2009
DOI: 10.1167/iovs.08-2992
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Multiple Endpoint Analysis of the 3D-Reconstituted Corneal Epithelium after Treatment with Benzalkonium Chloride: Early Detection of Toxic Damage

Abstract: Fluorescence techniques conjugated with confocal microscopy on 3D-reconstructed corneal epithelia were well suited for the investigation of toxicological markers such as cell junction alteration, apoptosis, cell activation, and proliferation and gave relevant results compared with the known human data. They complement the new sensitive MTT test and improve the operating potential of this new, valuable 3D model in ophthalmic toxicology.

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Cited by 114 publications
(83 citation statements)
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“…Lymphocytes seem to be very sensitive to the cytotoxic effect of BAK. Cytotoxic and proapoptotic BAK concentrations for corneal and conjunctiva cells are higher than seen in this study for lymphocytes, and vary between 0.0001 and 0.02%, but most of them are close to the latter figure [5,7,8,14,17,18]. Huge differences in these concentrations are probably due to differences in methods of cell treatments by BAK (especially in treatment and recovery time) and sensitivities of assays.…”
Section: Discussion Discussion Discussion Discussionmentioning
confidence: 58%
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“…Lymphocytes seem to be very sensitive to the cytotoxic effect of BAK. Cytotoxic and proapoptotic BAK concentrations for corneal and conjunctiva cells are higher than seen in this study for lymphocytes, and vary between 0.0001 and 0.02%, but most of them are close to the latter figure [5,7,8,14,17,18]. Huge differences in these concentrations are probably due to differences in methods of cell treatments by BAK (especially in treatment and recovery time) and sensitivities of assays.…”
Section: Discussion Discussion Discussion Discussionmentioning
confidence: 58%
“…Although lymphocytes do not infiltrate the cornea in physiological conditions, they are present in other parts of the anterior segment of the eye as an anterior chamber or a conjunctiva in both physiological and pathological conditions and are a subject for BAK stimulation. Moreover, exposure to BAK increases permability of eye tissues [4,5] www.fhc.viamedica.pl adhesion molecules helping lymphocytes to reach the site of inflammation, and also expression of HLA-DR, which is crucial for antigen presentation needed for lymphocyte activation [1,7]. This data is supported by clinical observations showing an immunologic reaction with increased presence of lymphocytes, Langerhans cells and macrophages in patients subjected to chronic application of preservatives.…”
Section: Discussion Discussion Discussion Discussionmentioning
confidence: 95%
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“…The MTT solution could penetrate only two or three layers from the basal side because this solution was placed under the basal side of the models. This procedure may underestimate the mild irritancy that has toxic effects only in the superficial layer of the corneal epithelium (Pauly et al ., 2009). To overcome this issue, different indicators such as occludin, interleukin‐8 and MUC1 have been proposed (Meloni et al ., 2010; Song and Joo, 2004).…”
Section: Introductionmentioning
confidence: 99%