Lipocalin-type PGDS catalyzes the formation of
PGD
2 from its arachidonic acid–derived precursor
prostaglandin H
2.
27 PGD
2 is responsible for such diverse functions as
regulation of intraocular pressure,
28 induction of
non-rapid eye movement sleep,
27 prevention of platelet
aggregation and induction of vasodilation and
bronchoconstriction,
29 30 and thermoregulation and
modulation of odor response.
31 Although
PGD
2 is a major prostanoid in ocular tissues,
PGDS enzymatic activity is negligible in the cornea,
26 suggesting that PGDS may have another role at this site. PGDS isolated
from rat brain binds all-
trans retinoic acid,
cis-retinoic acid, and retinal with high
affinity,
32 and it is quite possible that PGDS produced by
keratocytes in the cornea is involved in transporting retinoid
derivatives throughout the cornea for maintenance of a healthy stroma.
Vitamin A (retinol) is necessary for glycoprotein biosynthesis in the
cornea,
33 and a deficiency in this nutrient can result in
such corneal diseases as xerosis, ulceration, or
keratomalacia.
34 Persons with keratomalacia usually
experience a complete dissolution or melting of the cornea, eventually
leading to loss of the eye.
35 Although evidence indicates
that a stromal injury precedes onset of keratomalacia,
36 investigators have also found cases in which the corneal epithelium
remained intact,
34 suggesting an underlying metabolic
anomaly.