Kitahata Shohei, Ichikawa Hinako, Tanaka Yuji, Inoue Tatsuya, Kadonosono Kazuaki
Department of Ophthalmology and Micro-technology, Yokohama City University, Yokohama, Japan.
Division of Medicine, Interdisciplinary Graduate School of Medicine and Engineering, University of Yamanashi, Yamanashi, Japan.
Biochem Biophys Rep. 2020 Nov 18;24:100841. doi: 10.1016/j.bbrep.2020.100841. eCollection 2020 Dec.
Retinal pigment epithelium (RPE) cells is the outermost layer of the retina and RPE dysfunction is a key factor in the disease pathogenesis of age-related macular degeneration (AMD). Transplantation therapy using induced pluripotent stem cell (iPSC)-derived RPEs has recently received much attention as a treatment for AMD. Preserving these cells under the best possible conditions is important, and preservation methods using Y-27632 have been reported. Rho-associated coiled-coil containing kinase (ROCK) inhibitors are known to inhibit cell death, emerging as important drug candidates for stem cell differentiation and regenerative medicine. However, it has recently been shown that ROCK inhibitors may have a vasodilatory effect on human retinal arterioles, a side effect that should ideally be avoided in RPE transplantation. Although ROCK inhibitors hold great potential, optimizing efficacy while minimizing adverse reactions is critical for translation into a clinical treatment. We examined the effect of transient exposure of RPE cells to ROCK inhibitor Y-27632 to determine whether the extracellular presence of the drug is necessary for ongoing Rho/ROCK downregulation. Human RPE cells were subcultured as a suspension for 4 h in drug-free medium following exposure to Y-27632 for 2 h. A Y-27632 concentration of >10 μM improved cell survival beyond 4 h and cell proliferation in recovery culture medium. ROCK2 expression levels were specifically downregulated by Y-27632 in the Rho/ROCK signaling pathway. In conclusion, we demonstrated that the effect of Y-27632 is not dependent on its extracellular availability and can last beyond the 2 h of exposure. The lasting Rho/ROCK signaling pathway downregulation by Y-27632 suggests that RPE cell transplantation with ROCK inhibitor-free media is possible, which can minimize side effects to host tissue and have wider implications for transplantation methods requiring ROCK inhibition.
视网膜色素上皮(RPE)细胞是视网膜的最外层,RPE功能障碍是年龄相关性黄斑变性(AMD)疾病发病机制中的关键因素。使用诱导多能干细胞(iPSC)衍生的RPE进行移植治疗最近作为AMD的一种治疗方法受到了广泛关注。在尽可能最佳的条件下保存这些细胞很重要,并且已经报道了使用Y-27632的保存方法。已知含Rho相关卷曲螺旋的蛋白激酶(ROCK)抑制剂可抑制细胞死亡,成为干细胞分化和再生医学的重要候选药物。然而,最近研究表明ROCK抑制剂可能对人视网膜小动脉有血管舒张作用,这是RPE移植中理想情况下应避免的副作用。尽管ROCK抑制剂具有巨大潜力,但优化疗效同时最小化不良反应对于转化为临床治疗至关重要。我们研究了RPE细胞短暂暴露于ROCK抑制剂Y-27632的效果,以确定药物的细胞外存在对于持续的Rho/ROCK下调是否必要。人RPE细胞在暴露于Y-27632 2小时后,在无药物培养基中作为悬浮液传代培养4小时。Y-27632浓度>10μM可提高4小时后的细胞存活率以及恢复培养基中的细胞增殖。在Rho/ROCK信号通路中,Y-27632特异性下调ROCK2表达水平。总之,我们证明Y-27632的作用不依赖于其细胞外可用性,并且可以在暴露2小时后持续存在。Y-27632对Rho/ROCK信号通路的持续下调表明,使用无ROCK抑制剂的培养基进行RPE细胞移植是可能的,这可以使对宿主组织的副作用最小化,并且对需要ROCK抑制的移植方法具有更广泛的意义。