We hypothesize that corneal endothelium is maintained in a
growth-arrested state because of multiple antiproliferative factors,
including those in the endothelial microenvironment. Evidence from
studies of neonatal rats indicates a correlation between the formation
of stable cell–cell and cell–substrate contacts and cessation of
proliferation in corneal endothelium, suggesting an in vivo
growth-arrest mechanism similar to that of contact inhibition in
cultured cells.
1 Within the anterior chamber, aqueous
humor mediates immune privilege and helps regulate ocular cell
proliferation, differentiation, and wound healing.
2 3 4 Because aqueous humor also bathes the corneal endothelium, it may
contribute to regulation of its proliferation. Factors in aqueous humor
that may contribute to this regulation include fibroblast growth factor
(FGF),
5 6 7 epidermal growth factor (EGF),
5 6 transforming growth factor-β (TGF-β),
7 8 insulin-like
growth factor-I (IGF-I),
9 10 platelet-derived growth
factor,
11 12 endothelin 1,
13 14 and
prostaglandin E
2.
15 Of the factors
present in aqueous humor, TGF-β is of particular interest because it
inhibits the G1-to-S-phase transition in several cell
types
16 through the activation of cyclin-dependent kinase
inhibitors.
17 TGF-β2 is the main TGF-β isoform in
aqueous humor
8 18 and has been shown to inhibit lens
epithelial cell proliferation.
19 20 Human, rabbit, and rat
corneal endothelial cells in vivo express the three TGF-β receptor
types (RI, RII, and RIII) needed to bind TGF-β2 and to transduce a
TGF-β–induced signal.
21 22 TGF-β1 and -β2 mRNA and
protein have been detected in corneal endothelium, lens epithelium,
trabecular meshwork endothelium, and ciliary epithelium by
immunocytochemistry and reverse transcription–polymerase chain
reaction (RT-PCR), respectively, and are secreted by trabecular cells
and ciliary epithelium in vitro.
23 24 25 Regulation of cell
growth and metabolism by TGF-β2 through autocrine–paracrine
mechanisms is well documented in some cell types, but the relationship
between TGF-β2 and aqueous humor and corneal endothelium remains
unclear.