present study. These discrepancies are probably due to the use of cryosectioned tissues in our study versus paraffin-embedded sections in the Maseruka et al. paper.
To the best of our knowledge, we provide the first account of the distribution of laminin
γ3 chain, nidogen-2, matrilin-2, matrilin-4, and netrin-4 in human corneas (, , ). Staining for the laminin
γ3 chain was strong in limbal and conjunctival BM, similar to that of
α1-
α2(IV) chains and laminin
α2 and
β2 chains (). The staining in the EBM was weak and irregular, especially in adult corneas. In several tissues, this chain was found at non-BM locations.
89–91 However, in skin, testis, retina-choroid, and kidney,
γ3 chain was observed in BMs including Bruch's membrane and epidermal BM
92,93 and was markedly reduced in mouse testis in the absence of laminin
α2 chain.
94 It is not known which laminin isoforms containing the
γ3 chain are present in limbal BM, but this region has all
α and
β chains that were previously shown to complex with
γ3 to form laminin-213, -333, -423, and -523.
52,90,91Nidogen-1 and -2 are close homologs and both bind to laminin.
95 In the human cornea, nidogen-2 was codistributed with nidogen-1/entactin and was a prominent component of corneal epithelial and limbal vascular BMs. Nidogen-1 and -2 were also both observed around keratocytes. Staining of a human meningioma (data not shown) revealed that nidogen-2 was present in both tumor stroma and vascular BMs, but nidogen-1 was seen only in the vessel walls. These data exclude antibody cross-reactivity supporting the presence of both nidogens in the infant and adult corneal EBM and DM.
Matrilin-2 and -4 have been found in noncorneal BMs, such as skin epithelial BM.
45,46 These von Willebrand factor A-like domain-containing ECM adapter proteins interact with various BM components
96 and may reinforce corneal BMs, especially the infant DM, where matrilin-4 is found in a “railroad” pattern. Netrin-4 (also known as
β-netrin), a BM protein with homology to laminin, may have a similar function in the DM.
Our results indicate that human corneal BMs undergo significant compositional changes from the infant to the adult, possibly related to the differentiative and/or proliferative processes of contributing cells. It is important to identify mechanisms responsible for these changes, for a better understanding of the pathogenesis of certain corneal diseases. BM structure alterations have been described in many common corneal disorders, such as keratoconus, Fuchs' endothelial dystrophy, and bullous and diabetic keratopathies.
7,11,56,58,62,64,97–101 Elucidation of the underlying abnormalities in BM gene and protein expression may provide a means to alleviate symptoms or to prevent the development of these common vision-threatening diseases.