PMID- 38036037 OWN - NLM STAT- MEDLINE DCOM- 20240122 LR - 20240328 IS - 1098-8823 (Print) IS - 1098-8823 (Linking) VI - 170 DP - 2024 Feb TI - A new R,R-RvD6 isomer with protective actions following corneal nerve injury. PG - 106802 LID - S1098-8823(23)00099-0 [pii] LID - 10.1016/j.prostaglandins.2023.106802 [doi] AB - The transparent cornea is the most densely innervated tissue in the body, primarily by sensory nerves originating from the trigeminal ganglia (TG). Damage to corneal nerves reduces sensitivity and tear secretion and results in dry eye. Consequently, ocular pain, for which no satisfactory therapies exist, arises in many cases. Treatment of injured corneas with pigment epithelium-derived factor (PEDF) combined with docosahexaenoic acid (DHA) stimulates nerve regeneration in models of refractive surgery, which damages nerves. The mechanism involves the synthesis of a stereoisomer of resolvin D6 (R,R-RvD6) formed after incorporating DHA into membrane lipids. Activation of a PEDF receptor (PEDF-R) with phospholipase activity releases DHA to synthesize the new resolvin isomer, which is secreted via tears. Topical treatment of mice corneas with R,R-RvD6 shows higher bioactivity in regenerating nerves and increasing sensitivity compared to PEDF+DHA. It also stimulates a transcriptome in the TG that modulates genes involved in ocular pain. Our studies suggest an important therapeutic role for R,R-RvD6 in regenerating corneal nerves and decreasing pain resulting from dry eye. CI - Copyright (c) 2023 Elsevier Inc. All rights reserved. FAU - Bazan, Haydee E P AU - Bazan HEP AD - Neuroscience Center of Excellence and Department of Ophthalmology, School of Medicine, Louisiana State University Health Sciences Center New Orleans, New Orleans, LA, USA. Electronic address: hbazan1@lsuhsc.edu. FAU - Pham, Thang L AU - Pham TL AD - Neuroscience Center of Excellence and Department of Ophthalmology, School of Medicine, Louisiana State University Health Sciences Center New Orleans, New Orleans, LA, USA. Electronic address: thang@bioturing.com. LA - eng GR - R01 EY019465/EY/NEI NIH HHS/United States PT - Journal Article PT - Review DEP - 20231129 PL - United States TA - Prostaglandins Other Lipid Mediat JT - Prostaglandins & other lipid mediators JID - 9808648 RN - 25167-62-8 (Docosahexaenoic Acids) SB - IM MH - Mice MH - Animals MH - *Cornea/innervation/physiology/surgery MH - Docosahexaenoic Acids/pharmacology/therapeutic use MH - Nerve Regeneration/physiology MH - Pain/drug therapy MH - *Dry Eye Syndromes/drug therapy PMC - PMC10966988 MID - NIHMS1951844 OTO - NOTNLM OT - Cornea innervation OT - Docosahexaenoic acid OT - Dry eye-like pain OT - Pigment epithelium-derived factor OT - R,R-RvD6 OT - Refractive surgery COIS- Conflict of Interest The authors declare that there is no conflict of interest. EDAT- 2023/12/01 00:43 MHDA- 2024/01/22 06:43 PMCR- 2025/02/01 CRDT- 2023/11/30 21:54 PHST- 2023/09/15 00:00 [received] PHST- 2023/11/05 00:00 [revised] PHST- 2023/11/27 00:00 [accepted] PHST- 2025/02/01 00:00 [pmc-release] PHST- 2024/01/22 06:43 [medline] PHST- 2023/12/01 00:43 [pubmed] PHST- 2023/11/30 21:54 [entrez] AID - S1098-8823(23)00099-0 [pii] AID - 10.1016/j.prostaglandins.2023.106802 [doi] PST - ppublish SO - Prostaglandins Other Lipid Mediat. 2024 Feb;170:106802. doi: 10.1016/j.prostaglandins.2023.106802. Epub 2023 Nov 29.