Abstract
purpose. To determine the distribution of epithelial stem cells in the bulbar conjunctiva by measuring homeostatic movements and mitosis of epithelial cells in this region.
methods. The ubiquitous GFP mouse was used to monitor movement of conjunctival epithelial cells. Cell movement was determined by histology, analyzing the shape and distribution of GFP cell clusters in flat wholemount specimens, and by in vivo time-lapse microscopy, tracking the movement of GFP-positive cells in the bulbar conjunctiva near the limbus. Mitoses were determined by labeling DNA of adult mice with bromodeoxyuridine (BrdU) for 3 days. Label-retaining cells (LRCs) were determined by a pulse label of newborn mice with BrdU, followed by a chase of 6 to 7 weeks.
results. Similar to the corneal epithelium, only some of the conjunctival epithelial cells expressed a high level of GFP. Histology showed that GFP-positive cells existed as clusters of several to several dozen cells. No stripe pattern of GFP was observed in any part of the conjunctiva, suggesting that directed cell movement was rare or nonexistent. Time-lapse analyses revealed that none of the tracked GFP clusters exhibited a continuous and directed movement and that most GFP clusters were stationary for several weeks and much longer in some occasions. BrdU labeling showed that GFP-positive cells in this region were mitotically active. BrdU pulse–chase experiments demonstrated that LRCs were distributed uniformly in this region.
conclusions. Epithelial cells of the bulbar conjunctiva near the limbus are mitotically active and yet they are generally immobile in a lateral direction, indicating that these cells are self-sufficient. These results, combined with the uniform distribution of LRCs, suggest that epithelial stem cells are distributed uniformly in this area.
Conjunctival epithelium is a self-renewing tissue with rapid cell turnover, and its stem cells are thought to be present within the tissue, supplying differentiated epithelial cells throughout the lifetime of a host body.
1 Location of conjunctival epithelial stem cells has been controversial, and various parts of the tissue have been suggested as an area of concentrated stem cells, including limbus (rat
2 ), bulbar conjunctiva (human
3 ), fornix (rabbit,
4 mouse,
5 6 and human
3 ), palpebral conjunctiva (rat
7 ), and mucocutaneous junction (rat
2 and rabbit
8 ). A clinical observation indicated that conjunctival stem cells are in the fornix and/or bulbar conjunctiva.
9
Techniques to estimate the location of stem cells included (1) determination of slow-cycling cells (label-retaining cells [LRCs]) by mitotic DNA labeling (fornix,
5 8 palpebral conjunctiva,
7 and mucocutaneous junction
8 ), (2) mitotic stimulation by phorbol ester (fornix
6 and palpebral conjunctiva
7 ), (3) proliferative capacity of isolated cells in culture (fornix
3 4 and bulbar conjunctiva
3 ), and (4) determination of an origin of cell movement (limbus
2 and mucocutaneous junction
8 ). These results are not necessarily in conflict, because conjunctival stem cells may indeed be distributed throughout the conjunctiva. It seemed clear, however, that these results, obtained with a variety of techniques in different species, should be evaluated carefully with additional experiments to determine the precise location and distribution of epithelial stem cells within the conjunctiva.
Examination of homeostatic cell movement is a potentially powerful method for identifying a stem cell location directly, because the origin of cell movement would be the exact area of stationary stem cells and their niches. Three published reports
2 8 10 in which this technique was used relied on an indirect approach by estimating cell movement from metabolic DNA labeling in tissue cross sections, where interpretation of results is not necessarily straightforward. Thus, Zajicek et al.
10 reported bulbar conjunctival epithelial movement to be 10.5 ± 2.4 μm/d from the limbus to the fornix in rats. Subsequently, the same group
2 reported that both bulbar and palpebral conjunctival cells move toward the fornix at 13.2 and 11.8 μm/d, respectively. Wirtschafter et al.
8 concluded that rabbit conjunctival epithelial cells of the mucocutaneous junction move toward the fornix at 1.7 mm/d, which seems extraordinarily fast. The only direct measurement of conjunctival epithelial cells was reported by Buck,
11 who stated, without providing data, that conjunctival epithelium close to the limbus had moved neither toward nor away from the limbus 7 days after they were labeled with India ink. As such, the existing data on conjunctival epithelial cell movement are in dispute. Therefore, we initiated this study to measure directly the movement of bulbar conjunctival epithelial cells with an in vivo time-lapse microscopy technique,
12 13 in an effort to determine stem cell location in this area.
In vivo microscopy and digital imaging were performed as described previously.
12 13 Mice were anesthetized with 3% isoflurane in oxygen, supplied as a steady flow of gas to the nose of the mouse. The right eye was lightly proptosed with a thin vinyl-coated U-shaped metal wire to expose an inferior temporal quadrant of the bulbar conjunctiva for microscopy. The wire made contact with parts of conjunctiva away from the area of observation, but this apparently did not influence cell movement in the area of observation. The area of recording was centered at the inferior temporal bulbar conjunctiva, because other areas could not be fully exposed and brought under the objective for in vivo microscopy due to the arrangement of the mouse holder.
For acquisition of GFP fluorescence images, several overlapping microscopic fields were captured with a 5× objective (Fluar; Carl Zeiss Meditec) with a telephoto zoom lens set at 0.5×. Image capture was complete within 1 minute, and the entire process took <5 minutes from the start of anesthesia induction. A wide-field view was constructed from the overlapping images (Photoshop; Adobe Systems). Image resolution was approximately 2.6 μm/pixel under these conditions. GFP patterns were recorded at least once a week, and the movement of GFP-positive cells was analyzed from time-lapse sequences.
The size of GFP-positive cell clusters was determined from time-lapse images by first manually drawing cluster margins with Photoshop (Adobe Systems), and then measuring the area with Metamorph (Universal Imaging Corp.). To determine the movement of GFP clusters, 90 clusters from 10 time-lapse recordings were selected because they could be continuously identified for at least four consecutive weeks. X-y coordinates of each cluster’s centroid were determined, using unique limbal capillary branches as fixed reference markers. Cluster movement was tracked at each time point to determine the number of clusters that moved in one direction for at least 200 μm over a 3-week period (>9.5 μm/d). Also determined was the number of clusters whose net movement was <200 μm over an 8-week period (<3.6 μm/d). The shape of each cluster was monitored to detect the movement of constituent cells, but this information was not used to determine the mobility of a cluster itself as a whole.
Because the inferior temporal bulbar conjunctiva near the limbus was accessible and therefore suitable to in vivo microscopy, we investigated the cell movement in this area in a live mouse. GFP-positive cells in this region formed clusters with a unique geometric shape, which assisted relocation, allowing us to track them over time. Only those clusters that were within 600 μm of the limbus were tracked, to ensure that goblet cells were not included. The area of 143 randomly selected clusters (not all of them were tracked) from 10 time-lapse recordings ranged from 0.001 to 0.114 mm2, with the average being 0.014 ± 0.018 mm2 (mean ± SD), which is likely to be an overestimation, because a large cluster may consist of multiple small clusters.
In the representative time-lapse sequence shown in
Figure 6 , several GFP clusters were observed to stay immobile between 17 and 21.3 weeks. At some time between 21.3 and 21.6 weeks, many of them changed positions and/or shape drastically, so that tracking of individual clusters became impossible. The movement did not continue, however, because the positions of the clusters at 21.6 weeks were maintained for approximately 30 weeks thereafter with a minimal change in shape, indicating that there was no directed cell movement in this area. Time-lapse images suggested that the largest movement over the 30 weeks was approximately 300 μm, which translates to a rate of <2 μm/d. As a comparison, centripetal movement of corneal epithelial cells was determined to be approximately 26 μm/d.
12
When we analyzed movement of 90 randomly selected GFP clusters in 10 time-lapse sequences, we found that none of the tracked clusters exhibited a unidirectional movement of at least 200 μm in 3 weeks
(Table 1) . Movement, if any, was generally less than a few micrometers per day without a fixed direction. An exception to this was a sudden, one-time movement that occurred occasionally, such as that seen in
Figure 6 , between 21.3 and 21.6 weeks. The cause of such movement may be an external physical insult to the area of observation, such as accidental scratching, rather than a physiological one. A further analysis showed that approximately 70% of the tracked clusters were nearly immobile for at least eight consecutive weeks
(Table 1) . The age of the animals did not seem to play a major role between 11 and 53 weeks. Although patches of GFP cell clusters themselves were immobile, a small and continuous shape change of individual clusters was observed consistently, most likely due to local movements and/or turnover of individual cells within the cluster, which we did not analyze in this study.