PMID- 32387619 OWN - NLM STAT- MEDLINE DCOM- 20210108 LR - 20210108 IS - 1096-0007 (Electronic) IS - 0014-4835 (Linking) VI - 196 DP - 2020 Jul TI - Leucine-rich alpha-2-glycoprotein-1 promotes diabetic corneal epithelial wound healing and nerve regeneration via regulation of matrix metalloproteinases. PG - 108060 LID - S0014-4835(20)30319-5 [pii] LID - 10.1016/j.exer.2020.108060 [doi] AB - Leucine-rich alpha-2-glycoprotein-1 (LRG1) is involved in several pathophysiological processes, including angiogenesis, cutaneous wound repair and cancer metastasis. In this study, we investigated the potential role and mechanism of LRG1 in corneal re-epithelialisation and nerve regeneration in streptozotocin-induced diabetic mice. We found decreased levels of LRG1 in the corneal epithelium after wounding in diabetic mice compared to normal controls. Hyperglycaemia downregulated the LRG1 expression in the corneal epithelium in vivo, as well as in vitro in a cultured mouse corneal epithelial stem/progenitor cell line (TKE2 cells) exposed to high glucose (HG; 30 mM) in the culture medium. Exogenous application of LRG1 accelerated corneal re-epithelialisation and nerve regeneration in normal mice and diabetic mice. LRG1 also overcame the suppression of wound healing in TKE2 cells by HG conditions, and it activated repair-related signalling by JAK2/STAT3, AKT, epidermal growth factor receptor (EGFR) and transforming growth factor (TGF)-beta3. We also found that LRG1 treatment overcame the hyperglycaemia-suppressed expression of matrix metalloproteinase 3 (MMP3) and metalloproteinase 13 (MMP13) in the regenerated corneal epithelium. The promoted effects of LRG1 on corneal re-epithelialisation and nerve regeneration were blocked by inhibitors of MMP3 and MMP13. Subconjunctival injection of 0.5 mug MMP inhibitors did not cause any obvious toxic damage in corneal epithelial cells. Immunoprecipitation and proximity ligation assay experiments confirmed that endogenous LRG1 coprecipitated with MMP3 and MMP13 in TKE2 cells. These results indicate that LRG1 promoted wound repair and nerve regeneration in the diabetic corneal epithelium by regulation of MMPs. Our findings reveal a new function and mechanism for LRG1 in the cornea, and they provide new insights for a better understanding of diabetic keratopathy. CI - Copyright (c) 2020 Elsevier Ltd. All rights reserved. FAU - Li, Weina AU - Li W AD - Department of Ophthalmology, Renmin Hospital of Wuhan University, Wuhan, 430060, China; State Key Laboratory Cultivation Base, Shandong Provincial Key Laboratory of Ophthalmology, Shandong Eye Institute, Shandong First Medical University & Shandong Academy of Medical Sciences, Qingdao, 266071, China. FAU - Wang, Xiaochuan AU - Wang X AD - State Key Laboratory Cultivation Base, Shandong Provincial Key Laboratory of Ophthalmology, Shandong Eye Institute, Shandong First Medical University & Shandong Academy of Medical Sciences, Qingdao, 266071, China; School of Medicine and Life Sciences, University of Jinan-Shandong Academy of Medical Sciences, Jinan, 250002, China. FAU - Cheng, Jun AU - Cheng J AD - State Key Laboratory Cultivation Base, Shandong Provincial Key Laboratory of Ophthalmology, Shandong Eye Institute, Shandong First Medical University & Shandong Academy of Medical Sciences, Qingdao, 266071, China. FAU - Li, Jing AU - Li J AD - State Key Laboratory Cultivation Base, Shandong Provincial Key Laboratory of Ophthalmology, Shandong Eye Institute, Shandong First Medical University & Shandong Academy of Medical Sciences, Qingdao, 266071, China; School of Medicine and Life Sciences, University of Jinan-Shandong Academy of Medical Sciences, Jinan, 250002, China. FAU - Wang, Qun AU - Wang Q AD - State Key Laboratory Cultivation Base, Shandong Provincial Key Laboratory of Ophthalmology, Shandong Eye Institute, Shandong First Medical University & Shandong Academy of Medical Sciences, Qingdao, 266071, China. FAU - Zhou, Qingjun AU - Zhou Q AD - State Key Laboratory Cultivation Base, Shandong Provincial Key Laboratory of Ophthalmology, Shandong Eye Institute, Shandong First Medical University & Shandong Academy of Medical Sciences, Qingdao, 266071, China. FAU - Li, Hua AU - Li H AD - State Key Laboratory Cultivation Base, Shandong Provincial Key Laboratory of Ophthalmology, Shandong Eye Institute, Shandong First Medical University & Shandong Academy of Medical Sciences, Qingdao, 266071, China. FAU - Xue, Junfa AU - Xue J AD - State Key Laboratory Cultivation Base, Shandong Provincial Key Laboratory of Ophthalmology, Shandong Eye Institute, Shandong First Medical University & Shandong Academy of Medical Sciences, Qingdao, 266071, China. FAU - Zhang, Yuan AU - Zhang Y AD - Department of Ophthalmology, Renmin Hospital of Wuhan University, Wuhan, 430060, China; State Key Laboratory Cultivation Base, Shandong Provincial Key Laboratory of Ophthalmology, Shandong Eye Institute, Shandong First Medical University & Shandong Academy of Medical Sciences, Qingdao, 266071, China. FAU - Yang, Lingling AU - Yang L AD - State Key Laboratory Cultivation Base, Shandong Provincial Key Laboratory of Ophthalmology, Shandong Eye Institute, Shandong First Medical University & Shandong Academy of Medical Sciences, Qingdao, 266071, China. Electronic address: lingling6008@126.com. FAU - Xie, Lixin AU - Xie L AD - Department of Ophthalmology, Renmin Hospital of Wuhan University, Wuhan, 430060, China; State Key Laboratory Cultivation Base, Shandong Provincial Key Laboratory of Ophthalmology, Shandong Eye Institute, Shandong First Medical University & Shandong Academy of Medical Sciences, Qingdao, 266071, China. Electronic address: lixin_xie@hotmail.com. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20200506 PL - England TA - Exp Eye Res JT - Experimental eye research JID - 0370707 RN - 0 (Glycoproteins) RN - 0 (LRG1 protein, mouse) RN - 0 (STAT3 Transcription Factor) RN - 0 (Stat3 protein, mouse) RN - 0 (Transforming Growth Factor beta3) RN - EC 2.7.10.1 (EGFR protein, mouse) RN - EC 2.7.10.1 (ErbB Receptors) RN - EC 2.7.10.2 (Jak2 protein, mouse) RN - EC 2.7.10.2 (Janus Kinase 2) RN - EC 2.7.11.1 (Oncogene Protein v-akt) RN - EC 3.4.24.- (Matrix Metalloproteinases) RN - IY9XDZ35W2 (Glucose) SB - IM MH - Animals MH - Cells, Cultured MH - Cornea/innervation/metabolism MH - Corneal Diseases/*metabolism MH - Diabetes Mellitus, Experimental/metabolism MH - Diabetes Mellitus, Type 1/metabolism MH - Epithelium, Corneal/*physiology MH - ErbB Receptors/metabolism MH - Glucose/pharmacology MH - Glycoproteins/*physiology MH - Hyperglycemia/metabolism MH - Janus Kinase 2/metabolism MH - Male MH - Matrix Metalloproteinases/*metabolism MH - Mice MH - Mice, Inbred C57BL MH - Nerve Regeneration/*physiology MH - Oncogene Protein v-akt/metabolism MH - Re-Epithelialization MH - STAT3 Transcription Factor/metabolism MH - Transforming Growth Factor beta3/metabolism MH - Trigeminal Nerve/*physiology MH - Wound Healing/*physiology OTO - NOTNLM OT - Corneal epithelial wound healing OT - Diabetic OT - Leucine-rich alpha-2-glycoprotein-1 OT - Matrix metalloproteinases OT - Nerve regeneration COIS- Declaration of competing interest All authors have approved this final article as being true in representation of the experimental findings. EDAT- 2020/05/11 06:00 MHDA- 2021/01/09 06:00 CRDT- 2020/05/11 06:00 PHST- 2019/10/17 00:00 [received] PHST- 2020/04/23 00:00 [revised] PHST- 2020/04/28 00:00 [accepted] PHST- 2020/05/11 06:00 [pubmed] PHST- 2021/01/09 06:00 [medline] PHST- 2020/05/11 06:00 [entrez] AID - S0014-4835(20)30319-5 [pii] AID - 10.1016/j.exer.2020.108060 [doi] PST - ppublish SO - Exp Eye Res. 2020 Jul;196:108060. doi: 10.1016/j.exer.2020.108060. Epub 2020 May 6.