Purpose. To determine if the cornea synthesizes alpha 1-proteinase inh
ibitor (alpha 1-antitrypsin). Methods. Human corneas were placed in or
gan culture for 24 hours in the presence of S-35-methionine to radiola
bel corneal proteins. Monoclonal antibodies were used to precipitate l
abeled alpha 1-proteinase inhibitor. The immunologically isolated inhi
bitor was electrophoresed on polyacrylamide gels and visualized by aut
oradiography or by staining for protein. Human corneas were also fixed
with formalin and imbedded in paraffin. Sections were probed with H-3
-labeled complementary DNA probes to the coding region of alpha 1-prot
einase inhibitor. Results. Metabolically labeled alpha 1-proteinase in
hibitor was recovered from organ-cultured corneas and the cornea-condi
tioned medium. Specific messenger RNA was observed in the cornea by in
situ hybridization most prominently in corneal epithelial cells. Conc
lusions. alpha 1-Proteinase inhibitor is synthesized and released by h
uman corneal epithelial cells. These results indicate that the cornea
has the ability to locally control degradation through synthesis of th
is inhibitor without total dependence on a supply of the inhibitor fro
m the vascular system.