Topical administration of the kappa opioid receptor agonist nalfurafine suppresses corneal neovascularization and inflammation

Abstract Corneal neovascularization (CNV) causes higher-order aberrations, corneal edema, ocular inflammation, and corneal transplant rejection, thereby decreasing visual acuity. In this study, we investigated the effects of topical administration of the kappa opioid receptor agonist nalfurafine (TR...

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Main Authors: Hurramhon Shokirova, Takenori Inomata, Tsuyoshi Saitoh, Jun Zhu, Kenta Fujio, Yuichi Okumura, Ai Yanagawa, Keiichi Fujimoto, Jaemyoung Sung, Atsuko Eguchi, Maria Miura, Ken Nagino, Kunihiko Hirosawa, Mizu Kuwahara, Yasutsugu Akasaki, Hiroshi Nagase, Akira Murakami
Format: Article
Language:English
Published: Nature Portfolio 2021-04-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-021-88118-6
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author Hurramhon Shokirova
Takenori Inomata
Tsuyoshi Saitoh
Jun Zhu
Kenta Fujio
Yuichi Okumura
Ai Yanagawa
Keiichi Fujimoto
Jaemyoung Sung
Atsuko Eguchi
Maria Miura
Ken Nagino
Kunihiko Hirosawa
Mizu Kuwahara
Yasutsugu Akasaki
Hiroshi Nagase
Akira Murakami
author_facet Hurramhon Shokirova
Takenori Inomata
Tsuyoshi Saitoh
Jun Zhu
Kenta Fujio
Yuichi Okumura
Ai Yanagawa
Keiichi Fujimoto
Jaemyoung Sung
Atsuko Eguchi
Maria Miura
Ken Nagino
Kunihiko Hirosawa
Mizu Kuwahara
Yasutsugu Akasaki
Hiroshi Nagase
Akira Murakami
author_sort Hurramhon Shokirova
collection DOAJ
description Abstract Corneal neovascularization (CNV) causes higher-order aberrations, corneal edema, ocular inflammation, and corneal transplant rejection, thereby decreasing visual acuity. In this study, we investigated the effects of topical administration of the kappa opioid receptor agonist nalfurafine (TRK-820) on CNV. To induce CNV, intrastromal corneal sutures were placed on the corneal stroma of BALB/c mice for 2 weeks. Nalfurafine (0.1 µg/2 μL/eye) was topically administered to the cornea once or twice daily after CNV induction. The CNV score, immune cell infiltration, and mRNA levels of angiogenic and pro-inflammatory factors in neovascularized corneas were evaluated using slit-lamp microscopy, immunohistochemistry, flow cytometry, and polymerase chain reaction. The mRNA expression of the kappa opioid receptor gene Oprk1 was significantly upregulated following CNV induction. Topical administration of nalfurafine twice daily significantly suppressed CNV and lymphangiogenesis, as well as reduced the mRNA levels of angiogenic and pro-inflammatory factors in the neovascularized corneas. Moreover, nalfurafine administration twice daily reduced the numbers of infiltrating leukocytes, neutrophils, macrophages, and interferon-γ-producing CD4+ T cells in the neovascularized corneas. In this study, we demonstrated that topical administration of nalfurafine suppressed local CNV in a mouse model along with the activation of KOR, suggesting that nalfurafine may prevent and control CNV in humans.
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spelling doaj.art-3ae6a01079114237a7e64390f3ffeccb2022-12-21T20:35:26ZengNature PortfolioScientific Reports2045-23222021-04-0111111510.1038/s41598-021-88118-6Topical administration of the kappa opioid receptor agonist nalfurafine suppresses corneal neovascularization and inflammationHurramhon Shokirova0Takenori Inomata1Tsuyoshi Saitoh2Jun Zhu3Kenta Fujio4Yuichi Okumura5Ai Yanagawa6Keiichi Fujimoto7Jaemyoung Sung8Atsuko Eguchi9Maria Miura10Ken Nagino11Kunihiko Hirosawa12Mizu Kuwahara13Yasutsugu Akasaki14Hiroshi Nagase15Akira Murakami16Department of Ophthalmology, Juntendo University Graduate School of MedicineDepartment of Ophthalmology, Juntendo University Graduate School of MedicineInternational Institute for Integrative Sleep Medicine (WPI-IIIS), University of TsukubaDepartment of Ophthalmology, Juntendo University Graduate School of MedicineDepartment of Ophthalmology, Juntendo University Graduate School of MedicineDepartment of Ophthalmology, Juntendo University Graduate School of MedicineDepartment of Digital Medicine, Juntendo University Graduate School of MedicineDepartment of Ophthalmology, Juntendo University Faculty of MedicineDepartment of Ophthalmology, Juntendo University Graduate School of MedicineDepartment of Hospital Administration, Juntendo University Graduate School of MedicineDepartment of Ophthalmology, Juntendo University Graduate School of MedicineDepartment of Hospital Administration, Juntendo University Graduate School of MedicineDepartment of Ophthalmology, Juntendo University Graduate School of MedicineDepartment of Ophthalmology, Juntendo University Graduate School of MedicineDepartment of Ophthalmology, Juntendo University Graduate School of MedicineInternational Institute for Integrative Sleep Medicine (WPI-IIIS), University of TsukubaDepartment of Ophthalmology, Juntendo University Graduate School of MedicineAbstract Corneal neovascularization (CNV) causes higher-order aberrations, corneal edema, ocular inflammation, and corneal transplant rejection, thereby decreasing visual acuity. In this study, we investigated the effects of topical administration of the kappa opioid receptor agonist nalfurafine (TRK-820) on CNV. To induce CNV, intrastromal corneal sutures were placed on the corneal stroma of BALB/c mice for 2 weeks. Nalfurafine (0.1 µg/2 μL/eye) was topically administered to the cornea once or twice daily after CNV induction. The CNV score, immune cell infiltration, and mRNA levels of angiogenic and pro-inflammatory factors in neovascularized corneas were evaluated using slit-lamp microscopy, immunohistochemistry, flow cytometry, and polymerase chain reaction. The mRNA expression of the kappa opioid receptor gene Oprk1 was significantly upregulated following CNV induction. Topical administration of nalfurafine twice daily significantly suppressed CNV and lymphangiogenesis, as well as reduced the mRNA levels of angiogenic and pro-inflammatory factors in the neovascularized corneas. Moreover, nalfurafine administration twice daily reduced the numbers of infiltrating leukocytes, neutrophils, macrophages, and interferon-γ-producing CD4+ T cells in the neovascularized corneas. In this study, we demonstrated that topical administration of nalfurafine suppressed local CNV in a mouse model along with the activation of KOR, suggesting that nalfurafine may prevent and control CNV in humans.https://doi.org/10.1038/s41598-021-88118-6
spellingShingle Hurramhon Shokirova
Takenori Inomata
Tsuyoshi Saitoh
Jun Zhu
Kenta Fujio
Yuichi Okumura
Ai Yanagawa
Keiichi Fujimoto
Jaemyoung Sung
Atsuko Eguchi
Maria Miura
Ken Nagino
Kunihiko Hirosawa
Mizu Kuwahara
Yasutsugu Akasaki
Hiroshi Nagase
Akira Murakami
Topical administration of the kappa opioid receptor agonist nalfurafine suppresses corneal neovascularization and inflammation
Scientific Reports
title Topical administration of the kappa opioid receptor agonist nalfurafine suppresses corneal neovascularization and inflammation
title_full Topical administration of the kappa opioid receptor agonist nalfurafine suppresses corneal neovascularization and inflammation
title_fullStr Topical administration of the kappa opioid receptor agonist nalfurafine suppresses corneal neovascularization and inflammation
title_full_unstemmed Topical administration of the kappa opioid receptor agonist nalfurafine suppresses corneal neovascularization and inflammation
title_short Topical administration of the kappa opioid receptor agonist nalfurafine suppresses corneal neovascularization and inflammation
title_sort topical administration of the kappa opioid receptor agonist nalfurafine suppresses corneal neovascularization and inflammation
url https://doi.org/10.1038/s41598-021-88118-6
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