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Rho 激酶抑制增强 Fuchs 角膜内皮细胞迁移:一种新型的离体单纯 Descemet 膜撕除模型。

Enhanced Migration of Fuchs Corneal Endothelial Cells by Rho Kinase Inhibition: A Novel Ex Vivo Descemet's Stripping Only Model.

机构信息

Schepens Eye Research Institute of Mass Eye and Ear, Department of Ophthalmology, Harvard Medical School, 20 Staniford Street, Boston, MA 02114, USA.

Faculty of Arts and Sciences, Harvard College, Boston, MA 02138, USA.

出版信息

Cells. 2024 Jul 19;13(14):1218. doi: 10.3390/cells13141218.

DOI:10.3390/cells13141218
PMID:39056800
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11274477/
Abstract

Descemet's Stripping Only (DSO) is a surgical technique that utilizes the peripheral corneal endothelial cell (CEnC) migration for wound closure. Ripasudil, a Rho-associated protein kinase (ROCK) inhibitor, has shown potential in DSO treatment; however, its mechanism in promoting CEnC migration remains unclear. We observed that ripasudil-treated immortalized normal and Fuchs endothelial corneal dystrophy (FECD) cells exhibited significantly enhanced migration and wound healing, particularly effective in FECD cells. Ripasudil upregulated mRNA expression of Snail Family Transcriptional Repressor () and Vimentin () while decreasing Cadherin (), indicating endothelial-to-mesenchymal transition (EMT) activation. Ripasudil activated Rac1, driving the actin-related protein complex (ARPC2) to the leading edge, facilitating enhanced migration. Ex vivo studies on cadaveric and FECD Descemet's membrane (DM) showed increased migration and proliferation of CEnCs after ripasudil treatment. An ex vivo DSO model demonstrated enhanced migration from the DM to the stroma with ripasudil. Coating small incision lenticule extraction (SMILE) tissues with an FNC coating mix and treating the cells in conjunction with ripasudil further improved migration and resulted in a monolayer formation, as detected by the ZO-1 junctional marker, thereby leading to the reduction in EMT. In conclusion, ripasudil effectively enhanced cellular migration, particularly in a novel ex vivo DSO model, when the stromal microenvironment was modulated. This suggests ripasudil as a promising adjuvant for DSO treatment, highlighting its potential clinical significance.

摘要

Descemet's Stripping Only (DSO) 是一种利用周边角膜内皮细胞 (CEnC) 迁移进行伤口闭合的手术技术。Ripasudil 是一种 Rho 相关蛋白激酶 (ROCK) 抑制剂,已显示出在 DSO 治疗中的潜力;然而,其促进 CEnC 迁移的机制尚不清楚。我们观察到,ripasudil 处理的永生化正常和 Fuchs 内皮角膜营养不良 (FECD) 细胞表现出明显增强的迁移和伤口愈合能力,特别是在 FECD 细胞中效果显著。Ripasudil 上调了 Snail Family Transcriptional Repressor () 和 Vimentin () 的 mRNA 表达,同时降低了 Cadherin (),表明内皮细胞向间充质转化 (EMT) 激活。Ripasudil 激活了 Rac1,驱动肌动蛋白相关蛋白复合物 (ARPC2) 到达前缘,促进了增强的迁移。对尸体和 FECD Descemet 膜 (DM) 的离体研究表明,ripasudil 处理后 CEnC 的迁移和增殖增加。离体 DSO 模型显示,ripasudil 可促进 DM 向基质迁移。用 FNC 涂层混合物涂覆小切口透镜提取 (SMILE) 组织并结合 ripasudil 处理细胞进一步改善了迁移,并通过 ZO-1 连接标记物检测到单层形成,从而导致 EMT 减少。总之,当调节基质微环境时,ripasudil 可有效增强细胞迁移,特别是在新型离体 DSO 模型中。这表明 ripasudil 作为 DSO 治疗的一种有前途的辅助手段,突出了其潜在的临床意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6283/11274477/8ccecc683d2f/cells-13-01218-g009.jpg
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