As most of the epithelia are in contact with the external environment, they are prone to physical injury, making them well suited for the study of wound healing processes. Among the well-studied tissues, the cornea is an extremely useful model in the investigation of the cellular and molecular aspects of wound healing. As a transparent external surface, it provides physical protection to the eye and is the first element to focus the light onto the retina. While the structure and cell composition of the retina differ between species1, these elements of the cornea are generally similar in all camera-type eyes, regardless of species.
The cornea is composed of three main layers2. The first and outermost layer is the epithelium, which is constantly renewed to ensure its transparency. The second layer is the stroma, which contains scattered cells, called keratocytes, within a thick layer of strictly organized collagen fibers. The third and innermost layer is the endothelium, which allows nutrient and liquid diffusion from the anterior chamber to the outer layers. The epithelial and stromal cells interact via growth factors and cytokines3. This interaction is highlighted by the rapid apoptosis and subsequent proliferation of keratocytes after epithelial injury4,5. In case of a deeper wound, such as a puncture, keratocytes take an active part in the healing process6.
Being in contact with the external environment, corneal physical injuries are common. Many of them are caused by small foreign objects7, such as sand or dust. The reflex of eye rubbing can lead to extensive epithelial abrasions and corneal remodelling8. According to wound size and depth, these physical injuries are painful and take several days to heal9. The optimal wound healing characteristics of a model facilitate the understanding of the cellular and molecular aspects of wound closure. Furthermore, such models have also proved useful for testing new molecules with the potential to accelerate corneal healing, as previously demonstrated10,11.
The protocol described here aims to use zebrafish as a relevant model to study corneal physical injury. This model is highly convenient for pharmacological screening studies as it allows molecules to be added directly to the tank water and, therefore, to come into contact with a healing cornea. The details provided here will help scientists perform their studies on the zebrafish model. The in vivo injury is performed with a dulled ocular burr. The impact on epithelial cells adjoining or at a distance from it can be analyzed by specifically removing the central corneal epithelium. In recent years, numerous reports focused on such a method on rodent cornea12,13,14,15,16,17; however, to date, only a single report has applied this method to zebrafish18.
Because of its simplicity, the physical wound is useful in delineating the role of epithelial cells in wound closure. Another well-established model of corneal injury is the chemical burn, especially the alkali burn19,20,21. However, such an approach indirectly damages the entire eye surface, including the peripheral cornea and corneal stroma19. Indeed, alkali burns potentially induce corneal ulcers, perforations, epithelial opacification, and swift neovascularization22, and the uncontrollable outcome of alkali burns disqualifies that approach for general wound healing studies. Numerous other methods are also used to investigate corneal wound healing according to the particular focus of the study in question (e.g., complete epithelial debridement23, the combination of chemical and mechanical injury for partial-thickness wound24, excimer laser ablation for wounds extending to the stroma25). The use of an ocular burr restricts the focal point to the epithelial response to the wound and provides a highly reproducible wound.
As with each method of wound infliction, the use of an ocular burr has advantages and disadvantages. The main disadvantage is that the response being mostly epithelial, it does not perfectly reflect the abrasions seen in the clinical setting. However, this method has numerous advantages, including the ease with which it can be set up and performed, its precision, its reproducibility, and the fact that it is noninvasive, making it a method well tolerated by animals.