How deposits form on the cornea's inner layer and harm vision

Corneal Endothelium – Extracellular Matrix Interactions

NIH-funded research State University of New York at Buffalo · NIH-11330286

Researchers are testing whether changes in corneal cell metabolism cause deposits called guttae that damage vision in people with Fuchs endothelial corneal dystrophy.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionState University of New York at Buffalo NIH-funded
Lab location1 site (Amherst, United States)
Project IDNIH-11330286 on NIH RePORTER

What this research studies

This project focuses on the cells that line the back of the cornea (corneal endothelial cells) and the extracellular matrix they produce, using long-term cell culture models including bovine cells and human cells grown on those matrices. The team will create conditions like high glucose and low oxygen that push cells toward glycolytic metabolism to see if that leads to guttae formation on Descemet’s membrane. They will study mitochondrial function, metabolic pathways, and the makeup of the pathological extracellular matrix and test how that matrix affects the growth and survival of healthy human corneal endothelial cells. The goal is to identify metabolic mechanisms that could be targeted to prevent or slow guttae formation and preserve corneal endothelial health.

Who could benefit from this research

Good fit: People with Fuchs endothelial corneal dystrophy, especially those in early or moderate stages before severe cell loss, would be the most directly relevant group.

Not a fit: People without Fuchs dystrophy or those who already require immediate corneal transplantation are unlikely to benefit directly from this laboratory-focused work.

Why it matters

Potential benefit: If successful, this could point to new ways to prevent or slow corneal endothelial damage in Fuchs dystrophy and reduce the need for corneal transplants.

How similar studies have performed: Previous lab work has produced guttae-like structures in cell culture and linked metabolic stress to endothelial cell dysfunction, but translating these findings into patient treatments is new and largely untested.

Where this research is happening

Amherst, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-15 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.