PUBLICATION

Stepwise candidate drug screening for myopia control by using zebrafish, mouse, and Golden Syrian Hamster myopia models

Authors
Lin, M.Y., Lin, I.T., Wu, Y.C., Wang, I.J.
ID
ZDB-PUB-210311-8
Date
2021
Source
EBioMedicine   65: 103263 (Journal)
Registered Authors
Keywords
C57BL/6 mouse, Golden Syrian hamster, MMP inhibitors, Myopia, Zebrafish
MeSH Terms
  • Animals
  • Atropine/therapeutic use
  • Cricetinae
  • Disease Models, Animal
  • Drug Evaluation, Preclinical
  • Embryo, Nonmammalian/metabolism
  • Hydroxamic Acids/therapeutic use
  • Lumican/antagonists & inhibitors
  • Lumican/genetics
  • Lumican/metabolism
  • Matrix Metalloproteinase 2/chemistry
  • Matrix Metalloproteinase 2/genetics
  • Matrix Metalloproteinase 2/metabolism
  • Matrix Metalloproteinase Inhibitors/therapeutic use*
  • Mice
  • Mice, Inbred C57BL
  • Morpholinos/metabolism
  • Myopia/drug therapy*
  • Phenylalanine/analogs & derivatives
  • Phenylalanine/therapeutic use
  • Sclera/metabolism
  • Thiophenes/therapeutic use
  • Tissue Inhibitor of Metalloproteinase-2/genetics
  • Tissue Inhibitor of Metalloproteinase-2/metabolism
  • Zebrafish/metabolism
  • Zebrafish Proteins/antagonists & inhibitors
  • Zebrafish Proteins/genetics
  • Zebrafish Proteins/metabolism
PubMed
33691248 Full text @ EBioMedicine
Abstract
We developed a preclinical protocol for the screening of candidate drugs able to control myopia and prevent its progression. The protocol uses zebrafish, C57BL/6 mice, and golden Syrian hamster models of myopia.
A morpholino (MO) targeting the zebrafish lumican gene (zlum) was injected into single-cell zebrafish embryos, causing excessive expansion of the sclera. A library of 640 compounds with 2 matrix metalloproteinase (MMP) inhibitors (marimastat and batimastat), which have the potential to modulate scleral remodelling, was screened to identify candidates for mitigating scleral diameter expansion in zlum-MO-injected embryos. The myopia-prevention ability of compounds discovered to have superior potency to inhibit scleral expansion was validated over 4 weeks in 4-week-old C57BL/6 mice and 3-week-old golden Syrian hamsters with form-deprivation myopia (FDM). Changes in the refractive error and axial length were investigated. Scleral thickness, morphology of collagen fibrils in the posterior sclera, messenger RNA (mRNA) expressions, and protein levels of transforming growth factor-β2 (TGF-β2), tissue inhibitor of metalloproteinase-2 (TIMP-2), MMP-2, MMP-7, MMP-9, and collagen, type I, alpha 1 (collagen Iα1) were investigated in C57BL/6 mice, and MMP-2, MMP-9, and MMP activity assays were conducted in these mice.
In the zebrafish experiment, atropine, marimastat, batimastat, doxycycline, and minocycline were the drugs that most effectively reduced expansion of scleral equatorial diameter. After 28-day treatment in diffuser-wearing mice and 21-day treatment in lid-sutured hamsters, myopic shift and axial elongation were significantly mitigated by eye drops containing 1% atropine, 50 µM marimastat, 5 µM batimastat, or 200 µM doxycycline. MMP-2 mRNA expression in mouse sclera was lower after treatment with atropine, marimastat, batimastat, or doxycycline. The protein levels and activity of MMP-2 and MMP-7 were significantly reduced after treatment with atropine, marimastat, batimastat, doxycycline, and minocycline. Furthermore, scleral thickness and collagen fibril diameter were not lower after treatment with atropine, marimastat, batimastat, or doxycycline than those of occluded eyes.
Stepwise drug screening in a range of models from zlum-MO-injected zebrafish to rodent FDM models identified effective compounds for preclinical myopia control or prevention. On the basis of the 640 compounds that were screened, MMP inhibitors may offer alternatives for clinical trials.
This research was supported by grants from Taiwan's Ministry of Science and Technology and Ministry of Health and Welfare.
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