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Updated: Jun 2, 2026

Saturated Fatty Acids Induce Ceramide-associated Macrophage Cell Death
Published on: October 31, 2017
Mitochondrial dysfunction links ceramide activated HRK expression and cell death
Farhan Rizvi1, Tom Heimann, Anja Herrnreiter
1Department of Ophthalmology, Medical College of Wisconsin, Milwaukee, Wisconsin, United States of America. frizvi@mcw.edu
Purpose:
Cell death is an essential process in normal development and homeostasis. In eyes, corneal epithelial injury leads to the death of cells in underlying stroma, an event believed to initiate corneal wound healing. The molecular basis of wound induced corneal stromal cell death is not understood in detail. Studies of others have indicated that ceramide may play significant role in stromal cell death following LASIK surgery. We have undertaken the present study to investigate the mechanism of death induced by C6 ceramide in cultures of human corneal stromal (HCSF) fibroblasts.
Methods:
Cultures of HCSF were established from freshly excised corneas. Cell death was induced in low passage (p<4) cultures of HCSF by treating the cells with C6 ceramide or C6 dihydroceramide as a control. Cell death was assessed by Live/Dead cell staining with calcein AM and ethidium homodimer-1 as well as Annexin V staining, caspase activation and TUNEL staining Mitochondrial dysfunction was assessed by Mito Sox Red, JC-1 and cytochrome C release Gene expression was examined by qPCR and western blotting.
Results:
Our data demonstrate ceramide caused mitochondrial dysfunction as evident from reduced MTT staining, cyto c release from mitochondria, enhanced generation of ROS, and loss in mitochondrial membrane potential (ΔΨm). Cell death was evident from Live -Dead Cell staining and the inability to reestablish cultures from detached cells. Ceramide induced the expression of the harikari gene(HRK) and up-regulated JNK phosphorylation. In ceramide treated cells HRK was translocated to mitochondria, where it was found to interact with mitochondrial protein p32. The data also demonstrated HRK, p32 and BAD interaction. Ceramide-induced expression of HRK, mitochondrial dysfunction and cell death were reduced by HRK knockdown with HRK siRNA.
Conclusion:
Our data document that ceramide is capable of inducing death of corneal stromal fibroblasts through the induction of HRK mediated mitochondria dysfunction.
Insights
Ceramide induces human corneal stromal fibroblast death by causing mitochondrial dysfunction and upregulating the harikari gene (HRK). HRK knockdown reduces ceramide-induced cell death, highlighting its role in corneal wound healing.
Area of Science:
- Ophthalmology
- Cell Biology
- Molecular Biology
Background:
- Cell death is crucial for corneal wound healing following injury.
- The precise molecular mechanisms of corneal stromal cell death after injury, such as following LASIK surgery, are not fully understood.
- Ceramide has been implicated in stromal cell death post-LASIK.
Purpose of the Study:
- To investigate the mechanism by which C6 ceramide induces cell death in human corneal stromal fibroblasts (HCSF).
- To elucidate the role of ceramide in corneal stromal cell death and its potential implications for wound healing.
Main Methods:
- HCSF cultures were treated with C6 ceramide or a control.
- Cell death was assessed using Live/Dead staining, Annexin V, caspase activation, and TUNEL assays.
- Mitochondrial function, gene expression (qPCR, Western blotting), and protein interactions were analyzed.
Main Results:
- Ceramide induced mitochondrial dysfunction, evidenced by reduced MTT, cytochrome c release, increased ROS, and loss of mitochondrial membrane potential.
- Ceramide triggered the expression of the harikari gene (HRK) and JNK phosphorylation, leading to HRK translocation to mitochondria.
- HRK interacted with p32 and BAD in mitochondria, and HRK knockdown significantly reduced ceramide-induced cell death.
Conclusions:
- Ceramide induces human corneal stromal fibroblast death via HRK-mediated mitochondrial dysfunction.
- This pathway is a key mechanism contributing to corneal stromal cell death and potentially corneal wound healing.
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