“…(1) binding of the trophozoites to the corneal epithelial cells via lectin-glycoprotein interactions (Leher et al, 1999;Morton et al, 1991;Panjwani et al, 1990;Panjwani et al, 1992), (2) generation of cytopathic factors that destroy the corneal epithelium and stromal cells (Cao et al, 1998;Leher et al, 1998), (3) production of proteolytic enzymes that facilitate the invasion and penetration of trophozoites through the basement membrane and stroma (Cao et al, 1998;Hadas & Mazur, 1993;Mitra et al, 1995;Mitro et al, 1994), (4) elaboration of collagenolytic enzymes that degrade types I and IV collagens, which constitute the corneal matrix (Badenoch et al, 1990;Mitro et al, 1994) We have shown that trophozoites exposed to free mannose for 48 hr or longer are induced to release a soluble 133-kDa cytolytic factor (MIP-133) that mediates contact-independent cytolysis of corneal epithelial cells in vitro (Leher et al, 1998). Therefore, the parasite's binding to the mannose receptors induces the generation of cytopathic factors that destroy the corneal epithelial and stromal cells and is an important step in the pathogenicity of Acanthamoeba keratitis.…”