This study explores the association between single nucleotide polymorphism (Met11Thr) of surfactant protein D(SP-D) and susceptibility and prognosis of infectious keratitis.Met11Thr of SP-D of patients with keratitis and normal controls were compared.Allele and genotype frequencies of patients with keratitis and normal controls were determined by polymerase chain reaction with sequence specific primers(PCR-SSPs) .SP-D gene polymorphism of patients with keratitis and normal controls was detected by Sanger sequencing
Surfactant protein D(SP-D) plays an important role in the innate immune system of the eye in the lacrimal duct, cornea and conjunctiva.The single lipopolysaccharide on the surface of bacteria and the receptors on the surface of immune cells are linked by SP-D ,which acts as a bridge to neutralize viruses in the innate immune defense system and assists other immune cells in clearing bacteria and fungi.SP-D can also participate in the acquired immune response after combining with lipopolysaccharide on the surface of microorganisms.Some single nucleotide polymorphisms of SP - D can not only affect the plasma level of SP - D, which leads to the differences of pathogen defense capability, but also can affect the space configuration and structure of carbohydrate recognition domain of SP-D, causing the change of ability of SP - D combined with pathogens to influence its defensive role.The concentration of SP - D in ocular surface is closely related to the occurrence and progression of infectious keratitis.Association between single nucleotide polymorphisms of SP-D and the occurrence and development of infectious keratitis has yet to be confirmed by research.
Study Type
OBSERVATIONAL
Enrollment
145
0.3% Levofloxacin Eye Drops or 0.3% Tobramycin Eye Drops QID
1% Fluconazole Eye Drops or 0.25% Amphotericin B Eye Drops QID
0.1% Acyclovir eye drops QID ,Ganciclovir gel QN,Famiclovir tablets 0.25g TID
culture and sensitivity of corneal ulcerated infiltrating edge tissue
polymerase chain reaction with sequence specific primers(PCR-SSP) and Sanger sequencing
Department of Ophthalmology, The Second Affiliated Hospital, Zhejiang University School of Medicine
Hangzhou, Zhejiang, China
Base type
Base type of SNP(rs721917):(Met and Thr)
Time frame: before the treatment
Genotype
Genotype of SNP(rs721917):( Met /Met , Thr/Thr and Met/Thr)
Time frame: before the treatment
Grading of Keratitis
Grading of Keratitis: 1. cornea:transparency ,edema,turbidity,perforation 2. conjunctiva: hyperaemia 3. blephar:inflammation
Time frame: before the treatment
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