Project: B04

Variability and organ specificity of lymphatic vessel – dendritic cell interactions in the eye (allergic conjunctivitis)

Lymphatic vessels are increasingly recognized for their specific roles in the support of organ function and the prevention of pathologies. Lymph vessels may aggravate or ameliorate immune responses by transporting pro- or anti-inflammatory acting cells. Here, we focus on the conjunctival lymphatic vasculature, adjoining the lymphangiogenically privileged cornea and its role in immune cell migration, in particular dendritic cell (DC) migration, which is implicated in allergic eye disease. Despite its important function and capacity to directly affect the distribution and trafficking of innate and adaptive immune cells, the precise micro-anatomy of the conjunctival lymphatic vessel bed remains unknown. Using light sheet fluorescence microscopy, we visualize the spatial microanatomy of murine conjunctival lymph vessels with cellular resolution.

Volume rendering of wholemount immunostained, fixed ocular preparations of albino (A + B) and black (C) mouse strains. Dotted line indicates the position of the cornea. Circumferential blood and lymph vessels indicate the position of the conjunctiva.

We address the function of conjunctival lymph vessels in immune cell migration in a disease model of the oak processionary moth (OPM) toxin-elicited conjunctivitis that is poorly investigated and mechanistically not understood. OPM outbreaks cause dermal, ophthalmic, and respiratory health problems that have been attributed to exceptionally stable toxins in the burn hairs of OPM caterpillars. In strongly infested areas, OPM toxins may affect up to 0.1% of the population. Despite the substantial health impact, the nature of OPM remains enigmatic. In addition to two initially identified and molecularly cloned potentially allergenic proteins, termed thaumetopoeins, a large number of hypothetical toxin components have recently been proposed based on omics analysis. However, for none of the potential toxin components a direct allergenic activity has so far been established.

At the outset of this project, we succeeded to demonstrate a strong allergenic action of one of the initially identified thaumetopoeins, Tha p2. We are presently developing a murine model for Tha p2-induced allergy, which will allow us to address the role of DC migration during development and resolution of the OPM-toxin response. We focus on DCs as they have already been identified as efficient modulators of conjunctival allergy. Our investigation of the lymph vessel – DC axis in OPM conjunctivitis is motivated by the aim to identify new opportunities for treatment interventions.

Key methods: in vivo conjunctivitis model, intravital multiphoton microscopy (MPM), light sheet fluorescence microscopy, immunohistochemistry, ELISA

Project-related Publications

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Helm S, Wiedemann J, Reinking N, Rosswinkel B, Bachmann B, Cursiefen C, Schlereth S. Visual, Topographic and Aberrometric Outcomes After Phototherapeutic Keratectomy (PTK) for Salzmann Nodular Degeneration. Med Sci (Basel). 2025 Sep 18;13(3):197. doi: 10.3390/medsci13030197. PMID: 40981195

Vishwakarma P, Mestanoglu M, Welge-Lüßen V, Schlereth S, Cursiefen C, Bachmann B. Anterior segment optical coherence tomography (AS-OCT) assisted analysis of characteristics of graft dehiscence after Descemet membrane endothelial keratoplasty (DMEK) for failed penetrating keratoplasty. Acta Ophthalmol. 2025 Jan 21. doi: 10.1111/aos.17445.

Vishwakarma P, Bachmann B, Mestanoglu M, Schrittenlocher S, Wiedemann J, Schlereth SL, Cursiefen C. Visual Recovery After Descemet Membrane Endothelial Keratoplasty in Eyes With Preexisting Multifocal Intraocular Lens. Cornea. 2025 Mar 26. doi: 10.1097/ICO.0000000000003864. Online ahead of print. PMID: 40145813

Nuijts RMMA, Ollivier RCI, Schlereth S, Cursiefen C, Busin M, Yu AC, Alió J, Borderie V, Shetty R, Nagaraja H, Sethu S.J. Decreased vision due to scarring after phototherapeutic keratectomy. Cataract Refract Surg. 2024 Oct 1;50(10):1094-1098. doi: 10.1097/j.jcrs.0000000000001529. PMID: 39313861

Schöneberger V, Tahmaz V, Matthaei M, Roters S, Schlereth SL, Schaub F, Cursiefen C, Bachmann BO. Allogeneic limbo-deep anterior lamellar keratoplasty (Limbo-DALK)-A novel surgical technique in corneal stromal disease and limbal stem cell deficiency. PLoS One. 2024 Feb 12;19(2):e0298241. doi: 10.1371/journal.pone.0298241. eCollection 2024. PMID: 38346049

Peil J, Vossen C, Bock F, Clahsen T, Schiller P, Heindl LM, Bosch JJ, Wunderlich FT, Cursiefen C, Schlereth SL. Combined Osteopontin Blockade and Type 2 Classical Dendritic Cell Vaccination as Effective Synergetic Therapy for Conjunctival Melanoma. J Immunol. 2024 Feb 1;212(3):487-499. doi: 10.4049/jimmunol.2300063. PMID: 38099710

Vernin A, Schrittenlocher S, Matthaei M, Roters S, Siebelmann S, Bachmann B, Schiller P, Cursiefen C, Schlereth SL. Excimer Laser Phototherapeutic Keratectomy for Anterior Corneal Opacification After Descemet Membrane Endothelial Keratoplasty. Cornea. 2024 Jan 1;43(1):95-104. doi: 10.1097/ICO.0000000000003396. Epub 2023 Sep 28. PMID: 37772880