PMID- 38546583 OWN - NLM STAT- MEDLINE DCOM- 20240329 LR - 20240402 IS - 1552-5783 (Electronic) IS - 0146-0404 (Print) IS - 0146-0404 (Linking) VI - 65 IP - 3 DP - 2024 Mar 5 TI - Lack of Elevated Expression of TGFbeta3 Contributes to the Delay of Epithelial Wound Healing in Diabetic Corneas. PG - 35 LID - 10.1167/iovs.65.3.35 [doi] LID - 35 AB - PURPOSE: To investigate the mechanisms underlying the differential roles of TGFbeta1 and TGFbeta3 in accelerating corneal epithelial wound healing (CEWH) in diabetic (DM) corneas, with normoglycemia (NL) corneas as the control. METHODS: Two types of diabetic mice, human corneal organ cultures, mouse corneal epithelial progenitor cell lines, and bone marrow-derived macrophages (BMDMs) were employed to assess the effects of TGFbeta1 and TGFbeta3 on CEWH, utilizing quantitative PCR, western blotting, ELISA, and whole-mount confocal microscopy. RESULTS: Epithelial debridement led to an increased expression of TGFbeta1 and TGFbeta3 in cultured human NL corneas, but only TGFbeta1 in DM corneas. TGFbeta1 and TGFbeta3 inhibition was significantly impeded, but exogenous TGFbeta1 and, more potently, TGFbeta3 promoted CEWH in cultured TKE2 cells and in NL and DM C57BL6 mouse corneas. Wounding induced similar levels of p-SMAD2/SMAD3 in NL and DM corneas but weaker ERK1/2, Akt, and EGFR phosphorylation in DM corneas compared to NL corneas. Whereas TGFbeta1 augmented SMAD2/SMAD3 phosphorylation, TGFbeta3 preferentially activated ERK, PI3K, and EGFR in healing DM corneas. Furthermore, TGFbeta1 and TGFbeta3 differentially regulated the expression of S100a9, PAI-1, uPA/tPA, and CCL3 in healing NL and DM corneas. Finally, TGFbeta1 induced the expression of M1 macrophage markers iNOS, CD86, and CTGF, whereas TGFbeta3 promoted the expression of M2 markers CD206 and NGF in BMDMs from db/db or db/+ mice. CONCLUSIONS: Hyperglycemia disrupts the balanced expression of TGFbeta3/TGFbeta1, resulting in delayed CEWH, including impaired sensory nerve regeneration in the cornea. Supplementing TGFbeta3 in DM wounds may hold therapeutic potential for accelerating delayed wound healing in diabetic patients. FAU - Gao, Nan AU - Gao N AD - Departments of Ophthalmology and Anatomy and Cell Biology, Kresge Eye Institute, Wayne State University School of Medicine, Detroit, Michigan, United States. FAU - Yu, Fu-Shin AU - Yu FS AD - Departments of Ophthalmology and Anatomy and Cell Biology, Kresge Eye Institute, Wayne State University School of Medicine, Detroit, Michigan, United States. LA - eng GR - R01 EY010869/EY/NEI NIH HHS/United States GR - R01 EY017960/EY/NEI NIH HHS/United States GR - R01 EY035785/EY/NEI NIH HHS/United States PT - Journal Article PL - United States TA - Invest Ophthalmol Vis Sci JT - Investigative ophthalmology & visual science JID - 7703701 RN - EC 2.7.10.1 (ErbB Receptors) RN - 0 (TGFB3 protein, human) RN - 0 (Tgfb3 protein, mouse) RN - 0 (Transforming Growth Factor beta3) SB - IM MH - Animals MH - Humans MH - Mice MH - Cornea MH - *Corneal Injuries MH - *Diabetes Mellitus, Experimental MH - ErbB Receptors MH - *Hyperglycemia MH - Mice, Inbred C57BL MH - *Transforming Growth Factor beta3/genetics PMC - PMC10981440 COIS- Disclosure: N. Gao, None; F.-S. Yu, None EDAT- 2024/03/28 12:50 MHDA- 2024/03/29 06:46 PMCR- 2024/03/28 CRDT- 2024/03/28 11:33 PHST- 2024/03/29 06:46 [medline] PHST- 2024/03/28 12:50 [pubmed] PHST- 2024/03/28 11:33 [entrez] PHST- 2024/03/28 00:00 [pmc-release] AID - 2793488 [pii] AID - IOVS-23-39230 [pii] AID - 10.1167/iovs.65.3.35 [doi] PST - ppublish SO - Invest Ophthalmol Vis Sci. 2024 Mar 5;65(3):35. doi: 10.1167/iovs.65.3.35.