The collagen matrix of the human trabecular meshwork is an extension of the novel pre-Descemet's layer (Dua's layer)

Background The trabecular meshwork (TM) located at the angle of the anterior chamber of the eye contributes to aqueous drainage. A novel layer in the posterior part of the human cornea has recently been reported (the pre-Descemet's layer (Dua's layer (PDL)). We examined the peripheral part of this layer in relation to the origin of the TM. Methods The PDL and TM of 19 human donor eyes and one exenterated sample were studied. Samples were examined by light and electron microscopy (EM) for tissue architecture and by immunohistology for four matricellular proteins, five collagen types and CD34. Results EM revealed that beams of collagen emerged from the periphery of PDL on the anterior surface of the Descemet's membrane and divided and subdivided to continue as the beams of the TM. Long-spacing collagen was seen in the PDL and TM. Trabecular cells (CD34-ve) associated with basement membrane were seen in the peripheral part of the PDL and corresponded to the start of the separation of the collagen lamellae of PDL. Collagen VI was present continuously in PDL and extended into the TM. Matricellular proteins were seen predominantly in the TM with only laminin extending into the periphery of PDL. Conclusions This study provides an insight into the origins of the collagen core of the TM as an extension of the PDL of the cornea. This finding adds to the knowledge base of the TM and cornea and has the potential to impact future research into the TM and glaucoma.

[1]  R. Timpl,et al.  Type VI collagen in extracellular, 100-nm periodic filaments and fibrils: identification by immunoelectron microscopy , 1986, The Journal of cell biology.

[2]  R. Timpl,et al.  Laminin and other basement membrane components. , 1987, Annual review of cell biology.

[3]  D. Worthen,et al.  Histology of the Human Eye. , 1972 .

[4]  T. Gray,et al.  Human corneal anatomy redefined: a novel pre-Descemet's layer (Dua's layer). , 2013, Ophthalmology.

[5]  C. Dohlman,et al.  CORNEA AND SCLERA. , 1963, Archives of ophthalmology.

[6]  Yong-ming Zhang,et al.  Long-term comparison of full-bed deep anterior lamellar keratoplasty and penetrating keratoplasty in treating keratoconus , 2013, Journal of Zhejiang University SCIENCE B.

[7]  D. Oh,et al.  Matricellular proteins in the trabecular meshwork. , 2009, Experimental eye research.

[8]  Eugene Wolff,et al.  Wolff's anatomy of the eye and orbit , 1997 .

[9]  R. Ritch,et al.  Human trabecular meshwork cells in culture: morphology and extracellular matrix components. , 1987, Investigative ophthalmology & visual science.

[10]  M. Flocks The anatomy of the trabecular meshwork as seen in tangential section. , 1956, A.M.A. archives of ophthalmology.

[11]  H. Dua,et al.  Expression of CD34 and L-selectin on human corneal keratocytes. , 2003, Investigative ophthalmology & visual science.

[12]  Paul J. Foster,et al.  Epidemiology of glaucoma: what's new? , 2012, Canadian journal of ophthalmology. Journal canadien d'ophtalmologie.

[13]  M. Lesk,et al.  Relationship between central corneal thickness and changes of optic nerve head topography and blood flow after intraocular pressure reduction in open-angle glaucoma and ocular hypertension. , 2006, Archives of ophthalmology.

[14]  Maximilian b. Salzmann,et al.  The Anatomy and Histology of the Human Eyeball in the Normal State: Its Development and Senescence , 2010 .

[15]  N. Ashton,et al.  ANATOMICAL STUDIES OF THE TRABECULAR MESHWORK OF THE NORMAL HUMAN EYE* , 1956, The British journal of ophthalmology.

[16]  E. Feretis,et al.  Association between corneal hysteresis and central corneal thickness in glaucomatous and non‐glaucomatous eyes , 2009, Acta ophthalmologica.

[17]  B. Yue,et al.  Distribution of myocilin and extracellular matrix components in the corneoscleral meshwork of human eyes. , 2003, Investigative ophthalmology & visual science.

[18]  H. Quigley Number of people with glaucoma worldwide. , 1996, The British journal of ophthalmology.

[19]  H. Quigley,et al.  The number of people with glaucoma worldwide in 2010 and 2020 , 2006, British Journal of Ophthalmology.

[20]  S. Costantino,et al.  Development of a novel instrument to measure the pulsatile movement of ocular tissues. , 2010, Experimental eye research.

[21]  J. Rohen,et al.  Ultrahistochemical studies on tangential sections of the trabecular meshwork in normal and glaucomatous eyes. , 1981, Investigative ophthalmology & visual science.

[22]  I. Grierson,et al.  Progenitors for the Corneal Endothelium and Trabecular Meshwork: A Potential Source for Personalized Stem Cell Therapy in Corneal Endothelial Diseases and Glaucoma , 2011, Journal of biomedicine & biotechnology.

[23]  G. E. Marshall,et al.  Immunogold ultrastructural localization of collagens in the aged human outflow system. , 1991, Ophthalmology.

[24]  S. Kingman Glaucoma is second leading cause of blindness globally. , 2004, Bulletin of the World Health Organization.

[25]  R. Tripathi,et al.  The functional morphology of the outflow systems of ocular and cerebrospinal fluids. , 1977, Experimental eye research.

[26]  J. Rohen,et al.  The fine structure of the cribriform meshwork in normal and glaucomatous eyes as seen in tangential sections. , 1981, Investigative ophthalmology & visual science.

[27]  R. Tripathi,et al.  Identification of type VI collagen in the trabecular meshwork and expression of its mRNA by trabecular cells. , 1994, Experimental Eye Research.

[28]  D. Maurice,et al.  The Cornea and Sclera , 1962 .

[29]  H. Gong,et al.  Morphology of the aqueous outflow pathway , 1996, Microscopy research and technique.