Rapamycin suppresses neuroinflammation and protects retinal ganglion cell loss after optic nerve crush

Feifei Wang1, Yuning Song1, Peiyu Liu1

  • 1Affiliated Eye Hospital of Nanchang University, Nanchang University School of Ophthalmology & Optometry, Jiangxi Provincial Key Laboratory for Ophthalmology, Jiangxi Research Institute of Ophthalmology & Visual Science, Nanchang 330006, PR China.

Insights

Rapamycin (RAPA) injection protects retinal ganglion cells (RGCs) in glaucoma models by inhibiting pyroptosis, a key cell death pathway. This study reveals RAPA

Area of Science:

  • Ophthalmology
  • Neuroscience
  • Immunology

Background:

  • Pyroptosis, an inflammasome-mediated cell death, is implicated in glaucoma pathogenesis.
  • The mechanistic target of rapamycin (mTOR) pathway is known to regulate pyroptosis.
  • The neuroprotective potential of rapamycin (RAPA) against optic nerve crush (ONC)-induced pyroptosis in glaucoma remains unexplored.

Purpose of the Study:

  • To investigate the effect of intravitreal rapamycin (RAPA) on retinal ganglion cells (RGCs) in glaucoma.
  • To elucidate the underlying mechanisms by which RAPA protects RGCs in an optic nerve crush (ONC) model.
  • To explore RAPA's potential in mitigating glaucoma-associated RGC damage.

Main Methods:

  • Intravitreal injection of RAPA in an optic nerve crush (ONC) glaucoma model.
  • Assessment of RGC survival and axonal protection.
  • Analysis of glial cell activation and pyroptosis-related inflammatory markers (NLRP3, ASC, GSDMD-N, IL-18, IL-1β).
  • Investigation of the mTOR/ROCK pathway.

Main Results:

  • Intravitreal RAPA alleviated RGC damage across various injury types.
  • RAPA significantly reduced glial cell activation in the retina.
  • RAPA inhibited the expression of key pyroptosis markers (NLRP3, ASC, GSDMD-N) and inflammatory cytokines (IL-18, IL-1β).
  • RAPA demonstrated protective effects on RGC axons.

Conclusions:

  • Rapamycin (RAPA) exerts neuroprotective effects in glaucoma by inhibiting pyroptosis and inflammation.
  • RAPA mitigates RGC damage and axonal loss, potentially via mTOR/ROCK pathway regulation and glial activation inhibition.
  • This study supports RAPA's potential as a therapeutic agent for glaucoma in preclinical settings.

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