Purpose. To compare the extent of modulation by various growth factors
on clonal growth and differentiation between corneal and stem cell-co
ntaining limbal epithelium. Methods. A reported serum-free clonal grow
th assay was used. The mitogenic response was measured by colony formi
ng efficiency, colony size, and bromodeoxyuridine labelling index; the
differentiation was assessed by AE-5 monoclonal antibody staining. Re
sults. As compared to controls in an insulin-containing basic medium,
the addition of epidermal growth factor, acidic fibroblast growth fact
or, basic fibroblast growth factor, and a high dose of nerve growth fa
ctor was mitogenic for both epithelia. Cholera toxin was also mitogeni
c, but platelet-derived growth factor might not have, and insulin-like
growth factor type I lacked an additive mitogenic effect with insulin
. The mitogenic effect of epidermal growth factor differed from the ot
hers in its dose-dependent down-regulation and in having more migrator
y cells in epidermal growth factor-stimulated colonies. In contrast to
these mitogens, transforming growth factor-beta 1 exhibited a clear i
nhibitory effect in the controls as well as in epidermal growth factor
- or fibroblast growth factor-stimulated cultures. Transforming growth
factor-beta I's inhibitory effect was correlated with strong AE-5 sta
ining, whereas the mitogenic effect of epidermal growth factors, fibro
blast growth factors or nerve growth factors was correlated with the p
resence of negative AE-5 colonies. Conclusion. There exist potential d
ynamic interactions among various growth-modifying cytokines in contro
lling epithelial growth and differentiation. The lack of specific acti
vation of limbal stem cells in this culture assay also suggests that o
ther unidentified factor(s) might be regulating stem cell functions.