Allograft rejection is the main cause of corneal graft failure. T lymp
hocytes and macrophages have been implied to be involved in corneal re
jection, but little is known about the molecular mechanism in this pro
cess. In this study, cytokine mRNA expression in the cornea was analys
ed during experimental corneal transplantation. The donor and acceptor
corneas of two groups of rats were studied after receiving an allo- (
PVG to AO rat) or autograft (AO rat). For controls, central buttons an
d peripheral corneal rings of the non-transplanted contralateral eyes
were used. At different post-operative days (1, 3, 7, 12 and 19), the
corneas were removed and subjected to mRNA isolation. All corneal samp
les underwent semi-quantitative reverse transcriptase-polymerase chain
reaction analysis for interleukin-1 beta, interleukin-1 receptor anta
gonist, interleukin-2, interleukin-4, interleukin-6, interleukin-10, t
umor necrosis factor-alpha, interferon-gamma, monocyte chemotactic pro
tein-1 and macrophage inflammatory protein-2 mRNA expression, Corneal
rejection, characterized by opaque corneas with prominent neovasculari
zation, was always diagnosed around day 12. Contralateral, non-grafted
corneas showed constitutive mRNA expression for interleukin-1 recepto
r antagonist and in a few samples also monocyte chemotactic protein-1
and macrophage inflammatory protein-2 mRNA was found. Both allo- and a
utografts expressed mRNA for the cytokines found in contralateral, non
-grafted tissue, as well as for interleukin-1 beta, interleukin-6, int
erleukin-10 and tumor necrosis factor-alpha. in allografts, the mRNA l
evels for these cytokines remained constant throughout all post-operat
ive days, with increased interleukin-6 mRNA expression after post-oper
ative day 12. The analysis of the autografts revealed high cytokine mR
NA levels until post-operative day 3 or 7, which decreased from then o
n, except for interleukin-1 receptor antagonist, mRNA for interleukin-
2, interleukin-4 and interferon-gamma was not observed in autografts a
t any time point and in allografts, until post-operative day 12. Inter
ieukin-2 and interferon-gamma mRNA showed maximal expression on POD 12
, while in autografts, a marked decrease was observed after POD 3. IL-
10 mRNA levels decreased immediately after POD 1 in autografted eyes,
For TNF-alpha, an increased mRNA expression starting on POD 7 was foun
d in recipient rings of allografted eyes, while in autografts a weak e
xpression was seen in some samples. MIP-2 transcription increased on P
AD 12, while in autografts, its expression was not markedly different
from that detected in the contralateral, non-grafted peripheral cornea
. (C) 1996 Academic Press Limited