Acetylcholinesterase inhibition ameliorates retinal neovascularization and glial activation in oxygen-induced

Qiu-Ping Liu1, Xian Zhang1, Ya-Zhou Qin2

  • 1Affiliated Eye Hospital of Nanchang University, Nanchang 330006, Jiangxi Province, China.

Abstract

Insights

Donepezil inhibits acetylcholinesterase (AChE) to reduce aberrant retinal neovascularization and glial activation in oxygen-induced retinopathy. This suggests AChE inhibition is a potential therapy for retinal neovascular diseases.

Area of Science:

  • Ophthalmology
  • Neuroscience
  • Cell Biology

Background:

  • Oxygen-induced retinopathy (OIR) is a model for aberrant retinal neovascularization (RNV).
  • Acetylcholinesterase (AChE) is implicated in RNV, with elevated levels observed in OIR.
  • Müller glial cells play a role in RNV and glial activation.

Purpose of the Study:

  • To investigate the role of AChE inhibition by donepezil in ameliorating RNV and glial activation in OIR.
  • To determine the effects of donepezil on hypoxia-induced factor 1α (HIF-1α) and vascular endothelial growth factor (VEGF) expression in the retina.

Main Methods:

  • A mouse model of OIR was established by exposing P7 mice to 75% oxygen.
  • Donepezil was administered intraperitoneally to P12 mice.
  • Immunofluorescence, HE staining, Western-blot, and ELISA were used to assess RNV, glial activation (GFAP), AChE expression, HIF-1α, and VEGF.

Main Results:

  • OIR induced aberrant RNV and Müller glial cell activation, with increased AChE expression primarily in glial cells.
  • Donepezil treatment significantly reduced RNV and glial activation in OIR mice.
  • Donepezil inhibited ischemia-induced HIF-1α accumulation and VEGF upregulation in OIR retinas and cultured Müller cells.

Conclusions:

  • AChE is involved in the pathogenesis of RNV in OIR.
  • Inhibition of AChE by donepezil demonstrates therapeutic potential for treating retinal neovascular diseases.

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