RESEARCH ARTICLE


Dual Pathogenesis of Primary and Recurrent Pterygium: Immunohistochemical Proof



Doaa Ghorab1, Ahmed Helaly2, 3, *, Amani E. Badawi4
1 Department of Pathology Mansoura University, Mansoura, Egypt
2 Clinical Science , Yarmouk University, Irbid, Jordan
3 Department of Forensic Medicine and Clinical Toxicology, Mansoura University, Mansoura, Egypt
4 Department of Ophthalmology, Mansoura University, Mansoura, Egypt


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Creative Commons License
© 2021 Ghorab et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at Department of Clinical Science, Yarmouk University, Yarmouk, Jordan; Tel: 0790329576; E-mail: ahmedhelaly@mans.edu.eg


Abstract

Introduction:

Pterygium is a common ophthalmic problem in the Middle East where exposures to dust and sun rays are risk factors. The condition is more prevalent in middle-aged males and can be considered as an aging process. The aim of this study is to test both the degenerative and the proliferative components of Pterygium by both reduced glutathione and topoisomerase one activity.

Methods:

The study applied immunohistochemistry staining for both reduced glutathione and topoisomerase 1.

Results:

The samples expressed positive glutathione staining in most primary Pterygium conditions and all secondary Pterygium. On the other hand, the topoisomerase 1 immunohistochemistry expressed focal activity in secondary conditions suggesting a progenitor cell role in the pathogenesis of Pterygium in conjunction with oxidative stress.

Conclusion:

Pterygium represents dual pathology with a proliferative component and a degenerative one that needs further studies. It is possible to use combination immunohistochemistry markers to predict the prognosis of Pterygium behavior.

Keywords: Glutathione, Immunohistochemistry, Oxidative stress, Pterygium, Topoisomerase 1, Pathology.