The
laminin composition (LMalpha1-alpha5, beta1-beta3, gamma1 and gamma2 chains) of normal corneas and corneal buttons from
keratoconus, bullous keratopathy (BKP),
Fuchs' dystrophy + BKP,
Fuchs' dystrophy without BKP and
scar after deep
lamellar keratoplasty (DLKP) was investigated with immunohistochemistry. The epithelial basement membranes (BMs) of both normal and diseased corneas contained LMalpha3, alpha5, beta1, beta3, gamma1 and gamma2 chains. The epithelial BM morphology was altered in the different diseases.
Scarring was associated with irregular BM and ectopic stromal localization of different
laminin chains. The Descemet's membrane (DM) contained LMalpha5, beta1 and gamma1 chains in all cases and additionally LMbeta3 and gamma2 chains in the majority of
keratoconus corneas. The interface in the DLKP cornea had patches of LMalpha3, alpha4, alpha5, beta1 and beta2 chains, and an extra BM-like structure under the Bowman's membrane. These results suggest that
laminin chains participate in the process of corneal
scarring and in the pathogenesis of some
corneal diseases. The novel finding of LMalpha3, beta3 and gamma2 in the DM of
keratoconus buttons indicates that this membrane is also involved in the disease and that some cases of
keratoconus may have a congenital origin, without normal downregulation of the LMbeta3 chain.