Gater, R, Ipek, T, Sadiq, S, Nguyen, D, Jones, L, El Haj, AJ and Yang, Y (2019) Investigation of Conjunctival Fibrosis Response Using a 3D Glaucoma Tenon’s Capsule + Conjunctival ModelFibrosis Response Within a 3D Tenon’s + Conjunctival Model. Investigative Ophthalmology & Visual Science, 60 (2). 605 -614. ISSN 1552-5783

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Surgical techniques such as trabeculectomy aim to treat glaucoma by making an incision into the scleral tissue, to create an alternative drainage pathway for aqueous to flow into the sub-Tenon’s/subconjunctival space. However, tissue fibrosis and wound healing occurring after the procedures can reduce the success rate. This study aims to investigate the synergistic effects of aqueous humor in combination with shear stress on the fibrosis response occurring in Tenon’s capsule and conjunctival tissue (TCCT) after glaucoma surgery. Two-dimensional (2D) and 3D in vitro TCCT models were constructed by seeding porcine Tenon’s capsule + conjunctival fibroblasts in collagen gel. These were used to investigate key growth factors (singular and natural form) with shear stress, which are believed to influence tissue fibrosis after glaucoma surgery. In addition to cell proliferation assessments, a nondestructive assay to quantify neocollagen synthesis in TCCT models, in response to these factors, has been applied up to 14 days. TCCT fibroblast proliferation increased significantly with doses of TGF-β, TNF-α, and VEGF, in comparison with the control. Furthermore, fibroblasts exposed to 50% aqueous humor had significantly increased proliferation and actin expression. Shear stress–induced mechanotransduction was also found to promote metabolic activity across experimental conditions. Neocollagen labeling cross validated the fibrosis process. Shear stress appeared to enhance the influence of key growth factors and further promoted fibrotic response within the model. These findings offer a useful insight for further study into the wound-healing response triggered by aqueous fluid outflow after glaucoma surgery.

Item Type: Article
Additional Information: This is the final published version of the article (version of record). It first appeared online via Association for Research in Vision and Ophthalmology (ARVO) at - please refer to any applicable terms of use of the publisher.
Uncontrolled Keywords: conjunctiva; Tenon's capsule; fibrosis; glaucoma; 3D model
Subjects: R Medicine > RD Surgery > RD32 Operative surgery. Technique of surgical operations
R Medicine > RE Ophthalmology
Divisions: Faculty of Medicine and Health Sciences > Institute for Science and Technology in Medicine
Depositing User: Symplectic
Date Deposited: 11 Feb 2019 16:51
Last Modified: 26 Jan 2021 16:38

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