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RGD peptide hydrogel downregulates mechanosignal YAP to inhibit postoperative scarring
Yao Lv1, Licheng Liang2, Mian Qin2
1Department of Ophthalmology, The Second People's Hospital of Yichang, China Three Gorges University, Yichang, Hubei 443003, China; Center for Disease Control and Prevention, High-Tech Zone, Yichang, Hubei, China.
Acta Biomaterialia
|May 3, 2025
Summary
RGD peptide hydrogels prevent glaucoma filtration surgery scarring by inhibiting fibroblast activation and YAP signaling. This novel approach offers a promising therapeutic strategy for improving surgical outcomes.
Area of Science:
- Biomaterials Science
- Ophthalmology
- Cell Biology
Background:
- Glaucoma filtration surgery success can be limited by scar tissue formation from human Tenon's capsule fibroblasts (HTFs).
- The Hippo-YAP signaling pathway regulates fibroblast activation and extracellular matrix (ECM) production, key factors in scar development.
- RGD peptide hydrogels mimic the natural extracellular matrix (ECM) and offer good biocompatibility and biodegradability.
Purpose of the Study:
- To investigate if RGD peptide hydrogels can prevent HTF activation and ECM secretion by down-regulating Yes-associated protein (YAP) expression.
- To evaluate the anti-scarring potential of RGD peptide hydrogels in a murine model of subconjunctival injury.
Main Methods:
- Human Tenon's capsule fibroblasts (HTFs) were activated using transforming growth factor-β2 (TGF-β2).
- A murine model of subconjunctival injury was created in SD rats.
- Collagen fiber morphology was assessed using Masson staining; YAP and α-smooth muscle actin (α-SMA) expression were analyzed via immunohistochemistry.
Main Results:
- RGD peptide hydrogel demonstrated anti-scarring effects in a mouse eye injury model.
- The hydrogel reduced HTF activation, YAP expression and nuclear accumulation, and the expression of connective tissue growth factor (CTGF) and ECM proteins.
- A 1.0 weight percent concentration of RGD peptide hydrogel was optimal, facilitating subconjunctival injection and inhibiting fibroblast activation and Hippo-YAP signaling.
Conclusions:
- RGD peptide hydrogels effectively inhibit fibroblast activation and ECM production by down-regulating the Hippo-YAP pathway.
- The 1.0 weight percent RGD peptide hydrogel shows promise as a therapeutic agent to prevent scarring after glaucoma filtration surgery.
- RGD peptide hydrogels possess favorable characteristics for drug delivery and can serve as a carrier for sustained drug release.

