Inhibitory effect of rapamycin-deep eutectic solvent eye drops on corneal allograft rejection in mice and its mechanism
Objective To investigate the inhibitory effect of rapamycin(RAPA)-deep eutectic solvent(DES)eye drops on corneal allograft rejection in mice and its mechanism.Methods CCK-8 assay was used to measure the influence of 10 types of DES on the viability of human corneal epithelial cells(HCECs),and the DES with a significantly higher cell viability than the con-trol group was selected for characterization to obtain the most suitable DES.BALB/c mice and New Zealand white rabbits were used to evaluate the biocompatibility of the most suitable DES.The mice were randomly divided into normal group,phosphate solu-tion(PBS)group,DES group,and RAP A-DES group.The mice in normal group were fed normally,and those in the PBS group,the DES group,and the RAP A-DES group were administrated PBS,DES,and RAP A-DES solution,respectively,to the right eye after corneal transplantation.On the next day,a slit lamp was used to observe the survival of corneal grafts,and the survival per-centage of corneal grafts was analyzed to plot the survival curve of corneal grafts.On days 7 and 16 after transplantation,the eye-balls of the mice were collected,and HE staining was used to observe corneal edema and inflammatory cell infiltration under a mi-croscope.On day 16 after transplantation,RT-qPCR was used to measure the mRNA expression levels of tumor necrosis factor-α(TNF-α),interleukin-1β(IL-1β),interleukin-6(IL-6),interleukin-10(IL-10),interleukin-12α(IL-12α),and interleukin-17α(IL-17α)in corneal tissue,and Western blot was used to measure the protein expression levels of IL-6 and IL-17α in corneal tissue.Results CCK-8 assay showed that compared with the control group,the DES-1 group and the DES-2 group had a significant increase in cell viability(P<0.05),and the DES-1 group had a sig-nificantly higher cell viability than the DES-2 group(P<0.05);in addition,DES-1 had a lower viscosity than DES-2 and a pH va-lue closer to 7.4,and therefore,DES-1 was the most suitable DES and was used for subsequent experiments.The results of bio-compatibility evaluation showed that DES-1 did not cause any irritation to the eyes and cornea of mice and New Zealand white rab-bits.Compared with the PBS group,the RAPA-DES group had more transparent corneal grafts on days 7 and 16 after surgery,without significant edema or neovascularization.The RAPA-DES group had a significant increase in the survival percentage of cor-neal grafts compared with the PBS group and the DES group(P<0.05).The median survival time of corneal grafts in the PBS,DES,and RAPA-DES groups was 16 d,16 d,and 22 d,respectively.HE staining showed significant edema and massive inflamma-tory cell infiltration in the corneal grafts of mice in the PBS group and the DES group,while there was no significant edema with a small number of inflammatory cells in the RAPA-DES group.RT-qPCR showed that there was no significant difference in the mR-NA expression level of TNF-α in corneal tissue between the RAPA-DES group and the PBS group(P>0.05);compared with the PBS group and the DES group,the RAPA-DES group had significantly lower mRNA expression levels of IL-1β,IL-6,and IL-10(P<0.05),and compared with the PBS group,the RAPA-DES group had significantly lower mRNA expression levels of IL-12α and IL-17α in corneal tissue(P<0.05).Western blot showed that the RAPA-DES group had significantly lower protein expression levels of IL-6 and IL-17α than the PBS group(P<0.05).Conclusion RAPA-DES eye drops can significantly prolong the survi-val time of corneal grafts and inhibit immune rejection reaction by reducing the levels of proinflammatory factors in corneal tissue and inhibiting the inflammatory response of corneal grafts after surgery.