Effect of the BMP4-Smad pathway on corneal immune double-arm and mechanism study

Yuxiao Guo1, Yan Niu1, Qi Zhu2

  • 1The Second Clinical Medical College of Jilin University, Changchun 130012, Jilin Province, China.

Cellular Signalling
|June 11, 2026
PubMed

Insights

Bone morphogenetic protein 4 (BMP4) restrains corneal neovascularization and lymphangiogenesis by activating the BMP4-Smad pathway, preserving immune privilege after eye injury.

Area of Science:

  • Ophthalmology
  • Immunology
  • Molecular Biology

Background:

  • Corneal neovascularization (CNV) and lymphangiogenesis (CL) impair corneal immune privilege and lead to transplant rejection.
  • The BMP4-Smad pathway's role in regulating these vascular responses in the cornea is not fully understood.

Purpose of the Study:

  • To investigate how the bone morphogenetic protein 4 (BMP4)-Smad pathway regulates both vascular and lymphatic components of the corneal wound healing response.

Main Methods:

  • Bioinformatic analysis of corneal suture-injury datasets.
  • In vitro studies using endothelial cells (HUVEC, HLEC) treated with BMP4 and Noggin.
  • In vivo studies using a rat corneal suture model with BMP4 and Noggin administration.
  • Immunohistochemistry, electron microscopy, and molecular assays to assess vascularization and inflammation.

Main Results:

  • BMP4 inhibited endothelial cell proliferation and migration in vitro and suppressed CNV and CL in vivo.
  • BMP4 activated the canonical BMP4-Smad1/5/8 signaling pathway, confirmed by increased p-Smad1/5/8 and nuclear translocation.
  • BMP4 reduced inflammatory cell infiltration and induced endogenous BMP4 expression, suggesting a self-amplifying loop.

Conclusions:

  • BMP4 coordinately restrains both vascular and lymphatic corneal neovascularization via the BMP4-Smad1/5/8 pathway.
  • BMP4 may be a therapeutic target to preserve corneal immune privilege during injury repair.

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