首页|雷帕霉素-深共晶溶剂滴眼液对小鼠同种异体角膜移植排斥反应的抑制作用及其机制

雷帕霉素-深共晶溶剂滴眼液对小鼠同种异体角膜移植排斥反应的抑制作用及其机制

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目的 探讨雷帕霉素(RAPA)-深共晶溶剂(DES)滴眼液对小鼠同种异体角膜移植免疫排斥反应的抑制作用及其机制。方法 采用CCK-8实验检测10种DES对人角膜上皮细胞系(HCECs)细胞活性的影响,选择细胞活性显著高于对照组的DES检测其表征,筛选最适宜DES,并通过BALB/c小鼠和新西兰大白兔对最适宜DES进行生物相容性评价。将小鼠随机分为正常组、磷酸盐溶液(PBS)组、DES组和RAPA-DES组。正常组正常饲养小鼠,PBS组、DES组和RAPA-DES组小鼠右眼行角膜移植术,术后小鼠右眼分别滴加PBS、DES和RAPA-DES溶液,隔天通过裂隙灯观察角膜移植物的存活状况,评估角膜移植物的生存百分比并绘制角膜移植物生存曲线。于移植术后第7、16天,取小鼠眼球,苏木素-伊红(HE)染色,于显微镜下观察角膜水肿和炎症浸润情况。于移植术后第16天,经实时荧光定量PCR(RT-qPCR)法检测各组小鼠角膜组织中TNF-α、IL-1β、IL-6、IL-10、IL-12α和IL-17α mRNA的表达水平。并通过蛋白质免疫印迹试验(WB)检测各组小鼠角膜组织中IL-6和IL-17α蛋白表达水平。结果 CCK-8实验显示,与对照组比较,DES-1和DES-2组细胞的细胞活性显著升高(P<0。05),DES-1组细胞的细胞活性较DES-2组高(P<0。05),且DES-1的黏度低于DES-2,pH值更接近于7。4,因此DES-1为最适宜DES,应用于后续实验。生物相容性评价结果显示,DES-1对小鼠和新西兰大白兔眼球和角膜均无任何刺激。相比PBS组,RAPA-DES组的角膜植片在术后第7、16天更透明,无明显水肿和新生血管现象。RAPA-DES组与PBS组、RAPA-DES组与DES组相比,角膜移植物的生存百分比显著升高(P<0。05)。PBS组、DES组和RAPA-DES组小鼠角膜移植物的中位生存时间分别为16、16和22 d。HE染色结果显示,PBS组和DES组小鼠角膜移植物明显水肿,有大量炎症细胞浸润。RAPA-DES组的角膜移植物中无明显水肿,只有少量炎症细胞积累。RT-qPCR结果显示,RAPA-DES组小鼠角膜组织中TNF-α mRNA表达水平与PBS组无明显差异(P>0。05),RAPA-DES 组 IL-1β、IL-6、IL-10 mRNA表达水平明显低于PBS组和DES组(P<0。05),RAPA-DES组小鼠角膜组织中IL-12α和IL-17α mRNA表达水平低于PBS组(P<0。05)。WB结果显示,RAPA-DES组的IL-6和IL-17α蛋白的表达水平明显低于PBS组(P<0。05)。结论 RAPA-DES滴眼液能显著延长角膜移植物生存时间,其可以通过降低角膜组织中促炎因子水平,抑制术后角膜移植物炎症反应,从而起到抑制免疫排斥反应的作用。
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.

Corneal transplantationTransplantation,homologousImmunosuppression therapySirolimusDeep eu-tectic dolventsDrug carriers

杨洋、黄慈欣、曾繁星、孙亚如、韦超、王红卫、高华

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青岛大学医学部,山东青岛 266071

山东第一医科大学附属眼科研究所

山东第一医科大学附属眼科医院

角膜移植 移植,同种 免疫抑制疗法 西罗莫司 深共晶溶剂 药物载体

国家自然科学基金

82070923

2024

精准医学杂志
青岛大学

精准医学杂志

ISSN:2096-529X
年,卷(期):2024.39(2)
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