Cited by 54Retinal and Macular SurgeryRetinal Diseases and TreatmentsRetinopathy of Prematurity Studies

A bio-functional polymer that prevents retinal scarring through modulation of NRF2 signalling pathway

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Parikh, Bhav Harshad, Liu, Zengping, Blakeley, Paul, Lin, Qianyu, Singh, Malay, Ong, Jun Yi, Ho, Kim Han, Lai, Joel Weijia +20 more·2022·Nature Communications

Abstract

One common cause of vision loss after retinal detachment surgery is the formation of proliferative and contractile fibrocellular membranes. This aberrant wound healing process is mediated by epithelial-mesenchymal transition (EMT) and hyper-proliferation of retinal pigment epithelial (RPE) cells. Current treatment relies primarily on surgical removal of these membranes. Here, we demonstrate that a bio-functional polymer by itself is able to prevent retinal scarring in an experimental rabbit model of proliferative vitreoretinopathy. This is mediated primarily via clathrin-dependent internalisation of polymeric micelles, downstream suppression of canonical EMT transcription factors, reduction of RPE cell hyper-proliferation and migration. Nuclear factor erythroid 2-related factor 2 signalling pathway was identified in a genome-wide transcriptomic profiling as a key sensor and effector. This study highlights the potential of using synthetic bio-functional polymer to modulate RPE cellular behaviour and offers a potential therapy for retinal scarring prevention.

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  • A bio-functional polymer alone could prevent retinal scarring in an experimental rabbit model with PVR, primarily mediated through clathrin-dependent internalization of PMs, downstream suppression of canonical EMT transcription factors, reduction in hyper-proliferation and migration of RPE cells.

    “In a recent study, researchers demonstrated that a bio-functional polymer alone could prevent retinal scarring in an experimental rabbit model with PVR. This process is primarily mediated through clathrin-dependent internalization of PMs, downstream suppression of canonical EMT transcription factors, reduction in hyper-proliferation and migration of RPE cells [190].”

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References 71 · Cited by 54

Research works printed but not linked: 4

  1. [2]Constable, I. J. & Nagpal, M. Retina 5th edn (eds Ryan, S. J. et al.) 1806–1825 (W.B. Saunders, 2013).
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Authors
Parikh, B. H., Liu, Z., Blakeley, P., Lin, Q., Singh, M., Ong, J. Y., Ho, K. H., Lai, J. W., Bogireddi, H., Tran, K. C., Lim, J. Y. C., Xue, K., Al-Mubaarak, A., Yang, B., R, S., Regha, K., Wong, D. S. L., Tan, Q. S. W., Zhang, Z., Jeyasekharan, A. D., Barathi, V. A., Yu, W., Cheong, K. H., Blenkinsop, T. A., Hunziker, W., Lingam, G., Loh, X. J., & Su, X.
Affiliations
  • Agency for Science, Technology and Research (SG)
  • National University of Singapore (SG)
  • Singapore University of Technology and Design (SG)
  • Icahn School of Medicine at Mount Sinai (US)
Corresponding author
  • Loh, Xian Jun
  • Su, Xinyi
Venue
Nature Communications
Published
2022-05-19
Volume
13
Issue
1
Pages
2796-2796
ISSN
2041-1723 (ISSN-L)
OpenAlex
W4280488233
Cited by
54
References
71
Citations by year
2026: 4 · 2025: 12 · 2024: 24 · 2023: 8 · 2022: 6
FWCI
7.39
Type
journal article
Language
en
Open access
Locations
  • Nature Communications (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • National University of Singapore (submittedVersion)
  • RePEc: Research Papers in Economics (submittedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Funders
  • National Research Foundation Singapore (NRF-CRP21-2018-00103)
  • Agency for Science, Technology and Research (H20H7a0034)
Topics
  • Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Retinal and Macular Surgery
  • Health Sciences › Medicine › Ophthalmology › Retinal Diseases and Treatments
  • Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Retinopathy of Prematurity Studies
Keywords
retinal scarring, proliferative vitreoretinopathy, retinal detachment, retinal pigment epithelium, epithelial-mesenchymal transition, Nrf2 signaling, polymeric micelles, clathrin-mediated endocytosis, RPE cell proliferation, blindness prevention
MeSH terms
Animals, Cell Line, Cell Movement, Cicatrix, Polymers, Rabbits, NF-E2-Related Factor 2, Retinal Pigment Epithelium, Epithelial-Mesenchymal Transition

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