Abstract

Hepatocyte growth factor (HGF) induced the proliferation of lens epithelial cells (LECs) and may be a major cause of posterior capsule opacification (PCO), which is the most frequent postoperative complication of cataract surgery. To date, several agents that can block LECs proliferation have been studied, but none have been used in clinic. Recently, accumulating evidence has suggested rapamycin, the inhibitor of mTOR (mammalian target of Rapamycin), was associated with the induction of apoptosis in LECs. The purpose of our study was to investigate the potential effects of rapamycin on HGF-induced LECs and the underlying mechanisms by which rapamycin exerted its actions. Using cell proliferation, cell viability and flow cytometric apoptosis assays, we found that rapamycin potently not only suppressed proliferation but also induced the apoptosis of LECs in a dose-dependent manner under HGF administration. Further investigation of the underlying mechanism using siRNA transfection revealed that rapamycin could promote apoptosis of LECs via inhibiting HGF-induced phosphorylation of AKT/mTOR, ERK and JAK2/STAT3 signaling molecules. Moreover, the forced expression of AKT, ERK and STAT3 could induce a significant suppression of apoptosis in these cells after treatment of rapamycin. Together, these findings suggested that rapamycin-induced apoptosis in HGF-stimulated LECs is accompanied by inhibition of AKT/mTOR, ERK and JAK2/STAT3 pathways, which supports its use to inhibit PCO in preclinical studies and provides theoretical foundation for future possible practice.

Highlights

  • The most frequent postoperative complication of cataract surgery that will result in visual loss is posterior capsule opacification (PCO), which is mainly caused by the proliferation and migration of postoperative remnants of lens epithelial cells (LECs) in the posterior lens capsule [1,2,3,4,5]

  • Our results suggested that JAK2/STAT3 pathway was associated with apoptosis in Hepatocyte growth factor (HGF)-pretreated LECs cells

  • We found that rapamycin could significantly attenuate JAK2 activation, and subsequently decrease the phosphorylation of STAT3 in the presence of HGF in vitro

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Summary

Introduction

The most frequent postoperative complication of cataract surgery that will result in visual loss is posterior capsule opacification (PCO), which is mainly caused by the proliferation and migration of postoperative remnants of lens epithelial cells (LECs) in the posterior lens capsule [1,2,3,4,5]. Nd: YAG laser posterior capsulotomy is always required to restore vision [6]. Earlier studies analyzed hepatocyte growth factor (HGF) and found it to be highly expressed in human capsular bag at all stages of cultures in a protein-free medium, and to induce proliferation of LECs in human LEC lines and in capsular bag cultures, and suggesting HGF may play an important role in the development of PCO [3,10,11]. The following study was performed to investigate the inhibition of HLECs proliferation and/or induction of its apoptosis promoted by rapamycin in the presence of HGF. This is the first study to identify the miscellaneous pathways of rapamycin acting on HLECs treated by HGF, which will contribute to develop a new strategy to prevent PCO

Results and Discussion
Effect of Rapamycin on the Apoptosis in HGF-Treated LECs
Experimental Section
Proliferation Assay
Cell Viability Assays
Apoptosis Assays
Western Blot Analysis
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