PMID- 32749463 OWN - NLM STAT- MEDLINE DCOM- 20210101 LR - 20210101 IS - 1552-5783 (Electronic) IS - 0146-0404 (Print) IS - 0146-0404 (Linking) VI - 61 IP - 10 DP - 2020 Aug 3 TI - Effects of ROCK Inhibitors on Apoptosis of Corneal Endothelial Cells in CMV-Positive Posner-Schlossman Syndrome Patients. PG - 5 LID - 10.1167/iovs.61.10.5 [doi] LID - 5 AB - PURPOSE: To examine the role of aqueous tumor necrosis factor alpha (TNF-alpha)-RhoA-Rho kinase (ROCK) signaling in cytomegalovirus (CMV)-induced apoptosis and the barrier function of cultured human corneal endothelial cells (hCECs) in CMV-positive Posner-Schlossman syndrome (CMV+/PSS) patients. METHODS: Aqueous levels of TNF-alpha, IL-8, IL-10, and several other cytokines in 19 CMV+/PSS patients and 20 healthy control subjects were quantitated using a multiplex assay. The expression of active RhoA in hCECs post-CMV infection was determined using western blotting (WB). The expression levels of TNF-alpha and nuclear factor kappa B (NF-kappaB) in CMV-infected hCECs were examined by immunocytochemistry (ICC) and WB with and without ROCK inhibitors. The apoptotic rate and barrier integrity in CMV-infected hCECs were also examined. RESULTS: The expression levels of TNF-alpha, monocyte chemoattractant protein-1 (MCP-1), IL-8, and IL-10 were upregulated in the aqueous humor of CMV+/PSS patients, and among these upregulated cytokines aqueous TNF-alpha was negatively correlated with the number of corneal endothelial cells. In CMV-infected hCECs, upregulation of TNF-alpha and NF-kappaB was determined by WB and ICC. In hCECs, CMV infection induced apoptosis and significantly impaired cell-cell contacts, effects that were attenuated by treatment with a ROCK inhibitor. CONCLUSIONS: Aqueous TNF-alpha was upregulated in CMV+/PSS patients, which may have triggered corneal endothelial cell loss. Modulation of TNF-alpha, including its downstream Rho-ROCK signaling, could serve as a novel treatment modality for corneal endothelial cell loss in CMV+/PSS patients. FAU - Igarashi, Nozomi AU - Igarashi N AD - ,. FAU - Honjo, Megumi AU - Honjo M AD - ,. FAU - Kaburaki, Toshikatsu AU - Kaburaki T AD - ,. FAU - Aihara, Makoto AU - Aihara M AD - ,. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Invest Ophthalmol Vis Sci JT - Investigative ophthalmology & visual science JID - 7703701 RN - 0 (Amides) RN - 0 (Cytokines) RN - 0 (Enzyme Inhibitors) RN - 0 (Isoquinolines) RN - 0 (K-115) RN - 0 (Pyridines) RN - 0 (Sulfonamides) RN - 138381-45-0 (Y 27632) RN - EC 2.7.11.1 (rho-Associated Kinases) RN - EC 3.6.5.2 (rhoA GTP-Binding Protein) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Amides/pharmacology MH - Apoptosis/*drug effects MH - Aqueous Humor/metabolism/virology MH - Blotting, Western MH - Cells, Cultured MH - Cytokines/metabolism MH - Cytomegalovirus/isolation & purification MH - Cytomegalovirus Infections/metabolism/*pathology/virology MH - Endothelium, Corneal/metabolism/*pathology/virology MH - Enzyme Inhibitors/*pharmacology MH - Eye Infections, Viral/metabolism/*pathology/virology MH - Female MH - Humans MH - Immunohistochemistry MH - Iridocyclitis/metabolism/*pathology/virology MH - Isoquinolines/pharmacology MH - Male MH - Middle Aged MH - Multiplex Polymerase Chain Reaction MH - Prospective Studies MH - Pyridines/pharmacology MH - Sulfonamides/pharmacology MH - rho-Associated Kinases/*antagonists & inhibitors MH - rhoA GTP-Binding Protein/metabolism PMC - PMC7441372 COIS- Disclosure: N. Igarashi, None; M. Honjo, None; T. Kaburaki, None; M. Aihara, None EDAT- 2020/08/05 06:00 MHDA- 2021/01/02 06:00 PMCR- 2020/08/04 CRDT- 2020/08/05 06:00 PHST- 2020/08/05 06:00 [entrez] PHST- 2020/08/05 06:00 [pubmed] PHST- 2021/01/02 06:00 [medline] PHST- 2020/08/04 00:00 [pmc-release] AID - 2770570 [pii] AID - IOVS-20-29492 [pii] AID - 10.1167/iovs.61.10.5 [doi] PST - ppublish SO - Invest Ophthalmol Vis Sci. 2020 Aug 3;61(10):5. doi: 10.1167/iovs.61.10.5.