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1 From the Department of Ophthalmology, Hyogo College of Medicine, Nishinomiya; the 2 Department of Ophthalmology, Osaka City General Hospital, Osaka; the 3 Department of Public Health, Showa Pharmaceutical University, Tokyo; the 4 Department of Ophthalmology, Biyoh Hospital, Nagoya; and the 5 Department of Anatomy, Nagoya City University Medical School, Nagoya, Japan.
PURPOSE. To localize thrombomodulin (TM) in the anterior segment of the human eye. TM is a vascular endothelial cell surface glycoprotein that acts as a cofactor for the thrombin-catalyzed activation of the anticoagulant protease zymogen, protein C.
METHODS. Immunohistochemical methods were used to detect TM expression in corneal epithelial cells, the lens epithelial cells, and other cells in the anterior segment of the eye. The expression of TM was also examined in cultured human corneal epithelial cells.
RESULTS. TM was expressed in corneal epithelial cells, corneal endothelial cells, and nonpigmented ciliary epithelial cells, which are in direct contact with the aqueous humor. TM was also expressed in cultured corneal epithelial cells and showed cofactor activity. The amount of the antigen in the cultured corneal cells was approximately one tenth of that in human umbilical vein endothelial cells, but its specific cofactor activity (75%) was comparable to that of TM in human umbilical vein endothelial cells. The trabecular meshwork and endothelial cells lining Schlemms canal also showed positive staining for TM.
CONCLUSIONS. The TM in the cells that are in contact with the aqueous humor appears to be involved in maintaining the fluidity of the aqueous humor. In contrast, TM in cells that are not in contact with the aqueous humor may function in regulating cell proliferation and/or differentiation.
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