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DZ2002 alleviates corneal angiogenesis and inflammation in rodent models of dry eye disease via regulating STAT3-PI3K- Akt-NF-κB pathway

Chun-mei Wu1,2, Jia-wen Mao3, Jin-zhi Zhu4, Can-can Xie1,5, Jia-ying Yao6,7, Xiao-qian Yang1, Mai Xiang1,2, Yi-fan He1,2, Xiao Tong1,2, Dilinaer Litifu1,2, Xiao-yu Xiong1,3, Meng-nan Cheng1, Feng-hua Zhu1, Shi-jun He7, Ze-min Lin1, Jian-ping Zuo1,2,3,5
1 Laboratory of Immunopharmacology, State Key Laboratory of Drug Research, Shanghai Institute of Materia Medica, Chinese Academy of Sciences, Shanghai 201203, China
2 University of Chinese Academy of Sciences, Beijing 100049, China
3 School of Chinese Materia Medica, Nanjing University of Chinese Medicine, Nanjing 210023, China
4 Department of Pharmacy, Shanghai Xuhui Central Hospital, Shanghai 200031, China
5 Laboratory of Immunology and Virology, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China
6 College of Pharmacy, Jiangxi University of Traditional Chinese Medicine, Nanchang 330004, China
7 Innovation Research Institute of Traditional Chinese Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China
Correspondence to: Shi-jun He: heshijun@shutcm.edu.cn, Ze-min Lin: linzemin@simm.ac.cn, Jian-ping Zuo: jpzuo@simm.ac.cn,
DOI: 10.1038/s41401-023-01146-y
Received: 24 March 2023
Accepted: 25 July 2023
Advance online: 21 August 2023

Abstract

Dry eye disease (DED) is a prevalent ocular disorder with a multifactorial etiology. The pre-angiogenic and pre-inflammatory milieu of the ocular surface plays a critical role in its pathogenesis. DZ2002 is a reversible type III S-adenosyl-L-homocysteine hydrolase (SAHH) inhibitor, which has shown excellent anti-inflammatory and immunosuppressive activities in vivo and in vitro. In this study, we evaluated the therapeutic potential of DZ2002 in rodent models of DED. SCOP-induced dry eye models were established in female rats and mice, while BAC-induced dry eye model was established in female rats. DZ2002 was administered as eye drops (0.25%, 1%) four times daily (20 μL per eye) for 7 or 14 consecutive days. We showed that topical application of DZ2002 concentration-dependently reduced corneal neovascularization and corneal opacity, as well as alleviated conjunctival irritation in both DED models. Furthermore, we observed that DZ2002 treatment decreased the expression of genes associated with angiogenesis and the levels of inflammation in the cornea and conjunctiva. Moreover, DZ2002 treatment in the BAC-induced DED model abolished the activation of the STAT3-PI3K-Akt-NF-κB pathways in corneal tissues. We also found that DZ2002 significantly inhibited the proliferation, migration, and tube formation of human umbilical endothelial cells (HUVECs) while downregulating the activation of the STAT3-PI3K-Akt-NF-κB pathway. These results suggest that DZ2002 exerts a therapeutic effect on corneal angiogenesis in DED, potentially by preventing the upregulation of the STAT3-PI3K-Akt-NF-κB pathways. Collectively, DZ2002 is a promising candidate for ophthalmic therapy, particularly in treating DED.
Keywords: dry eye disease; DZ2002; corneal angiogenesis; immunomodulatory function; NF-κB; ophthalmic therapy

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