Corneal innervation as a window to peripheral neuropathies.

Abstract:

:The cornea receives the densest sensory innervation of the body, which is exclusively from small-fiber nociceptive (pain-sensing) neurons. These are similar to those in the skin of the legs, the standard location for neurodiagnostic skin biopsies used to diagnose small-fiber peripheral polyneuropathies. Many cancer chemotherapy agents cause dose-related, therapy-limiting, sensory-predominant polyneuropathy. Because corneal innervation can be detected non-invasively, it is a potential surrogate biomarker for skin biopsy measurements. Therefore, we compared hindpaw-skin and cornea innervation in mice treated with neurotoxic chemotherapy. Paclitaxel (0, 5, 10, or 20 mg/kg) was administered to C57/Bl6 mice and peri-mortem cornea and skin biopsies were immunolabeled to reveal and permit quantitation of innervation. Both tissues demonstrated dose-dependent, highly correlated (r = 0.66) nerve fiber damage. These findings suggest that the quantification of corneal nerves may provide a useful surrogate marker for skin peripheral innervation.

journal_name

Exp Eye Res

authors

Ferrari G,Nallasamy N,Downs H,Dana R,Oaklander AL

doi

10.1016/j.exer.2013.05.016

subject

Has Abstract

pub_date

2013-08-01 00:00:00

pages

148-50

eissn

0014-4835

issn

1096-0007

pii

S0014-4835(13)00135-8

journal_volume

113

pub_type

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