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Published on: March 24, 2023
Atropine Differentially Modulates ECM Production by Ocular Fibroblasts, and Its Ocular Surface Toxicity Is Blunted by
Martina Cristaldi1, Melania Olivieri1, Salvatore Pezzino1
1Research Center, Sooft Italia SpA c/o Biologic Tower, University of Catania, 95123 Catania, Italy.
Abstract:
Background: The etiology and the mechanism behind atropine treatment of progressive myopia are still poorly understood. Our study addressed the role of scleral and choroidal fibroblasts in myopia development and atropine function.
Methods:
Fibroblasts treated in vitro with atropine or 7-methylxanthine were tested for ECM production by Western blotting. Corneal epithelial cells were treated with atropine in the presence or absence of colostrum or fucosyl-lactose, and cell survival was evaluated by the MTT metabolic test.
Results:
Atropine and 7-methyl-xanthine stimulated collagen I and fibronectin production in scleral fibroblasts, while they inhibited their production in choroidal fibroblasts. Four days of treatment with atropine of corneal epithelial cells significantly decreased cell viability, which could be prevented by the presence of colostrum or fucosyl-lactose.
Conclusions:
Our results show that atropine may function in different ways in different eye districts, strengthening the scleral ECM and increasing permeability in the choroid. The finding that colostrum or fucosyl-lactose attenuate the corneal epithelial toxicity after long-term atropine treatment suggests the possibility that both compounds can efficiently blunt its toxicity in children subjected to chronic atropine treatment.
Insights
Atropine affects eye tissues differently, strengthening the sclera and altering the choroid. Colostrum and fucosyl-lactose may protect against atropine
Area of Science:
- Ophthalmology
- Cell Biology
- Biochemistry
Background:
- The mechanisms of atropine's efficacy in treating progressive myopia remain unclear.
- This study investigates the roles of scleral and choroidal fibroblasts in myopia and atropine's function.
Purpose of the Study:
- To elucidate the differential effects of atropine on scleral and choroidal fibroblasts.
- To assess the protective potential of colostrum and fucosyl-lactose against atropine-induced corneal epithelial cell toxicity.
Main Methods:
- In vitro Western blotting assessed extracellular matrix (ECM) production by fibroblasts treated with atropine or 7-methylxanthine.
- MTT assays evaluated corneal epithelial cell survival following atropine treatment, with or without colostrum or fucosyl-lactose.
Main Results:
- Atropine and 7-methylxanthine increased collagen I and fibronectin in scleral fibroblasts but decreased them in choroidal fibroblasts.
- Corneal epithelial cells treated with atropine showed reduced viability, which was mitigated by colostrum or fucosyl-lactose.
Conclusions:
- Atropine exhibits distinct actions in different ocular tissues, reinforcing the scleral ECM and increasing choroidal permeability.
- Colostrum and fucosyl-lactose show promise in reducing chronic atropine treatment's toxicity in pediatric myopia management.
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