Zhou Yanping, Feng Yifan, Zhao Yingxi, Wu Yu, Li Min, Yang Xi, Wu Xinyuan, Chen Xiangwu
Department of Ophthalmology, Zhongshan Hospital of Fudan University, Shanghai, China.
Department of Ophthalmology, Eye Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
CNS Neurosci Ther. 2025 May;31(5):e70442. doi: 10.1111/cns.70442.
OBJECTIVES: 7,8-Dihydroxyflavone (7,8-DHF) activates the TrkB receptor, offering neuroprotection, yet its pharmacological limitations restrict its safe and effective delivery to the eye and brain, impeding clinical translation. This study explores the protective effects of oral 7,8-DHF on retinal ganglion cells (RGCs) by inhibiting ferroptosis and investigates the involvement of the gut-retina axis, particularly the Indoleacrylic acid (IDA)-AhR-ALDH1A3-FSP1 pathway, with potential clinical implications. METHODS: To evaluate the neuroprotective effects of oral 7,8-DHF, retinal 3D cultures were used for axon regeneration and GCL cell apoptosis, and ONC models for RGC survival and electrophysiology. Mechanisms were investigated by assessing ferroptosis-related proteins via Western blotting, screening differential metabolites in PC12 cells, analyzing mitochondrial changes with TEM, evaluating gut microbiota shifts, and examining metabolite changes in retina and feces. RESULTS: Oral 7,8-DHF enhanced RGC survival and retinal function in the ONC model by inhibiting ferroptosis, independent of TrkB activation. This effect was blocked by antibiotics and AHR, ALDH1A3, and FSP1 inhibitors. Metabolomics showed increased IDA in retina and feces, with IDA inhibiting ferroptosis in PC12 cells and promoting axonal regeneration in retinal explants. Western blot revealed upregulation of nAhR and ALDH1A3, while non-FSP1 ferroptosis proteins were unaffected. 7,8-DHF also altered gut microbiota, increasing Parasutterella, which correlated with higher IDA levels. CONCLUSIONS: 7,8-DHF regulates the gut microbiota to increase IDA levels in the intestine, which subsequently leads to the accumulation of IDA in the retina. This activates the AhR-ALDH1A3-FSP1 axis in the retina, thereby inhibiting retinal ferroptosis and exerting neuroprotective effects.
目的:7,8-二羟基黄酮(7,8-DHF)可激活TrkB受体,具有神经保护作用,但其药理学局限性限制了其安全有效地递送至眼和脑,阻碍了临床转化。本研究通过抑制铁死亡探讨口服7,8-DHF对视网膜神经节细胞(RGCs)的保护作用,并研究肠-视网膜轴的参与情况,特别是吲哚丙烯酸(IDA)-芳烃受体(AhR)-醛脱氢酶1A3(ALDH1A3)-铁死亡抑制蛋白1(FSP1)通路,探讨其潜在的临床意义。 方法:为评估口服7,8-DHF的神经保护作用,采用视网膜三维培养评估轴突再生和神经节细胞层(GCL)细胞凋亡,采用视神经钳夹(ONC)模型评估RGC存活和电生理。通过蛋白质免疫印迹法评估铁死亡相关蛋白、筛选PC12细胞中的差异代谢物、用透射电子显微镜分析线粒体变化、评估肠道微生物群变化以及检测视网膜和粪便中的代谢物变化来研究其作用机制。 结果:口服7,8-DHF通过抑制铁死亡提高了ONC模型中RGC的存活率和视网膜功能,且不依赖于TrkB激活。抗生素以及AhR、ALDH1A3和FSP1抑制剂可阻断这种作用。代谢组学显示视网膜和粪便中的IDA增加,IDA可抑制PC12细胞中的铁死亡并促进视网膜外植体的轴突再生。蛋白质免疫印迹显示核AhR和ALDH1A3上调,而非FSP1的铁死亡蛋白未受影响。7,8-DHF还改变了肠道微生物群,增加了副萨特氏菌属,这与较高的IDA水平相关。 结论:7,8-DHF调节肠道微生物群以增加肠道中的IDA水平,随后导致IDA在视网膜中积累。这激活了视网膜中的AhR-ALDH1A3-FSP1轴,从而抑制视网膜铁死亡并发挥神经保护作用。
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