Inhibition of mTOR by Rapamycin Aggravates Corneal Epithelial Stem Cell Deficiency by Upregulating Inflammatory

Jong Woo Park1, Jung Hwa Ko1, Bo Hee Kim2

  • 1Laboratory of Ocular Regenerative Medicine and Immunology, Biomedical Research Institute, Seoul National University Hospital, Seoul, South Korea.

Insights

mTOR inhibition with rapamycin worsens corneal stem cell deficiency by increasing inflammation. Restoring IL-10 levels counteracts these detrimental effects, highlighting mTOR

Area of Science:

  • Ophthalmology
  • Stem Cell Biology
  • Immunology

Background:

  • Mammalian target of rapamycin (mTOR) signaling regulates stem cell function.
  • The role of mTOR in corneal epithelial stem cells (CESCs) during inflammation is unknown.

Purpose of the Study:

  • To investigate the effects of mTOR signaling on CESCs under sterile inflammation.
  • To elucidate the mechanisms by which mTOR inhibition impacts CESC survival and corneal inflammation.

Main Methods:

  • Utilized a mouse model of sterile inflammation-induced CESC deficiency.
  • Administered rapamycin (mTOR inhibitor) and assessed CESC apoptosis and inflammation.
  • Investigated the role of the interleukin-10 (IL-10)/signal transducer and activator of transcription 3 (STAT3) pathway.

Main Results:

  • mTOR inhibition with rapamycin promoted CESC apoptosis and aggravated disease.
  • Rapamycin's effect was mediated by increased neutrophilic inflammation, not direct toxicity.
  • Rapamycin downregulated the IL-10/STAT3 anti-inflammatory pathway.
  • IL-10 replenishment reversed the effects of rapamycin on inflammation and CESC apoptosis.

Conclusions:

  • mTOR signaling balances pro- and anti-inflammatory responses in the cornea.
  • mTOR inhibition exacerbates inflammation-induced damage to CESCs.
  • Targeting mTOR requires careful consideration of its impact on ocular inflammation and stem cell health.

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