Purpose. To demonstrate by ultrastructural techniques that human conjunctiv
al epithelium cells in vitro can produce mucin-like secretion.
Methods. Primary cultures of human conjunctival epithelial cells were grown
in different culture media. Cultures were allowed to grow and were process
ed after 5 days and 1, 2, 3, 4, or 5 weeks for transmission and scanning el
ectron microscopy, according to the method of Nichols et al. modified in ou
r laboratory.
Results. Marked differences were seen between primary cultures grown with o
r without hydrocortisone. A thick tannic acid-stained layer was observed wh
en hydrocortisone was present in the culture medium; however, that layer wa
s virtually absent in cultures grown with hydrocortisone-free media. Scanni
ng electron microscopy revealed a dense deposit showing a network-like stru
cture. Moreover, the age of the cultures clearly influenced the thickness o
f the tannic acid-stained deposit, which thickened as the cultures aged.
Conclusions. These results strongly suggest that the layer growing in the p
resence of hydrocortisone is mucus. The fact that this material became more
abundant as the cultures aged indicates that mucus is actively produced an
d secreted by conjunctival epithelial cells in vitro. This study might cont
ribute to the knowledge of mucus-deficient pathologies of the ocular surfac
e.