Fas受体抑制剂ONL1204在两种遗传性视网膜变性小鼠模型中对视网膜结构和功能的保护作用

Preservation of retinal structure and function in two mouse models of inherited retinal degeneration by ONL1204, an inhibitor of the Fas receptor.

作者信息

Yang Mengling, Yao Jingyu, Jia Lin, Kocab Andrew J, Zacks David N

机构信息

Department of Ophthalmology and Visual Sciences, University of Michigan, Kellogg Eye Center, Ann Arbor, MI, USA.

Eye Center of Xiangya Hospital, Xiangya School of medicine, Central South University, Changsha, Hunan, China.

出版信息

Cell Death Dis. 2024 Aug 8;15(8):576. doi: 10.1038/s41419-024-06970-6.

Abstract

Due to the large number of genes and mutations that result in inherited retinal degenerations (IRD), there has been a paucity of therapeutic options for these patients. There is a large unmet need for therapeutic approaches targeting shared pathophysiologic pathways in a mutation-independent manner. The Fas receptor is a major activator and regulator of retinal cell death and inflammation in a variety of ocular diseases. We previously reported the activation of Fas-mediated photoreceptor (PR) cell death in two different IRD mouse models, rd10 and P23H, and demonstrated the protective effect of genetic Fas inhibition. The purpose of this study was to examine the effects of pharmacologic inhibition of Fas in these two models by intravitreal injection with a small peptide inhibitor of the Fas receptor, ONL1204. A single intravitreal injection of ONL1204 was given to one eye of rd10 mice at P14. Two intravitreal injections of ONL1204 were given to the P23H mice, once at P14 and again at 2-months of age. The fellow eyes were injected with vehicle alone. Fas activation, rate of PR cell death, retinal function, and the activation of immune cells in the retina were evaluated. In both rd10 and P23H mice, ONL1204 treatment resulted in decreased number of TUNEL (+) PRs, decreased caspase 8 activity, enhanced photoreceptor cell counts, and improved visual function compared with vehicle treated fellow eyes. Treatment with ONL1204 also reduced immune cell activation in the retinas of both rd10 and P23H mice. The protective effect of pharmacologic inhibition of Fas by ONL1204 in two distinct mouse models of retinal degeneration suggests that targeting this common pathophysiologic mechanism of cell death and inflammation represents a potential therapeutic approach to preserve the retina in patients with IRD, regardless of the genetic underpinning.

摘要

由于导致遗传性视网膜变性(IRD)的基因和突变数量众多,这些患者的治疗选择一直很少。对于以与突变无关的方式靶向共同病理生理途径的治疗方法,存在大量未满足的需求。Fas受体是多种眼部疾病中视网膜细胞死亡和炎症的主要激活剂和调节剂。我们之前报道了在两种不同的IRD小鼠模型rd10和P23H中Fas介导的光感受器(PR)细胞死亡的激活,并证明了基因Fas抑制的保护作用。本研究的目的是通过玻璃体内注射Fas受体的小肽抑制剂ONL1204,研究在这两种模型中Fas的药理抑制作用。在P14时,给rd10小鼠的一只眼睛进行单次玻璃体内注射ONL1204。给P23H小鼠进行两次玻璃体内注射ONL1204,一次在P14,另一次在2月龄。对侧眼仅注射载体。评估Fas激活、PR细胞死亡率、视网膜功能以及视网膜中免疫细胞的激活情况。与载体处理的对侧眼相比,在rd10和P23H小鼠中,ONL1204治疗均导致TUNEL(+)PR数量减少、半胱天冬酶8活性降低、光感受器细胞计数增加以及视觉功能改善。ONL1204治疗还降低了rd10和P23H小鼠视网膜中免疫细胞的激活。ONL1204在两种不同的视网膜变性小鼠模型中对Fas进行药理抑制的保护作用表明,靶向这种细胞死亡和炎症的共同病理生理机制代表了一种潜在的治疗方法,可用于保护IRD患者的视网膜,而不论其遗传基础如何。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e6f/11310419/cf81b297d222/41419_2024_6970_Fig1_HTML.jpg

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