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Bim Inhibition Ameliorates Visual Loss and Promotes Axon Regeneration by Up-Regulation of Drd1 Expression
Zhenhao Cheng1, Lingling Wu2, Yilun Qu2
1Senior Department of Ophthalmology, Chinese PLA General Hospital, Beijing, China; Medical School of Chinese PLA, Beijing, China.
The American Journal of Pathology
|August 7, 2026
Summary
Inhibiting the pro-apoptotic molecule Bim (Bcl-2-interacting mediator of cell death) protected retinal ganglion cells after optic nerve injury. This neuroprotection involved enhanced survival and axonal preservation, potentially through Drd1 signaling pathways.
Area of Science:
- Neuroscience
- Ophthalmology
- Cell Biology
Background:
- Retinal ganglion cell (RGC) degeneration is a major cause of vision loss.
- The pro-apoptotic molecule Bim (Bcl-2-interacting mediator of cell death) plays a role in RGC death after injury.
- Developing strategies to inhibit Bim could offer neuroprotection for RGCs.
Purpose of the Study:
- To evaluate the neuroprotective effects of inhibiting Bim in RGCs using a mouse optic nerve crush (ONC) model.
- To investigate the role of Bim in RGC survival and axonal integrity following ONC.
- To explore the underlying molecular mechanisms, including Drd1 signaling, associated with Bim inhibition.
Main Methods:
- Established a mouse ONC model to induce RGC degeneration.
- Administered AAV2-shBim via intravitreal injection to inhibit Bim expression.
- Assessed RGC survival, retinal structure, visual function, and axonal preservation using immunohistochemistry, RBPMS immunofluorescence, optical coherence tomography, electroretinography, and CTB-555 tracing.
- Utilized dorsal root ganglion (DRG) neuron cultures to study axon growth.
- Performed RNA sequencing, qPCR, and pharmacological modulation of Drd1 signaling.
Main Results:
- ONC led to increased Bim expression and significant RGC loss.
- AAV2-shBim treatment reduced Bim, preserved retinal structure, enhanced RGC survival, and improved visual function and axonal preservation.
- Bim knockdown promoted axon growth in DRG cultures, while overexpression inhibited it.
- Bim inhibition upregulated Drd1 expression, and DRD1 activation enhanced axon growth.
Conclusions:
- Inhibiting Bim provides neuroprotection to RGCs and promotes axonal preservation after ONC.
- Drd1-related signaling pathways may contribute to the observed neuroprotective effects of Bim inhibition.
- Targeting Bim represents a potential therapeutic strategy for conditions involving RGC damage and vision loss.