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Br J Ophthalmol 2000;84:311-317 ( March )

Age related changes in the non-collagenous components of the extracellular matrix of the human lamina cribrosa

Julie Albona, Wojciech S S Karwatowskib, David L Eastyc, Trevor J Simsd, Victor C Duancee

a Department of Optometry and Vision Science, Cardiff University, b Department of Ophthalmology, Leicester Royal Infirmary, Leicester, c Department of Ophthalmology, Bristol Eye Hospital, Bristol, d Collagen Research Group, University of Bristol, Langford, Bristol, e School of Biosciences, Cardiff University

Correspondence to: Dr Julie Albon, Department of Optometry and Vision Science, Cardiff University, Redwood Building, King Edward VII Avenue, PO Box 905, Cardiff CF1 3XS

Accepted for publication 1 October 1999

AIMS---To investigate age related alterations in the non-collagenous components of the human lamina cribrosa.
METHODS---Fibronectin, elastin, and glial fibrillary acidic protein (GFAP) staining were assessed in young and old laminae cribrosae. An age range (7 days to 96 years) of human laminae cribrosae were analysed for lipid content (n=9), cellularity (n=28), total sulphated glycosaminoglycans (n=28), elastin content (n=9), and water content (n=56), using chloroform-methanol extraction, fluorimetry, the dimethylmethylene blue assay, and ion exchange chromatography, respectively.
RESULTS---Qualitatively, an increase in elastin and a decrease in fibronectin and GFAP were demonstrated when young tissue was compared with the elderly. Biochemical analysis of the ageing human lamina cribrosa demonstrated that elastin content increased from 8% to 28% dry tissue weight, total sulphated glycosaminoglycans decreased, and lipid content decreased from 45% to 25%. There were no significant changes in total cellularity or water content.
CONCLUSION---These alterations in composition may be indicative of the metabolic state of the lamina cribrosa as it ages, and may contribute to changes in mechanical integrity. Such changes may be implicated in the susceptibility of the elderly lamina cribrosa and also its response to glaucomatous optic neuropathy.


© 2000 by British Journal of Ophthalmology



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