Metrnl inhibits choroidal neovascularization by attenuating the choroidal inflammation via inactivating the

Lanyue Zhang1, Youjian Li2, Zhengyu Wu2

  • 1Department of Ophthalmology, Chongqing University Jiangjin Hospital, Chongqing, China.

PubMed
Abstract

Insights

Meteorin-like (Metrnl) suppresses inflammation in macrophages by interacting with UCHL-1, inhibiting the NF-κB pathway. This mechanism reduces pro-inflammatory cytokines, offering a potential therapeutic strategy for wet Age-related Macular Degeneration (wAMD) and choroidal neovascularization (CNV).

Area of Science:

  • Ophthalmology
  • Immunology
  • Molecular Biology

Background:

  • Choroidal neovascularization (CNV) is a primary cause of advanced wet Age-related Macular Degeneration (wAMD).
  • Macrophages are key drivers in the pathological progression of CNV.
  • Meteorin-like (Metrnl) is a novel cytokine with known anti-inflammatory properties in macrophages.

Purpose of the Study:

  • To investigate the mechanism of action of Metrnl in macrophages.
  • To evaluate Metrnl's potential to inhibit CNV progression.
  • To elucidate the molecular pathways targeted by Metrnl in the context of CNV.

Main Methods:

  • Cell viability assays (CCK-8, EdU) were used to assess Metrnl's effect on cell health.
  • Quantitative reverse-transcription polymerase chain reaction (qRT-PCR), ELISA, and western blot were employed to measure inflammatory markers.
  • Protein mass spectrometry and co-immunoprecipitation (Co-IP) identified protein interactions, and in vivo/in vitro models assessed angiogenesis.

Main Results:

  • Metrnl levels were found to be downregulated in CNV models and wAMD patients.
  • Metrnl overexpression reduced pro-inflammatory cytokines and suppressed angiogenesis in experimental models.
  • Metrnl was confirmed to bind UCHL-1, modulating the NF-κB signaling pathway to inhibit pro-inflammatory gene expression.

Conclusions:

  • Metrnl downregulates macrophage pro-inflammatory cytokine secretion through the UCHL-1/NF-κB signaling pathway.
  • This action alleviates the inflammatory microenvironment, thereby inhibiting choroidal neovascularization.
  • Metrnl presents a promising therapeutic target for managing wAMD and related CNV.