Abstract

Recent studies have reported an association between myopia development and local ocular inflammation. Lactoferrin (LF) is an iron-binding protein present in saliva, tears, and mother’s milk. Furthermore, sequestering iron by LF can cause its antibacterial property. Moreover, LF has an anti-inflammatory effect. We aimed to determine the suppressive effect of LF against the development and progress of myopia using a murine lens-induced myopia (LIM) model. We divided male C57BL/6J mice (3 weeks old) into two groups. While the experimental group was orally administered LF (1600 mg/kg/day, from 3-weeks-old to 7-weeks-old), a similar volume of Ringer’s solution was administered to the control group. We subjected the 4-week-old mice to −30 diopter lenses and no lenses on the right and left eyes, respectively. We measured the refraction and the axial length at baseline and 3 weeks after using a refractometer and a spectral domain optical coherence tomography (SD-OCT) system in both eyes. Furthermore, we determined the matrix metalloproteinase-2 (MMP-2) activity, and the amount of interleukin-6 (IL-6), MMP-2, and collagen 1A1 in the choroid or sclera. The eyes with a minus lens showed a refractive error shift and an axial length elongation in the control group, thus indicating the successful induction of myopia. However, there were no significant differences in the aforementioned parameters in the LF group. While LIM increased IL-6 expression and MMP-2 activity, it decreased collagen 1A1 content. However, orally administered LF reversed these effects. Thus, oral administration of LF suppressed lens-induced myopia development by modifying the extracellular matrix remodeling through the IL-6–MMP-2 axis in mice.

Highlights

  • There has been a significant rise in the incidence of myopia in the past five decades

  • We showed that oral administration of LF attenuated minus-lens-induced myopia development in C57BL6J mice

  • We demonstrated that LF suppresses myopia in a mouse lens-induced myopia (LIM) model

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Summary

Introduction

There has been a significant rise in the incidence of myopia in the past five decades. Myopia is rapidly becoming the primary cause of visual impairment worldwide [1,2,3]. Myopia prevention will avert visual impairment and retinal complications. The molecular basis of myopia has not been completely elucidated. Several researchers have reported on the role of inflammation [4] and remodeling of the scleral extracellular matrix (ECM) in the onset and progress of myopia [5]. Patients with inflammatory diseases, such as type 1 diabetes, uveitis, and systemic lupus erythematous, show a higher incidence of myopia. Topical application of cyclosporine A, Nutrients 2020, 12, 3744; doi:10.3390/nu12123744 www.mdpi.com/journal/nutrients

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