Department of Ophthalmology, Loudi Central Hospital, Loudi, China.
Department of Traditional Chinese Medicine, Loudi Central Hospital, Loudi, China.
Ophthalmic Res. 2022;65(1):40-51. doi: 10.1159/000519458. Epub 2021 Sep 16.
The objective of the study was to investigate efficacy and mechanisms of mouse adipose-derived mesenchymal stem cell-derived exosomes (mADSC-Exos) in the benzalkonium chloride (BAC)-induced mouse dry eye model.
Exosomes in the mADSC culture supernatant were isolated by ultracentrifugation. Western blotting, nanoparticle tracking analysis, and transmission electron microscopy were used to characterize mADSC-Exos. An experimental mouse model of dry eye was established by instillation of 0.2% BAC. mADSC-Exos were administered following BAC treatment. The positive control group was treated with commercial eye drops (0.1% pranoprofen). Corneal fluorescein staining, tear secretion, and tear film break-up time (BUT) were evaluated, and histologic analysis of the cornea and conjunctiva was performed by hematoxylin and eosin and periodic acid-Schiff staining. Apoptosis in the corneal epithelium was detected with the terminal deoxynucleotidyl transferase dUTP nick-end labeling assay and by Western blotting. Levels of pro-inflammatory cytokines in the cornea and conjunctiva were evaluated by flow cytometry, and mRNA and protein levels of NLR family pyrin domain-containing 3 (NLRP3) pathway components were assessed by quantitative real-time PCR and Western blotting, respectively.
mADSC-Exos were characterized as vesicles with a bilayer membrane. The particle size distribution peak was at 134 nm. mADSC-Exos specifically expressed cluster of differentiation (CD)9, CD63, and CD81. mADSC-Exos treatment repaired ocular surface damage. Additionally, mADSC-Exos inhibited cell apoptosis, decreased the levels of interleukin (IL)-1β, IL-6, IL-1α, interferon (IFN)-γ, and tumor necrosis factor (TNF)-α, and increased levels of the anti-inflammatory cytokine IL-10. Meanwhile, NLRP3 inflammasome activation and upregulation of caspase-1, IL-1β, and IL-18 were reversed by mADSC-Exos.
mADSC-Exos alleviate ocular surface inflammation, suggesting that it is a promising treatment for dry eye.
本研究旨在探讨小鼠脂肪间充质干细胞来源的外泌体(mADSC-Exos)在苯扎氯铵(BAC)诱导的小鼠干眼症模型中的疗效及其作用机制。
通过超速离心法分离 mADSC 培养上清液中的外泌体。采用 Western blot、纳米颗粒跟踪分析和透射电子显微镜对 mADSC-Exos 进行鉴定。通过滴注 0.2% BAC 建立干眼症实验小鼠模型,在 BAC 处理后给予 mADSC-Exos 治疗。阳性对照组给予市售滴眼液(0.1%普拉洛芬)治疗。评估角膜荧光素染色、泪液分泌和泪膜破裂时间(BUT),并通过苏木精和伊红及过碘酸-希夫染色对角膜和结膜进行组织学分析。通过末端脱氧核苷酸转移酶 dUTP 缺口末端标记法和 Western blot 检测角膜上皮细胞凋亡。通过流式细胞术评估角膜和结膜中促炎细胞因子的水平,通过定量实时 PCR 和 Western blot 分别评估 NLR 家族含吡啶结构域蛋白 3(NLRP3)通路成分的 mRNA 和蛋白水平。
mADSC-Exos 呈双层膜囊泡,粒径分布峰值为 134nm。mADSC-Exos 特异性表达分化群(CD)9、CD63 和 CD81。mADSC-Exos 治疗可修复眼表损伤,同时抑制细胞凋亡,降低白细胞介素(IL)-1β、IL-6、IL-1α、干扰素(IFN)-γ和肿瘤坏死因子(TNF)-α水平,增加抗炎细胞因子 IL-10 水平。同时,mADSC-Exos 逆转了 NLRP3 炎性小体激活以及半胱天冬酶-1、IL-1β 和 IL-18 的上调。
mADSC-Exos 可减轻眼表炎症,表明其有望成为干眼症的一种治疗方法。