Dexamethasone Induces Senescence-Associated Changes in Trabecular Meshwork Cells by Increasing ROS Levels Via the TGFβ/Smad3-NOX4 Axis

Glaucoma is a serious complication of glucocorticoid (GC) therapy arising through elevations in intraocular pressure (IOP). Dexamethasone (DEX) is reported to contribute to elevated IOP through different effects on the trabecular meshwork but whether DEX contributes to glaucoma development through t...

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Main Authors: Haijun Li, Jing Ren, Huiling Cui, Di Wang, Rumeng Zhao, Xiaohui Liu, Shuai Tian, Jing Wang, Jingyi Zhang, Peng Li, Rick F. Thorne, Shichao Duan
Format: Article
Language:English
Published: SAGE Publishing 2023-06-01
Series:Cell Transplantation
Online Access:https://doi.org/10.1177/09636897231177356
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author Haijun Li
Jing Ren
Huiling Cui
Di Wang
Rumeng Zhao
Xiaohui Liu
Shuai Tian
Jing Wang
Jingyi Zhang
Peng Li
Rick F. Thorne
Shichao Duan
author_facet Haijun Li
Jing Ren
Huiling Cui
Di Wang
Rumeng Zhao
Xiaohui Liu
Shuai Tian
Jing Wang
Jingyi Zhang
Peng Li
Rick F. Thorne
Shichao Duan
author_sort Haijun Li
collection DOAJ
description Glaucoma is a serious complication of glucocorticoid (GC) therapy arising through elevations in intraocular pressure (IOP). Dexamethasone (DEX) is reported to contribute to elevated IOP through different effects on the trabecular meshwork but whether DEX contributes to glaucoma development through the induction of cellular senescence is still unclear. We explored the actions of DEX on transformed human trabecular meshwork cells (HTMCs) using RNA-seq and conducted bioinformatic analyses to determine the affected pathways. Among the 4,103 differentially expressed genes identified in transformed HTMCs treated with 400 nM DEX (2,036 upregulated and 2,067 downregulated genes, respectively), bioinformatic analyses revealed significant enrichment and potential interplay between the transforming growth factor beta (TGFβ)41; signaling and cellular senescence pathways. DEX treatment induced senescence changes in primary and transformed HTMCs as indicated by increases in SA-β-gal positivity, interleukin (IL)-6 secretion, and senescence-associated heterochromatin foci (SAHF) along with selective accumulation of senescence marker p15 and elevations in reactive oxygen species (ROS) levels. Notably, the DEX-induced senescence changes were rescued by treatment with the TGFβ/Smad3 pathway inhibitor SIS3. Furthermore, we show that DEX increases cellular ROS levels via upregulation of NADPH oxidase 4 (NOX4) through activation of Smad3, and that SIS3 decreases ROS levels by downregulating NOX4. Instructively, inhibiting NOX4 with GLX351322 and scavenging ROS with NAC were both effective in preventing DEX-induced senescence changes. Similarly, we found in the mouse model that DEX-ac upregulated p15 and NOX4 expression in the trabecular meshwork, with cotreatment with GLX351322 alleviating elevations in IOP. We establish that DEX induces senescence changes in HTMCs by increasing ROS levels via the TGFβ/Smad3/NOX4 axis, increasing IOP and contributing to glaucoma development.
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spelling doaj.art-9806c60fe65b44a5905c1a2c7f4424182023-06-03T10:03:47ZengSAGE PublishingCell Transplantation1555-38922023-06-013210.1177/09636897231177356Dexamethasone Induces Senescence-Associated Changes in Trabecular Meshwork Cells by Increasing ROS Levels Via the TGFβ/Smad3-NOX4 AxisHaijun Li0Jing Ren1Huiling Cui2Di Wang3Rumeng Zhao4Xiaohui Liu5Shuai Tian6Jing Wang7Jingyi Zhang8Peng Li9Rick F. Thorne10Shichao Duan11Henan Provincial People’s Hospital, Henan Eye Institute, Henan Eye Hospital, Zhengzhou University People’s Hospital, Henan University People’s Hospital, Zhengzhou, ChinaHenan Provincial People’s Hospital, Henan Eye Institute, Henan Eye Hospital, Zhengzhou University People’s Hospital, Henan University People’s Hospital, Zhengzhou, ChinaHenan Provincial People’s Hospital, Henan Eye Institute, Henan Eye Hospital, Zhengzhou University People’s Hospital, Henan University People’s Hospital, Zhengzhou, ChinaHenan Provincial People’s Hospital, Henan Eye Institute, Henan Eye Hospital, Zhengzhou University People’s Hospital, Henan University People’s Hospital, Zhengzhou, ChinaHenan Provincial People’s Hospital, Henan Eye Institute, Henan Eye Hospital, Zhengzhou University People’s Hospital, Henan University People’s Hospital, Zhengzhou, ChinaHenan Provincial People’s Hospital, Henan Eye Institute, Henan Eye Hospital, Zhengzhou University People’s Hospital, Henan University People’s Hospital, Zhengzhou, ChinaTranslational Research Institute, Henan Provincial People’s Hospital, Academy of Medical Science, Zhengzhou University, Zhengzhou, ChinaHenan Provincial People’s Hospital, Zhengzhou, ChinaCollege of Veterinary Medicine, Henan Agricultural University, Zhengzhou, ChinaDepartment of Cardiology, Shanghai Institute of Cardiovascular Diseases, Zhongshan Hospital, Fudan University, Shanghai, ChinaTranslational Research Institute, Henan Provincial People’s Hospital, Academy of Medical Science, Zhengzhou University, Zhengzhou, ChinaHenan Provincial People’s Hospital, Henan Eye Institute, Henan Eye Hospital, Zhengzhou University People’s Hospital, Henan University People’s Hospital, Zhengzhou, ChinaGlaucoma is a serious complication of glucocorticoid (GC) therapy arising through elevations in intraocular pressure (IOP). Dexamethasone (DEX) is reported to contribute to elevated IOP through different effects on the trabecular meshwork but whether DEX contributes to glaucoma development through the induction of cellular senescence is still unclear. We explored the actions of DEX on transformed human trabecular meshwork cells (HTMCs) using RNA-seq and conducted bioinformatic analyses to determine the affected pathways. Among the 4,103 differentially expressed genes identified in transformed HTMCs treated with 400 nM DEX (2,036 upregulated and 2,067 downregulated genes, respectively), bioinformatic analyses revealed significant enrichment and potential interplay between the transforming growth factor beta (TGFβ)41; signaling and cellular senescence pathways. DEX treatment induced senescence changes in primary and transformed HTMCs as indicated by increases in SA-β-gal positivity, interleukin (IL)-6 secretion, and senescence-associated heterochromatin foci (SAHF) along with selective accumulation of senescence marker p15 and elevations in reactive oxygen species (ROS) levels. Notably, the DEX-induced senescence changes were rescued by treatment with the TGFβ/Smad3 pathway inhibitor SIS3. Furthermore, we show that DEX increases cellular ROS levels via upregulation of NADPH oxidase 4 (NOX4) through activation of Smad3, and that SIS3 decreases ROS levels by downregulating NOX4. Instructively, inhibiting NOX4 with GLX351322 and scavenging ROS with NAC were both effective in preventing DEX-induced senescence changes. Similarly, we found in the mouse model that DEX-ac upregulated p15 and NOX4 expression in the trabecular meshwork, with cotreatment with GLX351322 alleviating elevations in IOP. We establish that DEX induces senescence changes in HTMCs by increasing ROS levels via the TGFβ/Smad3/NOX4 axis, increasing IOP and contributing to glaucoma development.https://doi.org/10.1177/09636897231177356
spellingShingle Haijun Li
Jing Ren
Huiling Cui
Di Wang
Rumeng Zhao
Xiaohui Liu
Shuai Tian
Jing Wang
Jingyi Zhang
Peng Li
Rick F. Thorne
Shichao Duan
Dexamethasone Induces Senescence-Associated Changes in Trabecular Meshwork Cells by Increasing ROS Levels Via the TGFβ/Smad3-NOX4 Axis
Cell Transplantation
title Dexamethasone Induces Senescence-Associated Changes in Trabecular Meshwork Cells by Increasing ROS Levels Via the TGFβ/Smad3-NOX4 Axis
title_full Dexamethasone Induces Senescence-Associated Changes in Trabecular Meshwork Cells by Increasing ROS Levels Via the TGFβ/Smad3-NOX4 Axis
title_fullStr Dexamethasone Induces Senescence-Associated Changes in Trabecular Meshwork Cells by Increasing ROS Levels Via the TGFβ/Smad3-NOX4 Axis
title_full_unstemmed Dexamethasone Induces Senescence-Associated Changes in Trabecular Meshwork Cells by Increasing ROS Levels Via the TGFβ/Smad3-NOX4 Axis
title_short Dexamethasone Induces Senescence-Associated Changes in Trabecular Meshwork Cells by Increasing ROS Levels Via the TGFβ/Smad3-NOX4 Axis
title_sort dexamethasone induces senescence associated changes in trabecular meshwork cells by increasing ros levels via the tgfβ smad3 nox4 axis
url https://doi.org/10.1177/09636897231177356
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