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KMID : 0213520200340010001
Korean Journal of Ophthalmology
2020 Volume.34 No. 1 p.1 ~ p.10
Effect of Diquafosol on Hyperosmotic Stress-induced Tumor Necrosis Factor-¥á and Interleukin-6 Expression in Human Corneal Epithelial Cells
Kim Yeoun-Hee

Yang In-Jun
Nguyen Ly Thi Huong
Gum Sang-Il
Yu Sung
Lee Gwang-Ja
Kim Bo-Ae
Jung Jae-Chang
Park Young-Jeung
Abstract
Purpose: Diquafosol is a pharmaceutical drug used for dry eye treatment with a novel mechanism of action. It is a purinergic P2Y2 receptor agonist that promotes the secretion of tears and healing of corneal epithelial wounds. However, its inhibitory effect on hyperosmotic stress-induced inflammation in human corneal epithelial cells (HCECs) remains unclear.

Methods: A hyperosmotic stress model was established by transferring HCECs from isosmotic (312 mOsm/kg to hyperosmotic medium (500 mOsm/kg). HCECs were incubated with 500 mOsm/kg hyperosmotic medium for 30 minutes, and then treated with diquafosol (0.6?6 mg/mL) for 4 or 24 hours. Cells were then harvested and analyzed by western blot, immunocytochemistry, and real-time polymerase chain reaction to evaluate the expression of interleukin-6, tumor necrosis factor-alpha, and the phosphorylation status of nuclear factor-kappa B.

Results: Diquafosol significantly decreased the mRNA and protein expression of hyperosmotic stress-induced tumor necrosis factor-alpha and interleukin-6. These results were supported by immunofluorescence staining and quantitative real-time polymerase chain reaction analysis. Furthermore, diquafosol inhibits nuclear factor-kappa B activation by suppressing the phosphorylation and degradation of the inhibitor of †B.

Conclusions: This study shows that diquafosol inhibits nuclear factor-kappa B signaling and inflammatory factors induced by hyperosmotic stress in HCECs. This suggests that using diquafosol for the improvement of dry eye syndrome could be effective in the treatment of inflammation-related corneal and conjunctival diseases.
KEYWORD
Diquafosol, Human corneal epithelial cells, Inflammation, Interleukin-6, Tumor necrosis factor-alpha
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