FPR2 at the crossroads of inflammation and repair in the eye

Rafael André da Silva1, Anna Howell2, Kendra Jones-Graham2

  • 1CellSight Ocular Stem Cell and Regeneration Research Program, Sue Anschutz-Rodgers Eye Center, University of Colorado School of Medicine, Aurora, CO, USA; Biosciences Graduate Program, Instituto de Biociências, Letras e Ciências Exatas, Universidade Estadual Paulista (UNESP), São José do Rio Preto, SP, Brazil.

Drug Discovery Today
|November 21, 2025
PubMed

Insights

Formyl peptide receptor 2 (FPR2) has dual roles in eye diseases, offering therapeutic potential when precisely modulated. Targeting FPR2 may improve outcomes in conditions like diabetic retinopathy and keratitis.

Area of Science:

  • Ophthalmology
  • Immunology
  • G protein-coupled receptors

Background:

  • Chronic inflammation in the retina and cornea can lead to vision loss.
  • Formyl peptide receptors (FPRs) are G protein-coupled receptors involved in inflammation, neuronal survival, and angiogenesis.
  • FPR2 plays a critical role in ocular inflammatory processes.

Purpose of the Study:

  • To review the dual, stage-dependent roles of FPR2 in ocular diseases.
  • To explore the therapeutic potential of modulating FPR2 activity in various eye conditions.
  • To examine the molecular mechanisms underlying FPR2's divergent effects.

Main Methods:

  • Literature review of preclinical studies on FPR2 in ocular diseases.
  • Analysis of signaling pathways and ligand specificity associated with FPR2.
  • Examination of FPR2's role in conditions like diabetic retinopathy, keratitis, and neovascularization.

Main Results:

  • FPR2 exhibits context-specific functions, where both activation and inhibition can be therapeutically beneficial.
  • Targeting FPR2 has shown promise in preclinical models for diabetic retinopathy, keratitis, choroidal and corneal neovascularization, and re-epithelialization.
  • The precise modulation of FPR2 is crucial due to its stage-dependent effects.

Conclusions:

  • FPR2 is a complex but promising therapeutic target in ophthalmology.
  • Stage-tailored modulation of FPR2 is essential for harnessing its therapeutic benefits in ocular diseases.
  • Understanding FPR2's molecular mechanisms and ligand specificity is key to developing effective treatments.

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