Abstract
Purpose.:
Keratocyte-to-myofibroblast differentiation is a key factor in corneal wound healing. The purpose of this study was to determine the influence of environmental nanoscale topography on keratocyte, fibroblast, and myofibroblast cell behavior
Methods.:
Primary rabbit corneal keratocytes, fibroblasts, and myofibroblasts were seeded onto planar polyurethane surfaces with six patterned areas, composed of anisotropically ordered grooves and ridges with a 400-, 800-, 1200-, 1600-, 2000-, and 4000-nm pitch (pitch = groove + ridge width). After 24 hours cells were fixed, stained, imaged, and analyzed for cell shape and orientation. For migration studies, cells on each patterned surface were imaged every 10 minutes for 12 hours, and individual cell trajectories and migration rates were calculated
Results.:
Keratocytes, fibroblasts, and myofibroblasts aligned and elongated to pitch sizes larger than 1000 nm. A lower limit to the topographic feature sizes that the cells responded to was identified for all three phenotypes, with a transition zone around the 800- to 1200-nm pitch size. Fibroblasts and myofibroblasts migrated parallel to surface ridges larger than 1000 nm but lacked directional guidance on submicron and nanoscale topographic features and on planar surfaces. Keratocytes remained essentially immobile
Conclusions.:
Corneal stromal cells elongated, aligned, and migrated, differentially guided by substratum topographic features. All cell types failed to respond to topographic features approximating the dimensions of individual stromal fibers. These findings contribute to our understanding of corneal stromal cell biology in health and disease and their interaction with biomaterials and their native extracellular matrix.
To maintain transparency, the cornea depends on a high degree of structural organization, which is likely the result of interplay between the various extracellular matrix (ECM) components maintained by resident corneal stromal cells or keratocytes.
1–4 Keratocytes play a dominant role in the maintenance of corneal homeostasis and transparency through the production of high concentrations of water-soluble cytoplasmic proteins (corneal crystallins) and ECM components.
2,3,5–8 Keratocytes contact each other through long cell extensions and communicate through gap junctions, forming a functional cell syncytium able to respond to changes in corneal homeostasis.
9,10 Fibroblasts and myofibroblasts are stromal repair phenotypes that arise from the keratocyte and exhibit increased migratory and proliferative characteristics. They also have contractile properties and are involved in repopulation and remodeling of corneal tissues and wound contraction. The presence of α-smooth muscle actin (α-SMA) enables myofibroblasts to generate higher contractile forces than fibroblasts. α-SMA organized in stress fibers is a widely recognized marker for myofibroblasts populating healing wound sites.
5,11
Trauma-induced apoptosis of keratocytes and replacement by fibroblasts or myofibroblasts disrupts stromal organization and corneal transparency, resulting in corneal haze.
12 It is, therefore, important to understand the variables that influence the differentiation of keratocytes to myofibroblasts because this plays an important role in corneal pathology and wound healing.
13–15
Keratocyte-to-myofibroblast differentiation in vitro has been described in detail.
5,16–18 This is a labile process with several factors recognized in promoting and inhibiting this process. Fibroblast growth factor 2 (FGF-2), platelet-derived growth factor (PDGF), and serum induce the differentiation of keratocytes to fibroblasts,
5 whereas transforming growth factor-β1 (TGF-β1) induces keratocytes and fibroblasts to differentiate to myofibroblasts.
17,18 In vitro reversal of the myofibroblast to fibroblast phenotype has been described in rabbit cells.
19 However, the differentiation of fibroblasts and myofibroblasts to the keratocyte phenotype has not been reported to date.
5 Various techniques reported to stabilize the keratocyte phenotype in vitro involve the use of serum-free medium
20,21 and culturing keratocytes as nonattached spheroids
22,23 or adhered to the stromal side of amniotic membranes.
24,25
Most publications have focused on the influence of soluble factors on the keratocyte differentiation process. Cells are influenced by their chemical and physical environment. Chemical cues include soluble factors
12 (autocrine, paracrine, or released by ECM
26 ), protein adhesion sequences in the ECM, pH, and osmolarity.
27,28 Physical factors influencing cells include the topographic features and compliance of the ECM.
29–34 In vivo, keratocytes are surrounded by a structurally rich three-dimensional (3D) environment consisting of collagen fibrils arranged in a lamellar orientation. We propose that the native nano and submicron topographic environment of the cell assists in stabilizing the keratocyte phenotype, whereas pathologic alterations of this environment may be permissive for the differentiation into myofibroblasts (Pot SA, et al.
IOVS 2007;48:ARVO E-Abstract 1962).
35 The keratocyte phenotype-stabilizing properties of amniotic membrane stroma
24,25 and certain 3D hydrogels
36 might well be caused by such topographic cues.
With that in mind, biologically relevant nano- and submicron-structured surfaces that mimic the fibrillar topography of the ECM were fabricated as previously described.
29,33 The anisotropic pattern of these chemically identical cell culture surfaces enabled us to monitor the influence of a single stimulus (topography) on cell responses such as alignment and migration trajectories along grooves.
Cell shape and migration are important cell behaviors determining cell and tissue fate and morphology.
37,38 Furthermore, cell orientation, the acquisition of polarity, and oftentimes cell elongation are the first steps in cell migration, which is an important factor in many biological phenomena such as embryogenesis, inflammation, wound healing, metastasis, and the colonization of biomaterial scaffolds.
39–42 We were, therefore, interested in identifying topographic cues that influence cell morphology and migration. This study was undertaken to determine the influence of environmental topographic cues on the orientation and migration of corneal keratocytes, fibroblasts, and myofibroblasts.
Tissue culture plates were coated for 30 minutes with 97% collagen I and 3% collagen III (PureCol; Inamed, Fremont, CA) diluted in an equal volume of 0.012 M HCl (Acros Oganics, Geel, Belgium) in filter-sterilized H2O. The dishes were then rinsed twice with serum-free medium (Dulbecco's minimum essential medium [DMEM]) containing 1% nonessential amino acids (both from Invitrogen Corp., Carlsbad, CA), 1% RPMI 1640 vitamin solution, 0.055 mg/mL L-ascorbic acid (both from Sigma, St. Louis, MO), and 1% penicillin-streptomycin-amphotericin B (Cambrex Bio Science, Walkersville, MD) and were left hydrated until use.
Keratocytes were cultured at 37°C in 5% CO
2 on collagen-coated culture dishes in serum-free medium. As previously described, keratocytes were exposed to specific growth factor-supplemented media for a minimum of 4 days to induce the fibroblast and myofibroblast phenotypes.
17 10% Fetal bovine serum (Sigma) and 10 ng/mL transforming growth factor-β1 (TGF-β1; Sigma) were added to the culture media for induction of the fibroblast and myofibroblast phenotype, respectively. Trypsin used for passing keratocytes was neutralized with soybean trypsin inhibitor (Invitrogen Corp.) at a concentration of 0.5 mg/mL in 1× phosphate-buffered saline (PBS).
α-SMA was used as a marker to identify the myofibroblast phenotype. Cells were fixed in 1% paraformaldehyde (16% paraformaldehyde [formaldehyde] aqueous solution; Electron Microscopy Sciences, Hatfield, PA) in 1× PBS for 3 minutes and then permeabilized in ice-cold acetone (−20°C) for 5 minutes. Incubation with goat serum (Sigma; 1:10 dilution) in 1× PBS at 37°C for 30 minutes was used to block nonspecific protein binding. The sample was then incubated with monoclonal fluorescein isothiocyanate (FITC)-labeled anti–α-SMA (Sigma; 1:100 dilution) in blocking solution at 37°C for 60 minutes. Rhodamine-conjugated phalloidin (Sigma) was added for 30 minutes at room temperature to label intracellular actin. Cell nuclei were stained for 10 minutes at room temperature with 4′,6-diamidino-2-phenylindole (DAPI) (Invitrogen Corp.). The cells were washed with 1× PBS between each step, except between the blocking and primary antibody incubation steps.
Finally, the cells were left in 1× PBS until immunofluorescence imaging with an epifluorescence microscope (Axiovert 200M; Carl Zeiss Imaging Solutions GmbH, Munich, Germany).
The following staining protocol was used for the analysis of cell shape and orientation. Cells were fixed in 4% paraformaldehyde for 15 to 20 minutes and then washed three times with 1× PBS. Cells were incubated in 0.1% TritonX-100 (Triton X-100 Sigma Ultra; Sigma) in 1× PBS for no longer than 5 minutes, blocked for 20 minutes with 1% bovine serum albumin (albumin from bovine serum; Sigma) in 1× PBS, and incubated with rhodamine-conjugated phalloidin for 30 minutes. After a wash with 1× PBS, the cells were incubated for 10 minutes with DAPI and left in 1× PBS until imaging. All steps were performed at room temperature.