Purpose
Primary human corneal endothelial cells (HCEnCs) cultured in room air are exposed to significantly higher O
2
concentrations [O
2
] than what is normally present in the eye. We evaluated the growth and metabolism of HCEnCs cultured under physiological [O
2
] (2.5%; [O
2
]
2.5
) and room air ([O
2
]
A
).
Methods
Primary cultures of HCEnCs from normal donors and donors with Fuchs dystrophy were grown at [O
2
]
2.5
and [O
2
]
A
. Growth and morphology were compared using phase-contrast microscopy, zonula occludens (ZO-1) localization, cell density measurements, and senescence marker staining. CD44 (cell quality) and HIF-1α (hypoxia-inducible factor-1α) levels were evaluated by Western blotting. Cell adaptability to a reversal of [O
2
] growth conditions was measured with cell viability assays, and cell metabolism was assessed via oxygen consumption and extracellular acidification rates.
Results
HCEnCs grown at [O
2
]
A
and [O
2
]
2.5
displayed similar morphologies, ZO-1 localization, CD44 expression, and senescence. Cells from donors with Fuchs dystrophy grew better at [O
2
]
2.5
than at [O
2
]
A
. HIF-1α was undetectable. Cells displayed greater viability at [O
2
]
2.5
than at [O
2
]
A
. HCEnCs showed significantly greater proton leak (
P
< 0.01), nonmitochondrial oxygen consumption (
P
< 0.01), and spare capacity (
P
< 0.05) for oxygen consumption rates, and greater basal glycolysis (
P
< 0.05) with a decreased glycolytic reserve capacity (
P
< 0.05) for extracellular acidification rates.
Conclusions
Primary HCEnCs show unique metabolic characteristics at physiologic [O
2
]. The effect of [O
2
] for optimization of HCEnC culture conditions should be considered.
Translational Relevance
With the advance of cell-based therapeutics for corneal endothelial diseases, [O
2
] should be considered an important variable in the optimization of HCEnC culture conditions.