Intraocular Pressure-Lowering and Retina-Protective Effects of Exosome-Rich Conditioned Media from Human Amniotic Membrane Stem Cells in a Rat Model of Glaucoma

Glaucoma is one of the most devastating eye diseases, since the disease can develop into blindness and no effective therapeutics are available. Although the exact mechanisms and causes of glaucoma are unknown, increased intraocular pressure (IOP) has been demonstrated to be an important risk factor....

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Main Authors: Hye-Rim Seong, Chan Ho Noh, Sangryong Park, Sumin Cho, Seok-Jin Hong, Ah-young Lee, Dongho Geum, Soon-Cheol Hong, Dongsun Park, Tae Myoung Kim, Ehn-Kyoung Choi, Yun-Bae Kim
Format: Article
Language:English
Published: MDPI AG 2023-04-01
Series:International Journal of Molecular Sciences
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Online Access:https://www.mdpi.com/1422-0067/24/9/8073
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author Hye-Rim Seong
Chan Ho Noh
Sangryong Park
Sumin Cho
Seok-Jin Hong
Ah-young Lee
Dongho Geum
Soon-Cheol Hong
Dongsun Park
Tae Myoung Kim
Ehn-Kyoung Choi
Yun-Bae Kim
author_facet Hye-Rim Seong
Chan Ho Noh
Sangryong Park
Sumin Cho
Seok-Jin Hong
Ah-young Lee
Dongho Geum
Soon-Cheol Hong
Dongsun Park
Tae Myoung Kim
Ehn-Kyoung Choi
Yun-Bae Kim
author_sort Hye-Rim Seong
collection DOAJ
description Glaucoma is one of the most devastating eye diseases, since the disease can develop into blindness and no effective therapeutics are available. Although the exact mechanisms and causes of glaucoma are unknown, increased intraocular pressure (IOP) has been demonstrated to be an important risk factor. Exosomes are lipid nanoparticles secreted from functional cells, including stem cells, and have been found to contain diverse functional molecules that control body function, inhibit inflammation, protect and regenerate cells, and restore damaged tissues. In the present study, exosome-rich conditioned media (ERCMs) were attained via hypoxic culture (2% O<sub>2</sub>) of human amniotic membrane mesenchymal stem cells (AMMSCs) and amniotic membrane epithelial stem cells (AMESCs) containing 50 times more exosome particles than normoxic culture (20% O<sub>2</sub>) medium (NCM). The exosome particles in ERCM were confirmed to be 77 nm in mean size and contain much greater amounts of growth factors (GFs) and neurotrophic factors (NFs) than those in NCM. The glaucoma-therapeutic effects of ERCMs were assessed in retinal cells and a hypertonic (1.8 M) saline-induced high-IOP animal model. CM-DiI-labeled AMMSC exosomes were found to readily penetrate the normal and H<sub>2</sub>O<sub>2</sub>-damaged retinal ganglion cells (RGCs), and AMMSC-ERCM not only facilitated retinal pigment epithelial cell (RPEC) proliferation but also protected against H<sub>2</sub>O<sub>2</sub>- and hypoxia-induced RPEC insults. The IOP of rats challenged with 1.8 M saline increased twice the normal IOP (12–17 mmHg) in a week. However, intravitreal injection of AMMSC-ERCM or AMESC-ERCM (3.9–4.5 × 10<sup>8</sup> exosomes in 10 μL/eye) markedly recovered the IOP to normal level in 2 weeks, similar to the effect achieved with platelet-derived growth factor-AB (PDGF-AB, 1.5 μg), a reference material. In addition, AMMSC-ERCM, AMESC-ERCM, and PDGF-AB significantly reversed the shrinkage of retinal layers, preserved RGCs, and prevented neural injury in the glaucoma eyes. It was confirmed that stem cell ERCMs containing large numbers of functional molecules such as GFs and NFs improved glaucoma by protecting retinal cells against oxidative and hypoxic injuries in vitro and by recovering IOP and retinal degeneration in vivo. Therefore, it is suggested that stem cell ERCMs could be a promising candidate for the therapy of glaucoma.
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spelling doaj.art-83fa79cde002445cafd974bfcef274302023-11-17T23:04:31ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672023-04-01249807310.3390/ijms24098073Intraocular Pressure-Lowering and Retina-Protective Effects of Exosome-Rich Conditioned Media from Human Amniotic Membrane Stem Cells in a Rat Model of GlaucomaHye-Rim Seong0Chan Ho Noh1Sangryong Park2Sumin Cho3Seok-Jin Hong4Ah-young Lee5Dongho Geum6Soon-Cheol Hong7Dongsun Park8Tae Myoung Kim9Ehn-Kyoung Choi10Yun-Bae Kim11College of Veterinary Medicine, Chungbuk National University, Cheongju 28644, Republic of KoreaCollege of Veterinary Medicine, Chungbuk National University, Cheongju 28644, Republic of KoreaCentral Research Institute, Designed Cells Co., Ltd., Cheongju 28576, Republic of KoreaCollege of Veterinary Medicine, Chungbuk National University, Cheongju 28644, Republic of KoreaCentral Research Institute, Designed Cells Co., Ltd., Cheongju 28576, Republic of KoreaCentral Research Institute, Designed Cells Co., Ltd., Cheongju 28576, Republic of KoreaDepartment of Biomedical Science, Korea University College of Medicine, Seoul 02841, Republic of KoreaDepartment of Obstetrics and Gynecology, Korea University College of Medicine, Seoul 02841, Republic of KoreaDepartment of Biology Education, Korea National University of Education, Cheongju 28173, Republic of KoreaCentral Research Institute, Designed Cells Co., Ltd., Cheongju 28576, Republic of KoreaCentral Research Institute, Designed Cells Co., Ltd., Cheongju 28576, Republic of KoreaCollege of Veterinary Medicine, Chungbuk National University, Cheongju 28644, Republic of KoreaGlaucoma is one of the most devastating eye diseases, since the disease can develop into blindness and no effective therapeutics are available. Although the exact mechanisms and causes of glaucoma are unknown, increased intraocular pressure (IOP) has been demonstrated to be an important risk factor. Exosomes are lipid nanoparticles secreted from functional cells, including stem cells, and have been found to contain diverse functional molecules that control body function, inhibit inflammation, protect and regenerate cells, and restore damaged tissues. In the present study, exosome-rich conditioned media (ERCMs) were attained via hypoxic culture (2% O<sub>2</sub>) of human amniotic membrane mesenchymal stem cells (AMMSCs) and amniotic membrane epithelial stem cells (AMESCs) containing 50 times more exosome particles than normoxic culture (20% O<sub>2</sub>) medium (NCM). The exosome particles in ERCM were confirmed to be 77 nm in mean size and contain much greater amounts of growth factors (GFs) and neurotrophic factors (NFs) than those in NCM. The glaucoma-therapeutic effects of ERCMs were assessed in retinal cells and a hypertonic (1.8 M) saline-induced high-IOP animal model. CM-DiI-labeled AMMSC exosomes were found to readily penetrate the normal and H<sub>2</sub>O<sub>2</sub>-damaged retinal ganglion cells (RGCs), and AMMSC-ERCM not only facilitated retinal pigment epithelial cell (RPEC) proliferation but also protected against H<sub>2</sub>O<sub>2</sub>- and hypoxia-induced RPEC insults. The IOP of rats challenged with 1.8 M saline increased twice the normal IOP (12–17 mmHg) in a week. However, intravitreal injection of AMMSC-ERCM or AMESC-ERCM (3.9–4.5 × 10<sup>8</sup> exosomes in 10 μL/eye) markedly recovered the IOP to normal level in 2 weeks, similar to the effect achieved with platelet-derived growth factor-AB (PDGF-AB, 1.5 μg), a reference material. In addition, AMMSC-ERCM, AMESC-ERCM, and PDGF-AB significantly reversed the shrinkage of retinal layers, preserved RGCs, and prevented neural injury in the glaucoma eyes. It was confirmed that stem cell ERCMs containing large numbers of functional molecules such as GFs and NFs improved glaucoma by protecting retinal cells against oxidative and hypoxic injuries in vitro and by recovering IOP and retinal degeneration in vivo. Therefore, it is suggested that stem cell ERCMs could be a promising candidate for the therapy of glaucoma.https://www.mdpi.com/1422-0067/24/9/8073glaucomahuman amniotic membrane stem cellexosome-rich conditioned mediumintraocular pressureretinal cell protection
spellingShingle Hye-Rim Seong
Chan Ho Noh
Sangryong Park
Sumin Cho
Seok-Jin Hong
Ah-young Lee
Dongho Geum
Soon-Cheol Hong
Dongsun Park
Tae Myoung Kim
Ehn-Kyoung Choi
Yun-Bae Kim
Intraocular Pressure-Lowering and Retina-Protective Effects of Exosome-Rich Conditioned Media from Human Amniotic Membrane Stem Cells in a Rat Model of Glaucoma
International Journal of Molecular Sciences
glaucoma
human amniotic membrane stem cell
exosome-rich conditioned medium
intraocular pressure
retinal cell protection
title Intraocular Pressure-Lowering and Retina-Protective Effects of Exosome-Rich Conditioned Media from Human Amniotic Membrane Stem Cells in a Rat Model of Glaucoma
title_full Intraocular Pressure-Lowering and Retina-Protective Effects of Exosome-Rich Conditioned Media from Human Amniotic Membrane Stem Cells in a Rat Model of Glaucoma
title_fullStr Intraocular Pressure-Lowering and Retina-Protective Effects of Exosome-Rich Conditioned Media from Human Amniotic Membrane Stem Cells in a Rat Model of Glaucoma
title_full_unstemmed Intraocular Pressure-Lowering and Retina-Protective Effects of Exosome-Rich Conditioned Media from Human Amniotic Membrane Stem Cells in a Rat Model of Glaucoma
title_short Intraocular Pressure-Lowering and Retina-Protective Effects of Exosome-Rich Conditioned Media from Human Amniotic Membrane Stem Cells in a Rat Model of Glaucoma
title_sort intraocular pressure lowering and retina protective effects of exosome rich conditioned media from human amniotic membrane stem cells in a rat model of glaucoma
topic glaucoma
human amniotic membrane stem cell
exosome-rich conditioned medium
intraocular pressure
retinal cell protection
url https://www.mdpi.com/1422-0067/24/9/8073
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