Rapamycin attenuates Th2-driven experimental allergic conjunctivitis

Soojung Shin1, Ji Hyun Lee1, Hyun Jung Lee1

  • 1Department of Ophthalmology and Visual Science, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea; Catholic Institute for Visual Science, The Catholic University of Korea, College of Medicine, Seoul, Republic of Korea.

Insights

Rapamycin, an mTOR inhibitor, effectively reduces allergic conjunctivitis symptoms and inflammation. Topical or systemic rapamycin treatment alleviates clinical signs and immune responses in experimental allergic conjunctivitis.

Area of Science:

  • Ophthalmology
  • Immunology
  • Pharmacology

Background:

  • Allergic conjunctivitis involves eosinophil infiltration and Th2 immune responses.
  • The mechanistic target of rapamycin (mTOR) signaling pathway's role in allergic conjunctivitis is not fully understood.

Purpose of the Study:

  • To investigate the therapeutic potential of rapamycin, an mTOR inhibitor, in a mouse model of experimental allergic conjunctivitis (EAC).

Main Methods:

  • Ovalbumin (OVA)-induced experimental allergic conjunctivitis (EAC) model in mice.
  • Administration of rapamycin via intraperitoneal injection and topical application.
  • Assessment of clinical signs, serum IgE and IgG1/G2a levels, conjunctival eosinophil and immune cell infiltration, cytokine expression, and mTOR signaling pathway activation.

Main Results:

  • Rapamycin treatment significantly reduced clinical signs, serum IgE and IgG1/G2a ratio, and eosinophil infiltration in the conjunctiva.
  • Rapamycin attenuated the infiltration of dendritic cells and T cells, and decreased Th1/Th2 cytokines in lymph nodes.
  • Both systemic and topical rapamycin administration demonstrated comparable therapeutic effects, reducing inflammation and Th2 responses.

Conclusions:

  • Rapamycin effectively suppresses key inflammatory pathways in experimental allergic conjunctivitis.
  • mTOR signaling is implicated in the pathogenesis of allergic conjunctivitis.
  • Rapamycin shows promise as a topical or systemic therapeutic agent for allergic conjunctivitis.

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