Quercetin ameliorates SIRT1-mediated oxidative stress and inflammation to attenuate ciliary muscle remodeling in

Yuanting Yang1, Miao Zhang1, Ruixue Zhang1

  • 1Shandong University of Traditional Chinese Medicine, Jinan 250002, China.

Biochemical Pharmacology
|January 10, 2026
PubMed

Insights

Quercetin may protect against myopia by increasing SIRT1 expression, reducing oxidative stress and inflammation in ciliary muscles. This natural compound shows potential in delaying myopia progression in animal models.

Area of Science:

  • Ophthalmology
  • Molecular Biology
  • Pharmacology

Background:

  • Myopic ciliary muscle remodeling is a key factor in myopia progression.
  • Oxidative stress and inflammation contribute to ciliary muscle dysfunction in myopia.
  • SIRT1 (Sirtuin 1) is implicated in cellular protection and metabolic regulation.

Purpose of the Study:

  • To investigate the protective role of quercetin (QUE) in myopic ciliary muscle remodeling.
  • To explore the mechanism involving SIRT1 expression and its downstream effects.
  • To evaluate quercetin's impact on oxidative stress, inflammation, and ciliary muscle morphology.

Main Methods:

  • Randomized controlled trial using negative lens-induced myopic (LIM) guinea pig models.
  • Administration of quercetin (QUE) or SIRT1 activator (SRT1720).
  • Assessment of axial length, refractive error, ciliary muscle morphology (H&E, OCT), protein expression (Western blotting), cytokine levels (ELISA), calcium flux, ROS, and mitochondrial membrane potential (flow cytometry).

Main Results:

  • Quercetin and SRT1720 significantly reduced axial elongation and refractive errors.
  • Improved ciliary muscle thickness and fiber alignment observed in intervention groups.
  • Reduced calcium influx and ROS levels, with partial restoration of mitochondrial membrane potential.
  • Upregulation of SIRT1, NRF2, and TIMP-2; downregulation of KEAP1 and MMP-2.
  • Decreased inflammatory cytokine levels (TNF-α, IL-6) and NF-κB pathway activation.

Conclusions:

  • Quercetin ameliorates ciliary muscle remodeling and delays myopia progression in a guinea pig model.
  • The protective effect is mediated by increased SIRT1 expression, alleviating oxidative stress (KEAP1/NRF2 pathway) and inflammation (NF-κB pathway).
  • Quercetin demonstrates potential as a therapeutic agent for myopia control.