Review Article

Molecular and Histopathological Changes Associated with Keratoconus

Table 1

List of proteins with expression change in cornea samples affected with keratoconus.

Protein nameFunctionsCorneal layer Method of detectionExpression changeReference

Superoxide dismutaseAntioxidant enzyme that can metabolize superoxide radicleCentral portion of the corneaELISADecreased[188]
Annexin A2 Involved in cellular growth regulation and in signal transduction pathwaysEpithelium2D-DIGEDecreased [155]
Annexin A8Increased
Carbonic anhydrase I Playing a role in the barrier function of corneal endotheliumStromaNano-ESI-LC-MS (MS)2Decreased[152]
Collagen I α1, Collagen I α2Structural proteinEpitheliumNano-ESI-LC-MS (MS)2Decreased[152]
Cathepsin BMember of corneal epithelial lysosomal proteasesEpithelium and stroma; tearsIM; MF10-LTQ-FT MSIncreased[159, 162]
VimentinA type of intermediate filamentStroma; epitheliumNano-ESI-LC-MS (MS)2Increased[152, 155]
KeratocanProteoglycan protein, unique for corneaStromaIM, Nano-ESI-LC-MS (MS)2Increased[154, 155]
SerotransferrinIron binding transport proteinsStromaNano-ESI-LC-MS (MS)2Decreased[155]
TransketolaseEnzyme in the nonoxidative branch of the pentose-phosphate pathwayEpitheliumNano-ESI-LC-MS (MS)2Decreased[155]
Phosphoglycerate kinase 1ATP-generating glycolytic enzymeEpitheliumNano-ESI-LC-MS (MS)2Decreased[155]
NADPH oxidaseAlarm system for cellular stress responseEpitheliumNano-ESI-LC-MS (MS)2Decreased[155]
NADPH menadione oxidoreductase 1Reducing menadione into a stable hydroquinone that can be readily conjugated and excretedEpitheliumNano-ESI-LC-MS (MS)2Decreased[155]
Heat shock B1Involved in stress resistance and actin organizationEpithelium2D-DIGEDecreased[155]
S100-A4Binding to several components of the cytoskeletonEpitheliumWB and IM; 2D-DIGE; Nano-ESI-LC-MS (MS)2Increased[145, 152, 155]
Keratin 1Structural proteinEpitheliumNano-ESI-LC-MS (MS)2Increased[155]
Keratin 6AStructural proteinEpitheliumNano-ESI-LC-MS (MS)2Increased[152]
Keratin 16Structural proteinEpitheliumNano-ESI-LC-MS (MS)2Increased[152]
Desmoglein 3Cell adhesion moleculeEpitheliumWB and IMIncreased[145]
DecorinProteoglycan core proteinStromaIM; Nano-ESI-LC-MS (MS)2Increased[154, 155]
Collagen VI α1, Collagen VI α2, and Collagen VI α3Structural proteinEpitheliumNano-ESI-LC-MS (MS)2Decreased[152]
Collagen VII α1Structural proteinEpitheliumNano-ESI-LC-MS (MS)2Decreased[152]
LactoferrinIron binding transport proteinsTears; epithelium2D-DIGE; Nano-ESI-LC-MS (MS)2Decreased[152, 208, 209]
Lipocalin 1Major lipid-binding protein in tearsStromaNano-ESI-LC-MS (MS)2Decreased[152]
Hepatocyte growth factorRegulating cell growth and motilityEpitheliumIMIncreased[186]

Nano-ESI-LC-MS (MS)2: Nano-Electrospray Ionization Liquid Chromatography Tandem Mass Spectrometry; 2D-DIGE: two-dimensional-difference gel electrophoresis coupled with mass spectrometric methods; IM: immunostaining; WB: Western blot; MF10-LTQ-FT MS: prefractionating and enriching the proteins followed by linear ion trap quadrupole Fourier transform mass spectrometer.