Abstract
Purpose
To introduce a human cell culture technique for investigating in-vitro behavior of primary epiretinal cells and membrane contraction of fibrocellular tissue surgically removed from eyes with idiopathic macular pucker.
Methods
Human epiretinal membranes were harvested from ten eyes with idiopathic macular pucker during standard vitrectomy. Specimens were fixed on cell culture plastic using small entomological pins to apply horizontal stress to the tissue, and then transferred to standard cell culture conditions. Cell behavior of 400 epiretinal cells from 10 epiretinal membranes was observed in time-lapse microscopy and analyzed in terms of cell migration, cell velocity, and membrane contraction. Immunocytochemistry was performed for cell type-specific antigens.
Results
Cell specific differences in migration behavior were observed comprising two phenotypes: (PT1) epiretinal cells moving fast, less directly, with small round phenotype and (PT2) epiretinal cells moving slowly, directly, with elongated large phenotype. No mitosis, no outgrowth and no migration onto the plastic were seen. Horizontal contraction measurements showed variation between specimens. Masses of epiretinal cells with a myofibroblast-like phenotype expressed cytoplasmatic α-SMA stress fibers and correlated with cell behavior characteristics (PT2). Fast moving epiretinal cells (PT1) were identified as microglia by immunostaining.
Conclusions
This in-vitro technique using traction application allows for culturing surgically removed epiretinal membranes from eyes with idiopathic macular pucker, demonstrating cell behavior and membrane contraction of primary human epiretinal cells. Our findings emphasize the abundance of myofibroblasts, the presence of microglia and specific differences of cell behavior in these membranes. This technique has the potential to improve the understanding of pathologies at the vitreomacular interface and might be helpful in establishing anti-fibrotic treatment strategies.
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Electronic supplementary material
Movie 1
Time-lapse microscopy of idiopathic epiretinal membrane pinned on cell culture plastic with tangential traction application. Differences in cell migration behavior were observed: (1) epiretinal cells moving fast, less directly, with small round phenotype, and (2) epiretinal cells moving slowly, directly, with elongated large phenotype. (MOV 1662 kb)
Movie 2
Time-lapse microscopy of idiopathic epiretinal membrane pinned on cell culture plastic demonstrating membrane contraction. The membrane edge was marked with a reference marker. Based on 10 measurements per specimen, mean drift of the membrane edges towards the centre was 3.1 ± 0.96 μm within 15 h. (MOV 1430 kb)
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Wertheimer, C., Eibl-Lindner, K.H., Compera, D. et al. A cell culture technique for human epiretinal membranes to describe cell behavior and membrane contraction in vitro. Graefes Arch Clin Exp Ophthalmol 255, 2147–2155 (2017). https://doi.org/10.1007/s00417-017-3767-x
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DOI: https://doi.org/10.1007/s00417-017-3767-x