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Squishy matters - Corneal mechanobiology in health and disease
Journal article   Open access   Peer reviewed

Squishy matters - Corneal mechanobiology in health and disease

Sara M Thomasy, Brian C Leonard, Mark A Greiner, Jessica M Skeie and Vijay Krishna Raghunathan
Progress in retinal and eye research, Vol.99, 101234
03/2024
DOI: 10.1016/j.preteyeres.2023.101234
PMCID: PMC11193890
PMID: 38176611
url
https://doi.org/10.1016/j.preteyeres.2023.101234View
Published (Version of record) Open Access

Abstract

The cornea, as a dynamic and responsive tissue, constantly interacts with mechanical forces in order to maintain its structural integrity, barrier function, transparency and refractive power. Cells within the cornea sense and respond to various mechanical forces that fundamentally regulate their morphology and fate in development, homeostasis and pathophysiology. Corneal cells also dynamically regulate their extracellular matrix (ECM) with ensuing cell-ECM crosstalk as the matrix serves as a dynamic signaling reservoir providing biophysical and biochemical cues to corneal cells. Here we provide an overview of mechanotransduction signaling pathways then delve into the recent advances in corneal mechanobiology, focusing on the interplay between mechanical forces and responses of the corneal epithelial, stromal, and endothelial cells. We also identify species-specific differences in corneal biomechanics and mechanotransduction to facilitate identification of optimal animal models to study corneal wound healing, disease, and novel therapeutic interventions. Finally, we identify key knowledge gaps and therapeutic opportunities in corneal mechanobiology that are pressing for the research community to address especially pertinent within the domains of limbal stem cell deficiency, keratoconus and Fuchs' endothelial corneal dystrophy. By furthering our understanding corneal mechanobiology, we can contextualize discoveries regarding corneal diseases as well as innovative treatments for them.
Corneal wound healing Cornea Mechanotransduction Stiffness Cell-matrix interactions Mechanobiology

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