Expression of Cytokines, Chmokines and Growth Factors in Patients Undergoing Cataract Surgery with Femtosecond Laser Pretreatment

Hui Chen, Haotian Lin, Danying Zheng, Yuhua Liu, Weirong Chen, Yizhi Liu, Hui Chen, Haotian Lin, Danying Zheng, Yuhua Liu, Weirong Chen, Yizhi Liu

Abstract

Purpose: To describe cytokines, chemokines and growth factors profiles in patients undergoing cataract surgery with femtosecond laser pretreatment and investigate their relationships with the postoperative in vivo inflammation index.

Methods: Aqueous humor was collected from 22 eyes after femtosecond laser pretreatment and from 22 eyes at the beginning of routine cataract surgery. The levels of 45 inflammation-related mediators were measured using multiplex fluorescent bead-based immunoassays. Laser flare photometry was measured preoperatively and at 1 day, 7 days and 30 days postoperatively.

Results: Compared with the control group, the femtosecond laser treatment group showed significantly higher aqueous humor levels of fibroblast growth factor (FGF-2), tumor necrosis factor (TNF)-α, leukemia inhibitor factor (LIF), interleukin (IL)-1ra and IL-18, and significantly lower aqueous humor levels of IL-9, platelet-derived growth factor (PDGF)-BB, eotaxin and TNF-β. Postoperative aqueous flare was significantly greater in the manual cataract surgery group at 1 day (p<0.001), 7 days (p<0.001) and 30 days (p = 0.002).No correlation was found between the analyzed mediators and the aqueous flare values.

Conclusions: The expression profiles of cytokines, chemokines and growth factors and the correlations of these profiles with the in vivo inflammatory indexes for patients undergoing cataract surgery with femtosecond laser pretreatment were identified. Our data indicate a disturbance of postoperative inflammation response after femtosecond laser treatment.

Conflict of interest statement

Competing Interests: The authors declare that no competing interests exist. Author HL is a PLOS ONE Editorial Board member. This does not alter the authors' adherence to PLOS ONE Editorial policies and criteria.

References

    1. Nagy Z, Takacs A, Filkorn T, Sarayba M. Initial clinical evaluation of an intraocular femtosecond laser in cataract surgery. Journal of refractive surgery. 2009;25(12):1053–60. 10.3928/1081597X-20091117-04 .
    1. Friedman NJ, Palanker DV, Schuele G, Andersen D, Marcellino G, Seibel BS, et al. Femtosecond laser capsulotomy. Journal of cataract and refractive surgery. 2011;37(7):1189–98. 10.1016/j.jcrs.2011.04.022 .
    1. Conrad-Hengerer I, Hengerer FH, Schultz T, Dick HB. Effect of femtosecond laser fragmentation of the nucleus with different softening grid sizes on effective phaco time in cataract surgery. Journal of cataract and refractive surgery. 2012;38(11):1888–94. 10.1016/j.jcrs.2012.07.023 .
    1. Mayer WJ, Klaproth OK, Hengerer FH, Kohnen T. Impact of crystalline lens opacification on effective phacoemulsification time in femtosecond laser-assisted cataract surgery. American journal of ophthalmology. 2014;157(2):426–32 e1. 10.1016/j.ajo.2013.09.017 .
    1. Taravati P, Lam DL, Leveque T, Van Gelder RN. Postcataract surgical inflammation. Current opinion in ophthalmology. 2012;23(1):12–8. 10.1097/ICU.0b013e32834cd60e .
    1. Lou B, Lin X, Luo L, Yang Y, Chen Y, Liu Y. Residual lens cortex material: potential risk factor for endophthalmitis after phacoemulsification cataract surgery. Journal of cataract and refractive surgery. 2013;39(2):250–7. 10.1016/j.jcrs.2012.07.038 .
    1. Abell RG, Allen PL, Vote BJ. Anterior chamber flare after femtosecond laser-assisted cataract surgery. Journal of cataract and refractive surgery. 2013;39(9):1321–6. 10.1016/j.jcrs.2013.06.009 .
    1. Conrad-Hengerer I, Hengerer FH, Al Juburi M, Schultz T, Dick HB. Femtosecond laser-induced macular changes and anterior segment inflammation in cataract surgery. Journal of refractive surgery. 2014;30(4):222–6. 10.3928/1081597X-20140321-01 .
    1. Schultz T, Joachim SC, Kuehn M, Dick HB. Changes in prostaglandin levels in patients undergoing femtosecond laser-assisted cataract surgery. Journal of refractive surgery. 2013;29(11):742–7. 10.3928/1081597X-20131021-03 .
    1. Er H, Doganay S, Evereklioglu C, Turkoz Y, Gunduz A, Borazan M, et al. Comparison of the effects of argon and neodymium:YAG laser iridotomy on cytokines in the rabbit aqueous humor. European journal of ophthalmology. 2002;12(3):183–7. .
    1. Er H, Doganay S, Turkoz Y, Cekmen M, Daglioglu MC, Gunduz A, et al. The levels of cytokines and nitric oxide in rabbit vitreous humor after retinal laser photocoagulation. Ophthalmic surgery and lasers. 2000;31(6):479–83. .
    1. Sharma RK, Rogojina AT, Chalam KV. Multiplex immunoassay analysis of biomarkers in clinically accessible quantities of human aqueous humor. Molecular vision. 2009;15:60–9.
    1. Shah SM, Spalton DJ, Smith SE. Measurement of aqueous cells and flare in normal eyes. The British journal of ophthalmology. 1991;75(6):348–52.
    1. Jiang S, Liu X, Luo L, Qu B, Huang X, Xu L, et al. Elevated serum IL-23 correlates with intraocular inflammation after cataract surgery in patients with Vogt-Koyanagi-Harada disease. The British journal of ophthalmology. 2010;94(8):1078–82. 10.1136/bjo.2009.169052 .
    1. Liu Y, Luo L, He M, Liu X. Disorders of the blood-aqueous barrier after phacoemulsification in diabetic patients. Eye. 2004;18(9):900–4. 10.1038/sj.eye.6701349 .
    1. Liu Y, Zeng M, Liu X, Luo L, Yuan Z, Xia Y, et al. Torsional mode versus conventional ultrasound mode phacoemulsification: randomized comparative clinical study. Journal of cataract and refractive surgery. 2007;33(2):287–92. 10.1016/j.jcrs.2006.10.044 .
    1. Storey JD. The positive false discovery rate:a Bayesian interpretation and the q-value. The Annals of Statistics.2003; 31(6): 2013–35.
    1. Meacock WR, Spalton DJ, Stanford MR. Role of cytokines in the pathogenesis of posterior capsule opacification. The British journal of ophthalmology. 2000;84(3):332–6.
    1. McAvoy JW, Chamberlain CG. Fibroblast growth factor (FGF) induces different responses in lens epithelial cells depending on its concentration. Development. 1989;107(2):221–8. .
    1. Tanaka T, Saika S, Ohnishi Y, Ooshima A, McAvoy JW, Liu CY, et al. Fibroblast growth factor 2: roles of regulation of lens cell proliferation and epithelial-mesenchymal transition in response to injury. Molecular vision. 2004;10:462–7. .
    1. Mansfield KJ, Cerra A, Chamberlain CG. FGF-2 counteracts loss of TGFbeta affected cells from rat lens explants: implications for PCO (after cataract). Molecular vision. 2004;10:521–32. .
    1. Prada J, Ngo-Tu T, Baatz H, Hartmann C, Pleyer U. Detection of tumor necrosis factor alpha and interleukin 1 alpha gene expression in human lens epithelial cells. Journal of cataract and refractive surgery. 2000;26(1):114–7. .
    1. Cafferty WB, Gardiner NJ, Gavazzi I, Powell J, McMahon SB, Heath JK, et al. Leukemia inhibitory factor determines the growth status of injured adult sensory neurons. The Journal of neuroscience: the official journal of the Society for Neuroscience. 2001;21(18):7161–70. .
    1. Kovacs I, Kranitz K, Sandor GL, Knorz MC, Donnenfeld ED, Nuijts RM, et al. The effect of femtosecond laser capsulotomy on the development of posterior capsule opacification. Journal of refractive surgery. 2014;30(3):154–8. 10.3928/1081597X-20140217-01 .
    1. Dinarello CA. Interleukin-1 and interleukin-1 antagonism. Blood. 1991;77(8):1627–52. .
    1. Arend WP, Malyak M, Guthridge CJ, Gabay C. Interleukin-1 receptor antagonist: role in biology. Annual review of immunology. 1998;16:27–55. 10.1146/annurev.immunol.16.1.27 .
    1. Chamberlain CS, Leiferman EM, Frisch KE, Brickson SL, Murphy WL, Baer GS, et al. Interleukin expression after injury and the effects of interleukin-1 receptor antagonist. PloS one. 2013;8(8):e71631 10.1371/journal.pone.0071631
    1. Dinarello CA. IL-18: A TH1-inducing, proinflammatory cytokine and new member of the IL-1 family. The Journal of allergy and clinical immunology. 1999;103(1 Pt 1):11–24. .
    1. Coughlin CM, Salhany KE, Wysocka M, Aruga E, Kurzawa H, Chang AE, et al. Interleukin-12 and interleukin-18 synergistically induce murine tumor regression which involves inhibition of angiogenesis. The Journal of clinical investigation. 1998;101(6):1441–52. 10.1172/JCI1555
    1. Qiao H, Sonoda KH, Ikeda Y, Yoshimura T, Hijioka K, Jo YJ, et al. Interleukin-18 regulates pathological intraocular neovascularization. Journal of leukocyte biology. 2007;81(4):1012–21. 10.1189/jlb.0506342 .
    1. Doyle SL, Campbell M, Ozaki E, Salomon RG, Mori A, Kenna PF, et al. NLRP3 has a protective role in age-related macular degeneration through the induction of IL-18 by drusen components. Nature medicine. 2012;18(5):791–8. 10.1038/nm.2717
    1. Chew EY, Sperduto RD, Milton RC, Clemons TE, Gensler GR, Bressler SB, et al. Risk of advanced age-related macular degeneration after cataract surgery in the Age-Related Eye Disease Study: AREDS report 25. Ophthalmology. 2009;116(2):297–303. 10.1016/j.ophtha.2008.09.019
    1. Rochman Y, Spolski R, Leonard WJ. New insights into the regulation of T cells by gamma(c) family cytokines. Nature reviews Immunology. 2009;9(7):480–90. 10.1038/nri2580
    1. Cheng X, Shen Y, Li R. Targeting TNF: a therapeutic strategy for Alzheimer's disease. Drug discovery today. 2014;19(11):1822–7. 10.1016/j.drudis.2014.06.029 .
    1. Coburn LA, Horst SN, Chaturvedi R, Brown CT, Allaman MM, Scull BP, et al. High-throughput multi-analyte Luminex profiling implicates eotaxin-1 in ulcerative colitis. PloS one. 2013;8(12):e82300 10.1371/journal.pone.0082300
    1. Jose PJ, Griffiths-Johnson DA, Collins PD, Walsh DT, Moqbel R, Totty NF, et al. Eotaxin: a potent eosinophil chemoattractant cytokine detected in a guinea pig model of allergic airways inflammation. The Journal of experimental medicine. 1994;179(3):881–7.
    1. Alexander JP, Samples JR, Acott TS. Growth factor and cytokine modulation of trabecular meshwork matrix metalloproteinase and TIMP expression. Current eye research. 1998;17(3):276–85.

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