Evaluation of potential organ culture media for eye banking using human donor corneas
T Møller-Pedersen, U Hartmann, H J Møller, N Ehlers, K Engelmann, T Møller-Pedersen, U Hartmann, H J Møller, N Ehlers, K Engelmann
Abstract
Aim: To evaluate the ability of different commercially available cell culture solutions to preserve human donor corneas during 3 weeks of "closed system" organ culture at physiological temperature. This screening was performed in an attempt to establish a rational basis for the development of a serum-free organ culture medium for eye banking.
Methods: 72 normal human donor corneas were organ cultured for 21 days at 31 degrees C in eight different test media (nine corneas in each group). The basic culture solutions included: minimal essential medium (MEM), MEM with stabilised L-glutamine, M199, DIF-1000, SFM, F99, and F99 with ascorbic acid, insulin, bFGF, transferrin, selenium, and lipids (termed F99-Sr). All media were supplemented with 2% fetal calf serum (FCS), except for MEM, which was also studied at 8% FCS. The evaluation parameters included: (1) the endothelial cell loss as evaluated using trypan blue staining; (2) the ability of keratocytes and endothelial cells to incorporate tritiated uridine into RNA as evaluated using autoradiography and digital image analysis; (3) the leakage of immunogenic keratan sulphate as assessed using ELISA; and (4) changes in storage medium pH, glucose, and lactate content.
Results: SFM induced the lowest endothelial cell loss of 14% (SD 2%) and the highest RNA synthesis rates of all test solutions supplemented with 2% FCS. Corneas stored in SFM also showed the least leakage of keratan sulphate and the highest glucose consumption and lactate production. In five media (MEM with 2% FCS, MEM with stabilised L-glutamine, M199, F99, and F99-Sr), comparable and intermediate potentials for organ culture were observed with endothelial cell loss of 16-19%. By contrast, 29% (4%) of the endothelium was lost after storage in DIF-1000. Interestingly, the use of 8% FCS (in MEM) had a marked protective effect on the endothelium, which showed the highest RNA synthetic activity combined with a cell loss of only 11% (4%), compared with 19% (6%) at 2% FCS (p<0.05).
Conclusion: Among the present test solutions, SFM appears to be the most prominent candidate for a new corneal organ culture medium and should be further tested and possibly refined to effectively substitute serum addition.
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References
- Acta Ophthalmol Scand. 1999 Jun;77(3):277-8
- Exp Eye Res. 1969 Apr;8(2):193-200
- Graefes Arch Clin Exp Ophthalmol. 1986;224(5):428-34
- Acta Ophthalmol (Copenh). 1988 Oct;66(5):538-43
- Cornea. 1992 May;11(3):204-10
- Klin Monbl Augenheilkd. 1993 Oct;203(4):262-8
- Graefes Arch Clin Exp Ophthalmol. 1998 Apr;236(4):312-9
- Cornea. 1995 Jan;14(1):62-70
- Clin Chim Acta. 1995 May 15;236(2):195-204
- Cornea. 1995 Sep;14(5):463-6
- Br J Ophthalmol. 1996 Aug;80(8):740-4
- Acta Ophthalmol Scand. 1996 Oct;74(5):449-55
- Cornea. 1998 Jan;17(1):62-5
- Clin Chim Acta. 1994 Feb;225(1):43-55
Source: PubMed