Ginkgo biloba extracts improve choroidal circulation leading to suppression of myopia in mice

Jing Hou1,2, Kiwako Mori1,2, Shin-Ichi Ikeda1,2

  • 1Department of Ophthalmology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan.

Scientific Reports
|March 7, 2023
PubMed

Insights

Ginkgo biloba extracts (GBEs) show promise in preventing myopia progression by activating early growth response 1 (EGR-1) protein. GBEs improved refractive errors and axial elongation in mice, suggesting a potential therapeutic role.

Area of Science:

  • Ophthalmology
  • Pharmacology
  • Molecular Biology

Background:

  • Myopia prevalence is increasing globally, necessitating novel preventive strategies.
  • Early growth response 1 (EGR-1) protein activity is implicated in myopia development.
  • Ginkgo biloba extracts (GBEs) have demonstrated in vitro activation of EGR-1.

Purpose of the Study:

  • To investigate the efficacy of Ginkgo biloba extracts (GBEs) in preventing and treating myopia progression in a mouse model.
  • To elucidate the underlying mechanisms of GBEs' action, focusing on EGR-1 activation and choroidal blood perfusion.

Main Methods:

  • Lens-induced myopia model in C57BL/6J mice.
  • Oral administration of GBEs (0.0667% mixed chow).
  • Measurement of refractive error, axial length, and choroidal blood perfusion using infrared photorefractor, SD-OCT, and OCTA, respectively.
  • Assessment of Egr-1 and eNOS expression in the choroid.

Main Results:

  • Oral GBEs significantly improved refractive errors and reduced axial elongation in lens-induced myopia mice.
  • GBEs enhanced choroidal blood perfusion in both non-myopic and myopic-induced groups.
  • GBE administration increased Egr-1 and eNOS expression in the choroid, correlating positively with choroidal thickness changes.

Conclusions:

  • Ginkgo biloba extracts demonstrate significant potential in inhibiting myopia progression.
  • GBEs may exert their protective effects by enhancing choroidal blood perfusion and activating the EGR-1 pathway.
  • These findings support GBEs as a potential therapeutic agent for myopia prevention.