Abstract

Glaucoma is the leading cause of irreversible blindness. The most prevalent form of glaucoma is primary open-angle glaucoma (POAG). Oxidative stress is one of the major pathogenic factors of the POAG, and can elicit molecular and functional changes in trabecular meshwork cells, causing increased aqueous humor outflow resistance and elevated intraocular pressure. However, the regulatory mechanisms underlying oxidative stress-induced cell phenotypic changes remain elusive. Herein, we exposed primary human trabecular meshwork cells to the oxidative stress induced by 300 μM H2O2 for 2 h, and found significantly up-regulated expression of extracellular matrix proteins and a transcription factor, hairy and enhancer of split-1 (HES1). The cell functions, including migration and proliferation, were impaired by the oxidative stress. Furthermore, HES1 shRNA abrogated the extracellular matrix protein up-regulation and rescued the functional defects caused by the oxidative stress; conversely, HES1 overexpression resulted in the molecular and functional changes similar to those induced by H2O2. These results suggest that HES1 promotes extracellular matrix protein expression and inhibits proliferative and migratory functions in the trabecular meshwork cells under oxidative stress, thereby providing a novel pathogenic mechanism underlying and a potential therapeutic target to the POAG.

Highlights

  • Glaucoma is the leading cause of irreversible blindness, and afflicts more than 70 million people worldwide [1]

  • These results suggest that hairy and enhancer of split-1 (HES1) promotes extracellular matrix protein expression and inhibits proliferative and migratory functions in the trabecular meshwork cells under oxidative stress, thereby providing a novel pathogenic mechanism underlying and a potential therapeutic target to the primary open-angle glaucoma (POAG)

  • Our results demonstrated the requirement and sufficiency of HES1 up-regulation for the excessive extracellular matrix (ECM) protein production and impaired cell functions in the human TM cells (HTMCs) exposed to the oxidant, thereby providing a novel regulatory mechanism underlying the cell phenotypic changes caused by oxidative stress

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Summary

Introduction

Glaucoma is the leading cause of irreversible blindness, and afflicts more than 70 million people worldwide [1]. In the POAG, elevated intraocular pressure (IOP) is regarded as a critical risk factor for disease progression [3, 4]. Further insights into IOP regulatory mechanisms under pathological condition would facilitate development of a therapeutic modality to this vision-threatening disease. Oxidative stress has been suggested as one of the major pathogenic factors causing www.impactjournals.com/oncotarget increased resistance of AH outflow and elevated IOP in the POAG [9, 10], and the TM cell the most sensitive cell type to oxidant insults [12, 13].

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