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. 2021 May 13;27:323–353.

Table 2. Major molecular findings involved in the deregulation of both vascular and neurovascular system and clinical effects.

Pathomechanism Major findingsCutaneous rosacea Ocular rosacea
Clinical features
Deregulation of vascular system
• ↑ Blood flow, persistent vascular and lymphatic dilatation
Cutaneous rosacea:
• Angiogenesis
• Vasodilatation
• Erythema
• Vascular permeability
• Telangiectasia
• Inflammation
• Oedema
• Fibrosis
Ocular rosacea:
• Angiogenesis (corneal neovascularization)
• Vasodilatation
• Erythema
• Telangiectasia
• ↑ CD31 and D240
• ↑ Expression levels of VCAM-1, ICAM-1, E-selectine and CD105
• ↑ Expression levels of VEGF in epidermis and infiltrating cells, in corneal epithelial cells, vascular endothelial cells and macrophage infiltrates
• ↑ LL-37 promotes VEGF expression, erythema and vascular dilatation
 
• Mast cells participate in vascular mechanisms by releasing VEGF, bFGF and histamine
Deregulation of neurovascular system • ↑ TRPV-1,2,3,4 and TRPA-1
• TRPV-2,4 stimulate mast cells degranulation
• LL-37 promotes TRPV-2,4 activation
• TRPV-1 and TRPA-1 involved in corneal wound healing, corneal transparency, fibrosis, inflammation and neovascularization
• TRPM-8 involved in dry eye
• ↑ PACAP, SP, VIP and CGRP
• SP involved in vascular permeability and plasma extravation
• PACAP, VIP and CGRP involved in vasodilatation • SP and CGRP involved in neuro-inflammatory processes and in corneal wound healing