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FGF21 protects retinal pigment epithelium from sodium iodate-induced injury: Association with inhibition of ferroptosis and the NRF2/GPX4 pathway FGF21保护视网膜色素上皮免受碘酸钠诱导的损伤:与抑制铁下沉和NRF2/GPX4通路有关
IF 2.7 2区 医学 Q1 OPHTHALMOLOGY Pub Date : 2026-01-22 DOI: 10.1016/j.exer.2026.110883
Wanxin Liu , Lu Wang , Shuang Jiang
Age-related macular degeneration (AMD) is a leading cause of blindness, with retinal pigment epithelium (RPE) cell death representing a central pathological event. Ferroptosis, an iron-dependent form of regulated cell death, has recently been implicated in RPE degeneration. Although fibroblast growth factor 21 (FGF21) has demonstrated cytoprotective effects in various contexts, its specific role and mechanism in RPE protection, particularly concerning ferroptosis, remain unexplored. This study investigated the protective effect of FGF21 against sodium iodate (NaIO3)-induced damage and its underlying mechanism, with a focus on ferroptosis. In vitro, NaIO3 treatment induced significant injury in ARPE-19 cells, which was effectively rescued by FGF21 co-treatment. The protective efficacy of FGF21 was comparable to that of the specific ferroptosis inhibitor Ferrostatin-1. Mechanistically, FGF21 alleviated intracellular iron overload in ARPE-19 cells by modulating the expression of iron regulators (CD71 and FPN1), reduced lipid peroxidation, and restored glutathione levels. Mechanistic exploration revealed that FGF21 treatment was associated with the upregulation of NRF2 and HO-1 and, crucially, with the attenuation of GPX4 downregulation. In a NaIO3-induced mouse model of retinal degeneration, FGF21 administration significantly preserved retinal structure, as evidenced by the maintained outer nuclear layer and total retinal thickness in optical coherence tomography (OCT) and histological analyses. Consistent with the cellular findings, FGF21 upregulated GPX4, NRF2, and HO-1 protein expression in retinal tissues. Our findings demonstrate that FGF21 protects ARPE-19 cells and the retina from NaIO3-induced damage. Its protective profile is closely associated with the mitigation of key ferroptosis hallmarks and correlates with the modulation of the NRF2/GPX4 antioxidant axis. This study provides novel insights and important preclinical evidence supporting further investigation into FGF21 as a potential therapeutic agent for ferroptosis-related retinal degenerative diseases.
年龄相关性黄斑变性(AMD)是失明的主要原因,视网膜色素上皮(RPE)细胞死亡是中心病理事件。铁下垂,一种铁依赖性的调节细胞死亡形式,最近被认为与RPE变性有关。尽管成纤维细胞生长因子21 (FGF21)已在多种情况下显示出细胞保护作用,但其在RPE保护中的具体作用和机制,特别是在铁下垂方面,仍未被探索。本研究探讨了FGF21对碘酸钠(NaIO3)诱导的损伤的保护作用及其潜在机制,重点研究了铁凋亡。在体外,NaIO3处理对ARPE-19细胞造成明显损伤,FGF21联合处理可有效挽救ARPE-19细胞。FGF21的保护作用与特异性铁下垂抑制剂Ferrostatin-1相当。在机制上,FGF21通过调节铁调节因子(CD71和FPN1)的表达,减少脂质过氧化,恢复谷胱甘肽水平,减轻ARPE-19细胞内铁超载。机制探索显示,FGF21处理与NRF2和HO-1的上调有关,关键是与GPX4下调的减弱有关。在naio3诱导的视网膜变性小鼠模型中,FGF21显著保护了视网膜结构,光学相干断层扫描(OCT)和组织学分析显示,外核层和视网膜总厚度得以维持。与细胞结果一致,FGF21上调了视网膜组织中GPX4、NRF2和HO-1蛋白的表达。我们的研究结果表明,FGF21可以保护ARPE-19细胞和视网膜免受naio3诱导的损伤。它的保护特征与减轻关键铁死亡标志密切相关,并与NRF2/GPX4抗氧化轴的调节相关。该研究提供了新的见解和重要的临床前证据,支持进一步研究FGF21作为铁中毒相关视网膜退行性疾病的潜在治疗剂。
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引用次数: 0
Elevated expression of hsa_circ_0053004 in peripheral blood mononuclear cells correlates with endothelial dysfunction in diabetic retinopathy Hsa_circ_0053004在糖尿病视网膜病变患者外周血单核细胞中的表达升高与内皮功能障碍相关
IF 2.7 2区 医学 Q1 OPHTHALMOLOGY Pub Date : 2026-01-21 DOI: 10.1016/j.exer.2026.110880
Xixi Zhang , Jiahui Jiang , Ying Chen , Juntao Zhang , Jinglin Zhu , Zai-Long Chi , Yufei Wu , Qinkang Lu
Diabetic retinopathy (DR) is a major microvascular complication of diabetes mellitus and a leading cause of vision loss. Circular RNAs (circRNAs) have emerged as promising biomarkers, yet their role in DR remains unclear. In this study, peripheral blood mononuclear cells (PBMCs) and aqueous humor samples from patients with diabetes mellitus and DR were analyzed by circRNA microarray, with candidate transcripts validated by real-time quantitative PCR. Receiver operating characteristic analysis was performed to assess diagnostic performance. Functional assays using human retinal microvascular endothelial cells (hRMECs), together with bioinformatic prediction and experimental validation, were employed to explore mechanistic pathways. Among the differentially expressed circRNAs, hsa_circ_0053004 was the most significantly upregulated in DR. Its elevated expression was confirmed in both PBMCs and aqueous humor, and gain-of-function studies demonstrated that hsa_circ_0053004 promotes endothelial dysfunction in hRMECs, at least in part through interactions with miR-139-5p and miR-23a-5p. ROC analysis further revealed its strong discriminative capacity between DR and diabetes mellitus. These findings suggest that hsa_circ_0053004 from PBMCs could serve as a potential diagnostic marker for DR and revealed that it is possibly associated with the pathological mechanisms of DR by affecting endothelial dysfunction.
糖尿病视网膜病变(DR)是糖尿病的主要微血管并发症,也是导致视力丧失的主要原因。环状rna (circRNAs)已成为有前景的生物标志物,但它们在DR中的作用尚不清楚。在这项研究中,我们用circRNA芯片分析了糖尿病和DR患者的外周血单个核细胞(PBMCs)和房水样本,并通过实时定量PCR验证了候选转录本。进行受试者工作特征分析以评估诊断表现。利用人视网膜微血管内皮细胞(hRMECs)进行功能分析,结合生物信息学预测和实验验证,探索其机制途径。在差异表达的circRNAs中,hsa_circ_0053004在dr中表达上调最为显著,其表达升高在pbmc和房水中都得到证实,功能获得研究表明,hsa_circ_0053004促进hRMECs的内皮功能障碍,至少部分是通过与miR-139-5p和miR-23a-5p的相互作用。ROC分析进一步显示DR与糖尿病之间有较强的判别能力。这些发现提示pbmc中的hsa_circ_0053004可作为DR的潜在诊断标志物,并揭示其可能通过影响内皮功能障碍与DR的病理机制相关。
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引用次数: 0
Response to letter to the editor, “Significant errors in the paper by Lee R et al.” Ax T. Exp Eye Res. 2025; 263: 110774 对李R等人论文中重大错误的回应[j] .中国医学工程学报,2015;63(3):1107。
IF 2.7 2区 医学 Q1 OPHTHALMOLOGY Pub Date : 2026-01-21 DOI: 10.1016/j.exer.2026.110857
Ryung Lee , Joshua Ong , Alex Suh , Mehmet Kadipasaoglu , Thomas Mader , Charles R. Gibson , John Berdahl , Andrew G. Lee , SADES Study Group
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引用次数: 0
Extracellular vesicle–mediated delivery of miR-181a-3p confers neuroprotection to degenerating retinal ganglion cells 细胞外囊泡介导的miR-181a-3p传递对变性视网膜神经节细胞具有神经保护作用。
IF 2.7 2区 医学 Q1 OPHTHALMOLOGY Pub Date : 2026-01-21 DOI: 10.1016/j.exer.2026.110882
Esmahan Durmaz , Kubra Trabzonlu , Maryam Esmaeili , Hanady Nehme , Lydia Alverez-Erviti , Yasir Ahmed Syed , Aled Clayton , Ben Mead

Background

Glaucoma is a progressive optic neuropathy marked by the irreversible degeneration of retinal ganglion cells (RGCs), leading to vision loss. RGC injury is also central to other optic and neurodegenerative conditions, including traumatic optic neuropathy.

Purpose

We evaluated whether extracellular vesicles (EVs) derived from retinal precursor cells could serve as an effective platform for the delivery of neuroprotective microRNAs (miRNAs), focusing on miR-181a-3p, to preserve RGC viability and function.

Methods

Based on prior profiling of miRNAs differentially expressed in injured RGCs, four candidate miRNAs were screened for neuroprotective effects in primary rat retinal cultures and human embryonic stem cell–derived RGCs. miR-181a-3p, which showed the strongest preservation of RGC survival, was selected for further study. EVs were isolated from R-28 retinal precursor cells, loaded with miR-181a-3p via electroporation, and characterized for particle size, charge, and loading efficiency. EV uptake and neuroprotective efficacy were evaluated in vitro by fluorescence imaging, qPCR, and Ca2+-activity assays, and in vivo by intravitreal injection of labelled EVs to assess retinal distribution and cellular uptake.

Results

EV-mediated delivery of miR-181a-3p enhanced RGC survival and preserved intracellular Ca2+ dynamics compared to free miRNA or lipofectamine-based transfection. EVs improved miRNA stability, enabled selective targeting of retinal cell types, and partially modulated the p38/MAPK signalling axis. EV loading also improved the delivery of miRNA to the retina in vivo.

Conclusion

Our findings demonstrate that EVs offer a biocompatible, cell-specific, and functionally effective platform for miRNA delivery to the retina. EV-based administration of miR-181a-3p may represent a novel neuroprotective strategy for glaucoma and related optic neuropathies.
背景:青光眼是一种以视网膜神经节细胞(RGCs)不可逆变性为特征的进行性视神经病变,可导致视力丧失。RGC损伤也是其他视神经退行性疾病的核心,包括外伤性视神经病变。目的:我们评估来自视网膜前体细胞的细胞外囊泡(EVs)是否可以作为传递神经保护性microRNAs (miRNAs)的有效平台,重点是miR-181a-3p,以保持RGC的活力和功能。方法:基于损伤RGCs中差异表达的mirna的先前分析,筛选了四种候选mirna在原代大鼠视网膜培养物和人胚胎干细胞衍生的RGCs中的神经保护作用。我们选择对RGC存活保存能力最强的miR-181a-3p进行进一步研究。从R-28视网膜前体细胞中分离出ev,通过电穿孔负载miR-181a-3p,并对其粒径、电荷和负载效率进行表征。体外通过荧光成像、qPCR和Ca2+活性测定来评估EV的摄取和神经保护功效,体内通过玻璃体内注射标记EV来评估视网膜分布和细胞摄取。结果:与游离miRNA或基于脂质体转染相比,ev介导的miR-181a-3p递送可增强RGC存活并保留细胞内Ca2+动力学。ev提高了miRNA的稳定性,实现了视网膜细胞类型的选择性靶向,并部分调节了p38/MAPK信号轴。EV负载也改善了miRNA向视网膜的体内递送。结论:我们的研究结果表明,ev为miRNA传递到视网膜提供了一个生物相容性、细胞特异性和功能有效的平台。基于ev给药miR-181a-3p可能是青光眼和相关视神经病变的一种新的神经保护策略。
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引用次数: 0
Single-cell transcriptomics combined with spatial proteomics defines phagocytes type-specific immune regulation in diabetic cataract 单细胞转录组学联合空间蛋白质组学定义糖尿病性白内障吞噬细胞类型特异性免疫调节。
IF 2.7 2区 医学 Q1 OPHTHALMOLOGY Pub Date : 2026-01-19 DOI: 10.1016/j.exer.2026.110865
Pengfei Li , Rong wang , Xiaoxi Qian , Mengqi Wen , Zihao Yan , Xiao Cheng , Yuxin Dai , Leyu Zhou , Xi Zhu , Wei Chen , Huaijin Guan , Min Ji
Diabetic cataract (DC) represents a predominant cause of vision impairment among individuals with diabetes, characterized by a multifaceted pathogenesis that encompasses immune-mediated mechanisms. Our objective was to utilize multiomic data to investigate the characteristics of immune cells present in diabetic lenses and to elucidate their underlying mechanisms. Single-cell RNA sequencing (scRNA-seq) was employed to identify cell types and their proportions in lens samples from diabetic and normal rats. Tandem mass tag based quantitative proteomics was then used to screen the in-depth immune targets and mechanism of lens pathological. For the analysis of differential proteins, Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) were employed in pathway enrichment assays. Anterior segment optical coherence tomography (AS-OCT) can be used to identify hyperreflective points in diabetic cataract patients. Immunofluorescence staining was performed on anterior capsule membranes from age-related cataract (ARC) and DC patients. scRNA-seq identified five cell types, mononuclear phagocytes as a significant immune cell type in the lens, with increased proportions in diabetic rats compared to normal rats. Further, UCell analysis of macrophage subsets showed that pro-inflammatory M1 macrophages increased significantly and anti-inflammatory M2 macrophages decreased. Subsequently, immunofluorescence staining for the immune cell marker protein CD45 and CD11B on the anterior capsule further confirmed a significantly greater presence of immune cells in DC patients than in ARC patients. AS-OCT findings indicate that the hyper-reflective point on the anterior lens capsule in patients with DC is significantly more pronounced compared to those with ARC. Additionally, AS-OCT is utilized to differentiate between the opacity and clear zone of the LFCs in the enrolled DC patients. Proteomics analysis identified 38 differentially expressed proteins in the opacity zone of LFCs compared to the clear zone in DC patients, comprising 17 upregulated and 21 downregulated. Among them, the significantly upregulated protein MIF is an important macrophage chemokine, which may play a crucial regulatory role in mediating lens immunity. GO and KEGG pathway analyses revealed associations with immune regulation and protein ubiquitination pathways, particularly in the activation of lymphocytes and leukocytes, and K63 ubiquitination. Our study provides evidence for the involvement of immune mechanisms, particularly mononuclear phagocytes, in the development of DC. The upregulation of immune regulation and alterations in protein ubiquitination pathways suggest potential therapeutic targets for DC. Further investigation is essential to understand the specific functions of these immune cells and to design targeted therapies.
糖尿病性白内障(DC)是糖尿病患者视力损害的主要原因,其特点是多方面的发病机制,包括免疫介导的机制。我们的目的是利用多组学数据来研究糖尿病晶状体中存在的免疫细胞的特征并阐明其潜在的机制。采用单细胞RNA测序(scRNA-seq)技术鉴定糖尿病大鼠和正常大鼠晶状体样品中的细胞类型和比例。基于串联质量标签的定量蛋白质组学技术,深入筛选晶状体病变的免疫靶点和机制。对于差异蛋白的分析,采用基因本体(GO)和京都基因与基因组百科全书(KEGG)进行途径富集分析。前段光学相干断层扫描(AS-OCT)可用于识别糖尿病性白内障患者的高反射点。对年龄相关性白内障(ARC)和DC患者的前囊膜进行免疫荧光染色。scRNA-seq鉴定出五种细胞类型,单核吞噬细胞是晶状体中重要的免疫细胞类型,与正常大鼠相比,糖尿病大鼠的比例增加。此外,巨噬细胞亚群的UCell分析显示,促炎M1巨噬细胞显著增加,抗炎M2巨噬细胞显著减少。随后,前囊免疫细胞标记蛋白CD45和CD11B的免疫荧光染色进一步证实DC患者中免疫细胞的存在明显高于ARC患者。AS-OCT结果显示,DC患者的前晶状体囊超反射点明显比ARC患者更明显。此外,AS-OCT用于区分入组DC患者lfc的不透明区和清晰区。蛋白质组学分析发现,与DC患者的透明区相比,lfc的不透明区有38个差异表达蛋白,其中17个上调,21个下调。其中,显著上调的蛋白MIF是一种重要的巨噬细胞趋化因子,可能在介导晶状体免疫中发挥重要的调节作用。GO和KEGG通路分析揭示了与免疫调节和蛋白质泛素化通路的关联,特别是在淋巴细胞和白细胞的激活以及K63泛素化中。我们的研究为免疫机制,特别是单核吞噬细胞参与DC的发展提供了证据。免疫调节的上调和蛋白泛素化途径的改变提示了DC的潜在治疗靶点。进一步的研究对于了解这些免疫细胞的特定功能和设计靶向治疗是必不可少的。
{"title":"Single-cell transcriptomics combined with spatial proteomics defines phagocytes type-specific immune regulation in diabetic cataract","authors":"Pengfei Li ,&nbsp;Rong wang ,&nbsp;Xiaoxi Qian ,&nbsp;Mengqi Wen ,&nbsp;Zihao Yan ,&nbsp;Xiao Cheng ,&nbsp;Yuxin Dai ,&nbsp;Leyu Zhou ,&nbsp;Xi Zhu ,&nbsp;Wei Chen ,&nbsp;Huaijin Guan ,&nbsp;Min Ji","doi":"10.1016/j.exer.2026.110865","DOIUrl":"10.1016/j.exer.2026.110865","url":null,"abstract":"<div><div>Diabetic cataract (DC) represents a predominant cause of vision impairment among individuals with diabetes, characterized by a multifaceted pathogenesis that encompasses immune-mediated mechanisms. Our objective was to utilize multiomic data to investigate the characteristics of immune cells present in diabetic lenses and to elucidate their underlying mechanisms. Single-cell RNA sequencing (scRNA-seq) was employed to identify cell types and their proportions in lens samples from diabetic and normal rats. Tandem mass tag based quantitative proteomics was then used to screen the in-depth immune targets and mechanism of lens pathological. For the analysis of differential proteins, Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) were employed in pathway enrichment assays. Anterior segment optical coherence tomography (AS-OCT) can be used to identify hyperreflective points in diabetic cataract patients. Immunofluorescence staining was performed on anterior capsule membranes from age-related cataract (ARC) and DC patients. scRNA-seq identified five cell types, mononuclear phagocytes as a significant immune cell type in the lens, with increased proportions in diabetic rats compared to normal rats. Further, UCell analysis of macrophage subsets showed that pro-inflammatory M1 macrophages increased significantly and anti-inflammatory M2 macrophages decreased. Subsequently, immunofluorescence staining for the immune cell marker protein CD45 and CD11B on the anterior capsule further confirmed a significantly greater presence of immune cells in DC patients than in ARC patients. AS-OCT findings indicate that the hyper-reflective point on the anterior lens capsule in patients with DC is significantly more pronounced compared to those with ARC. Additionally, AS-OCT is utilized to differentiate between the opacity and clear zone of the LFCs in the enrolled DC patients. Proteomics analysis identified 38 differentially expressed proteins in the opacity zone of LFCs compared to the clear zone in DC patients, comprising 17 upregulated and 21 downregulated. Among them, the significantly upregulated protein MIF is an important macrophage chemokine, which may play a crucial regulatory role in mediating lens immunity. GO and KEGG pathway analyses revealed associations with immune regulation and protein ubiquitination pathways, particularly in the activation of lymphocytes and leukocytes, and K63 ubiquitination. Our study provides evidence for the involvement of immune mechanisms, particularly mononuclear phagocytes, in the development of DC. The upregulation of immune regulation and alterations in protein ubiquitination pathways suggest potential therapeutic targets for DC. Further investigation is essential to understand the specific functions of these immune cells and to design targeted therapies.</div></div>","PeriodicalId":12177,"journal":{"name":"Experimental eye research","volume":"265 ","pages":"Article 110865"},"PeriodicalIF":2.7,"publicationDate":"2026-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146017971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Integrated proteomic profiling of aqueous humor reveals CDC42/RHOA-mediated pathogenic mechanisms in nAMD and PDR 房水的综合蛋白质组学分析揭示了CDC42/ rhoa介导的nAMD和PDR发病机制
IF 2.7 2区 医学 Q1 OPHTHALMOLOGY Pub Date : 2026-01-17 DOI: 10.1016/j.exer.2026.110871
Lingjie Kong , Siyi Qi , Xiaoyan Han , Jingyue Zhang , Linyu Zhang , Duo Li , Qin Jiang , Shujie Zhang , Chen Zhao
Neovascular age-related macular degeneration (nAMD) and proliferative diabetic retinopathy (PDR), though clinically distinct, are both sight-threatening ocular disorders driven by pathological neovascularization. However, their shared molecular mechanisms remain poorly characterized. In this study, we performed DIA quantitative proteomic analysis of aqueous humor (AH) from patients with nAMD, PDR, and control. A total of 3186 proteins were identified, in which 877 and 1017 differentially expressed proteins (DEPs) were detected in the nAMD and PDR groups, respectively, compared to control group. Functional enrichment analysis revealed significant involvement of inflammatory and metabolic pathways in both diseases. Notably, the persistent upregulation of cell division cycle 42 (CDC42) and ras homolog family member A (RHOA) in nAMD and PDR, combined with their established role in cytoskeletal remodeling, suggests their significant involvement in pathological angiogenesis. These findings offer novel perspectives on shared pathogenic pathways in neovascular ocular disorders and suggest potential therapeutic targets for further investigation.
新生血管性年龄相关性黄斑变性(nAMD)和增殖性糖尿病视网膜病变(PDR)虽然在临床上不同,但都是由病理性新生血管驱动的视力威胁眼病。然而,它们共同的分子机制仍然缺乏表征。在这项研究中,我们对nAMD、PDR和对照患者的房水(AH)进行了DIA定量蛋白质组学分析。共鉴定出3186个蛋白,其中与对照组相比,nAMD组和PDR组分别检测到877个和1017个差异表达蛋白(dep)。功能富集分析显示炎症和代谢途径在这两种疾病中都有重要的参与。值得注意的是,nAMD和PDR中细胞分裂周期42 (CDC42)和ras同源家族成员A (RHOA)的持续上调,以及它们在细胞骨架重塑中的既定作用,表明它们在病理性血管生成中有重要作用。这些发现为新血管性眼部疾病的共同致病途径提供了新的视角,并提出了进一步研究的潜在治疗靶点。
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引用次数: 0
Duplex droplet digital PCR (ddPCR) improves the diagnosis of Aspergillus and Fusarium keratitis 双液滴数字PCR (ddPCR)提高了曲霉菌和镰刀菌角膜炎的诊断率。
IF 2.7 2区 医学 Q1 OPHTHALMOLOGY Pub Date : 2026-01-17 DOI: 10.1016/j.exer.2026.110866
Yamini Tawde , Sourav Das , Shreya Singh , Soham Basak , Savitri Sharma , Amit Gupta , Amanjit Bal , Shivaprakash M. Rudramurthy , Geetika Yadav , Anup Ghosh
Fungal keratitis (FK) is a serious corneal infection leading to blindness. The present study aims to develop a duplex ddPCR for the detection of Aspergillus sp. and Fusarium sp. causing FK and also to enhance the diagnostic accuracy by evaluating the sensitivity of ddPCR in comparison to qPCR. This Prospective, multicentric study was conducted from November 2019 to August 2021, including three healthcare facilities across India. All patients suspected with FK were included in the study. A part of the collected corneal samples was used for routine microbiological workup and another part of the sample was used for the standardization and validation of ddPCR. A total of 42 corneal buttons were used for standardisation. Aspergillus primer concentration of 750nM showed highest sensitivity of 81.48 % with 93.33 % specificity at ct-value 14.05 while 900 nM primer concentration was best for Fusarium with 80 % sensitivity and 96.3 % specificity at ct-value 83.65. Probe concentrations for both Aspergillus and Fusarium were 250 mM. Validation cohort included 74 corneal samples, Aspergillus ddPCR demonstrated 84.21 % sensitivity with 94.64 % specificity while Fusarium ddPCR had 75 % sensitivity with a specificity of 96.3 %. The comparative analysis demonstrated an improvement in diagnostic performance by ddPCR for both Aspergillus and Fusarium compared to recently reported genus-specific real-time PCR. The ddPCR noticeably enhanced the diagnostic performance for both Aspergillus and Fusarium FK in comparison to the genus-specific real-time PCR. Thus, ddPCR can serve as a rapid technique holding a challenge over conventional and qPCR for FK diagnosis.
真菌性角膜炎是一种严重的角膜感染,可导致失明。本研究旨在建立双链ddPCR检测引起FK的曲霉和镰刀菌,并通过比较ddPCR与qPCR的敏感性来提高诊断的准确性。这项前瞻性多中心研究于2019年11月至2021年8月进行,包括印度各地的三家医疗机构。所有疑似FK患者均纳入研究。收集的一部分角膜样本用于常规微生物检查,另一部分样本用于ddPCR的标准化和验证。共使用42个角膜扣进行标准化。曲霉引物浓度为750 nM时灵敏度最高,为81.48%,特异性为93.33%,ct值为14.05;镰刀菌引物浓度为900 nM时灵敏度最高,为80%,特异性为96.3%,ct值为83.65。曲霉和镰刀菌的探针浓度均为250mM。验证队列包括74份角膜样本,曲霉ddPCR敏感性为84.21%,特异性为94.64%;镰刀菌ddPCR敏感性为75%,特异性为96.3%。对比分析表明,与最近报道的属特异性实时PCR相比,ddPCR对曲霉和镰刀菌的诊断性能有所提高。与属特异性实时PCR相比,ddPCR显著提高了曲霉和镰刀菌FK的诊断性能。因此,ddPCR可以作为一种快速的技术,对传统和qPCR进行FK诊断。
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引用次数: 0
Resveratrol alleviated diabetic retinal neuronal ferroptosis induced by high glucose through inhibiting HIF-1α and HMOX1 pathway 白藜芦醇通过抑制HIF-1α和HMOX1通路减轻高糖诱导的糖尿病视网膜神经元铁下垂。
IF 2.7 2区 医学 Q1 OPHTHALMOLOGY Pub Date : 2026-01-17 DOI: 10.1016/j.exer.2026.110872
Meng Ye , Yan Jiang , Hongya Gong , Chaowu Wu , Tao Li , Xuhui Chen
Diabetic retinopathy (DR) is a common complication of diabetes mellitus that can cause blindness and affect the life quality of patients. Diabetic retinal neurodegeneration (DRN) caused by high glucose might be the earlier pathological change preceding vascular injury. Resveratrol has been showed to have therapeutic effects on DRN but the mechanism remains unclear. Ferroptosis is a new form of regulated cell death and has been found to be involved in DRN. In this study, we found genetic relationship between resveratrol and ferroptosis in DRN pathogenesis using bioinformatics analysis and demonstrated HIF-1α and HMOX1 as the hub genes. Our study established in vitro model of DRN in high-glucose cultured SH-SY5Y cells and found ferroptosis processes characterized of reactive oxygen species (ROS) accumulation and cellular mitochondrial damage along with upregulation of HIF-1α and HMOX1. Application of resveratrol alleviated high glucose-induced ferroptosis phenotypes in SH-SY5Y cells through inhibiting HIF-1α and HMOX1. We also confirmed ferroptosis process and RGC damage in diabetic (db/db) mouse model. The upregulation of HIF-1α and HMOX1 was also found in diabetic mouse retina. By resveratrol gavage, RGC damage in diabetic (db/db) mouse model was alleviated and the expression level of HIF-1α and HMOX1 in retina was decreased. Our study revealed the involvement of ferroptosis process in retinal neurodegeneration and might provide new insights into neuroprotective interventions in diabetic retinopathy.
糖尿病视网膜病变(DR)是糖尿病常见的并发症,可导致失明,影响患者的生活质量。糖尿病性视网膜神经变性(DRN)可能是血管损伤前的早期病变。白藜芦醇已被证明对DRN有治疗作用,但其机制尚不清楚。铁下垂是一种新的受调控的细胞死亡形式,已被发现与DRN有关。本研究通过生物信息学分析发现了白藜芦醇与DRN发病机制中铁ptosis的遗传关系,并证实HIF-1α和HMOX1为中心基因。我们在高糖培养的SH-SY5Y细胞中建立了DRN体外模型,发现了以活性氧(ROS)积累和细胞线粒体损伤为特征的铁死亡过程,并伴有HIF-1α和HMOX1的上调。白藜芦醇通过抑制HIF-1α和HMOX1减轻高糖诱导的SH-SY5Y细胞铁下垂表型。我们还证实了糖尿病小鼠(db/db)模型的铁下垂过程和RGC损伤。HIF-1α和HMOX1在糖尿病小鼠视网膜中表达上调。白藜芦醇灌胃可减轻糖尿病小鼠RGC损伤(db/db),降低视网膜HIF-1α和HMOX1的表达水平。我们的研究揭示了铁下垂过程参与视网膜神经变性,并可能为糖尿病视网膜病变的神经保护干预提供新的见解。
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引用次数: 0
Retinal morphology in spinocerebellar ataxia type 1 (SCA1) mice: A stereological analysis across different age groups 脊髓小脑性共济失调1型(SCA1)小鼠的视网膜形态学:不同年龄组的立体学分析
IF 2.7 2区 医学 Q1 OPHTHALMOLOGY Pub Date : 2026-01-16 DOI: 10.1016/j.exer.2026.110869
Olena Yakushko , Jan Cendelin , Zbynek Tonar , Yaroslav Kolinko
Spinocerebellar ataxia type 1 (SCA1) affects not only the cerebellum but also the retina; however, retinal pathology remains poorly characterised in murine models of SCA1. To fill this gap, we performed a comprehensive stereological analysis of the retinal structure of SCA1154Q/2Q knock-in mice and their healthy SCA12Q/2Q littermates at 6 and 10 months of age. We compared animals across genotypes at each age and across ages within each genotype. Using unbiased stereology, we quantified the total retinal volume, volumes of individual retinal layers, total photoreceptor numbers, numbers of rods and cones, and total cell numbers in the inner nuclear and ganglion cell layers. Structural abnormalities, including disorganisation of photoreceptor outer segments and reduced volumes of both photoreceptor inner and outer segments, were evident in SCA1 mice as early as 6 months. By 10 months, these alterations had progressed, with a decrease in the number of ganglion cells and a reduced proportion of cones among the total photoreceptors. Wild-type mice also exhibited age-related changes, but the pattern and magnitude differed, suggesting distinct mechanisms of normal ageing versus SCA1-related neurodegeneration. Our findings demonstrate that retinal remodelling in SCA1 mice parallels changes observed in human patients, validating this model for investigating visual system involvement in SCA1. These results emphasize the need to consider retinal pathology when interpreting behavioural or motor deficits and in designing future preclinical interventions.
脊髓小脑性共济失调1型(SCA1)不仅影响小脑,也影响视网膜;然而,在小鼠SCA1模型中,视网膜病理特征仍然很差。为了填补这一空白,我们对SCA1154Q/2Q敲入小鼠及其6个月和10个月大的健康SCA12Q/2Q窝鼠的视网膜结构进行了全面的立体分析。我们比较了不同年龄的不同基因型的动物和不同年龄的不同基因型的动物。利用无偏立体学,我们量化了视网膜的总体积,单个视网膜层的体积,总光感受器数量,视杆细胞和视锥细胞的数量,以及细胞核和神经节细胞层的总细胞数量。SCA1小鼠早在6个月时就出现了明显的结构异常,包括光感受器外节的紊乱和光感受器内外节的体积减小。到10个月时,这些变化已经进展,神经节细胞数量减少,视锥细胞在总光感受器中的比例减少。野生型小鼠也表现出与年龄相关的变化,但模式和幅度不同,表明正常衰老与sca1相关的神经变性的不同机制。我们的研究结果表明,SCA1小鼠的视网膜重塑与人类患者观察到的变化相似,验证了研究SCA1视觉系统参与的模型。这些结果强调,在解释行为或运动缺陷以及设计未来的临床前干预措施时,需要考虑视网膜病理学。
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引用次数: 0
TLR9-mediated activation of the NLRP3 inflammasome in Fusarium solani-induced keratitis tlr9介导的NLRP3炎性小体在茄灰镰刀菌诱导的角膜炎中的激活
IF 2.7 2区 医学 Q1 OPHTHALMOLOGY Pub Date : 2026-01-16 DOI: 10.1016/j.exer.2026.110867
Yanqing Zhang , Yi Lin , Yani Zhang , Hanfeng Tang, Jianzhang Hu, Bing Wang
Toll-like receptor 9 (TLR9) is a crucial innate immune receptor that recognises pathogenic DNA and initiates downstream inflammatory signaling, yet its function in fungal keratitis remains poorly defined. This study aimed to clarify the specific role of TLR9 in Fusarium solani (F. solani) –induced keratitis and to provide mechanistic insights for targeted therapy. A murine model of F. solani keratitis was established to examine the expression and regulation of TLR9 and NLRP3. RNA sequencing, quantitative real-time polymerase chain reaction (qRT-PCR), Western blotting, and immunofluorescence were used to assess gene and protein expression. The activities of TLR9 and NLRP3 were modulated by adeno-associated virus short hairpin RNA (AAV-shRNA), small interfering RNA (siRNA), and pharmacological agents (Nig and MCC950). Disease severity and histopathological alterations were evaluated by slit-lamp examination, clinical scoring, and hematoxylin–eosin staining, while protein interactions were analysed through molecular docking and immunocolocalization. TLR9 and NLRP3 were markedly up-regulated in F. solani–infected corneas. TLR9 silencing suppressed nuclear factor κB (NF-κB) and NLRP3 activation, thereby mitigating corneal inflammation, reducing stromal oedema, limiting inflammatory cell infiltration, and lowering IL-1β production. Pharmacological inhibition of NLRP3 with MCC950 produced similar protective effects, whereas activation by nigericin reversed these benefits. In conclusion, TLR9 functions as a pivotal upstream regulator of the NLRP3 inflammasome in F. solani keratitis. These findings uncover a mechanistic link between TLR9 signaling and inflammasome-mediated inflammation, highlighting TLR9 as a potential immunomodulatory target for fungal keratitis therapy.
toll样受体9 (TLR9)是一种重要的先天免疫受体,可识别致病性DNA并启动下游炎症信号,但其在真菌性角膜炎中的功能仍不明确。本研究旨在阐明TLR9在梭兰镰刀菌(F. solani)诱导的角膜炎中的具体作用,并为靶向治疗提供机制见解。建立梭兰氏角膜炎小鼠模型,检测TLR9和NLRP3的表达和调控。采用RNA测序、定量实时聚合酶链反应(qRT-PCR)、Western blotting和免疫荧光法评估基因和蛋白的表达。TLR9和NLRP3的活性受腺相关病毒短发夹RNA (AAV-shRNA)、小干扰RNA (siRNA)和药物(Nig和MCC950)的调控。通过裂隙灯检查、临床评分和苏木精-伊红染色评估疾病严重程度和组织病理学改变,通过分子对接和免疫共定位分析蛋白质相互作用。TLR9和NLRP3在梭兰梭菌感染的角膜中显著上调。TLR9沉默可抑制核因子κB (NF-κB)和NLRP3的激活,从而减轻角膜炎症,减少间质水肿,限制炎症细胞浸润,降低IL-1β的产生。MCC950对NLRP3的药理学抑制产生了类似的保护作用,而尼日利亚菌素的激活则逆转了这些益处。综上所述,TLR9在梭氏角膜炎中作为NLRP3炎性体的关键上游调节因子发挥作用。这些发现揭示了TLR9信号与炎症小体介导的炎症之间的机制联系,突出了TLR9作为真菌性角膜炎治疗的潜在免疫调节靶点。
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引用次数: 0
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Experimental eye research
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