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The effect of age on wound healing in the laser induced choroidal neovascularization model 年龄对激光诱导脉络膜新生血管模型创面愈合的影响。
IF 2.7 2区 医学 Q1 OPHTHALMOLOGY Pub Date : 2025-12-03 DOI: 10.1016/j.exer.2025.110790
William F. Horrigan , Quinn Caron , Aidan Rodriguez , Rupesh Singh , Bela Anand-Apte
The laser induced model of choroidal neovascularization (LiCNV) is a commonly used in vivo rodent model to study neovascular age-related macular degeneration (nAMD), although progression of this model is not well understood. In this study we characterize and compare the longitudinal progression of wound healing of laser induced choroidal neovascular (CNV) lesions in young and old mice. Using 2-month and 12-month-old C57BL/6J mice and ocular computerized tomography (OCT), fluorescein and indocyanine green angiography we performed a longitudinal imaging analysis at 3-, 7-, 14- and 28-days following laser injury. This was compared with immunohistochemical analysis of the lesions at similar timepoints for markers of angiogenesis, fibrosis, epithelial-to-mesenchymal transition (EMT), and gliosis. OCT analysis determined an increased lesion volume in older mice. In contrast younger mice demonstrated earlier vascularization and fibrosis with no difference in neovascularization or leakage. Reactive gliosis occurs directly above the laser-induced CNV lesion in both ages. The RPE in this model encloses the lesion area by day 14 in both young and old mice. This study concludes that age is an important variable in some but not all aspects of laser-induced CNV.
激光诱导脉络膜新生血管模型(LiCNV)是一种常用的啮齿动物体内模型,用于研究新生血管性年龄相关性黄斑变性(nAMD),尽管该模型的进展尚不清楚。在这项研究中,我们描述并比较了激光诱导脉络膜新生血管(CNV)损伤在年轻和年老小鼠伤口愈合的纵向进展。使用2个月和12个月大的C57BL/6J小鼠和眼部计算机断层扫描(OCT)、荧光素和吲酞菁绿血管造影,我们在激光损伤后3、7、14和28天进行了纵向成像分析。将其与相似时间点病变的免疫组织化学分析进行比较,以检测血管生成、纤维化、上皮细胞向间质转化(EMT)和胶质瘤。OCT分析确定老年小鼠的病变体积增加。相比之下,年轻小鼠表现出更早的血管形成和纤维化,在新生血管或渗漏方面没有差异。反应性胶质瘤发生在激光诱导的CNV病变的正上方。该模型的RPE在第14天将幼鼠和老年小鼠的病变区域包围起来。本研究得出结论,年龄在激光诱导CNV的某些方面是一个重要变量,但不是所有方面。
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引用次数: 0
Knockout of c-Cbl and Cbl-b enhances corneal re-epithelialization in male, but not female, mice 敲除c-Cbl和cb -b可增强雄性小鼠的角膜再上皮化,而雌性小鼠则无此作用。
IF 2.7 2区 医学 Q1 OPHTHALMOLOGY Pub Date : 2025-12-03 DOI: 10.1016/j.exer.2025.110789
Kate E. Tarvestad-Laise , Grant Manion , Lisandra G. Plana Ramos , Mark Doll , Noel Verjan Garcia , Wendy M. Kittle , Levi Beverly , Nobuyuki Matoba , Hamid Band , Brian P. Ceresa
Tissue culture studies indicate c-Cbl and Cbl-b are negative regulators of growth factor receptor signaling. Inhibiting c-Cbl and Cbl-b is a potential therapeutic strategy for enhancing growth factor-mediated corneal re-epithelialization. An inducible, tissue-specific mouse model was used to assess the role of c-Cbl and Cbl-b in the corneal epithelium to determine the therapeutic potential of c-Cbl/Cbl-b inhibitors. Mice were generated by breeding c-Cbl and Cbl-b floxed mice with Keratin 14 (Krt14) ERTCre expressing mice. Knockdown was assessed by PCR and immunofluorescence. Corneal morphology was assessed using H&E staining. Ki67 immunostaining was used to measure cell proliferation. The functional consequence of c-Cbl/Cbl-b knockout was determined by measuring HGF-dependent corneal re-epithelialization following a mechanical debridement wound. Knockout of c-Cbl and Cbl-b was tamoxifen-dependent and did not affect the overall structure of the cornea. In male c-Cbl/Cbl-b knockout mice, corneal epithelial thickness and cell density were unchanged from controls, and there was enhanced HGF-dependent corneal re-epithelialization. Female knockout mice had reduced corneal epithelial thickness and cell density and increases in basal epithelial cell proliferation. However, there was no increase in HGF-dependent corneal re-epithelialization. Despite experimental considerations due to the Cre and tamoxifen toxicities, c-Cblf/f/Cbl-bf/f/Krt14 ERTCre+ mice are a viable model for studying c-Cbl and Cbl-b in corneal epithelial biology. Knockout of c-Cbl and Cbl-b affects corneal epithelial homeostasis and regeneration in both sexes of mice. However, the role of c-Cbl/Cbl-b in male knockout mice is stronger in re-epithelialization, whereas in female mice it regulates homeostasis.
组织培养研究表明,c-Cbl和Cbl-b是生长因子受体信号的负调控因子。抑制c-Cbl和cb -b是促进生长因子介导的角膜再上皮化的潜在治疗策略。采用可诱导的组织特异性小鼠模型来评估c-Cbl和Cbl-b在角膜上皮中的作用,以确定c-Cbl/Cbl-b抑制剂的治疗潜力。用表达Keratin 14 (Krt14) ERTCre的小鼠与c-Cbl和ccl -b捆绑小鼠杂交产生小鼠。采用PCR和免疫荧光检测敲除效果。H&E染色评估角膜形态。Ki67免疫染色法检测细胞增殖。c-Cbl/Cbl-b基因敲除的功能后果是通过测量hgf依赖性角膜在机械清创后的再上皮化来确定的。c-Cbl和Cbl-b的敲除是依赖于他莫昔芬的,不影响角膜的整体结构。在雄性c-Cbl/Cbl-b基因敲除小鼠中,角膜上皮厚度和细胞密度与对照组相比没有变化,hgf依赖性角膜再上皮化增强。雌性基因敲除小鼠角膜上皮细胞厚度和密度降低,基底上皮细胞增殖增加。然而,hgf依赖性角膜再上皮化没有增加。尽管存在Cre和他莫昔芬毒性的实验考虑,但c-Cblf/f/Cbl-bf/f / Krt14 ertcr +小鼠是研究c-Cbl和Cbl-b在角膜上皮生物学中的可行模型。敲除c-Cbl和Cbl-b会影响两性小鼠角膜上皮稳态和再生。然而,在雄性敲除小鼠中,c-Cbl/Cbl-b在再上皮化中的作用更强,而在雌性小鼠中,它调节体内平衡。
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引用次数: 0
Altered biopterin-related cofactor metabolism in the aqueous humor of glaucoma patients 青光眼患者房水中生物terin相关辅助因子代谢的改变。
IF 2.7 2区 医学 Q1 OPHTHALMOLOGY Pub Date : 2025-12-02 DOI: 10.1016/j.exer.2025.110778
Arturs Zemitis , Liva Caikovska , Juris Vanags , Jingzhi Fan , Kristaps Klavins , Guna Laganovska
Glaucoma is a leading cause of irreversible blindness worldwide and is primarily managed through IOP reduction, though its underlying pathophysiology remains incompletely understood. This study investigates metabolic alterations in glaucoma via targeted metabolomic profiling to identify potential biomarkers and pathogenic mechanisms. Aqueous humor samples were collected from 191 patients at Pauls Stradins Clinical University Hospital immediately before the initiation of cataract surgery, ensuring preoperative conditions. Quantitative metabolite profiling was conducted using liquid chromatography coupled to a Thermo Orbitrap Exploris 120 mass spectrometer. A significant association was observed between open-angle glaucoma and the presence of PEXS (χ2(1) = 9.96, p = 0.002, Cramer's V = 0.228). Several metabolites, including tryptophan, leucine, phenylalanine, and glutamine, were significantly upregulated in glaucoma patients (all p < 0.003, FDR = 0.0358), with tyrosine showing a similar trend (p = 0.0034, FDR = 0.0358). These findings suggest dysregulation of aromatic amino acid metabolism and potential impairment of amino acid hydroxylases, possibly linked to reduced tetrahydrobiopterin (BH4) availability. Disruption in BH4 regeneration—driven by oxidative stress or MTHFR polymorphisms—may impair nitric oxide synthesis and contribute to disease progression. Elevated glutamine and leucine levels could reflect compensatory neuroprotective mechanisms against excitotoxic damage. Our findings suggest that altered biopterin-related cofactor metabolism in aqueous humor may disrupt nitric oxide production and exacerbate oxidative stress, both of which are key factors in glaucoma pathogenesis. These insights highlight the potential of oxidative stress-related biomarkers and antioxidant-based strategies for future glaucoma diagnosis and therapy.
青光眼是世界范围内不可逆性失明的主要原因,主要通过降低IOP进行治疗,尽管其潜在的病理生理机制尚不完全清楚。本研究通过靶向代谢组学分析研究青光眼的代谢改变,以确定潜在的生物标志物和致病机制。在paul Stradins临床大学医院,在白内障手术开始前立即收集191例患者的房水样本,以确保术前条件。利用液相色谱联用Thermo Orbitrap Exploris 120质谱仪对代谢物进行了定量分析。开角型青光眼与PEXS存在显著相关(χ2(1) = 9.96, p = 0.002, Cramer’s V = 0.228)。色氨酸、亮氨酸、苯丙氨酸和谷氨酰胺等代谢物在青光眼患者中显著上调(p < 0.003, FDR = 0.0358),酪氨酸也有类似的升高趋势(p = 0.0034, FDR = 0.0358)。这些发现表明芳香氨基酸代谢失调和氨基酸羟化酶的潜在损伤,可能与四氢生物蝶呤(BH4)可用性降低有关。由氧化应激或MTHFR多态性驱动的BH4再生中断可能损害一氧化氮合成并导致疾病进展。谷氨酰胺和亮氨酸水平升高可能反映了对兴奋毒性损伤的代偿性神经保护机制。我们的研究结果表明,房水中生物蝶素相关辅助因子代谢的改变可能会破坏一氧化氮的产生并加剧氧化应激,这两者都是青光眼发病的关键因素。这些见解突出了氧化应激相关生物标志物和基于抗氧化剂的策略在未来青光眼诊断和治疗中的潜力。
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引用次数: 0
Transcriptome-wide association study identifies key genes in Graves' ophthalmopathy 全转录组关联研究确定Graves眼病的关键基因。
IF 2.7 2区 医学 Q1 OPHTHALMOLOGY Pub Date : 2025-12-01 DOI: 10.1016/j.exer.2025.110776
Jieqing Yuan , Lingling Meng , Yuting Chen

Background

Graves' Ophthalmopathy (GO) is classified as an autoimmune condition that involves inflammation and structural changes within the orbit, frequently linked to thyroid abnormalities. The objective of this research is to clarify the genetic foundations associated with GO.

Methods

We employed summary statistics derived from a genome-wide association study (GWAS) focusing on Graves' Ophthalmopathy (GO), which included 753 affected individuals and 499,595 controls. To explore the genetic associations with the disease, we conducted an extensive transcriptome-wide association study (TWAS) that merged GWAS findings related to GO with expression quantitative trait loci (eQTL) data obtained from thyroid tissues featured in the Genotype-Tissue Expression Version 8 (GTEx V8) dataset. The validation of significant genes was carried out using three complementary methodologies: FUSION, FOCUS, and Multi-marker Analysis of GenoMic Annotation (MAGMA). To gain further insights into the genetic framework linked to GO, we utilized conditional and joint analysis in conjunction with fine-mapping approaches. Colocalization analysis was performed to identify potential overlapping single nucleotide polymorphisms (SNPs) between the significant genes and GO. In order to determine causality, we executed a Mendelian randomization analysis. The GeneMANIA tool was applied to elucidate gene interactions and their functional roles. Subsequently, we predicted transcription factor target genes, with a particular emphasis on potential ZSCAN9 targets. Finally, functional enrichment analysis revealed significant pathways associated with ZSCAN9 and its related targets.

Results

By employing a combination of three methodologies for TWAS—namely FUSION, FOCUS, and MAGMA—we have identified two candidate genes that demonstrate a significant correlation with GO. Mendelian randomization analysis yielded a suggestive but non-significant association between genetically predicted ZSCAN9 expression and GO, which warrants further investigation. Moreover, colocalization analysis indicates that the ZSCAN9 and HLA-DMA genes may share genetic signals with eQTL, suggesting that these genes could play a role in a shared pathway that contributes to the pathogenesis of GO.

Conclusion

Our findings highlight the genetic architecture of GO, identifying ZSCAN9 and HLA - DMA as potential causal genes, and underscore the importance of integrating multi-omics data to unravel complex disease mechanisms. Subsequent investigations ought to concentrate on corroborating these results and identifying potential therapeutic targets for GO.
背景:Graves眼病(GO)被归类为一种自身免疫性疾病,涉及眼眶内的炎症和结构改变,通常与甲状腺异常有关。本研究的目的是澄清与氧化石墨烯相关的遗传基础。方法:我们采用了来自Graves眼病(GO)全基因组关联研究(GWAS)的汇总统计数据,其中包括753名患者和499,595名对照组。为了探索与该疾病的遗传关联,我们进行了一项广泛的转录组关联研究(TWAS),将与氧化石墨烯相关的转录组关联研究结果与基因型-组织表达版本8 (GTEx V8)数据集中的甲状腺组织中获得的表达数量性状位点(eQTL)数据相结合。重要基因的验证使用三种互补的方法进行:FUSION, FOCUS和基因组注释的多标记分析(MAGMA)。为了进一步了解与氧化石墨烯相关的遗传框架,我们结合精细制图方法使用了条件和联合分析。进行共定位分析以确定重要基因与氧化石墨烯之间潜在的重叠单核苷酸多态性(snp)。为了确定因果关系,我们进行了孟德尔随机化分析。GeneMANIA工具用于阐明基因相互作用及其功能作用。随后,我们预测了转录因子靶基因,特别强调了潜在的ZSCAN9靶标。最后,功能富集分析揭示了与ZSCAN9及其相关靶点相关的重要通路。结果:通过对twas(即FUSION、FOCUS和magma)采用三种方法的组合,我们确定了两个与氧化石墨烯显著相关的候选基因。孟德尔随机化分析显示,基因预测的ZSCAN9表达与氧化石墨烯之间存在暗示但不显著的关联,值得进一步研究。此外,共定位分析表明,ZSCAN9和HLA-DMA基因可能与eQTL共享遗传信号,这表明这些基因可能在一个共同的途径中发挥作用,有助于GO的发病机制。结论:我们的研究结果强调了氧化石墨烯的遗传结构,确定了ZSCAN9和HLA - DMA作为潜在的致病基因,并强调了整合多组学数据以揭示复杂疾病机制的重要性。后续调查应集中于证实这些结果和确定氧化石墨烯的潜在治疗靶点。
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引用次数: 0
Tacrolimus exerts anti-inflammatory effects in moderate to severe dry eye through activation of autophagy-lysosomal pathway 他克莫司通过激活自噬-溶酶体途径在中重度干眼症中发挥抗炎作用。
IF 2.7 2区 医学 Q1 OPHTHALMOLOGY Pub Date : 2025-12-01 DOI: 10.1016/j.exer.2025.110777
Yunjing Ma , Zijie Zhang , Zhe Jia , Qian Guo , Yue Huang , Hui Liu , Chen Zhang , Ruibo Yang , Xiaoxiao Lu , Shaozhen Zhao
This study aimed to investigate the therapeutic potential and anti-inflammatory mechanisms of tacrolimus (FK506) in moderate to severe dry eye by clinical, in vivo, and in vitro studies. We evaluated the effect of 0.1 % FK506 versus 0.1 % fluorometholone eye drops on patients with moderate to severe dry eye. Ocular surface disease index questionnaire (OSDI), tear breakup time (TBUT), corneal erosion, Schirmer's I test, and conjunctival impression cytology were measured at 2, 4, and 8 weeks. Tear samples from patients before and after FK506 treatment were subjected to proteomic analysis. The underlying mechanisms of FK506 were clarified using dry eye rat model and hypertonic-stimulated human corneal epithelial cells. Results demonstrated that FK506 showed transiently superior efficacy over fluorometholone in OSDI at week 2 (P = 0.041) and TBUT at week 4 (P = 0.001), despite both groups achieving significant improvements in all parameters from baseline to week 8 (P < 0.001). Tear proteomics revealed FK506-mediated modulation of autophagy-lysosomal pathway. FK506 improved ocular surface damage, reduced TNF-α and IL-1β, and upregulated LC3B II, TFEB, and LAMP1 protein expression, accompanied by reduced P62 in the rat cornea. In vitro, FK506 suppressed pro-inflammatory cytokines via enhanced autophagic flux, promoted TFEB nuclear translocation, restored lysosomal structural and functional integrity, while inhibited mTOR phosphorylation. Knockdown of TFEB reversed the FK506-mediated benefits. Overall, FK506 alleviates the symptoms and signs of moderate to severe dry eye by suppressing the inflammatory response in corneal epithelial cells. This therapeutic effect is mediated through the activation of the TFEB-driven autophagy-lysosomal pathway.
本研究旨在通过临床、体内和体外研究,探讨他克莫司(FK506)对中重度干眼症的治疗潜力和抗炎机制。我们评估了0.1% FK506与0.1%氟美酮滴眼液对中度至重度干眼症患者的效果。分别于第2、4、8周测量眼表疾病指数问卷(OSDI)、泪液破裂时间(TBUT)、角膜糜烂、Schirmer’s I试验和结膜印象细胞学。对FK506治疗前后患者的泪液样本进行蛋白质组学分析。利用干眼大鼠模型和高渗刺激的人角膜上皮细胞阐明了FK506的作用机制。结果显示,FK506在第2周对OSDI的疗效暂时优于氟美洛酮(P = 0.041),在第4周时优于TBUT (P = 0.001),尽管两组从基线到第8周的所有参数均有显著改善(P < 0.001)。泪液蛋白质组学显示fk506介导的自噬-溶酶体途径的调节。FK506改善眼表损伤,降低TNF-α和IL-1β,上调LC3B II、TFEB和LAMP1蛋白表达,同时降低大鼠角膜P62。在体外,FK506通过增强自噬通量抑制促炎细胞因子,促进TFEB核易位,恢复溶酶体结构和功能完整性,同时抑制mTOR磷酸化。TFEB的敲低逆转了fk506介导的益处。总的来说,FK506通过抑制角膜上皮细胞的炎症反应来缓解中度至重度干眼症的症状和体征。这种治疗效果是通过激活tfeb驱动的自噬-溶酶体途径介导的。
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引用次数: 0
Significant errors in the paper by Lee R, Ong J, Waisberg E, Suh A, Kadipasaoglu M, Mader T, Gibson CR, Berdahl J, Lee AG; SADES Study Group. Defining spaceflight associated dry eye syndrome (SADES): Mechanisms, complications, and countermeasures. Exp eye res. 2025 Sep;258:110513. doi: 10.1016/j.exer.2025.110513. Epub 2025 Jul 7. PMID: 40633645 Lee R, Ong J, Waisberg E, Suh A, Kadipasaoglu M, Mader T, Gibson CR, Berdahl J, Lee AG;SADES研究组。定义航天相关干眼综合征(SADES):机制、并发症和对策。Exp Eye Res. 2025 Sep;258:110513。doi: 10.1016 / j.exer.2025.110513。Epub 2025 7月7日PMID: 40633645。
IF 2.7 2区 医学 Q1 OPHTHALMOLOGY Pub Date : 2025-11-27 DOI: 10.1016/j.exer.2025.110774
Timon Ax
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引用次数: 0
Small extracellular vesicles derived from human retinal pericytes under high glucose and hypoxia conditions promote endothelial cell dysfunction in vitro 高糖和缺氧条件下的人视网膜周细胞产生的小细胞外囊泡促进内皮细胞功能障碍。
IF 2.7 2区 医学 Q1 OPHTHALMOLOGY Pub Date : 2025-11-26 DOI: 10.1016/j.exer.2025.110768
Vaibav Nandeesh , Xinyue Zhang , Katherine Zheng , Rahmat Asfiya , Paramanantham Anjugam , Nelson Dzidzorgbe Kwaku Akpabli-Tsigbe , Valeria Diaz , Thi Thao Nguyen , Brian Mooney , Akhil Srivastava , Jian-Xing Ma , Hu Huang

Purpose

Diabetic retinopathy (DR) is a medical complication of diabetes in which damage occurs to the retina. DR involves microvascular dysfunction of the retina, with impaired communication between pericytes and endothelial cells (EC) contributing to disease progression. This study investigated how small extracellular vesicles (sEV) released by human retinal pericytes (HRP) under diabetes-like stress conditions (high glucose (HG) + hypoxia) influence EC function.

Methods

HRP were cultured under HG + hypoxia and mannitol (control) conditions. sEV were isolated using differential ultracentrifugation and characterized using nanoparticle tracking analysis and transmission electron microscopy. Human retinal endothelial cells (HREC) were treated with HRP-derived sEV, and assessed for metabolic activity (MTT), barrier integrity (electric cell-impedance sensing), permeability (Transwell assay), migration (scratch assay), and angiogenic potential (tube formation). Protein expression was evaluated using Western blot and immunofluorescence staining. Proteomic profiles were performed using mass spectrometry and bioinformatics analyses.

Results

HRP sEV from diabetes-like stress conditions and control conditions showed no differences in size, concentration, or morphology. HREC uptake of HRP sEV was efficient and comparable across the two conditions. However, HRP sEV from diabetes-like stress conditions impaired HREC metabolic activity and barrier function while increasing permeability, migration, and angiogenesis. Conversely, HRP sEV from control conditions enhanced barrier integrity and metabolism without affecting permeability or angiogenesis. Proteomic analysis identified 86 sEV proteins that are differentially abundant between the two conditions. These proteins are enriched in pathways involved in extracellular matrix remodeling, inflammation, signaling, and metabolism.

Conclusions

HRP-derived sEV from HG + hypoxia conditions elicit endothelial dysfunctions relevant to DR pathology, in contrast to sEV from control conditions. The functional and proteomic alterations by diabetes-like stress suggest a mechanistic role for pericyte-derived sEV in DR progression and provide insights into potential therapeutic targets.
目的:糖尿病视网膜病变(DR)是糖尿病的一种医学并发症,其中视网膜发生损伤。DR涉及视网膜微血管功能障碍,周细胞和内皮细胞(EC)之间的通信受损导致疾病进展。本研究探讨了糖尿病样应激条件下(高糖+缺氧)人视网膜周细胞(HRP)释放的小细胞外囊泡(sEV)如何影响EC功能。方法:HRP在HG +缺氧和甘露醇(对照)条件下培养。采用差示超离心分离sEV,并采用纳米颗粒跟踪分析和透射电镜对其进行了表征。用hrp衍生的sEV处理人视网膜内皮细胞(HREC),并评估其代谢活性(MTT)、屏障完整性(细胞阻抗传感)、渗透性(Transwell试验)、迁移(划痕试验)和血管生成潜能(管形成)。western blot和免疫荧光染色检测蛋白表达。使用质谱和生物信息学分析进行蛋白质组学分析。结果:糖尿病样应激条件下的HRP sEV与对照条件下的HRP sEV在大小、浓度和形态上没有差异。在两种情况下,HREC对HRP sEV的摄取是有效的和可比性的。然而,来自糖尿病样应激条件的HRP sEV损害了HREC的代谢活性和屏障功能,同时增加了通透性、迁移和血管生成。相反,对照条件下的HRP sEV增强屏障完整性和代谢,而不影响通透性或血管生成。蛋白质组学分析鉴定出86种sEV蛋白在两种条件下差异丰富。这些蛋白在细胞外基质重塑、炎症、信号传导和代谢等通路中富集。结论:与对照组sEV相比,HG +缺氧条件下hrp衍生的sEV会引起与DR病理相关的内皮功能障碍。糖尿病样应激引起的功能和蛋白质组学改变提示周细胞源性sEV在DR进展中的机制作用,并为潜在的治疗靶点提供了见解。
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引用次数: 0
Regenerative effects of topical insulin on corneal wound healing: From surface restoration to stromal remodeling 外用胰岛素对角膜创面愈合的再生作用:从表面修复到基质重塑
IF 2.7 2区 医学 Q1 OPHTHALMOLOGY Pub Date : 2025-11-26 DOI: 10.1016/j.exer.2025.110775
Yurdagul Girgin , Gozde Sahin Vural , Yucel Yigit , Basak Isildar , Pakize Nur Akkaya , Gamze Tanriverdi , Muhammed Dara Tas , Ozlem Barut Selver

Aim

This study aimed to investigate the regenerative efficacy of topically administered insulin on corneal epithelial and stromal healing in a well-established rabbit model of ocular surface damage induced by chemical injury.

Methods

A standardized alkali burn model was created in the right eyes of 16 New Zealand white rabbits. Animals were randomly assigned into four groups: insulin-treated group (I group, n = 6), polyvinyl alcohol + povidone-treated group (P group, n = 6), untreated control group (C group, n = 4), and uninjured healthy controls (H group, n = 3).

Results

No statistically significant differences were observed among experimental groups regarding the epithelial defect area on day 1. By day 3, complete epithelial closure was achieved in all treated groups. There was no major intergroup differences were observed in surface integrity or clarity; in fact, insulin did not enhance epithelial healing or improve clinical scores compared to the control group However, stromal edema persisted more prominently in the insulin and control groups compared to healthy controls. Although α-SMA immunoreactivity did not show a significant intergroup difference, its relative increase in the insulin group may reflect early fibrotic remodeling. Electron microscopy demonstrated more compact and aligned collagen fibrils, as well as a greater density of telocyte-like interstitial cells in the insulin group—suggestive of enhanced stromal restructuring and repair.

Discussion

Topical insülin was associated with ultrastructural changes suggestive of stromal remodeling following chemical injury, although histological findings (including marked stromal edema) and the absence of clinical improvement indicate that its effect on overall corneal restoration remains uncertain. The presence of telocyte-like cells and improved collagen fibril organization in the insulin-treated corneas indicates a potential role for insulin in promoting physiological stromal remodeling. These findings support further investigation into insulin-based topical therapies for corneal wound healing.
目的观察胰岛素对兔眼表化学损伤模型角膜上皮和间质再生的影响。方法16只新西兰大白兔右眼建立标准化碱烧伤模型。将动物随机分为胰岛素治疗组(I组,n = 6)、聚乙烯醇+聚维酮治疗组(P组,n = 6)、未治疗对照组(C组,n = 4)和未损伤健康对照组(H组,n = 3)。结果各组小鼠第1天上皮缺损面积差异无统计学意义。到第3天,所有治疗组的上皮都完全闭合。在表面完整性或清晰度方面,组间无明显差异;事实上,与对照组相比,胰岛素并没有促进上皮愈合或提高临床评分。然而,与健康对照组相比,胰岛素组和对照组间质水肿的持续表现更为突出。虽然α-SMA免疫反应性在组间差异不显著,但胰岛素组α-SMA免疫反应性的相对升高可能反映了早期纤维化重构。电镜显示胰岛素组的胶原原纤维更致密、排列更整齐,并且有更大密度的端细胞样间质细胞,提示间质重组和修复增强。局部inslin与化学损伤后基质重塑的超微结构变化有关,尽管组织学结果(包括明显的基质水肿)和临床改善的缺失表明其对角膜整体修复的影响仍不确定。在胰岛素治疗的角膜中,端细胞样细胞的存在和胶原原纤维组织的改善表明胰岛素在促进生理性基质重塑中的潜在作用。这些发现支持进一步研究以胰岛素为基础的角膜创面愈合局部疗法。
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引用次数: 0
COL4A2 activation of AKT signaling drives endothelial cell proliferation, migration, and angiogenesis in diabetic retinopathy COL4A2激活AKT信号驱动糖尿病视网膜病变内皮细胞增殖、迁移和血管生成
IF 2.7 2区 医学 Q1 OPHTHALMOLOGY Pub Date : 2025-11-25 DOI: 10.1016/j.exer.2025.110773
Zhangxing Xu, Lan Yang, Hong Gu
In diabetes, diabetic retinopathy (DR) is the most prevalent consequence. Despite continuous advancements in treatment, current therapeutic approaches remain limited in efficacy and may carry side effects. A deeper understanding of DR pathogenesis is essential for generating more effective strategies. Bioinformatics tools were employed to analyze single-cell data from the GEO and SRA databases related to DR, aiming to identify target genes. STRING database was used to analyze PPI network of COL4A2. COL4A2 expression in retinal endothelial cells under high glucose conditions was detected using qRT-PCR and Western blot. Cells with COL4A2 knockdown or overexpression were constructed, and effects of COL4A2 expression levels on cell proliferation, migration, and angiogenesis were assessed through CCK-8 assays, Annexin V/PI staining, scratch assays, and tube formation assays. COL4A2-overexpressing cells were treated with an AKT inhibitor, and regulatory role of AKT signaling on proliferative properties of retinal vascular endothelial cells was validated by measuring cell viability, apoptosis, migration, and angiogenic capacity. High glucose conditions facilitated production of COL4A2 in human retinal capillary endothelial cells (HRCECs). COL4A2 level was correlated with proliferative properties of HRCECs, and overexpression of COL4A2 enhanced proliferation, migration, and angiogenesis of retinal endothelial cells. COL4A2 augmented proliferative-related characteristics of HRCECs by activating AKT signaling pathway. This study revealed critical role of COL4A2 in DR and elucidated its mechanism of regulating angiogenesis and cell proliferation through AKT signaling pathway. Our research gave us fresh perspectives on molecular causes of DR and a theoretical basis for creating COL4A2-targeting treatment plans.
在糖尿病中,糖尿病视网膜病变(DR)是最普遍的后果。尽管在治疗方面取得了不断的进步,但目前的治疗方法的疗效仍然有限,并可能带来副作用。深入了解DR发病机制对于制定更有效的策略至关重要。利用生物信息学工具分析与DR相关的GEO和SRA数据库中的单细胞数据,旨在鉴定靶基因。采用STRING数据库对COL4A2的PPI网络进行分析。采用qRT-PCR和Western blot检测高糖条件下视网膜内皮细胞COL4A2的表达。构建COL4A2敲低或过表达的细胞,通过CCK-8实验、Annexin V/PI染色、划痕实验和成管实验评估COL4A2表达水平对细胞增殖、迁移和血管生成的影响。用AKT抑制剂处理过表达col4a2的细胞,通过测量细胞活力、凋亡、迁移和血管生成能力来验证AKT信号对视网膜血管内皮细胞增殖特性的调节作用。高糖条件促进了人视网膜毛细血管内皮细胞(HRCECs)中COL4A2的产生。COL4A2水平与HRCECs的增殖特性相关,COL4A2的过表达增强了视网膜内皮细胞的增殖、迁移和血管生成。COL4A2通过激活AKT信号通路增强HRCECs的增殖相关特征。本研究揭示了COL4A2在DR中的关键作用,并阐明了其通过AKT信号通路调节血管生成和细胞增殖的机制。我们的研究为DR的分子成因提供了新的视角,并为制定col4a2靶向治疗方案提供了理论基础。
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引用次数: 0
Biomechanical and inflammatory pathways underlying the genetic architecture of keratoconus: A genomic SEM study 圆锥角膜遗传结构的生物力学和炎症途径:基因组扫描电镜研究
IF 2.7 2区 医学 Q1 OPHTHALMOLOGY Pub Date : 2025-11-25 DOI: 10.1016/j.exer.2025.110770
Tang Shuijing , Wu Jiakang , Yang Tingting , Jing Ma

Background

The genetic architecture of keratoconus (KC) is complex, and the interplay between its biomechanical and inflammatory etiological components remains poorly defined. We aimed to quantitatively resolve these distinct genetic pathways to provide a mechanistic framework for disease pathogenesis.

Methods

We applied genomic structural equation modeling (genomic SEM) to large-scale GWAS summary statistics to model two latent genetic factors: a Corneal Biomechanical Stability Factor (CBSF) and an Atopic-Inflammatory Liability (AIL) factor. Pathway-specific multivariate GWAS were subsequently generated, from which candidate causal genes were inferred and then validated for differential expression in two independent patient transcriptomic cohorts. Downstream regulatory effects were interrogated using virtual knockout simulations on single-cell RNA-seq data, followed by pathway enrichment analysis. Functional validation was performed at the protein level using human corneal keratocytes cultured on a soft substrate designed to mimic the KC biomechanical environment.

Results

The genomic SEM supported a dual-pathway architecture, with the CBSF exerting a strong protective effect on KC (β = −0.48, p < 0.01) and the AIL factor conferring significant risk (β = 0.26, p < 0.05), together explaining 32.0 % of KC's genetic variance. From a pool of 112 candidate loci, we prioritized four high-confidence candidate genes. The protective effects of COL1A1, LOXL2, and ITGA1 were traced to their roles in matrix homeostasis, while the risk-conferring activity of SFRP1 was linked to inflammatory signaling. This mechanistic divergence, first revealed through in silico perturbation, was subsequently corroborated at the proteomic level, where our in vitro KC model displayed molecular signatures consistent with the predicted disease state.

Conclusion

By resolving the dual genetic pathways of keratoconus, we successfully identified high-confidence candidate genes whose pathogenic relevance was further supported by functional validation. This provides a robust mechanistic framework and identifies high-priority targets for precision therapy.
圆锥角膜(KC)的遗传结构是复杂的,其生物力学和炎症病原学成分之间的相互作用仍然不清楚。我们的目标是定量地解决这些不同的遗传途径,为疾病的发病机制提供一个机制框架。方法应用基因组结构方程模型(genomic SEM)进行大规模GWAS汇总统计,对角膜生物力学稳定因子(CBSF)和特应性炎症倾向因子(AIL)两个潜在遗传因素进行建模。随后产生了通路特异性多变量GWAS,从中推断出候选致病基因,然后在两个独立的患者转录组学队列中验证差异表达。通过对单细胞RNA-seq数据进行虚拟敲除模拟,研究下游调控效应,然后进行途径富集分析。在蛋白质水平上,使用在软底物上培养的人角膜角质细胞进行功能验证,以模拟KC生物力学环境。结果基因组SEM支持双通路结构,CBSF对KC具有较强的保护作用(β = - 0.48, p < 0.01),而AIL因子具有显著的风险(β = 0.26, p < 0.05),共同解释了32.0%的KC遗传变异。从112个候选基因座中,我们优先选择了4个高置信度的候选基因。COL1A1、LOXL2和ITGA1的保护作用可以追溯到它们在基质稳态中的作用,而SFRP1的风险赋予活性与炎症信号传导有关。这种机制上的差异,首先通过硅微扰揭示出来,随后在蛋白质组学水平上得到证实,我们的体外KC模型显示出与预测的疾病状态一致的分子特征。结论通过解析圆锥角膜的双重遗传通路,成功鉴定出高置信度的候选基因,其致病相关性得到功能验证的进一步支持。这提供了一个强大的机制框架,并确定了精确治疗的高优先级目标。
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引用次数: 0
期刊
Experimental eye research
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