STEROID
Stabilization of lysosomal membranes à 
increased GAG
TIGR gene expression à 
decrease the MMP
Expression of collagen, elastin, laminin, fibronectin à 
increased TM resistance
Resistance to outflow increased due to 
biological edema caused by ECM –PG + GAG
Outflow-enhancing PGs such as PGF2α 
decreased
Inhibition of phagocytosis by 
endothelial cells à 
accumulation of debris in TM
Decreased proteinases including fibrinolytic enzymes, stromolysin, 
MMPs
 
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