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Role of Chronic Inflammation in Myopia Progression: Clinical Evidence and Experimental Validation.


ABSTRACT: Prevention and treatment of myopia is an important public problem worldwide. We found a higher incidence of myopia among patients with inflammatory diseases such as type 1 diabetes mellitus (7.9%), uveitis (3.7%), or systemic lupus erythematosus (3.5%) compared to those without inflammatory diseases (p<0.001) using data from children (<18years old) in the National Health Insurance Research database. We then examined the inhibition of myopia by atropine in Syrian hamsters with monocular form deprivation (MFD), an experimental myopia model. We found atropine downregulated inflammation in MFD eyes. The expression levels of c-Fos, nuclear factor ?B (NF?B), interleukin (IL)-6, and tumor necrosis factor (TNF)-? were upregulated in myopic eyes and downregulated upon treatment with atropine. The relationship between the inflammatory response and myopia was investigated by treating MFD hamsters with the immunosuppressive agent cyclosporine A (CSA) or the inflammatory stimulators lipopolysaccharide (LPS) or peptidoglycan (PGN). Myopia progression was slowed by CSA application but was enhanced by LPS and PGN administration. The levels of c-Fos, NF-?B, IL-6, and TNF-? were upregulated in LPS- and PGN-treated eyes and downregulated by CSA treatment. These findings provide clinical and experimental evidence that inflammation plays a crucial role in the development of myopia.

SUBMITTER: Lin HJ 

PROVIDER: S-EPMC5006729 | biostudies-literature | 2016 Aug

REPOSITORIES: biostudies-literature

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Role of Chronic Inflammation in Myopia Progression: Clinical Evidence and Experimental Validation.

Lin Hui-Ju HJ   Wei Chang-Ching CC   Chang Ching-Yao CY   Chen Ter-Hsin TH   Hsu Yu-An YA   Hsieh Yi-Ching YC   Chen Hsuan-Ju HJ   Wan Lei L  

EBioMedicine 20160719


Prevention and treatment of myopia is an important public problem worldwide. We found a higher incidence of myopia among patients with inflammatory diseases such as type 1 diabetes mellitus (7.9%), uveitis (3.7%), or systemic lupus erythematosus (3.5%) compared to those without inflammatory diseases (p<0.001) using data from children (<18years old) in the National Health Insurance Research database. We then examined the inhibition of myopia by atropine in Syrian hamsters with monocular form depr  ...[more]

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