Background: Corneal HLA-DR antigens are going to be lost during organ
culture storage. This study investigated if this phenomenon is based o
n down-regulation of the HLA-DR antigen, or on a loss of the HLA-DR-po
sitive corneal Langerhans cells (LCs). Material and methods: Corneal L
Cs were stained in situ by the method of fluorescence-associated immun
ohistochemistry, and the organ culture mediums underwent flow cytometr
ic analysis for HLA-DR-positive corneal LC at the end of the storage p
eriod. Results: All stored corneas were negative for HLA-DR after 14 d
ays and HLA-DR antigens could be detected in culture medium at the end
of the storage time. Conclusion: Flow cytometry showed that organ cul
ture storage leads to loss of HLA-DR-positive cells and not only to a
loss of antigen presentation.