TABLE 1.
Summary of studies characterizing the expression profiles of the different GAGs and PGs in the cornea.
GAGs | Gene | Expression in ocular surface | Function/deficiency | References |
Keratan sulfate | Lumican | Primarily expressed in the stroma. Expressed by stromal keratocytes and corneal epithelial cells (during wound healing). | Deficiency causes corneal opacity and thinning due to abnormal collagen fibril structure, and delayed corneal wound healing. | Chakravarti et al., 1998, 2000; Saika et al., 2000 |
Keratocan | Expressed throughout the corneal stroma by keratocytes only. | Deficiency causes corneal thinning and abnormal collagen fibril spacing. Mutation causes cornea plana congenital. | Pellegata et al., 2000; Kao and Liu, 2002; Carlson et al., 2005 | |
Fibromodulin | Expressed in the stroma of the peripheral cornea, limbus and sclera. | Deficiency causes a change in corneal curvature and the axial length of the eye. | Chen et al., 2010 | |
Mimecan | Expressed in the corneal stroma. | Deficiency causes an increase in collagen fiber diameter in the cornea. | Beecher et al., 2005 | |
Heparan sulfate | Syndecan-1 | Expressed in the corneal epithelium. | Deficiency causes delayed wound healing and abnormal intraepithelial nerve terminals in the cornea, as well as increased corneal neovascularization after alkali burn. Overexpression inhibits cell proliferation at the wound edge. | Götte et al., 2002; Stepp et al., 2002, 2010; Elenius et al., 2004; Pal-Ghosh et al., 2017 |
Perlecan | Expressed in the entire corneal and conjunctival epithelial basement membrane and also between the endothelium and Descemet’s membrane. Expressed by corneal epithelial cells and keratocytes. | Deficiency causes a thinner corneal epithelium with decreased expression of epithelial differentiation markers. | Ljubimov et al., 1995; Inomata et al., 2012; Torricelli et al., 2015 | |
Agrin | High expression at the limbus decreasing toward the central cornea and conjunctiva. | Deficiency can cause anophthalmia, microphthalmia, or iris adhesion to the cornea. | Fuerst et al., 2007; Schlötzer-Schrehardt et al., 2007 | |
Collagen XVIII | Expressed in the corneal epithelium, corneal and conjunctival epithelial basement membrane, corneal nerve, Descemet’s membrane, and limbal and conjunctival capillaries. Increased expression in the stroma after injury. | Deficiency causes impaired corneal reinnervation after injury. | Zatterstrom et al., 2000; Fukai et al., 2002; Kato et al., 2003; Määttä et al., 2006; Sakimoto et al., 2008 | |
Exostosin glycosyltransferase 1 (Ext1) enzymes | Primarily expressed in the corneal epithelium. | Deletion of Ext1 in the corneal epithelium causes defective corneal stratification and delayed wound healing due to loss of tight junctions. | Coulson-Thomas et al., 2015 | |
Chondroitin sulfate | Lubricin | Expressed in corneal and conjunctival epithelia. | Functions as a boundary lubricant. Deficiency causes the dry eye phenotype. | Cheriyan et al., 2011; Schmidt et al., 2013 |
Aggrecan | Expressed in corneal and conjunctival epithelia, low expression in the anterior corneal stroma and moderate expression in the scleral stroma. | Increased expression in the stroma of sclerocornea. | Bouhenni et al., 2013 | |
Versican | Expressed in the subepithelial region of the anterior limbus. | Schlötzer-Schrehardt et al., 2007 | ||
Dermatan sulfate | Decorin | Expressed throughout the corneal stroma. | Plays a role in corneal fibrillogenesis. Mutation causes congenital stromal dystrophy of the cornea. | Danielson et al., 1997; Bredrup et al., 2005; Rødahl et al., 2006; Zhang et al., 2009 |
Biglycan | Expressed throughout the corneal stroma. | Plays a role in corneal fibrillogenesis. | Zhang et al., 2009 | |
Hyaluronan | Hyaluronan synthases 1, 2, and 3 | Highly expressed in the limbus and to some point in the conjunctiva. | Regulates limbal stem cell differentiation. Facilitates corneal epithelial wound healing. Regulates corneal lymphangiogenesis. | Gong et al., 1994; Lerner et al., 1998; Gesteira et al., 2017; Sun et al., 2019 |