Skip to content
1887

Abstract

Interspecies differences in human, pig and sheep corneal thickness may affect the colonization. Currently, there is no research investigating the impact of these differences, along with variable storage and culture conditions on infection in cornea models. These factors could significantly influence utilizing models for drug testing research.

In this study, we aim to compare the relevance of sheep and pig cornea infection models to human.

The corneas were stored in McCarey-Kaufman medium or Eagle’s Minimum Essential Medium or Dulbecco’s Modified Eagle’s Medium/Mixture F-12 Ham medium (incubator) and then infected after varying storage durations. The effect of added foetal bovine serum (FBS) to media and continuous shaking mimicking rinsing with tears on infection was also investigated. The infection outcome was evaluated by comparing c.f.u. between conditions.

The study found that storage conditions, culture media, FBS and continuous rinsing of corneas with media had no significant effect on infection progression in keratitis models across selected species.

Pig and sheep models yield results comparable to human corneas. These findings support the interchangeability of human, pig and sheep keratitis models for infection studies, emphasizing their relevance and reliability in research contexts. This interchangeability is particularly useful for research groups where one particular animal model may not be available. The media in this keratitis model can be free of animal components by the removal of FBS, which reduces the reliance on animal-derived products, aligning with ethical considerations and promoting more sustainable and humane scientific practices. This study advances the understanding of keratitis models, demonstrating their robustness and potential for broader application in ophthalmic research and drug testing.

Funding
This study was supported by the:
  • Animal Free Research UK (Award AFR21-PILOT-134)
    • Principal Award Recipient: EstherKarunakaran
  • Medical Research Council (Award MR/S004688/1)
    • Principal Award Recipient: PeterN. Monk
  • This is an open-access article distributed under the terms of the Creative Commons Attribution License. This article was made open access via a Publish and Read agreement between the Microbiology Society and the corresponding author’s institution.
Loading

Article metrics loading...

/content/journal/jmm/10.1099/jmm.0.001901
2024-12-13
2025-11-12

Metrics

Loading full text...

Full text loading...

/deliver/fulltext/jmm/73/12/jmm001901.html?itemId=/content/journal/jmm/10.1099/jmm.0.001901&mimeType=html&fmt=ahah

References

  1. Whitcher JP, Srinivasan M, Upadhyay MP. Corneal blindness: a global perspective. Bull World Health Organ 2001; 79:214–221 [PubMed]
    [Google Scholar]
  2. Dave A, Samarth A, Karolia R, Sharma S, Karunakaran E et al. Characterization of ocular clinical isolates of Pseudomonas aeruginosa from non-contact lens related keratitis patients from south India. Microorganisms 2020; 8:260 [View Article] [PubMed]
    [Google Scholar]
  3. Årdal C, Balasegaram M, Laxminarayan R, McAdams D, Outterson K et al. Antibiotic development - economic, regulatory and societal challenges. Nat Rev Microbiol 2020; 18:267–274 [View Article] [PubMed]
    [Google Scholar]
  4. Langdon A, Crook N, Dantas G. The effects of antibiotics on the microbiome throughout development and alternative approaches for therapeutic modulation. Genome Med 2016; 8:39 [View Article] [PubMed]
    [Google Scholar]
  5. Payne DJ, Gwynn MN, Holmes DJ, Pompliano DL. Drugs for bad bugs: confronting the challenges of antibacterial discovery. Nat Rev Drug Discov 2007; 6:29–40 [View Article] [PubMed]
    [Google Scholar]
  6. Urwin L, Okurowska K, Crowther G, Roy S, Garg P et al. Corneal infection models: tools to investigate the role of biofilms in bacterial keratitis. Cells 2020; 9:2450 [View Article] [PubMed]
    [Google Scholar]
  7. Madhu SN, Jha KK, Karthyayani AP, Gajjar DU. Ex vivo caprine model to study virulence factors in keratitis. J Ophthalmic Vis Res 2018; 13:383 [View Article]
    [Google Scholar]
  8. Pinnock A, Shivshetty N, Roy S, Rimmer S, Douglas I et al. Ex vivo rabbit and human corneas as models for bacterial and fungal keratitis. Graefes Arch Clin Exp Ophthalmol 2017; 255:333–342 [View Article]
    [Google Scholar]
  9. Sullivan AB, Tam KPC, Metruccio MME, Evans DJ, Fleiszig SMJ. The importance of the Pseudomonas aeruginosa type III secretion system in epithelium traversal depends upon conditions of host susceptibility. Infect Immun 2015; 83:1629–1640 [View Article] [PubMed]
    [Google Scholar]
  10. Okurowska K, Monk PN, Karunakaran E. Increased tolerance to commonly used antibiotics in a Pseudomonas aeruginosa ex vivo porcine keratitis model. Microbiology 2024; 170:001459 [View Article] [PubMed]
    [Google Scholar]
  11. Okurowska K, Roy S, Thokala P, Partridge L, Garg P et al. Establishing a porcine ex vivo cornea model for studying drug treatments against bacterial keratitis. J Vis Exp 2020 [View Article] [PubMed]
    [Google Scholar]
  12. Russell WMS. The progress of humane experimental technique. Altern Lab Anim 1999; 27:915–922 [View Article]
    [Google Scholar]
  13. Deshpande P, Ortega I, Sefat F, Sangwan VS, Green N et al. Rocking media over ex vivo corneas improves this model and allows the study of the effect of proinflammatory cytokines on wound healing. Investig Ophthalmol Visual Sci 2015; 56:1553–1561 [View Article]
    [Google Scholar]
  14. Sridhar MS. Anatomy of cornea and ocular surface. Indian J Ophthalmol 2018; 66:190 [View Article]
    [Google Scholar]
  15. Batista A, Breunig HG, Uchugonova A, Morgado AM, König K. Two-photon spectral fluorescence lifetime and second-harmonic generation imaging of the porcine cornea with a 12-femtosecond laser microscope. J Biomed Opt 2016; 21:36002 [View Article] [PubMed]
    [Google Scholar]
  16. Crespo-Moral M, García-Posadas L, López-García A, Diebold Y. Histological and immunohistochemical characterization of the porcine ocular surface. PLoS One 2020; 15:e0227732 [View Article] [PubMed]
    [Google Scholar]
  17. Kryczka T, Ehlers N, Nielsen K, Midelfart A. Impact of organ culturing on metabolic profile of human corneas: preliminary results. Acta Ophthalmol 2012; 90:761–767 [View Article] [PubMed]
    [Google Scholar]
  18. Jay L, Brocas A, Singh K, Kieffer JC, Brunette I et al. Determination of porcine corneal layers with high spatial resolution by simultaneous second and third harmonic generation microscopy. Opt Express 2008; 16:16284–16293 [View Article] [PubMed]
    [Google Scholar]
  19. LoPinto AJ, Pirie CG, Bedenice D, Ayres SL. Corneal thickness of eyes of healthy goats, sheep, and alpacas manually measured by use of a portable spectral-domain optical coherence tomography device. Am J Vet Res 2017; 78:80–84 [View Article] [PubMed]
    [Google Scholar]
  20. Kim BJ, Sprehe N, Morganti A, Wordinger RJ, Clark AF. The effect of postmortem time on the RNA quality of human ocular tissues. Mol Vis 2013; 19:1290–1295 [PubMed]
    [Google Scholar]
  21. Hasany SM, Basu PK. Changes of MK medium during storage of human cornea. Br J Ophthalmol 1987; 71:477–483 [View Article] [PubMed]
    [Google Scholar]
  22. Albon J, Tullo AB, Aktar S, Boulton ME. Apoptosis in the endothelium of human corneas for transplantation. Investig Ophthalmol Visual Sci 2000; 41:2887–2893
    [Google Scholar]
  23. Crewe JM, Armitage WJ. Integrity of epithelium and endothelium in organ-cultured human corneas. Investig Ophthalmol Visual Sci 2001; 42:1757–1761
    [Google Scholar]
  24. Komuro A, Hodge DO, Gores GJ, Bourne WM. Cell death during corneal storage at 4 degrees C. Investig Ophthalmol Vis Sci 1999; 40:2827–2832
    [Google Scholar]
  25. Castro N, Gillespie SR, Bernstein AM. Ex vivo corneal organ culture model for wound healing studies. JoVE 2019e58562 [View Article]
    [Google Scholar]
  26. Ren HW, Wilson G. Apoptosis in the corneal epithelium. Investig Ophthalmol Visual Sci 1996; 37:1017–1025
    [Google Scholar]
  27. Yeh S, Song XJ, Farley W, Li DQ, Stern ME et al. Apoptosis of ocular surface cells in experimentally induced dry eye. Invest Ophthalmol Vis Sci 2003; 44:124 [View Article]
    [Google Scholar]
  28. Ambrósio R Jr, Kara-José N, Wilson SE. Early keratocyte apoptosis after epithelial scrape injury in the human cornea. Exp Eye Res 2009; 89:597–599 [View Article] [PubMed]
    [Google Scholar]
  29. Marquart ME, O’Callaghan RJ. Infectious keratitis: secreted bacterial proteins that mediate corneal damage. J Ophthalmol 2013; 2013:369094 [View Article] [PubMed]
    [Google Scholar]
  30. Capasso D, Pepe MV, Rossello J, Lepanto P, Arias P et al. Elimination of Pseudomonas aeruginosa through efferocytosis upon binding to apoptotic cells. PLoS Pathog 2016; 12:e1006068 [View Article] [PubMed]
    [Google Scholar]
  31. Kaminski A, Gupta KH, Goldufsky JW, Lee HW, Gupta V et al. Pseudomonas aeruginosa ExoS induces intrinsic apoptosis in target host cells in a manner that is dependent on its GAP domain activity. Sci Rep 2018; 8:14047 [View Article] [PubMed]
    [Google Scholar]
  32. Lam SM, Tong L, Duan X, Petznick A, Wenk MR et al. Extensive characterization of human tear fluid collected using different techniques unravels the presence of novel lipid amphiphiles. J Lipid Res 2014; 55:289–298 [View Article] [PubMed]
    [Google Scholar]
  33. She P, Wang Y, Liu Y, Tan F, Chen L et al. Effects of exogenous glucose on Pseudomonas aeruginosa biofilm formation and antibiotic resistance. Microbiologyopen 2019; 8:e933 [View Article] [PubMed]
    [Google Scholar]
  34. Tabor LM, Grosser MR, Metruccio MMME, Kumar NG, Wu YT et al. Human tear fluid modulates the Pseudomonas aeruginosa transcriptome to alter antibiotic susceptibility. Ocul Surf 2021; 22:94–102 [View Article] [PubMed]
    [Google Scholar]
  35. Gurnani B, Kaur K. Contact lens-related complications. StatPearls Publishing; 2023 https://www.ncbi.nlm.nih.gov/books/NBK587443/
  36. Armitage WJ. Preservation of human cornea. Transfus Med Hemother 2011; 38:143–147 [View Article] [PubMed]
    [Google Scholar]
  37. Hsu JKW, Cavanagh HD, Jester JV, Ma LS, Petroll WM. Changes in corneal endothelial apical junctional protein organization after corneal cold storage. Cornea 1999; 18:712 [View Article]
    [Google Scholar]
  38. Ehlers H, Ehlers N, Hjortdal JO. Corneal transplantation with donor tissue kept in organ culture for 7 weeks. Acta Ophthalmol Scand 1999; 77:277–278 [View Article] [PubMed]
    [Google Scholar]
  39. Roncarati D, Vannini A, Scarlato V. Temperature sensing and virulence regulation in pathogenic bacteria. Trends Microbiol 2024S0966-842X(24)00180-X [View Article] [PubMed]
    [Google Scholar]
  40. Hendrix DVH, Ward DA, Barnhill MA. Effects of antibiotics on morphologic characteristics and migration of canine corneal epithelial cells in tissue culture. Am J Vet Res 2001; 62:1664–1669 [View Article]
    [Google Scholar]
  41. Imbuluzqueta E, Lemaire S, Gamazo C, Elizondo E, Ventosa N et al. Cellular pharmacokinetics and intracellular activity against Listeria monocytogenes and Staphylococcus aureus of chemically modified and nanoencapsulated gentamicin. J Antimicrob Chemother 2012; 67:2158–2164 [View Article] [PubMed]
    [Google Scholar]
  42. Nix DE, Goodwin SD, Peloquin CA, Rotella DL, Schentag JJ. Antibiotic tissue penetration and its relevance: impact of tissue penetration on infection response. Antimicrob Agents Chemother 1991; 35:1953–1959 [View Article]
    [Google Scholar]
  43. O’Reilly M, Young L, Kirkwood NK, Richardson GP, Kros CJ et al. Gentamicin affects the bioenergetics of isolated mitochondria and collapses the mitochondrial membrane potential in cochlear sensory hair cells. Front Cell Neurosci 2019; 13:416 [View Article] [PubMed]
    [Google Scholar]
  44. Wilson SE, Sampaio LP, Shiju TM, Hilgert GSL, de Oliveira RC. Corneal opacity: cell biological determinants of the transition from transparency to transient haze to scarring fibrosis, and resolution, after injury. Invest Ophthalmol Vis Sci 2022; 63:22 [View Article]
    [Google Scholar]
  45. Alarcon I, Kwan L, Yu C, Evans DJ, Fleiszig SMJ. Role of the corneal epithelial basement membrane in ocular defense against Pseudomonas aeruginosa. Infect Immun 2009; 77:3264–3271 [View Article] [PubMed]
    [Google Scholar]
  46. Abdin A, Daas L, Pattmöller M, Suffo S, Langenbucher A et al. Negative impact of dextran in organ culture media for pre-stripped tissue preservation on DMEK (Descemet membrane endothelial keratoplasty) outcome. Graefes Arch Clin Exp Ophthalmol 2018; 256:2135–2142 [View Article] [PubMed]
    [Google Scholar]
  47. Lass JH, Putman SC, Bruner WE, Cano DB, Greiner JV et al. The effect of hEGF and insulin on corneal metabolism during Optisol storage. Cornea 1994; 13:243–249 [View Article] [PubMed]
    [Google Scholar]
  48. Gstraunthaler G, Lindl T, van der Valk J. A plea to reduce or replace fetal bovine serum in cell culture media. Cytotechnology 2013; 65:791–793 [View Article] [PubMed]
    [Google Scholar]
  49. Jochems CEA, van der Valk JBF, Stafleu FR, Baumans V. The use of fetal bovine serum: ethical or scientific problem?. Altern Lab Anim 2002; 30:219–227 [View Article]
    [Google Scholar]
  50. Marlo TL, Giuliano EA, Sharma A, Mohan RR. Development of a novel ex vivo equine corneal model. Vet Ophthalmol 2017; 20:288–293 [View Article] [PubMed]
    [Google Scholar]
/content/journal/jmm/10.1099/jmm.0.001901
Loading
/content/journal/jmm/10.1099/jmm.0.001901
Loading

Data & Media loading...

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An error occurred
Approval was partially successful, following selected items could not be processed due to error