Wound healing involves both local cells and inflammatory cells. Alkali burn of ocular surface tissue is a serious clinical problem often leading to permanent visual impairment resulting from ulceration, scarring and neovascularization during healing. Behaviors of corneal cells and inflammatory cells are orchestrated by growth factor signaling networks that have not been fully uncovered. Here we showed that adenoviral gene introduction of peroxisome proliferator-activated receptor-gamma (PPARgamma) inhibits activation of ocular fibroblasts and macrophages in vitro and also induced anti-inflammatory and anti-fibrogenic responses in an alkali-burned mouse cornea. PPARgamma overexpression suppressed upregulation of inflammation/scarring-related growth factors and matrix metalloproteinases (MMPs) in macrophages. It also suppressed expression of such growth factors and collagen Ialpha2 and myofibroblast generation upon exposure to TGFbeta1. Exogenous PPARgamma did not alter phosphorylation of Smad2, but inhibited its nuclear translocation. PPARgamma overexpression enhanced proliferation of corneal epithelial cells, but not of fibroblasts in vitro. Epithelial cell expression of MMP-2/-9 and TGFbeta1 and its migration were suppressed by PPARgamma overexpression. In vivo experiments showed that PPARgamma gene introduction suppressed monocytes/macrophages invasion and suppressed the generation of myofibroblasts, as well as upregulation of cytokines/growth factors and MMPs in a healing cornea. In vivo re-epitheliazation with basement membrane reconstruction in the healing, burned, cornea was accelerated by PPARgamma-Ad expression, although PPARgamma overexpression was considered to be unfavorable for cell migration. Together, these data suggest that overexpression of PPARgamma may represent an effective new strategy for treatment of ocular surface burns.

译文

伤口愈合涉及局部细胞和炎症细胞。眼表组织的碱烧伤是一个严重的临床问题,通常会在愈合过程中由于溃疡,疤痕和新血管形成而导致永久性视力障碍。角膜细胞和炎性细胞的行为由尚未完全发现的生长因子信号网络协调。在这里,我们发现过氧化物酶体增殖物激活受体 γ (PPARgamma) 的腺病毒基因引入在体外抑制眼成纤维细胞和巨噬细胞的激活,并在碱烧伤的小鼠角膜中诱导抗炎和抗纤维化反应。PPARgamma过表达抑制巨噬细胞中炎症/疤痕相关生长因子和基质金属蛋白酶 (MMPs) 的上调。暴露于tgfbeta1后,它还抑制了此类生长因子的表达以及胶原蛋白Ialpha2和肌成纤维细胞的生成。外源性PPARgamma不会改变Smad2的磷酸化,但会抑制其核易位。PPARgamma过表达可增强角膜上皮细胞的增殖,但不能增强成纤维细胞的增殖。PPARgamma过表达抑制了上皮细胞MMP-2/-9和tgfβ1的表达及其迁移。体内实验表明,PPARgamma基因的引入抑制了单核细胞/巨噬细胞的侵袭并抑制了成肌纤维细胞的产生,以及在愈合的角膜中细胞因子/生长因子和MMPs的上调。尽管PPARgamma-Ad表达被认为不利于细胞迁移,但在愈合,烧伤,角膜中通过基底膜重建的体内再上皮化被加速。总之,这些数据表明PPARgamma的过度表达可能代表了治疗眼表烧伤的有效新策略。

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