(Investigative Ophthalmology and Visual Science. 2001;42:1455-1464.)
© 2001
by The Association for Research in Vision and Ophthalmology, Inc.
Isolation, Characterization, and Propagation of Rat Conjunctival Goblet Cells In Vitro
Marie A. Shatos,
Jose D. Rios,
Vanja Tepavcevic,
Harumi Kano,
Robin Hodges and
Darlene A. Dartt
From the Schepens Eye Research Institute and Department of Ophthalmology, Harvard Medical School, Boston, Massachusetts.
 |
Abstract
|
|---|
PURPOSE. To isolate, culture, and characterize goblet cells from the conjunctiva
of rats.
METHODS. Conjunctival tissue was surgically removed from Sprague-Dawley rats.
Goblet cells were then isolated from the nictitating membrane and
fornix using explant cultures. Cells derived from the explants were
grown and propagated in RPMI medium supplemented with 10% fetal bovine
serum. They were characterized using an enzyme-linked lectin assay
(ELLA) with the lectin Ulex europaeus agglutinin-1
(UEA-1), Western blot analysis, PCR, light and electron microscopy,
specialized histochemistry and indirect immunofluorescence microscopy.
RESULTS. Goblet cells were successfully isolated from conjunctival explants by
scraping nongoblet cells from the culture vessel. To date, cultures
have been passaged a minimum of three times without the loss of their
specific cellular markers. Cells identified as goblet cells fulfilled
the following criteria: positive staining for alcian blue/periodic acid
Schiff reagent, cytokeratin (CK)-7, the lectins UEA-I and Helix
pomatia agglutinin (HPA), MUC5AC, and M3 muscarinic
receptor; detection of MUC5AC mRNA using RT-PCR; and negative staining
for CK-4, M1 muscarinic receptor, and Banderia
simplicifolia lectin. The authors also measured, using the
ELLA, substantial amounts of UEA-Idetectable high-molecular-weight
glycoproteins and MUC5AC released into the medium.
CONCLUSIONS. Cultured goblet cells retain many characteristics of goblet cells in
vivo and thus may serve as a useful tool in delineating the
pathobiology of the ocular surface.
 |
Introduction
|
|---|
The epithelium comprising the conjunctiva is classified as
a nonkeratinizing, stratified squamous epithelium consisting of several
layers.1
Goblet cells, which are highly specialized
epithelial cells, are located in the apical surface of the conjunctiva,
interspersed among the layers of stratified epithelium.2
3
These cells are readily identified by their extensive apical
accumulation of secretory vesicles4
5
and can occur either
singly, as in humans and other mammals,6
7
8
or in
clusters, as found in the conjunctiva of adult rats.9
Irrespective of species, goblet cells are primarily responsible for the
secretion of the inner mucous layer of the tear film, which provides a
physical and chemical barrier to protect the ocular surface from
dryness or other deleterious environments and/or a variety of noxious
agents.10
11
12
13
In this regard, goblet cells synthesize, store, and secrete
high-molecular-weight glycoproteins referred to as mucins, which when
secreted have the ability to hydrate and gel, producing a protective
scaffolding over the ocular surface.14
15
Maintenance of
this covering is essential to the health of the corneal and
conjunctival surfaces. Inability or interference in the ability of
goblet cells to secrete normal levels of mucin can lead to pathologic
abnormalities within the conjunctiva. Mucin deficiency often results as
a consequence of ocular cicatricial pemphigoid, Stevens-Johnson
syndrome, alkali burns, and neurotrophic keratitis. In contrast,
overproduction of mucin due to excessive goblet cell secretion or
proliferation is thought to be mediated by activated T-cells and
macrophages in a chronic conjunctivitis, such as atopic
keratoconjunctivitis.16
17
18
19
These diseases and their
sequelae can eventually lead to deterioration of the ocular surface.
The importance of goblet cells as the major source of ocular mucin has
been recognized and, as such, these cells have been widely studied.
Yet, the pathogenesis of goblet cell abnormalities is currently not
well understood. A system to monitor goblet cell differentiation and
function on the individual cell level would be useful. At the present
time, much of the information collected on goblet cells is limited,
because it is often extrapolated from studies using whole mounted or
sectioned conjunctival tissue or is derived from neoplastic cell lines
that mimic only select functions of goblet cells. This limitation has
been largely due to the inability to successfully and consistently
isolate and culture goblet cells without altering their phenotype
and/or function. It is often necessary to use a variety of complex
culture media as well as artificial matrices for the cells to
attach.20
21
22
These techniques, however, do not always
ensure growth, propagation, and preservation of cellular function.
Our primary purpose in this study was to develop a method by
which we could simply and reproducibly isolate and subculture
conjunctival goblet cells, which would exhibit morphologic,
histochemical, immunocytochemical, and biochemical markers indicative
of goblet cells in vivo and retain these markers after subcultivation.
We present evidence herein that primary cultures of goblet cells can be
isolated from fragments of rat conjunctiva using a modified explant
culture system. Primary and passaged cultures of rat goblet cells
obtained from the fornical region of the conjunctiva, specifically the
nictitating membrane, reacted positively with alcian blue/periodic acid
Schiffs reagent (AB/PAS) and with the goblet cell specific lectins,
Ulex europaeus agglutinin-1 (UEA-1) and Helix
pomatia agglutinin (HPA), similar to their counterparts in vivo.
They also showed positive, selective staining for the intermediate
filament cytokeratin (CK)-7 and the mucin MUC5AC (selective markers for
goblet cells in vivo) and secreted mucin into their culture medium.
MUC5AC mRNA was also detected using RT-PCR in these cultured goblet
cells. Moreover, these same markers persisted after subcultivation.
 |
Materials and Methods
|
|---|
RPMI-1640 culture medium, L-glutamine,
penicillin-streptomycin, Hanks balanced salt solution, and
trypsin-EDTA solution were obtained from BioWhittaker (Walkersville,
MD) and fetal bovine serum (FBS) from HyClone Laboratories (Logan, UT).
Falcon tissue culture flasks, pipettes, and other routine plastics were
obtained from Becton Dickson Labware (Franklin Lakes, NJ); glass
coverslips from VWR Scientific (San Francisco, CA); and Laboratory Tek
chamber slides from Nunc, Inc. (Naperville, IL). Monoclonal antibody
against CK7 was from ICN (San Francisco, CA) and antibody against Ki-67
was from Novocastra Labotatories, Ltd. (New Castle-upon-Tyne, UK).
UEA-1 and HPA lectins, directly conjugated with fluorescein
isothiocyanate (FITC) or Texas red, were obtained from Pierce
(Rockford, IL); Banderia simplicifolia lectin
(BS-1) conjugated to FITC from Vector Laboratories (Burlingame, CA);
and polyclonal antibodies against M1 and
M3 acetylcholine receptor (AchR) subtypes from
Research and Diagnostics Laboratory (Berkeley, CA). All other
chemicals, unless otherwise specified, were obtained from Sigma
Chemical Co. (St. Louis, MO). The CK-4 antibody was purchased from ICN
(Costa Mesa, CA) and was a gift of James Zieske, Schepens Eye Research
Institute (Boston, MA). Ilene Gipson, Schepens Eye Research Institute
provided antibodies to rat and human MUC5AC,23
and Marcia
Jumblatt, University of Louisville School of Medicine, (Louisville,
Kentucky) provided the antibody to human MUC5AC.24
Isolation and Culture of Cells
All removal of tissue and subsequent manipulations of animals
used in this study conformed to the guidelines established by the ARVO
Statement for the Use of Animals in Ophthalmic and Vision Research and
were approved by the Schepens Eye Research Institute Animal Care and
Use Committee. Male Sprague-Dawley rats weighing between 250 and
300 g were used in this study and were obtained from Taconic Farms
(Germantown, NY). Male rats were used to avoid possible gender-related
differences in goblet cell biology. Rats were anesthetized for 1 minute
in CO2, decapitated, and both eyes surgically
removed. Conjunctival tissue, more specifically the nictitating
membranes and fornix, were excised and immediately placed into Hanks
balanced salt solution containing 3x penicillin-streptomycin (300
µg/ml). The fornix was identified as the band running along the most
posterior part of the fold at the junction of the bulbar and palpebral
conjunctiva. The lower, nasal portion of the fornix was grasped and
lifted, and it was cut from the conjunctiva. Tissue was finely minced
into 1-mm3 pieces that were anchored onto either
scored culture dishes or onto glass coverslips placed within six-well
culture dishes. Approximately 18 to 36 explants were obtained from each
animal. The yield was usually dependent on the size of the animal. One
piece of tissue was anchored per tissue culture well. The culture
dishes contained just enough medium to cover the bottom of the dish so
that the tissue would receive nutrients through surface tension. Cell
medium used to feed explants and culture goblet cells consisted
exclusively of RPMI -1640 medium supplemented with 10%
heat-inactivated FBS, 2 mM L-glutamine, and 100 µg/ml
penicillin-streptomycin. Explants were refed every 2 days with this
medium and were grown under routine culture conditions of 95%
O2-5% CO2 at 37°C.
Cells were permitted to grow from the tissue plug until evenly spaced
nodules were evident, forming a circular pattern around the plug, which
was then removed and discarded. At this juncture, all cells that grew
outside this circular perimeter were removed by scraping the bottom of
the dish with a rubber policeman. Goblet cells and occasional cells
that assumed a neuronal morphology were then observed to grow from
these nodules. However, cells that appeared neuronal in shape were
transient and short-lived, whereas goblet cells persisted and
eventually covered the remainder of the culture vessel. Some cultures
were trypsinized and passaged after reaching confluence. Not every
culture of goblet cells that grew from a single nodule was able to
reach confluence. For those that did, it usually required at least 3
weeks of growth and regular feeding for cells to cover the surface of
the dish. Cells were routinely passaged by trypsinization of confluent,
adherent cells with 0.05% trypsin-0.53 mM EDTA (pH 7.4). The
inoculation density of passaged cultures was approximately 5 to 10 x 104 cells per well.
Preparation of Rat Conjunctival Sections
The entire conjunctiva was removed from male rats, fixed in 4%
formaldehyde in phosphate-buffered saline (PBS; 145 mM NaCl, 7.3 mM
Na2HPO4, 2.7 mM
NaH2PO4 [pH 7.2]), and
preserved overnight in 30% sucrose in PBS at 4°C. The conjunctiva
was then frozen in optimal-cutting embedding compound, and sections (6
µm) were cut and placed on gelatin-coated slides for use in
histochemical and immunohistochemical experiments.
Histochemistry
Cells were fixed with 100% methanol and processed for
AB/PAS25
and lectin histochemistry. Goblet cells examined
for lectin histochemistry were grown on chamber slides, glass
coverslips, or plastic tissue culture wells, rinsed in PBS, and fixed
in 100% methanol for 15 minutes at room temperature before they were
returned to fresh PBS. Fixed cells were incubated in blocking buffer
that consisted of 1% BSA and 0.2% Triton X-100 in PBS for 30 minutes
at room temperature. Cells then were incubated for 1 hour at room
temperature with either UEA-1 conjugated directly to FITC diluted 1:100
in PBS, BS-1 conjugated to FITC diluted 1:200, or HPA conjugated to
Texas red and diluted 1:100 in PBS.
Immunocytochemistry
Methanol-fixed cells were examined for the presence of CK-4 and
-7 and for MUC5AC. Slides with cultured goblet cells were incubated for
30 minutes at room temperature in blocking buffer that contained 1%
BSA and 0.2% Triton-X in PBS. Cells were then incubated with the
following dilutions of primary antibodies for 1 hour at room
temperature: Antibody to CK-7, which recognizes a goblet cellspecific
keratin, was diluted 1:15 in PBS26
; antibody to CK-4,
specific for stratified, squamous, nongoblet epithelial cells, was
diluted 1:10 in PBS26
; antibody to rat MUC5AC, specific
for mucin produced by goblet cells, was diluted 1:2000 and 1:4000 in
PBS; and antibody to human MUC5AC was diluted 1:1000 in PBS. To
investigate the proliferation profile of cultured goblet cells,
antibody to human Ki-67 nuclear antigen was diluted 1:100 in PBS. For
muscarinic receptor subtypes M1 and
M3, methanol-fixed cells were incubated in
blocking buffer that contained 1.5% normal goat serum and 0.2% Triton
X-100 in PBS for 30 minutes at room temperature. Their respective
antibodies were each diluted 1:2000 in PBS and incubated overnight at
4°C. The secondary antibodies, conjugated to either FITC or rhodamine
were diluted 1:200 in PBS and incubated for 1 hour at room temperature.
Slides, coverslips, or dishes were washed 3 times in PBS, after which
coverslips were mounted with a media containing 100 mM Tris (pH 8.5),
25% glycerol, 10% polyvinyl alcohol, and 2.5%
1,4-diazobicyclo-[2.2.2]-octane. Cells were viewed by inverted
phase-contrast microscope equipped for fluorescence (Eclipse TE 300;
Nikon, Inc., Melville, NY), and cells adherent to glass coverslips or
microscope slides were visualized with a fluorescence microscope
(Eclipse E 800; Nikon). Negative controls consisted of substituting PBS
for the primary antibody. Positive controls included frozen and/or
fixed sections of rat conjunctiva containing prominent goblet cells.
RNA Isolation and RT-PCR
Total RNA was isolated from lacrimal gland, conjunctiva, and
goblet cell cultures using Trizol (Gibco-BRL, Life Technologies,
Rockville, MD). Purified RNA was subjected to reverse transcription in
buffer containing 5 mM MgCl2, 10 mM Tris-HCl (pH
9), 50 mM KCl, 0.1% Triton X-100, 1 mM each dNTP, 0.5 µg
oligo(dT)15, 1 µg total RNA, 15 U reverse
transcriptase (AMV; Promega, Madison, WI), and 1 U recombinant RNasin
(Promega) for 1 hour at 42°C. The cDNA was amplified by PCR with 0.75
U Taq polymerase (Promega) in buffer containing 1.5 mM
MgCl2. PCR was performed using primers for rat
MUC5AC.27
Primer sequences were as follows: MUC5AC 3'
primer, 5'-GCC CTC CGG ACA GAA GCA GCC TTC-3', and MUC5AC 5' primer,
5'-GGC CAG TGC GGC ACT TGC ACC AAC-3'. The amplification reaction was
performed in a thermal cycler (PCR Sprint; Thermo Hybaid, Ashton, UK).
The conditions were: 5 minutes at 94°C, followed by 30 cycles of
denaturation for 30 seconds at 94°C, amplification for 1 minute at
57°C, and extension for 1 minute at 72°C. Amplified cDNA was
analyzed by electrophoresis on a 1% agarose gel in buffer containing
89 mM Tris borate (pH 8.3) and 2 mM EDTA and viewed by ethidium bromide
staining.
Transmission Electron Microscopy
Cell-conditioned medium was removed from confluent cultures of
goblet cells, after which monolayers were washed with cacodylate buffer
pH 7.3. Cells were fixed with cacodylate-buffered Karnovsky solution,
postfixed in 1% osmium tetroxide, and embedded in Epon according to
standard transmission electron microscopy techniques. Thin sections,
mounted on copper grids, were stained with lead citrate and examined
with a transmission electron microscope (model 410; Philips, Eindhoven,
The Netherlands).
Measurement of Goblet Cell Mucin Secretion
Cell-conditioned medium was collected at various time points
after placement of the explant into culture (4872 hours) to measure
the amount of mucin released by goblet cells. The amount of
high-molecular-weight glycoconjugate (an index of mucin secretion) was
determined by enzyme-linked lectin assay (ELLA) with a biotinylated
lectin, UEA-1, known to react with specific carbohydrates present in
terminal sugars on mucins synthesized, stored, and secreted by goblet
cells.28
The ELLA was performed according to the
manufacturers protocol (Pierce), as previously
described.29
In brief, biotinylated UEA-1 was used at 2
µg/ml; streptavidin, conjugated to alkaline phosphatase, was used at
1 µg/ml; and the substrate p-nitrophenyl phosphate was
used at 2.5 mM. A 250-µl aliquot of the cell-conditioned medium was
placed on a titer microplate (MaxiSorb; Nunc, Inc.), and dried
overnight at 40°C. Nonspecific binding sites were blocked with 3%
BSA, 0.05% Tween-20, and 0.15 M NaCl in 0.25 mM Tris-HCl (pH 7.5).
Wash buffer contained 0.3% BSA, 0.05% Tween-20, and 0.15 M NaCl in
0.25 mM Tris-HCl (pH 7.5). The amount of UEA-1detectable
glycoconjugates in the goblet cellconditioned medium was determined
in duplicate using a microplate reader (model MR 700; Dynex
Technologies, Ashton, UK). A standard curve was constructed using
bovine submaxillary gland mucin.
Electrophoresis and Immunoblotting
Medium was removed from cells of varying ages that had been
refed within 48 hours, pooled, and stored at 4°C. The remaining cells
were scraped and collected into homogenization buffer containing 30 mM
Tris-HCl (pH 7.5), 10 mM EGTA, 5 mM EDTA, 1 mM dithiothreitol (DTT), 10
mg/ml phenylmethylsulfonyl fluoride (PMSF), and 5 units/ml aprotinin.
Cells were further lysed by sonication and, whenever necessary, by
freeze-thawing the cell pellet. To determine the presence of MUC5AC, a
goblet cellspecific mucin, and the glycoconjugate recognized by
UEA-1, proteins present in goblet cellconditioned medium and cell
lysates were separated by SDS-PAGE with 6% gels and transferred to
nitrocellulose membranes as described by Towbin et al.30
To measure UEA-1detectable glycoconjugates, the membranes were
blocked overnight at 4°C in 5% dried milk in TBST consisting of 10
mM Tris-HCl (pH 8.0), 500 mM NaCl, and 0.05% Tween-20 and then
incubated with biotinylated UEA-1 (1:100) for 1 hour at room
temperature. The nitrocellulose membranes were washed three times with
TBST and then incubated with a 1:2500 dilution of horseradish
peroxidase-labeled streptavidin in TBST for 1 hour The membranes were
washed three times, after which the UEA-1reactive glycoconjugates
were visualized using enhanced chemiluminescence. Homogenized adult rat
conjunctival tissue was used as a positive control. To detect MUC5AC,
membranes were blocked for 1 hour, as described earlier, and incubated
with anti-human MUC5AC antibody (1:500) in 5% dried milk overnight at
4°C.24
The membranes were washed and incubated for 1
hour at room temperature with a secondary antibody conjugated to
horseradish peroxidase in 5% dry milk. They were washed and developed
using enhanced chemiluminescence, as before.
 |
Results
|
|---|
Growth and Morphology of Goblet Cells in Culture
As early as 24 hours after establishment of the organ culture,
adherent cells were visible around most sides of the tissue plug. By 36
to 48 hours, the cells were clearly observed displaying a cobblestone
morphology. Within 7 to 10 days of culture, evenly spaced nodules were
visible forming a circular pattern around the plug of conjunctival
tissue (Fig. 1)
. Not every explant gave rise to nodules. Those that were nodule-free
were routinely discarded. In initial attempts at locating goblet cells
within this mixed population of cells AB/PAS, a well-documented stain
for glycoconjugates in fixed tissue sections, was used.25
The nodules depicted in Figure 1
reacted strongly to AB/PAS, displaying
a dark blue stain indicative of acidic mucin (data not shown).

View larger version (169K):
[in this window]
[in a new window]
|
Figure 1. Phase contrast micrograph showing a representative explant culture of
rat conjunctival tissue grown in RPMI-1640 culture medium supplemented
with 10% FBS. Cells grew out of the tissue plug within days of
establishment of the culture. Magnification, x40.
|
|
To further purify potential goblet cells, one nodule was left to grow
in the culture dish. All other cells were scraped from the surface of
the vessel with a rubber policeman, and the nodule was thoroughly
rinsed to rid the culture of floating, nongoblet cells. The nodule was
refed with RPMI-1640 medium supplemented with 10% FBS. Within several
days, presumptive goblet cells were seen leaving the nodule (Fig. 2A)
. Initially, they assumed a rounded morphology, but within 7 to 10 days
they migrated away from the parent nodule and formed circular clusters
of cells, which often showed a semicuboidal morphology (Fig. 2B)
. The
classic chalicelike appearance of the goblet cell was not observed in
cultured cells. Often, as cells proliferated in culture, tiny droplets
were visible on the surface of cultured goblet cells, suggestive of a
secretory product (Fig. 2C)
. As these droplet-containing cells grew in
culture, the droplets increased in size and number (Fig. 2D)
. Finally,
strands of fibrous material were visible, strewn over the cells. (data
not shown). After reaching confluence, cultures were trypsinized and
passaged. To date, we have successfully passaged these cultures three
to five times without losing morphologic integrity.

View larger version (58K):
[in this window]
[in a new window]
|
Figure 2. Phase contrast micrographs illustrating the growth patterns of
conjunctival explants in vitro. (A) When examined closely,
each nodule (arrow) appeared to be the source of numerous
goblet cells that traversed the underlying epithelial cells.
(B) The single cells moved along the epithelium until they
found an empty space and adhered to the bottom of the culture flask,
exhibiting a cobblestone morphology. (C) The goblet cells
contained tiny translucent droplets on their surfaces that were similar
in appearance to mucin. (D) As goblet cells grew in vitro,
so did the droplets. They often appeared as if the mucin droplets were
released from the cells and secreted into the cell medium.
Magnification, x100.
|
|
Proliferation of Goblet Cells In Vitro
The proliferation profile of goblet cell cultures isolated using
the methodology described in Figure 2
was assessed by staining the
cells with an antibody against Ki-67 antigen, a nuclear and nucleolar
protein that is exclusively expressed in proliferating
cells.31
32
All cultures were routinely evaluated for
Ki-67 reactivity. Ki-67 was expressed in both primary and passaged
cultures of conjunctival goblet cells, indicating that these cells were
actively proliferating in vitro. As shown in Figure 3
, more than 30% of the goblet cells in this primary culture,
determined by microscopic visualization, were actively proliferating,
as indicated by their reactivity to Ki-67. During the course of these
studies, we have observed that the number of Ki-67positive cells was
correlated with the degree of confluence of any given culture. As the
cells approached confluence, the number of proliferating cells
declined, both in primary and passaged cultures.

View larger version (69K):
[in this window]
[in a new window]
|
Figure 3. Immunocytochemical reaction of the nuclear antigen Ki-67 with primary
cultures of goblet cells. Goblet cells in primary and passaged culture
reacted positively with Ki-67, which selectively stains the nuclei of
cells actively engaged in proliferation. Magnification, x200.
|
|
Characterization of Cultured Goblet Cells
Although we used AB/PAS as a screening mechanism to aid in the
identification and subsequent purification of goblet cell cultures, it
was important to determine whether purified cells retain positive
reactivity to AB/PAS. These results show that both primary and passaged
cultures reacted histochemically with the stain. Shown in Figure 4A
are cells grown from a representative primary culture in which the cell
nuclei were stained blue and displayed a red vesicle-filled cytoplasm.
Further staining examined the reactivity of goblet cells, which
appeared to contain secretory droplets on their surface. These cells
(B) stained a reddish color with no visible demarcation of the nucleus.
Droplets located on top of the cells were bright red, indicating that
these cells were associated with a neutral type of mucin secretion
product. Often, we observed cultures covered with what appeared to be a
fibrous material. On examination, both the cells and their accompanying
fibers reacted positively to AB/PAS, staining a dark blue to purple
color, indicative of an acidic mucin product. The reactivity of these
goblet cell cultures to AB/PAS was not lost after subcultivation,
contrary to other reports.33
AB/PAS reactivity of goblet
cells in culture was compared with that of goblet cells in vivo (Fig. 4C)
. Similar reactivity of goblet cells was observed in in
vitro (cultures) and in vivo (sections).

View larger version (65K):
[in this window]
[in a new window]
|
Figure 4. Histochemical reactivity of primary cultures of goblet cells to AB/PAS.
(A) Goblet cells stained intensely with AB/PAS, indicating
the presence of both acidic (blue) and neutral
(pink) glycoconjugates associated with the cells.
(B) Goblet cells that appeared to contain secretory droplets
on their surface also reacted strongly to AB/PAS staining a
pinkish color, whereas the droplets themselves stained
bright red, indicating the presence of a neutral mucin
product. (C) As a positive control, secretory products
present in goblet cells of the conjunctiva reacted positively to
AB/PAS. epi, epithelium. Magnification, (A) x100;
(B) x600; (C) x200.
|
|
Additional histochemical verification of these cultures was
accomplished by using a panel of lectins as histochemical probes. UEA-1
recognizes the L-fucose moiety of glycoproteins in the
secretory granules of conjunctival goblet cells, whereas HPA recognizes
L-galactosamine within the secretory granules of goblet
cells. BS-1, used as a negative control, recognizes the
n-galactosyl groups of glycoproteins in stratified squamous
epithelial cells. Primary cultures of goblet cells were labeled with
UEA-1 and HPA directly conjugated to a fluorophore (Fig. 5)
. Goblet cells in culture were found to react positively to UEA-1 as
evidenced by cytoplasmic staining (Fig. 5A)
. The reactivity of cultured
goblet cells to UEA-1 was similar to that of goblet cells located in
conjunctival tissue (Fig. 5B)
. Similar results were observed with HPA
(Figs. 5C 5D)
. Both goblet cells in culture and in conjunctival tissue
were found to react positively to HPA. Passaged cells also reacted
positively to both UEA-I and HPA. The reactivity to these lectins
varied and appeared to be related to the levels of mucin associated
with the cell at the time it was processed for lectin histochemistry.
Goblet cells did not react with BS-1 (data not shown).

View larger version (123K):
[in this window]
[in a new window]
|
Figure 5. Lectin histochemistry confirmed that UEA-1, which
recognizes the L-fucose moiety of glycoproteins, labeled
both (A) the secretory product in primary cultures of rat
conjunctival goblet cells and (B) the secretory product in
goblet cells located in the conjunctiva. In addition, both primary
culture goblet cells (C) and goblet cells present in
sections of rat conjunctiva (D) were reactive to HPA, which
recognizes L-galactosamine within their secretory granules.
epi, epithelium. Magnification, x200.
|
|
Immunocytochemical localization of the following markers was undertaken
to assist in the characterization of cultured goblet cells and
consisted of the following antibodies: MUC5AC, a mucin specifically
produced by conjunctival goblet cells34
; CK-7, an
intermediate filament associated solely with goblet
cells26
; muscarinic M3 receptor
subtype, recently identified as being associated with goblet cells in
the adult rat conjunctiva29
; CK-4, specific to the
intermediate filaments found in stratified squamous epithelial cells;
and muscarinic M1 receptor subtype, associated
with the stratified squamous epithelial cells but not goblet cells. The
cytoplasm of primary cultures of goblet cells stained intensely for
MUC5AC, whereas no staining was observed in the neighboring epithelial
cells (Fig. 6A)
. Passaged cultures also stained intensely for MUC5AC (data not shown).
As a positive control, goblet cells within rat conjunctival tissue
stained intensely for MUC5AC (Fig. 6B)
. The immunocytochemical
localization of MUC5AC shown in Figure 6
was determined using the
antibody provided by Marcia Jumblatt.24
Similar results
were obtained using antibodies to MUC5AC provided by Ilene Gipson (data
not shown).23
In addition, total RNA was isolated from
primary cultures of goblet cells, rat conjunctiva, and the lacrimal
gland (as a negative control). The RNA was reverse transcribed and
analyzed by PCR for the message for MUC5AC. As expected, the message
for MUC5AC was detected in both the primary cultures and the
conjunctiva, but not in the lacrimal gland (Fig. 6C)
.

View larger version (39K):
[in this window]
[in a new window]
|
Figure 6. Immunocytochemical localization of MUC5AC indicated that secretory
products of (A) primary cultures of goblet cells and
(B) goblet cells located in conjunctival tissue (positive
control) contained this mucin. Almost all cultured cells were positive
for MUC5AC, when visualized with fluorescence microscopy.
(C) Ethidium bromidestained gel of MUC5AC RT-PCR in RNA
isolated from lacrimal gland (negative control), cultured goblet cells,
and rat conjunctiva (positive control). MW, molecular weight marker;
epi, epithelium. Magnification, (A, B) x100.
|
|
Goblet cells in mixed cultures (Fig. 7A)
and in conjunctival tissue (Fig. 7B)
displayed intense fluorescence
for CK-7, whereas other epithelial cell types were negative for this
intermediate filament. Conversely, when similar mixed cultures were
analyzed for CK-4, positive immunofluorescence was observed
infrequently and only in large squamous epithelial cells that had
migrated over the underlying goblet cell clusters (data not shown). In
addition, the M3 receptor subtype was positive
both in cultured cells (Fig. 8A)
and goblet cells in conjunctival sections (Fig. 8B)
. As previously
described, M3 muscarinic receptors were detected
subjacent to the secretory granules of goblet cells in the conjunctiva
(Fig. 8B) . Several types of adjacent epithelia in conjunctival sections
showed positive immunofluorescence for the M1
receptor, but cultured goblet cells did not (data not shown).

View larger version (64K):
[in this window]
[in a new window]
|
Figure 7. (A) Cultured goblet cells and (B) goblet cells in
conjunctival sections displayed intense immunocytochemical staining for
CK-7, a specific marker of intermediate filaments associated
exclusively with goblet cells.26
epi, epithelium.
Magnification, x200.
|
|

View larger version (64K):
[in this window]
[in a new window]
|
Figure 8. Immunocytochemical reactivity of goblet cells to the muscarinic
receptor subtype 3 (M3) is shown in (A) a
primary, mixed conjunctival explant culture and (B) in rat
conjunctival tissue. Only goblet cells stained for the
M3 receptor. epi, epithelium. Magnification,
x100.
|
|
When the cultured goblet cells were studied using transmission electron
microscopy (Fig. 9)
, typical goblet cell morphology was observed. En face sections of
goblet cells revealed cells that contained many large storage granules,
with the nucleus often asymmetrically placed.

View larger version (53K):
[in this window]
[in a new window]
|
Figure 9. Transmission electron micrographs of two representative cultured goblet
cells sectioned en face. These cells displayed degrees of cell
polarity and the presence of numerous intact secretory granules.
Magnification, x6000.
|
|
Mucin Secretion by Goblet Cells In Vitro
UEA-I was used to measure glycoconjugate secretion from primary
and passaged goblet cells using an ELLA.29
Goblet cells
that had been in serum-free medium for 48 hours and had covered 20%
and 40% (estimated by visualization) of the surface of a
35-cm2 culture dish secreted 49 and 160 µg of
mucin, respectively. Other cultures that had also been incubated in
serum-free medium for 72 hours and that covered 10% and 25% of the
same type of culture vessel were found to secrete 50 and 64 µg
mucin, respectively. These data are shown in Table 1
.
Western Blot Analysis for UEA-1Detectable Glycoprotein and MUC5AC
Proteins from cell lysates of cultures of primary and passaged
goblet cells were analyzed by Western blot methods using biotinylated
UEA-1 and an antibody against MUC5AC.24
A
high-molecular-weight glycoprotein of more than 220 KDa, indicative of
UEA-1, was present in the lysate of cultured goblet cells (Fig. 10A)
. A similar band was also present in samples of rat conjunctival
homogenate, the positive control used. Similarly, the human MUC5AC
antibody reacted with a high-molecular-weight glycoprotein of more than
220 kDa, indicating the presence of MUC5AC (Fig. 10B)
in cultured
goblet cell lysate. MUC5AC was also present in rat conjunctival
homogenate.

View larger version (17K):
[in this window]
[in a new window]
|
Figure 10. Western blot analysis of (A) UEA-1containing
high-molecular-weight glycoprotein and (B) MUC5AC in
cultured goblet cells and homogenized conjunctival epithelium.
|
|
 |
Discussion
|
|---|
Because the importance of the goblet cell in maintaining the
integrity of the ocular surface is well recognized, many structural,
ultrastructural, and histochemical studies have been performed on the
conjunctival epithelium in a variety of
species.7
15
35
36
37
38
Data derived from these studies have
provided valuable information regarding the development, subsequent
appearance, location, and function of goblet cells within the
conjunctiva. In addition, they have provided information concerning the
influence of environmental factors, chemicals, toxins, and disease on
these same goblet cell parameters.
Previous reports of systems developed for culturing goblet cells in
vitro are limited. Goblet cell cultures derived from airway epithelia
of hamsters, rats, and humans39
40
41
have been in use for
several years. By comparison, the development of systems to culture
conjunctival goblet cells is still in its infancy. Among the methods
that have been used to study these cells are the following: sectioning
of conjunctival tissue combined with a battery of histochemical
staining, immunocytochemical localization, transmission electron
microscopy and in situ hybridization,5
42
43
44
histochemical staining of wholemounted tissue,5
8
PAS
staining of filter paper strips applied to the conjunctival
surface,45
phalloidin labeling of excised
conjunctiva46
and neutral protease removal of viable
sheets of conjunctival epithelium,3
and growth of
conjunctival cells on various substrata, including natural
extracellular matrix components, fibroblast feeder layers, collagen,
and commercial substrate (Matrigel; Becton Dickinson
Labware).20
21
22
These systems are limited, in that they
yield indirect information that requires extrapolation to the goblet
cell in vivo. Conjunctival cells have been grown from a variety of
tissues including human, but no reproducible, characterized system by
which goblet cells can be propagated has been reported.
The present study demonstrates that rat conjunctival goblet cells can
be isolated from the fornix, specifically the nictitating membrane of
the fornix, using a modified explant culture system. Moreover, the
cells can be grown and propagated in uncoated tissue culture vessels
and nourished in a simple, basic culture medium supplemented only with
FBS, L-glutamine, and antibiotics. Cultures derived in this
manner can be kept relatively (>90%) pure by scraping contaminating
cell types from the culture dish. We demonstrated that cultured goblet
cells proliferate in vitro and that they can be passaged at least three
times with full retention of identifying cellular markers and
functional activity.
The cultured goblet cells described in this study fulfilled the
following criteria, which enabled us to readily identify them as
conjunctival goblet cells. Morphologically, although the cultured cells
did not assume the typical in vivo goblet cell morphology, they
contained numerous secretory vesicles and secreted droplets of mucin
and, as they matured in culture strands of mucin, these cells were
observed on top of the cultures. When analyzed by transmission electron
microscopy, well-described goblet cell morphology was observed, with
cytoplasm filled with numerous translucent, distinct secretory
vesicles, thus supporting the fact that the cultured cells were not
other types of epithelial cells. Histochemically, the cytoplasm of most
cultured cells as well as their associated mucin droplets and strands
reacted with AB/PAS.
We infrequently observed a cohort of goblet cells in the cultures that
did not react with AB/PAS. Most of these unreactive cells appeared to
be grouped into two categories: large, senescent cells with extensive
numbers of empty vacuoles within the cytoplasm or sparse clusters of
small cells interspersed among cells of similar morphology that were
reactive to AB/PAS. Adams and Dilly33
have also
demonstrated that there are goblet cells in the conjunctiva that do not
stain with PAS, PAS-hematoxylin, or alcian blue, when used either
singly or in combination. Cultured goblet cells showed positive
reactivity to the goblet cellassociated lectins UEA-1 and HPA.
However, not all goblet cells reacted with UEA-1 and HPA
simultaneously. Because AB/PAS and lectins interact with the secretory
product of goblet cells, loss of staining could indicate that the cells
have secreted their contents and thus are not labeled with these
markers. It is also possible, in the case of lectins that bind to
specific carbohydrate moieties, that the nonreactive cells reflect
differences in glycosylation of the mucin protein core. The
immunocytochemical markers CK-7 and MUC5AC and the muscarinic receptor
M3 were expressed by cultured cells. Moreover,
cultured goblet cells were biochemically functional in vitro by
retention of their ability to secrete mucin.
Proliferating goblet cells in culture, which fulfill morphologic,
histochemical, immunocytochemical, and functional markers and functions
of their in vivo counterparts may be invaluable tools with which to
study the many facets of goblet cell mucin synthesis and secretion in a
direct, controlled, and reproducible manner. Furthermore, the use of
cultured goblet cells decreases dependence on using and/or killing
large numbers of animals to derive the same information. It is
anticipated that the availability of large numbers of cultured goblet
cells will make it possible to gain new information on their molecular,
cellular, and functional contribution to the development of novel
therapies designed to alleviate aberrant mucin-induced diseases of the
ocular surface.
 |
Acknowledgements
|
|---|
The authors thank Patricia Pearson and Veronica Chau for excellent
technical assistance and J. Wayne Streilein and Michael J. Young for
generously providing access to their respective tissue culture and
microscopy facilities.
 |
Footnotes
|
|---|
Supported by National Institutes of Health Grant EY09057.
Submitted for publication July 20, 2000; revised January 26, 2001; accepted February 23, 2001.
Commercial relationships policy: N.
The publication costs of this article were defrayed in part by page charge payment. This article must therefore be marked "advertisement" in accordance with 18 U.S.C.
1734 solely to indicate this fact.
Corresponding author: Marie A. Shatos, Schepens Eye Research Institute, 20 Staniford Street, Boston, MA 02114. shatos{at}vision.eri.harvard.edu
 |
References
|
|---|
-
Gipson, IK (1994) Anatomy of the conjunctiva, cornea and limbus Smolin, G Thoft, R eds. The Cornea ,3-24 Little, Brown Boston.
-
Wei, ZG, Wu, RL, Lavker, RM, Sun, TT (1993) In vitro growth and differentiation of rabbit bulbar fornix and palpebral conjunctival epithelia Invest Ophthalmol Vis Sci 34,1814-1828[Abstract/Free Full Text]
-
Geggel, HS, Gipson, IK (1985) Removal of viable sheets of conjunctival epithelium with dispase II Invest Ophthalmol Vis Sci 26,15-22[Abstract/Free Full Text]
-
Jeffery, PK, Gaillard, D, Maret, S. (1992) Human airway secretory cells during development and in mature airway epithelium Eur Respir J 5,93-104[Abstract]
-
Huang, AJ, Tseng, SC, Kenyon, KR (1988) Morphogenesis of rat conjunctival goblet cells Invest Ophthalmol Vis Sci 29,969-975[Abstract/Free Full Text]
-
Kessing, SV (1968) Investigations of the conjunctival mucin (quantitative studies of goblet cells of the conjunctiva) Acta Ophthalmol 95(suppl 1),1-33
-
Latkovic, S. (1979) The ultrastructure of the normal conjunctival epithelium of the guinea pig. III: the bulbar zone, the zone of the fornix and the supranular zone Acta Ophthalmol 57,305-320
-
Tseng, SCG, Hirst, LW, Farazdaghi, M, Green, WR (1984) Goblet cell density and vascularization during conjunctival transdifferentiation Invest Ophthalmol Vis Sci 25,1168-1176[Abstract/Free Full Text]
-
Srinivasan, BD, Worgul, BV, Iwamoto, T, Merriam, GR (1997) The conjunctival epithelium. II: histochemical and ultrastructural studies on human and rat conjunctiva Ophthalmic Res 9,65-79
-
Lamberts, DW (1994) Physiology of the tear film Smolin, G Thoft, R eds. The Cornea ,439-483 Little, Brown Boston.
-
Nichols, BA, Chioppino, ML, Dawson, CR (1985) Demonstration of the mucous layer of the tear film by electron microscopy Invest Ophthalmol Vis Sci 26,464-473[Abstract/Free Full Text]
-
Gibbons, RJ (1982) Review and discussion of the role of mucus in mucosal defense Strober, W Hanson, L Sell, K eds. Recent Advances in Mucosal Immunity ,343-351 Raven Press; New York.
-
Lemp, MA, Holly, FJ, Iwata, S, Dohlman, C. (1970) The precorneal tear film. I: factors in spreading and maintaining a continuous tear film over the corneal surface Arch Ophthalmol 83,89-94[Medline][Order article via Infotrieve]
-
Chao, CW, Butala, SM, Herp, A. (1988) Studies on the isolation and composition of human ocular mucin Exp Eye Res 47,185-196[Medline][Order article via Infotrieve]
-
Steuhl, KP (1989) Ultrastructure of the conjunctival epithelium Dev Ophthalmol 19,1-104[Medline][Order article via Infotrieve]
-
Lemp, MA (1973) The mucin-deficient dry eye Int Ophthalmol Clin 13,185-189[Medline][Order article via Infotrieve]
-
Tseng, SCG, Hirst, L, Maumenee, A, Kenyon, KR, Sun, TT, Green, WR (1984) Possible mechanisms for the loss of goblet cells in mucin-deficient disorders Ophthalmol 91,545-552
-
Gilbard, JP, Rossi, SR (1990) Tear film and ocular surface changes in a rabbit model of neurotrophic keratitis Ophthalmology 97,308-312[Medline][Order article via Infotrieve]
-
Lemp, MA (1992) Basic principles and classification of dry eye disorders Lemp, M Marquardt, R eds. The Dry Eye: A Comprehensive Guide, ,101-132 Springer-Verlag Berlin.
-
Sun, T, Green, H. (1977) Cultured epithelial cells of cornea, conjunctiva and skin: absence of marked intrinsic divergence of their differentiated states Nature 269,489-493[Medline][Order article via Infotrieve]
-
Rheinwald, J, Green, H. (1977) Epidermal growth factor and the multiplication of cultured human epidermal keratocytes Nature 265,421-424[Medline][Order article via Infotrieve]
-
Tsai, RJF, Tseng, SCG (1988) Substrate modulation of cultured rabbit conjunctival epithelial cells Invest Ophthalmol Vis Sci 29,1565-1576[Abstract/Free Full Text]
-
Gipson, IK, Yankauckas, M, Spurr-Michaud, SJ, Tisdale, AS, Rinehart, W. (1992) Characteristics of a glycoprotein in the ocular surface glycocalyx Invest Ophthalmol Vis Sci 33,218-227[Abstract/Free Full Text]
-
Jumblatt, MM, McKenzie, RW, Jumblatt, JE (1999) MUC5AC mucin is a component of the human precorneal tear film Invest Ophthalmol Vis Sci 40,43-49[Abstract/Free Full Text]
-
Sheehan, DC, Hrpchack, BB (1980) Theory and Practice of Histochemistry CV Mosby St. Louis.
-
Krenzer, KL, Freddo, TF (1997) Cytokeratin expression in normal human bulbar conjunctiva obtained by impression cytology Invest Ophthalmol Vis Sci 38,142-152[Abstract/Free Full Text]
-
Borchers, MT, Wert, SE, Leikauf, GD (1998) Acrolein-induced MUC5ac expression in rat airways Am J Physiol 274,L573-L581[Abstract/Free Full Text]
-
Kawano, K, Uehara, F, Sameshina, M, Ohba, N. (1984) Application of lectins for detection of goblet cell carbohydrates of the human conjunctiva Exp Eye Res 38,439-447[Medline][Order article via Infotrieve]
-
Rios, JD, Zoukhri, D, Rawe, IM, Hodges, RR, Zieske, JD, Dartt, DA (1999) Immunolocalization of muscarinic and VIP receptor subtypes and their role in stimulating goblet cell secretion Invest Ophthalmol Vis Sci 40,1102-1111[Abstract/Free Full Text]
-
Towbin, H, Staehelin, T, Gordon, J. (1979) Electrophoretic transfer of proteins from polyacrylamide gels to nitrocellulose sheets: procedures and some applications Proc Natl Acad Sci USA 76,4350-4354[Abstract/Free Full Text]
-
Gerdes, J, Schwab, T, Gordon, J. (1983) Production of a mouse monoclonal antibody reactive with a human nuclear antigen associated with cell proliferation Int J Cancer 31,13-20[Medline][Order article via Infotrieve]
-
Gerdes, J, Schwab, U, Lemke, H, Stein, H. (1984) Cell cycle analysis of a cell proliferation-associated human nuclear antigen defined by the monoclonal antibody Ki-67 J Immunol 133,1710-1715[Abstract]
-
Adams, GG, Dilly, PN (1989) Differential staining of ocular goblet cells Eye 3,840-844
-
Inatomi, T, Spurr-Michaud, SJ, Tisdale, AS, Zhan, Q, Feldman, ST, Gipson, IK (1996) Expression of secretory mucin genes by human conjunctival epithelia Invest Ophthalmol Vis Sci 37,1684-1692[Abstract/Free Full Text]
-
Setzer, PY, Nichols, BA, Dawson, CR (1987) Unusual structure of rat conjunctival epithelium: light and electron microscopy Invest Ophthalmol Vis Sci 28,531-537[Abstract/Free Full Text]
-
Moore, CP, Wilsman, NJ, Nordheim, EV, Majors, LJ, Collier, LL (1987) Density and distribution of canine conjunctival goblet cells Invest Ophthalmol Vis Sci 28,1925-1932[Abstract/Free Full Text]
-
Oduntan, AO (1992) The inferior conjunctiva of the monkey Acta Anat (Basel) 143,178-181[Medline][Order article via Infotrieve]
-
Breithnach, R, Spitznas, M. (1998) Ultrastructure of the paralimbal and juxtacaruncular human conjunctiva Graefes Arch Clin Exp Ophthalmol 226,567-575
-
Wu, R, Nolan, E, Turner, C. (1985) Expression of tracheal differentiated functions in serum-free hormone-supplemented medium J Cell Physiol 125,167-181[Medline][Order article via Infotrieve]
-
Kaartinen, L, Nettesheim, P, Adler, KB, Randell, SH (1993) Rat tracheal epithelial cell differentiation in vitro In Vitro Cell Dev Biol Anim 29A,481-492
-
Wu, R, Martin, WR, Robinson, CB, et al (1990) Expression of mucin synthesis and secretion in human tracheobronchial epithelial cells grown in culture Am J Respir Cell Biol 3,467-478
-
Greiner, JV, Weidman, TA, Korb, DR, Allansmith, MR (1985) Histochemical analysis of secretion vesicles in nongoblet conjunctival epithelial cells Acta Ophthalmol 63,89-92[Medline][Order article via Infotrieve]
-
Allansmith, MR, Baird, RS, Greiner, JV (1981) Density of goblet cells in vernal conjunctivitis and contact lens-associated giant papillary conjunctivitis Arch Ophthalmol 99,884-885[Abstract]
-
Kinoshita, S, Kiorpes, TC, Friend, J, Thoft, RA (1983) Goblet cell density in ocular surface disease: a better indicator than tear mucin Arch Ophthalmol 101,1284-1287[Abstract]
-
Adams, AD (1979) The morphology of human conjunctival mucus Arch Ophthalmol 97,730-734[Abstract]
-
Gipson, IK, Tisdale, AS (1997) Visualization of conjunctival goblet cell actin cytoskeleton and mucin content in tissue whole mounts Exp Eye Res 65,407-415[Medline][Order article via Infotrieve]
This article has been cited by other articles:

|
 |

|
 |
 
M. A. Shatos, J. Gu, R. R. Hodges, K. Lashkari, and D. A. Dartt
ERK/p44p42 Mitogen-Activated Protein Kinase Mediates EGF-Stimulated Proliferation of Conjunctival Goblet Cells in Culture
Invest. Ophthalmol. Vis. Sci.,
August 1, 2008;
49(8):
3351 - 3359.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
F. Li, D. Carlsson, C. Lohmann, E. Suuronen, S. Vascotto, K. Kobuch, H. Sheardown, R. Munger, M. Nakamura, and M. Griffith
Cellular and nerve regeneration within a biosynthetic extracellular matrix for corneal transplantation
PNAS,
December 23, 2003;
100(26):
15346 - 15351.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
H. J. Gukasyan, K.-J. Kim, R. Kannan, R. A. Farley, and V. H. L. Lee
Specialized Protective Role of Mucosal Glutathione in Pigmented Rabbit Conjunctiva
Invest. Ophthalmol. Vis. Sci.,
October 1, 2003;
44(10):
4427 - 4438.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
M. A. Shatos, J. D. Rios, Y. Horikawa, R. R. Hodges, E. L. Chang, C. R. Bernardino, P. A. D. Rubin, and D. A. Dartt
Isolation and Characterization of Cultured Human Conjunctival Goblet Cells
Invest. Ophthalmol. Vis. Sci.,
June 1, 2003;
44(6):
2477 - 2486.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
Y. Horikawa, M. A. Shatos, R. R. Hodges, D. Zoukhri, J. D. Rios, E. L. Chang, C. R. Bernardino, P. A. D. Rubin, and D. A. Dartt
Activation of Mitogen-Activated Protein Kinase by Cholinergic Agonists and EGF in Human Compared with Rat Cultured Conjunctival Goblet Cells
Invest. Ophthalmol. Vis. Sci.,
June 1, 2003;
44(6):
2535 - 2544.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
H. Kanno, Y. Horikawa, R. R. Hodges, D. Zoukhri, M. A. Shatos, J. D. Rios, and D. A. Dartt
Cholinergic agonists transactivate EGFR and stimulate MAPK to induce goblet cell secretion
Am J Physiol Cell Physiol,
April 1, 2003;
284(4):
C988 - C998.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
A. M. Joussen, V. Poulaki, N. Mitsiades, S. U. Stechschulte, B. Kirchhof, D. A. Dartt, G.-H. Fong, J. Rudge, S. J. Wiegand, G. D. Yancopoulos, et al.
VEGF-Dependent Conjunctivalization of the Corneal Surface
Invest. Ophthalmol. Vis. Sci.,
January 1, 2003;
44(1):
117 - 123.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
H. J. Gukasyan, V. H. L. Lee, K.-J. Kim, and R. Kannan
Net Glutathione Secretion across Primary Cultured Rabbit Conjunctival Epithelial Cell Layers
Invest. Ophthalmol. Vis. Sci.,
April 1, 2002;
43(4):
1154 - 1161.
[Abstract]
[Full Text]
[PDF]
|
 |
|