Celastrol Activates SIRT1/PGC-1α/Nrf2 Axis to Inhibit Oxidative Damage for Subconjunctival Fibrosis Alleviation

Zhihua Guo1, Huayang Feng1, Xue Sun1

  • 1Henan Eye Hospital, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, Zhengzhou, PR China.

Abstract

Insights

Cel-nanomicelles (Cel) inhibit subconjunctival fibrosis by activating the SIRT1/PGC-1α/Nrf2 pathway, reducing oxidative damage. This research clarifies Cel

Area of Science:

  • Ophthalmology
  • Cell Biology
  • Pharmacology

Background:

  • Subconjunctival fibrosis, leading to symblepharon and recurrent pterygium, poses a significant threat to vision.
  • Previous research identified celastrol as a potential inhibitor of subconjunctival fibrosis.

Purpose of the Study:

  • To investigate the mechanisms by which celastrol-nanomicelles (Cel) inhibit subconjunctival fibrosis.
  • To explore the role of the SIRT1/PGC-1α/Nrf2 axis in Cel's antifibrotic effects.

Main Methods:

  • Established rat subconjunctival injury and human pterygium fibroblast models.
  • Utilized RNA-seq, immunofluorescence, and Western blot to analyze Cel's targets and pathways.
  • Confirmed the involvement of the SIRT1/PGC-1α/Nrf2 axis using a selective SIRT1 antagonist (EX527).

Main Results:

  • Cel effectively attenuated oxidative damage and subconjunctival fibrosis in vivo and in vitro.
  • RNA-seq identified SIRT1 signaling and oxidative stress regulation as key targets of Cel.
  • Cel inhibited fibrosis by activating the SIRT1/PGC-1α/Nrf2 axis and suppressing the TGF-β1/Smad2/3 pathway.

Conclusions:

  • Cel alleviates subconjunctival fibrosis by inhibiting oxidative damage through activation of the SIRT1/PGC-1α/Nrf2 signaling pathway.
  • This study provides a novel mechanism for celastrol as a potential therapeutic agent for subconjunctival fibrosis.